Evidence map›Paper›PMID 40966416›Full record

ArticleBlood advances2026

Risk biomarkers of chronic GVHD in children aged 10 years or younger and children/adults older than 10 years.

Anna C Ferreira, Debjani Dutta, Courtney M Rowan, Jamie Renbarger, Kenneth R Cooke, Paul A Carpenter, Robert Krance, Christine Duncan, C Russell Y Cruz, David Jacobsohn and 3 more

Abstract read
In one paragraph

Article in Blood advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Anna C FerreiraHollings Cancer Center, Medical University of South Carolina, Charleston, SC.ORCID 0000-0001-5683-3923
Debjani DuttaHollings Cancer Center, Medical University of South Carolina, Charleston, SC.ORCID 0000-0003-0227-1931
Courtney M RowanDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0003-1393-6476
Jamie RenbargerDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Kenneth R CookeDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Paul A CarpenterDepartment of Pediatrics, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-5021-0714
Robert KranceDepartment of Pediatrics, Texas Children's Hospital, Houston, TX.
Christine DuncanDepartment of Pediatrics, Boston Children's Hospital, Boston, MA.
C Russell Y CruzDepartment of Pediatrics, Children's National Medical Center, The George Washington University, Washington, DC.
David JacobsohnDepartment of Pediatrics, Children's National Medical Center, The George Washington University, Washington, DC.
Catherine M BollardDepartment of Pediatrics, Children's National Medical Center, The George Washington University, Washington, DC.
Elizabeth HillHollings Cancer Center, Medical University of South Carolina, Charleston, SC.ORCID 0000-0003-0896-4106
Sophie PaczesnyHollings Cancer Center, Medical University of South Carolina, Charleston, SC.ORCID 0000-0001-5571-2775

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI John J Lemasters · 2009 to 2026
$42.7M
Translating Novel Drug-Targetable Biomarkers to Treat Graft versus Host DiseaseR01CA168814 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI PACZESNY, SOPHIE · 2013 to 2024
$3.0M
Machine Learning to identify Biomarkers for Risk of Chronic Graft-Versus-Host DiseaseR01CA264921 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Brent R Logan, Sophie Paczesny · 2022 to 2026
$3.0M
Bridging Pediatric and Adult Biomarkers of Graft-Versus-Host-DiseaseR01HD074587 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI PACZESNY, SOPHIE, RENBARGER, JAMIE L · 2013 to 2017
$2.4M
NCI NIH HHS P30 CA138313NCI NIH HHS R01 CA168814NCI NIH HHS R01 CA264921NICHD NIH HHS R01 HD074587
6 · The paper itself

Abstract

abstractAssessment of risk biomarkers of chronic graft-versus-host disease (cGVHD) after allogeneic hematopoietic cell transplantation (HCT) in pediatric patients is lacking. We conducted a prospective study of 318 patients (129 children aged ≤10 years and 189 children/adults aged >10 years). Six plasma biomarkers (C-X-C motif chemokine ligand 9 [CXCL9], interleukin-1 receptor-like 1 [IL1RL1], regenerating islet-derived 3-α [REG3α], matrix metallopeptidase-3 [MMP3], dickkopf-WNT signaling pathway inhibitor-3 [DKK3], and sCD163) were assessed at day 100 after HCT. We performed day-100 landmark analyses for cGVHD, stratifying at age ≤10 years vs >10 years and dichotomizing markers using the Youden index. IL1RL1 associated with future cGVHD in both age groups, as did DKK3. CXCL9, REG3α, and MMP3 are associated with cGVHD in patients aged >10 years. This 5-marker panel has an area under the curve (AUC) of 0.71 in children aged ≤10 years and 0.72 in children/adults aged >10 years for cGVHD risk, and an AUC of 0.86 in children aged ≤10 years and 0.80 in children/adults aged >10 years for moderate/severe cGVHD risk. A 5-biomarker panel (IL1RL1, REG3α, MMP3, DKK3, and sCD163) was associated with transplant-related mortality (TRM) in both age groups. Biomarkers measured 3 months post-HCT predict susceptibility and/or are prognostic for cGVHD and TRM in both children aged ≤10 years and children/adults aged >10 years, allowing for additional risk stratification.

Indexed as

BiomarkersGraft vs Host DiseaseHematopoietic Stem Cell TransplantationAdolescentAdultAge FactorsChildChild, PreschoolChronic DiseaseFemaleHumansInfantInterleukin-1 Receptor-Like 1 ProteinMaleProspective StudiesRisk FactorsBiomarkersIL1RL1 protein, humanInterleukin-1 Receptor-Like 1 Protein

Identifiers

PMID40966416
PMCPMC12805280

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LicenceCC BY-NC-ND
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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.