Evidence map›Paper›PMID 38890530›Full record

ArticleNature medicine2024

Decoding the hallmarks of allograft dysfunction with a comprehensive pan-organ transcriptomic atlas.

Harry Robertson, Hani Jieun Kim, Jennifer Li, Nicholas Robertson, Paul Robertson, Elvira Jimenez-Vera, Farhan Ameen, Andy Tran, Katie Trinh, Philip J O'Connell and 3 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Article
  2. Emerging applications of traditional and generative artificial intelligence in liver transplantation.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Targeted Expansion of Treg Cells to Induce Immune Tolerance after Kidney Transplantation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Sensitization in Transplantation Assessment of Risk 2025 innate working group: The potential role of innate allorecognition in kidney allograft damage.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
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.

Harry RobertsonSchool of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0001-9203-3894
Hani Jieun KimSydney Precision Data Science Centre, The University of Sydney, Camperdown, New South Wales, Australia.
Jennifer LiCentre for Transplant and Renal Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Nicholas RobertsonSchool of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia.
Paul RobertsonDepartment of Renal and Transplantation Medicine, Westmead Hospital, Westmead, New South Wales, Australia.
Elvira Jimenez-VeraCentre for Transplant and Renal Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Farhan AmeenSchool of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia.
Andy TranSchool of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia.
Katie TrinhCentre for Transplant and Renal Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Philip J O'ConnellCentre for Transplant and Renal Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Jean Y H Yang *School of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0002-5271-2603
Natasha M Rogers *Centre for Transplant and Renal Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.
Ellis Patrick *School of Mathematics and Statistics, The University of Sydney, Camperdown, New South Wales, Australia. ellis.patrick@sydney.edu.au.ORCID http://orcid.org/0000-0002-5253-4747

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pathogenesis of allograft (dys)function has been increasingly studied using 'omics'-based technologies, but the focus on individual organs has created knowledge gaps that neither unify nor distinguish pathological mechanisms across allografts. Here we present a comprehensive study of human pan-organ allograft dysfunction, analyzing 150 datasets with more than 12,000 samples across four commonly transplanted solid organs (heart, lung, liver and kidney, n = 1,160, 1,241, 1,216 and 8,853 samples, respectively) that we leveraged to explore transcriptomic differences among allograft dysfunction (delayed graft function, acute rejection and fibrosis), tolerance and stable graft function. We identified genes that correlated robustly with allograft dysfunction across heart, lung, liver and kidney transplantation. Furthermore, we developed a transfer learning omics prediction framework that, by borrowing information across organs, demonstrated superior classifications compared to models trained on single organs. These findings were validated using a single-center prospective kidney transplant cohort study (a collective 329 samples across two timepoints), providing insights supporting the potential clinical utility of our approach. Our study establishes the capacity for machine learning models to learn across organs and presents a transcriptomic transplant resource that can be employed to develop pan-organ biomarkers of allograft dysfunction.

Indexed as

AllograftsGraft RejectionKidney TransplantationTranscriptomeDelayed Graft FunctionFibrosisGene Expression ProfilingHeart TransplantationHumansLiver TransplantationLung TransplantationMachine LearningMaleTransplantation, Homologous

Identifiers

PMID38890530
PMCPMC11645273

What OpenQuestion holds

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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.