Evidence map›Paper›PMID 37457614›Full record

ArticleClinical & translational immunology2023

Allogeneic haematopoietic cell transplants as dynamical systems: influence of early-term immune milieu on long-term T-cell recovery.

Viktoriya Zelikson, Roy Sabo, Myrna Serrano, Younus Aqeel, Savannah Ward, Taha Al Juhaishi, May Aziz, Elizabeth Krieger, Gary Simmons, Catherine Roberts and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 74% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Viktoriya ZeliksonDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
Roy SaboDepartment of Biostatistics Virginia Commonwealth University Richmond VA USA.
Myrna SerranoDepartment of Microbiology and Immunology Virginia Commonwealth University Richmond VA USA.
Younus AqeelDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
Savannah WardDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
Taha Al JuhaishiDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
May AzizDepartment of Pharmacy Virginia Commonwealth University Richmond VA USA.
Elizabeth KriegerDepartment of Pediatrics Virginia Commonwealth University Richmond VA USA.
Gary SimmonsDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
Catherine RobertsDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.
Jason ReedDepartment of Physics Virginia Commonwealth University Richmond VA USA.
Gregory BuckDepartment of Biostatistics Virginia Commonwealth University Richmond VA USA.
Amir ToorDepartment of Internal Medicine Virginia Commonwealth University Richmond VA USA.ORCID https://orcid.org/0000-0001-5317-8433
Virginia Commonwealth University · USLehigh Valley Hospital-Pocono · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Immune recovery following haematopoietic cell transplantation (HCT) functions as a dynamical system. Reducing the duration of intense immune suppression and augmenting antigen presentation has the potential to optimise T-cell reconstitution, potentially influencing long-term outcomes. Methods: Based on donor-derived T-cell recovery, 26 patients were adaptively randomised between mycophenolate mofetil (MMF) administered for 30-day post-transplant with filgrastim for cytokine support (MMF30 arm, Results: Clinical outcomes were equivalent between the two groups. The MMF15 arm demonstrated superior T-cell, as well as T-cell subset recovery and a trend towards superior T-cell receptor (TCR) diversity in the first month with this difference persisting through the first year. T-cell repertoire recovery was more rapid and sustained, as well as more diverse in the MMF15 arm. Conclusion: The long-term superior immune recovery in the MMF15 arm, administered GMCSF, is consistent with a disproportionate impact of early interventions in HCT. Modifying the 'immune-milieu' following allogeneic HCT is feasible and may influence long-term T-cell recovery.

Indexed as

graft versus host diseasehaematopoietic cell transplantationimmune reconstitutionT‐cell receptor beta repertoireT‐cell recoverytotal body irradiation

Identifiers

PMID37457614
PMCPMC10345185
OpenAlexW4384346123

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.