Evidence map›Paper›PMID 25809272›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2015

Apolipoprotein L1 gene variants in deceased organ donors are associated with renal allograft failure.

B I Freedman, B A Julian, S O Pastan, A K Israni, D Schladt, M D Gautreaux, V Hauptfeld, R A Bray, H M Gebel, A D Kirk and 14 more

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03615235 (APOL1 Long-term Kidney Transplantation Outcomes Network), which is not on this map. Cited by 102 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 4 pooled it
15.8field-weighted citation impact, top 1% of its field
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.

NCT03615235 active not recruitingnot on this mapstarted 2019, after this paper: background citation

APOL1 Long-term Kidney Transplantation Outcomes Network (APOLLO)

TypeobservationalSponsorWake Forest University Health SciencesRan2019 to 2027Enrolled5,000ConditionsKidney Diseases, Kidney Failure, Kidney Disease, Chronic
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 4 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Kidney medicine · 2025
    Review
  13. Contextual factors of implementing APOL1 genetic testing into living kidney donor clinical evaluation.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Genetic versus self-reported African ancestry of the recipient and neighborhood predictors of kidney transplantation outcomes in 2 multiethnic urban cohorts.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  18. Review
  19. Novel Aspects of Immunogenetics and Post-Transplant Events in Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  20. Article

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 6 institutions in 1 country.

B I FreedmanDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
B A JulianDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL.
S O PastanRenal Division, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
A K IsraniDivision of Nephrology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN.
D SchladtMinneapolis Medical Research Foundation, Minneapolis, MN.
M D GautreauxGeneral Surgery & HLA Immunogenetics Lab, Wake Forest School of Medicine, Winston-Salem, NC.
V HauptfeldAlabama Regional Histocompatibility Laboratory at UAB, University of Alabama at Birmingham School of Medicine, Birmingham, AL.
R A BrayDepartment of Pathology & Lab Medicine, Emory School of Medicine, Atlanta, GA.
H M GebelDepartment of Pathology & Lab Medicine, Emory School of Medicine, Atlanta, GA.
A D KirkDepartment of Surgery, Duke University School of Medicine, Durham, NC.
R S GastonDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL.
J RogersDepartment of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC.
A C FarneyDepartment of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC.
G OrlandoDepartment of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC.
R J StrattaDepartment of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC.
S MohanDivision of Nephrology, Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY.
L MaDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
C D LangefeldDivision of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC.
P J HicksCenter for Human Genomics & Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC.
N D PalmerCenter for Human Genomics & Personalized Medicine Research, Wake Forest School of Medicine, Winston-Salem, NC.
P L AdamsDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
A PalanisamyDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
A M Reeves-DanielDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
J DiversDivision of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC.
Wake Forest University · USEmory University · USUniversity of Alabama at Birmingham · USOrthopaedic Research Foundation · USColumbia University · USDuke University · US

Funding

Pharmacogenomics of Immune Suppressants in Kidney TransplantationU19AI070119 · NIAID · UNIVERSITY OF MINNESOTA · PI MATAS, ARTHUR J · 2006 to 2016
$17.1M
Genetic Analysis of African American Hypertensive End-Stage Renal DiseaseR01DK070941 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FREEDMAN, BARRY IRA · 2006 to 2015
$4.7M
Natural History of MYH9-Associated NephropathyR01DK084149 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FREEDMAN, BARRY IRA · 2009 to 2012
$2.3M
Genetic Determinants of Renal Transplant Survival from African American DonorsR01MD009055 · NIMHD · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DIVERS, JASMIN · 2014 to 2018
$2.0M
NIAID NIH HHS 5U19-AI070119NIAID NIH HHS U19 AI070119NIDDK NIH HHS R01 DK070941NIDDK NIH HHS R01 DK084149NIMHD NIH HHS R01 MD009055
6 · The paper itself

Abstract

Apolipoprotein L1 gene (APOL1) nephropathy variants in African American deceased kidney donors were associated with shorter renal allograft survival in a prior single-center report. APOL1 G1 and G2 variants were genotyped in newly accrued DNA samples from African American deceased donors of kidneys recovered and/or transplanted in Alabama and North Carolina. APOL1 genotypes and allograft outcomes in subsequent transplants from 55 U.S. centers were linked, adjusting for age, sex and race/ethnicity of recipients, HLA match, cold ischemia time, panel reactive antibody levels, and donor type. For 221 transplantations from kidneys recovered in Alabama, there was a statistical trend toward shorter allograft survival in recipients of two-APOL1-nephropathy-variant kidneys (hazard ratio [HR] 2.71; p = 0.06). For all 675 kidneys transplanted from donors at both centers, APOL1 genotype (HR 2.26; p = 0.001) and African American recipient race/ethnicity (HR 1.60; p = 0.03) were associated with allograft failure. Kidneys from African American deceased donors with two APOL1 nephropathy variants reproducibly associate with higher risk for allograft failure after transplantation. These findings warrant consideration of rapidly genotyping deceased African American kidney donors for APOL1 risk variants at organ recovery and incorporation of results into allocation and informed-consent processes.

Indexed as

Kidney TransplantationTissue DonorsAdolescentAdultAlabamaAllograftsApolipoprotein L1ApolipoproteinsBlack or African AmericanFemaleGenetic VariationGenotypeGraft RejectionHumansKidney DiseasesLipoproteins, HDLAPOL1 protein, humanApolipoprotein L1ApolipoproteinsLipoproteins, HDLclinical research / practicedonors and donation: deceasedgeneticsgenomicskidney diseasekidney transplantation / nephrologymolecular biologytranslational research / science

Identifiers

PMID25809272
PMCPMC4784684
OpenAlexW1531295370

What Socratic holds

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LicenceTDM
Read underepoch 390

Registered trials

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 Socratic graph.