Evidence map›Paper›PMID 39606231›Full record

ArticleFrontiers in immunology2024

Impact of induction agents and maintenance immunosuppression on torque teno virus loads and year-one complications after kidney transplantation.

Marvin Reineke, Claudius Speer, Christian Bundschuh, Julian A F Klein, Lisa Loi, Claudia Sommerer, Martin Zeier, Paul Schnitzler, Christian Morath, Louise Benning

Abstract read
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
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  8. Respiratory virome in hospitalized children and analysis of its correlation with disease severity.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
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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

10 authors.

Marvin ReinekeDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Claudius SpeerDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Christian BundschuhMedical Faculty Heidelberg, Department of Infectious Diseases, Virology, Heidelberg University, Heidelberg, Germany.
Julian A F KleinMedical Faculty Heidelberg, Department of Infectious Diseases, Virology, Heidelberg University, Heidelberg, Germany.
Lisa LoiDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Claudia SommererDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Martin ZeierDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Paul SchnitzlerMedical Faculty Heidelberg, Department of Infectious Diseases, Virology, Heidelberg University, Heidelberg, Germany.
Christian MorathDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.
Louise BenningDepartment of Nephrology, University Hospital Heidelberg, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Torque teno virus load (TTVL) is gaining importance as a surrogate parameter to assess immunocompetence in kidney transplant recipients. Although the dynamics of TTVL have been investigated before, the impact of different induction agents and variations in immunosuppressive maintenance therapies on TTVL remain unknown. Methods: In this retrospective study, TTVL was quantified in 537 plasma or serum samples from 134 patients transplanted between 2018 and 2021. TTVL was examined pre-transplantation and 30-, 90-, 180-, and 360-days post-transplant. To assess the influence of induction therapy on TTVL, 67 patients receiving anti-thymocyte globulin (ATG) induction were matched with 67 patients receiving an interleukin-2 receptor antagonist (IL2-RA) induction in terms of age, sex, and donor modality. Results: Following transplantation, there was a steep increase in TTVL post-transplant for all patients with peak viral loads at 90 days post-transplant (median TTVL [IQR] 7.97×10 Conclusions: Higher TTVL reflects the greater immunosuppressive burden in immunological high-risk patients receiving intensive immunosuppression. The choice of induction agent and intensified immunosuppressive maintenance therapy notably affects TTVL at 3 months post-transplant and beyond, necessitating careful consideration when interpreting and applying TTVL cutoffs to monitor immunocompetence post-transplant.

Indexed as

Immunosuppressive AgentsKidney TransplantationTorque teno virusViral LoadAdultAgedAntilymphocyte SerumDNA Virus InfectionsFemaleHumansImmunosuppression TherapyMaleMiddle AgedRetrospective StudiesAntilymphocyte SerumImmunosuppressive Agentsimmune monitoringimmunocompetenceimmunosuppressionkidney transplantationtorque teno virus

Identifiers

PMID39606231
PMCPMC11599233

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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.