Evidence map›Paper›PMID 37544465›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2023

Impact of age and telomere length on circulating T cells and rejection risk after lung transplantation for idiopathic pulmonary fibrosis.

Mark E Snyder, Michaela R Anderson, Luke J Benvenuto, Rachel M Sutton, Anna Bondonese, Ritchie Koshy, Robin Burke, Sarah Clifford, Andrew Craig, Carlo J Iasella and 6 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Review
  3. The search for peripheral tolerance in lung transplantation.Current opinion in pulmonary medicine · 2025
    Review
  4. Senescence-induced p21Cell discovery · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Small airway brush gene expression predicts chronic lung allograft dysfunction and mortality.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  12. Review
  13. Lung Transplant Outcomes Keep BUGging us: Acute Cellular Rejection and the Lung Microbiome.American journal of respiratory and critical care medicine · 2024
    Article
  14. Article
  15. Review
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

16 authors at 3 institutions in 1 country.

Mark E SnyderDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA; Starzl Transplantation Institute, Pittsburgh, Pennsylvania. Electronic address: snyderme2@upmc.edu.
Michaela R AndersonDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Luke J BenvenutoDepartment of Medicine, Columbia University Irving Medical Center, New York, New York.
Rachel M SuttonDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Anna BondoneseDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Ritchie KoshyDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Robin BurkeDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Sarah CliffordDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Andrew CraigDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Carlo J IasellaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Department of Pharmacology, University of Pittsburgh, Pittsburgh, PA, USA.
Stefanie J HannanDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Iulia PopescuDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Yingze ZhangDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Pablo G SanchezDepartment of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan K AlderDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
John F McDyerDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA; Starzl Transplantation Institute, Pittsburgh, Pennsylvania. Electronic address: mcdyerjf@upmc.edu.
University of Pittsburgh · USColumbia University Irving Medical Center · USUniversity of Pennsylvania · US

Funding

Systematic Investigation of Protein Ubiquitination in ARDSR35HL139860 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHEN, BEIBEI · 2018 to 2024
$6.3M
Mechanisms of Telomere-Mediated Lung DiseaseR01HL135062 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jonathan K. Alder · 2018 to 2026
$4.1M
Tissue resident memory T cells and chronic lung allograft dysfunctionR01HL167901 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mark Eugene Snyder · 2023 to 2026
$2.9M
The Role of Telomeres in Lung Transplant Recipient Immunity and OutcomesR01HL166265 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jonathan K. Alder, JOHN F MCDYER · 2023 to 2026
$2.8M
Role of F-Box Proteins in Lung TransplantationR01HL133184 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHEN, BEIBEI, MCDYER, JOHN F · 2017 to 2020
$2.1M
Impact of tissue resident memory T cells on chronic rejection after lung transplantationK23HL151759 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SNYDER, MARK EUGENE · 2020 to 2024
$847k
Influence of sleep on hematopoietic stem cell diversity and clonality in cardiovascular diseaseR00HL151750 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MCALPINE, CAMERON STUART · 2021 to 2023
$747k
Influence of sleep on hematopoietic stem cell diversity and clonality in cardiovascular diseaseK99HL151750 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MCALPINE, CAMERON STUART · 2020 to 2020
$171k
NHLBI NIH HHS K23 HL151759NHLBI NIH HHS K99 HL151750NHLBI NIH HHS R00 HL151750NHLBI NIH HHS R01 HL133184NHLBI NIH HHS R01 HL135062NHLBI NIH HHS R01 HL166265NHLBI NIH HHS R01 HL167901NHLBI NIH HHS R35 HL139860
6 · The paper itself

Abstract

backgroundMost idiopathic pulmonary fibrosis (IPF) lung transplant recipients (IPF-LTRs) have short telomere (ST) length. Inherited mutations in telomere-related genes are associated with the development of T cell immunodeficiency. Despite this, IPF-LTRs with telomere-related rare variants are not protected from acute cellular rejection (ACR). We set out to determine the impact of both age and telomere length on the circulating T cell compartment and ACR burden of IPF-LTRs.

methodsWe identified 106 IPF-LTRs who had telomere length testing using flowFISH (57 with short telomeres and 49 with long telomeres) as well as a subset from both cohorts who had cryopreserved PBMC at least 1 time point, 6 months posttransplantation. Circulating T cells from before transplantation and at 6 and 12 months posttransplantation were analyzed using multiparameter flow cytometry to study phenotype and functional capacity, and bulk T cell receptor sequencing was performed to study repertoire diversity. Linear regression was used to study the relationship of age and telomere length on early (within 1 year) and late (between 1 and 2 years) ACR.

resultsIPF-LTRs with ST were found to have premature "aging" of their circulating T cell compartment, with age-agnostic elevations in posttransplant terminal differentiation of CD8

conclusionsIPF-LTRs with ST have premature "aging" of their circulating T cell compartment posttransplantation and a clear age-related decline in ACR burden.

Indexed as

Idiopathic Pulmonary FibrosisLung TransplantationCD8-Positive T-LymphocytesHumansInfantLeukocytes, MononuclearReceptors, Antigen, T-CellTelomereReceptors, Antigen, T-Cellaginglung transplantationrejectionT cellstelomere length

Identifiers

PMID37544465
PMCPMC10839116
OpenAlexW4385605349

What OpenQuestion holds

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Registered trials

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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.