Evidence map›Paper›PMID 40293382›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2025

Persistent and progressive acute lung allograft dysfunction is linked to cell compositional and transcriptional changes in small airways.

Elsa Brunet-Ratnasingham, Shivaram Yellamilli, Ruyin Guo, Rashmi Prava Mohanty, Allen Duong, Nicholas A Kolaitis, Steven R Hays, Rupal J Shah, Aida Venado, Julia A Maheshwari and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07538336 (Targeting Interferon Gamma With Emapalumab to Lung Transplant Recipients With Interferon Gamma-high Acute Lung Allograft Dysfunction), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT07538336 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Targeting Interferon Gamma With Emapalumab to Lung Transplant Recipients With Interferon Gamma-high Acute Lung Allograft Dysfunction

TypeinterventionalSponsorUniversity of California, San FranciscoRan2026 to 2028Enrolled40ConditionsLung TransplantArmsEmapalumab, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Anellovirus-mediated interferon dysregulation enhances virus-induced lung injury.American journal of respiratory cell and molecular biology · 2026
    Article
  2. Utility of donor-derived cell-free DNA testing after lung transplantation in the precision medicine era.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Review
  3. Airway molecular signatures in antibody-mediated lung transplant rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  4. Acute lung allograft dysfunction predicts lung allograft failure: Construct validity of the 2026 International Society for Heart and Lung Transplantation spirometric definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Observational
  5. Article
  6. 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

18 authors.

Elsa Brunet-RatnasinghamDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Shivaram YellamilliDepartment of Medicine, University of California, San Francisco, San Francisco, California; UCSF CoLabs, San Francisco, California.
Ruyin GuoDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Rashmi Prava MohantyDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Allen DuongToronto Lung Transplant Program, Latner Thoracic Research Laboratories, University Health Network, Toronto, Ontario, Canada.
Nicholas A KolaitisDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Steven R HaysDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Rupal J ShahDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Aida VenadoDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Julia A MaheshwariDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Mary Ellen KleinhenzDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Lorriana E LeardDepartment of Medicine, University of California, San Francisco, San Francisco, California.
John McDyerDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Tereza MartinuToronto Lung Transplant Program, Latner Thoracic Research Laboratories, University Health Network, Toronto, Ontario, Canada.
Alexis J CombesDepartment of Medicine, University of California, San Francisco, San Francisco, California; UCSF CoLabs, San Francisco, California; Department of Pathology, University of California, San Francisco, San Francisco, California.
Daniel R CalabreseDepartment of Medicine, University of California, San Francisco, San Francisco, California; Medical Service, San Francisco VA Health Care System, San Francisco, California.
Jonathan P SingerDepartment of Medicine, University of California, San Francisco, San Francisco, California.
John R GreenlandDepartment of Medicine, University of California, San Francisco, San Francisco, California; Medical Service, San Francisco VA Health Care System, San Francisco, California. Electronic address: john.greenland@ucsf.edu.

Funding

Airway epithelial cell and lymphocyte interactions in chronic lung allograft dysfunction pathogenesisR01HL161048 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHN GREENLAND, TEREZA MARTINU · 2022 to 2026
$3.3M
Telomere Dysfunction as a cause of Chronic Lung Allograft DysfunctionR01HL151552 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GREENLAND, JOHN · 2020 to 2024
$1.6M
Illumina NovaSeq 6000 Sequencing SystemS10OD028511 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHOW, ERIC D · 2020 to 2020
$583k
CSRD VA I01 CX002011NHLBI NIH HHS R01 HL151552NHLBI NIH HHS R01 HL161048NIH HHS S10 OD028511
6 · The paper itself

Abstract

backgroundAcute lung allograft dysfunction (ALAD) is a clinical syndrome of forced expiratory volume in 1-second (FEV

methodsWe prospectively identified recipients with undifferentiated ALAD and controls with stable allograft function for small airway brushing and single-cell RNA sequencing analysis. ALAD outcome group was categorized as (1) control (n = 8), or ALAD with (2) recovered (n = 4), (3) persistent (n = 5), or (4) progressive (n = 3) FEV

resultsAcross 68,140 cells, the distribution of cell composition was linked to ALAD outcome group (PERMANOVA, p = 0.004). Worse ALAD outcomes correlated with loss of basal cells, changes in club and ciliated subsets, a loss of macrophages, and expansion of cytotoxic T cells. The AI2 gene score was positively associated with ALAD outcome group, particularly in epithelial cell subsets (p < 0.001). Pathway analysis showed increased interferon signaling and inhibition of cell proliferation in epithelial cells.

conclusionsIn this pilot study, persistent and progressive ALAD was associated with changes in bronchiolar cell composition and transcriptional programs. Molecular phenotyping may help identify and characterize individuals with ALAD at increased risk for progression.

Indexed as

AllograftsBronchiolesLungLung TransplantationPrimary Graft DysfunctionAcute DiseaseAdultAgedBiopsyBronchoscopyCell ProliferationDisease ProgressionEpithelial CellsFemaleForced Expiratory VolumeHumansacute lung allograft dysfunctionepitheliallung transplantationsingle-cell RNA sequencingsmall airway cells

Identifiers

PMID40293382
PMCPMC12262935

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Registered trials

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.