Evidence map›Paper›PMID 40848703›Full record

ReviewJACC. Heart failure2025

Contemporary Antibody-Mediated Rejection in Heart Transplantation: JACC: Heart Failure Position Statement.

Aditya Mehta, Ersilia M DeFilippis, Josef Stehlik, Annette M Jackson, Jon A Kobashigawa, Palak Shah

Abstract readReviewConsensus Statement
In one paragraph

Review in JACC. Heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Aditya MehtaHeart Failure, Mechanical Circulatory Support and Transplant, Inova Schar Heart and Vascular, Falls Church, Virginia, USA.
Ersilia M DeFilippisCenter for Advanced Cardiac Care, Columbia University Irving Medical Center, New York, New York, USA.
Josef StehlikDivision of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Annette M JacksonDepartment of Surgery, Duke University, Durham, North Carolina, USA.
Jon A KobashigawaCedars-Sinai Smidt Heart Institute, Los Angeles, California, USA.
Palak ShahHeart Failure, Mechanical Circulatory Support and Transplant, Inova Schar Heart and Vascular, Falls Church, Virginia, USA. Electronic address: Palak.shah@inova.org.

Funding

MicroRNA Biomarkers of Allograft Rejection and Cardiac Allograft Vasculopathy in Cardiac TransplantationK23HL143179 · NHLBI · INOVA HEALTH CARE SERVICES · PI SHAH, PALAK · 2020 to 2024
$927k
NHLBI NIH HHS K23 HL143179
6 · The paper itself

Abstract

Heart transplantation remains the definitive therapy for patients with advanced heart failure. Acute and chronic rejection affect both short- and long-term outcomes. Antibody-mediated rejection (AMR) remains a leading cause of graft failure and mortality. The reported incidence of AMR varies widely, on the basis of patient characteristics, variability in the interpretation of endomyocardial biopsy, and differences in clinical thresholds at which to treat AMR. There has been increased recognition of the role of human leukocyte antigen donor-specific antibodies and molecular diagnostics, such as donor-derived cell-free DNA or intragraft gene expression, in supporting the diagnosis of AMR beyond histopathology alone. Furthermore, therapeutic management of patients with AMR previously focused on quelling inflammation, removing or neutralizing pathological antibodies, and blocking antibody-producing cells. Novel therapies now also target complement-mediated injury, costimulatory blockade, and specific cytokine-mediated inflammatory pathways. This position statement highlights contemporary diagnostic and therapeutic approaches for AMR after heart transplantation.

Indexed as

Graft RejectionHeart FailureHeart TransplantationHumansantibodiesantibody-mediated rejectiongraft dysfunctionheart transplantationHLA antigensimmunotherapy

Identifiers

PMID40848703
PMCPMC13537435

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.