ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2026
Tensor-based integration of time-series measurements reveals relationships between underlying disease, early injury, and T cell polarization in liver transplantation.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A lack of integrative analyses in liver transplantation (LT) limits understanding of relationships between immunologic signatures, time, and recipient/donor health factors in LT. In this exploratory study, we collected cytokine and liver function test measurements from LT donors and recipients at multiple pre- and postoperative timepoints. We developed a tensor-based factorization method to reduce these measurements to 4 components that manifested across cytokines, liver function tests, and time. These components associated preoperative immune signatures with immune signatures up to a month postoperation. Integration of allograft survival into this factorization reduced these 4 components to 2 associated with 5-year allograft survival. These signatures suggested that pronounced cluster of differentiation 4 (CD4+) polarization was associated with impaired growth factor expression and increased allograft loss risk. Donor and recipient age modulated this CD4+ polarization. These findings provide insights into the immunologic signatures of LT, identifying potential therapeutic avenues for future validation.
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