Evidence map›Paper›PMID 39388279›Full record

ArticleJCI insight2024

High-dimensional analysis of NK cells in kidney transplantation uncovers subsets associated with antibody-independent graft dysfunction.

Dan Fu Ruan, Miguel Fribourg, Yuko Yuki, Yeon-Hwa Park, Maureen P Martin, Haocheng Yu, Geoffrey C Kelly, Brian Lee, Ronaldo M de Real, Rachel Lee and 7 more

Abstract read
In one paragraph

Article in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Anti-HLA antibodies in lung transplantation: diagnostic pitfalls and future directions.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  7. 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

17 authors.

Dan Fu RuanDepartment of Immunology and Immunotherapy.
Miguel FribourgThe Marc and Jennifer Lipschultz Precision Immunology Institute.
Yuko YukiRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, USA.
Yeon-Hwa ParkRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, USA.
Maureen P MartinRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, USA.
Haocheng YuDepartment of Immunology and Immunotherapy.
Geoffrey C KellyHuman Immune Monitoring Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Brian LeeHuman Immune Monitoring Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Ronaldo M de RealHuman Immune Monitoring Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Rachel LeeHuman Immune Monitoring Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Daniel GeanonHuman Immune Monitoring Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Seunghee Kim-SchulzeDepartment of Immunology and Immunotherapy.
Nicholas ChunThe Marc and Jennifer Lipschultz Precision Immunology Institute.
Paolo CravediThe Marc and Jennifer Lipschultz Precision Immunology Institute.
Mary CarringtonRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, USA.
Peter S HeegerDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Amir HorowitzDepartment of Immunology and Immunotherapy.

Funding

WORK ORDER 126643 B539 EXPAND IC SUITE75N91019D00024 · NIAID · LEIDOS BIOMEDICAL RESEARCH, INC. · PI BRISCOE, LYNN · 2019 to 2025
$3932.6M
Noninvasive Markers and Transplant Outcome in HumansU01AI063594 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEEGER, PETER SCOTT · 2004 to 2022
$66.5M
THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Ramon E Parsons · 2015 to 2026
$35.4M
Translational Immunology Training ProgramT32AI078892 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Karen Leigh Edelblum, SERGIO A. LIRA · 2008 to 2026
$4.5M
Complement-Mediated Exosome Function in TransplantationR01AI172899 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Nicholas Chun · 2022 to 2026
$2.7M
NCI NIH HHS 75N91019D00024NCI NIH HHS P30 CA196521NIAID NIH HHS R01 AI172899NIAID NIH HHS T32 AI078892NIAID NIH HHS U01 AI063594
6 · The paper itself

Abstract

Natural killer (NK) cells respond to diseased and allogeneic cells through NKG2A/HLA-E or killer cell immunoglobulin-like receptor (KIR)/HLA-ABC interactions. Correlations between HLA/KIR disparities and kidney transplant pathology suggest an antibody-independent pathogenic role for NK cells in transplantation, but the mechanisms remain unclear. Using CyTOF to characterize recipient peripheral NK cell phenotypes and function, we observed diverse NK cell subsets among participants who responded heterogeneously to allo-stimulators. NKG2A+KIR+ NK cells responded more vigorously than other subsets, and this heightened response persisted after kidney transplantation despite immunosuppression. In test and validation sets from 2 clinical trials, pretransplant donor-induced release of cytotoxicity mediator Ksp37 by NKG2A+ NK cells correlated with reduced long-term allograft function. Separate analyses showed that Ksp37 gene expression in allograft biopsies lacking histological rejection correlated with death-censored graft loss. Our findings support an antibody-independent role for NK cells in transplant injury and support further testing of pretransplant, donor-reactive, NK cell-produced Ksp37 as a risk-assessing, transplantation biomarker.

Indexed as

Graft RejectionKidney TransplantationKiller Cells, NaturalAdultFemaleHumansMaleMiddle AgedNK Cell Lectin-Like Receptor Subfamily CReceptors, KIRNK Cell Lectin-Like Receptor Subfamily CReceptors, KIRImmunologyNK cellsOrgan transplantationTransplantation

Identifiers

PMID39388279
PMCPMC11601574

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.