Evidence map›Paper›PMID 40719961›Full record

ReviewGeroScience2026

Cellular senescence-from solid organs to vascularized composite allotransplants.

Leonard Knoedler, Andreas Schroeter, Jasper Iske, Jillian Dean, Sam Boroumand, Thomas Schaschinger, Tobias Niederegger, Samuel Knoedler, Adriana C Panayi, Max Heiland and 3 more

Abstract readReview
In one paragraph

Review in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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.

Leonard Knoedler *Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berli, Augustenburger Platz 1, 13353, Berlin, Germany. leonard.knoedler@charite.de.ORCID http://orcid.org/0009-0009-4279-5669
Andreas Schroeter *Hannover Medical School, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Burn Center, Hannover, Germany.
Jasper Iske *Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Der Charité, Berlin, Germany.
Jillian DeanSchool of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Sam BoroumandDivision of Plastic Surgery, Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA.
Thomas SchaschingerDepartment of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berli, Augustenburger Platz 1, 13353, Berlin, Germany.
Tobias NiedereggerDepartment of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berli, Augustenburger Platz 1, 13353, Berlin, Germany.
Samuel KnoedlerDivision of Plastic Surgery, Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA.
Adriana C PanayiDepartment of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berli, Augustenburger Platz 1, 13353, Berlin, Germany.
Max HeilandDepartment of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berli, Augustenburger Platz 1, 13353, Berlin, Germany.
Stefan G TulliusDivision of Transplant Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Bohdan PomahacDivision of Plastic Surgery, Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA.
Martin Kauke-NavarroDivision of Plastic Surgery, Department of Surgery, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, USA.

Funding

NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
NIA NIH HHS T35 AG049685
6 · The paper itself

Abstract

Vascularized composite allotransplantation (VCA) has emerged as a novel therapy approach to restore form and function in patients with severe tissue defects of the face, hand, and abdominal wall, among other anatomical regions. The composite allografts comprise different tissues such as skin, muscle, or bone. Clinical data demonstrate promising mid- and long-term outcomes following VCA surgery, but our understanding of the cellular interactions and molecular pathways in VCA surgery is oftentimes deduced from solid organ transplantation (SOT). In SOT, the concept of cellular senescence has grown increasingly popular which is characterized by a permanent cellular proliferation arrest in response to endogenous and exogenous stimuli. Senescent cells, through the release of mitochondrial DNA and secretion of proinflammatory proteins, can amplify the immunogenicity of transplants, hindering graft acceptance and longevity. This understanding has paved the way for novel interventions, including the use of senolytics-agents that selectively eliminate senescent cells-to modulate immune responses and mediate immunotolerance. There is a body of evidence that underlines the therapeutic potential of senescence to improve SOT outcomes; however, the relevance of senescence to VCA outcomes remains elusive. In this review, we aim to summarize the current literature on senescence in different solid organ transplants and outline the potential impact of senescence on VCA outcomes. This knowledge may help providers develop a broader understanding of the cellular and molecular landscape in VCA to develop targeted therapies and advance VCA patient care.

Indexed as

Cellular SenescenceOrgan TransplantationVascularized Composite AllotransplantationGraft SurvivalHumansImmune agingImmunosenescenceReconstructive surgerySenescenceSenotherapeuticsTransplantVascularized composite allotransplantationVCA

Identifiers

PMID40719961
PMCPMC13356173

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.