Evidence map›Paper›PMID 40516053›Full record

ArticleCell reports2025

Transplants foster B cell alloimmunity by relaying extracellular vesicles to follicular dendritic cells.

Rao Chen, Juliana S Powell, William J Shufesky, Elissa Bardhi, Mara L G Sullivan, Olga A Tkacheva, Geoffrey Camirand, Zoe Goncalves, Donna Beer Stolz, Geetha Chalasani and 4 more

Abstract read
In one paragraph

Article in Cell reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Donor macrophage depletion permits posttransplant tolerance induction in a murine islet transplant model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  4. Exosome-primed T cell immunity is facilitated by complement activation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  5. Review
  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

14 authors.

Rao ChenT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Department of Sport Medicine, Peking University Third Hospital, Beijing, China; Department of Kidney Transplantation, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Juliana S PowellT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
William J ShufeskyT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Elissa BardhiT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Mara L G SullivanDepartment of Cell Biology, University of Pittsburgh, Pittsburgh, PA, USA.
Olga A TkachevaDepartment of Dermatology, University of Pittsburgh, Pittsburgh, PA, USA.
Geoffrey CamirandT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
Zoe GoncalvesSchool of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
Donna Beer StolzDepartment of Cell Biology, University of Pittsburgh, Pittsburgh, PA, USA.
Geetha ChalasaniT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Renal Electrolyte Division, University of Pittsburgh, Pittsburgh, PA, USA.
Sergio D CatzThe Scripps Research Institute, La Jolla, CA, USA.
Simon C WatkinsDepartment of Cell Biology, University of Pittsburgh, Pittsburgh, PA, USA.
Adriana T LarreginaDepartment of Dermatology, University of Pittsburgh, Pittsburgh, PA, USA; Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Adrian E MorelliT.E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Department of Immunology, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: morelli@pitt.edu.

Funding

cGMP Manufacture, Fill-Finish, Release, Analytical and Stability Testing and Stability Program of a Nanoparticle Based HIV Envelope Vaccine75N93022D00005 · NIAID · INTERNATIONAL AIDS VACCINE INITIATIVE · PI HASSELL, THOMAS · 2022 to 2025
$8.0M
Medical Scientist Training ProgramT32GM144300 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RICHARD A STEINMAN, Russell S Schwartz · 2022 to 2026
$7.9M
Task Area A shall encompass annual follow-up of cohort members, clinical events investigations, study operations, and data analysis and manuscript writing. If implemented, Task A.1 will provide fundin75N92020D00005 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WATSON, KAROL E · 2020 to 2025
$5.1M
Interdisciplinary Training in Transplantation BiologyT32AI074490 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Angus W Thomson · 2007 to 2026
$4.2M
Graft extracellular vesicles as promoters of anti-donor immunity in cardiac and skin transplantationR01AI174273 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORELLI, ADRIAN E. · 2022 to 2025
$3.3M
Role of neurokinin 1 receptor signaling in keratinocytes in allergic contact dermatitisR01AI168142 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LARREGINA, ADRIANA T, MORELLI, ADRIAN E. · 2022 to 2025
$3.0M
Placental extracellular vesicles as regulators of maternal adaptive immunityR01AI148690 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORELLI, ADRIAN E., SADOVSKY, YOEL · 2019 to 2023
$2.7M
Bigfoot Spectral Cell SorterS10OD032265 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KANE, LAWRENCE P. · 2022 to 2022
$755k
NHLBI NIH HHS 75N92020D00005NIAID NIH HHS 75N93022D00005NIAID NIH HHS 75N93023D00005NIAID NIH HHS R01 AI148690NIAID NIH HHS R01 AI168142NIAID NIH HHS R01 AI174273NIAID NIH HHS T32 AI074490NIDA NIH HHS 75N95020D00005NIGMS NIH HHS T32 GM144300NIH HHS S10 OD032265ORFDO NIH HHS 75N99020D00005
6 · The paper itself

Abstract

B cells play fundamental roles in transplant rejection. However, how allogeneic (allo)-antigens (Ags) are transported from allografts to follicular dendritic cells (FDCs) in lymphoid tissues for development of B cell responses remains unknown. We demonstrated that graft allo-Ags are relayed to FDCs via small extracellular vesicles (sEVs), which activate complement via immunoglobulin M (IgM) bound to vesicle phospholipids. Complement-opsonized allo-sEVs bind splenic marginal-zone B cells that shuttle the vesicles to FDCs, which retain and recycle the allo-sEVs so they are recognized by B cells. Accordingly, graft release of allo-sEVs promoted allo-major histocompatibility complex (MHC) accumulation in FDCs, germinal center formation, Ig switch and affinity maturation, and donor-specific antibodies, which decreased in allografts with impaired sEV secretion or when allo-Ags were delivered via disrupted sEVs. Importantly, human spleen FDCs bound allo-sEVs opsonized with human serum bearing active complement. Our findings provide insight into the mechanisms that lead to antibody-mediated rejection, for which there are no FDA-approved therapies.

Indexed as

B-LymphocytesDendritic Cells, FollicularExtracellular VesiclesAnimalsGerminal CenterGraft RejectionHumansImmunoglobulin MMiceMice, Inbred BALB CMice, Inbred C57BLSpleenImmunoglobulin MABMRallorecognitionantibody-mediated rejectioncomplementCP: Immunologydonor-specific antibodiesexosomesextracellular vesiclesfollicular dendritic cellsnatural antibodiestransplant rejection

Identifiers

PMID40516053
PMCPMC12281710

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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.