Evidence map›Paper›PMID 41543518›Full record

ArticleXenotransplantation

A Report of Four Depletional Induction Strategies in Non-Human Primate Islet Xenotransplantation.

Meghan Hu, Qimeng Gao, Joseph Ladowski, Imran Anwar, Isabel DeLaura, Allison Miller, Matthew Tunbridge, Mingqing Song, Xunrong Luo, Shu Li and 2 more

Abstract read
In one paragraph

Article in Xenotransplantation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Meghan HuDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Qimeng GaoDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-2456-7672
Joseph LadowskiDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-6787-3725
Imran AnwarDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Isabel DeLauraDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-2340-0918
Allison MillerDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Matthew TunbridgeDepartment of Nephrology, Duke University School of Medicine, Durham, North Carolina, USA.
Mingqing SongDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Xunrong LuoDepartment of Nephrology, Duke University School of Medicine, Durham, North Carolina, USA.
Shu LiDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
He XuDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Allan D KirkDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

Neonatal Porcine Islet Xenografts for the Treatment of Type 1 DiabetesU01AI090956 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D., LUO, XUNRONG · 2010 to 2024
$14.8M
NIAID NIH HHS U01 AI090956NIH HHS 2U01AI090956-11
6 · The paper itself

Abstract

backgroundPorcine islet xenotransplantation is limited by the availability of clinically applicable immunosuppressive regimens. We tested four depletional induction strategies and maintenance regimens in a non-human primate (NHP) islet xenotransplant model.

methodsGenetically modified or wild-type neonatal porcine islets were transplanted via portal vein infusion in diabetic NHPs. Induction consisted of rhesus anti-thymocyte globulin (rhATG) (Group 1, n = 4), anti-CD4 monoclonal antibody (mAb, Group 2, n = 3), or human anti-thymocyte globulin (huATG) tocilizumab (Groups 3 and 4; n = 3 and n = 4, respectively). Maintenance consisted of B7 (Groups 1-3) or anti-CD154 (Group 4) costimulation blockade, tacrolimus transitioned to sirolimus (sirolimus only in Group 4), and mycophenolate mofetil. Xenografts were monitored for blood glucose and porcine c-peptide.

resultsMedian graft survivals were <14 days (Group 1), <14 days (Group 2), 99 days (Group 3), and 119 days (Group 4). Insulin independence was achieved in one animal in Group 4. Graft survival significantly correlated with islet dose >40,000 IEQ/kg. Rejection was predominately CD3

conclusionsInduction with huATG/tocilizumab and maintenance with 5c8 led to the best functional outcomes. CD4 T-cell depletion with anti-CD4 mAb induced compensatory CD8 T-cell proliferation and graft infiltration.

Indexed as

Islets of Langerhans TransplantationTransplantation, HeterologousAnimalsAntibodies, MonoclonalAntilymphocyte SerumGraft RejectionGraft SurvivalHeterograftsHumansImmunosuppressive AgentsMacaca mulattaSirolimusSwineTacrolimusAntibodies, MonoclonalAntilymphocyte SerumImmunosuppressive AgentsSirolimusTacrolimus

Identifiers

PMID41543518
PMCPMC13037833

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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.