Evidence mapPaperPMID 40141353Full record

ReviewInternational journal of molecular sciences2025

Chronic Antibody-Mediated Rejection and Plasma Cell ER Stress: Opportunities and Challenges with Calcineurin Inhibitors.

Ching-Yi Tsai, Chih-Yuan Lee, Jia-Huang Chen, Chih-Kang Chiang

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. 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

4 authors.

Ching-Yi TsaiGraduate Institute of Toxicology, College of Medicine, National Taiwan University, Taipei 100233, Taiwan.ORCID 0009-0003-1767-9443
Chih-Yuan LeeDepartment of Surgery, National Taiwan University Hospital, Taipei 100225, Taiwan.ORCID 0000-0001-5034-3544
Jia-Huang ChenGraduate Institute of Toxicology, College of Medicine, National Taiwan University, Taipei 100233, Taiwan.ORCID 0000-0003-2879-7624
Chih-Kang ChiangGraduate Institute of Toxicology, College of Medicine, National Taiwan University, Taipei 100233, Taiwan.ORCID 0000-0001-9021-4616

Funding

Ministry of Science and Technology MOST 111-2314-B-002 -236 -MY3National Science and Technology Council of Taiwan NSTC 111-2314-B-002-266National Science and Technology Council of Taiwan NSTC 112-2314-B-002-141National Science and Technology Council of Taiwan NSTC 113-2314-B-002-244National Taiwan University Hospital NTUH.110-M4970National Taiwan University Hospital NTUH-111-M0024National Taiwan University Hospital NTUH-112-M0027Tse-Kuei Hepatobiliary Medicine Research Foundation Tse-Kuei Hepatobiliary Medicine Research Foundation
6 · The paper itself

Abstract

Chronic alloantibody-mediated rejection (cAMR) remains a major challenge in transplant immunology, with no FDA-approved targeted therapies currently available. Despite advancements in cellular immunosuppression, effective strategies to mitigate alloantibody-mediated rejection are still lacking. This review provides a comprehensive overview of transplant rejection with a particular focus on the pathophysiology and therapeutic landscape of cAMR. We highlight the role of plasma cell-driven alloantibody production and its susceptibility to endoplasmic reticulum (ER) stress, a pathway with potential for therapeutic intervention. Special attention is given to calcineurin inhibitors (CNIs), which, beyond their well-established T-cell inhibitory effects, exhibit differential impacts on ER stress and plasma cell viability. By delineating the mechanistic differences between cyclosporine and tacrolimus in regulating ER stress responses, we propose potential therapeutic implications for optimizing cAMR management. This review underscores the need for innovative strategies targeting plasma cell biology to improve long-term transplant outcomes.

Indexed as

Calcineurin InhibitorsEndoplasmic Reticulum StressGraft RejectionIsoantibodiesPlasma CellsAnimalsHumansImmunosuppressive AgentsCalcineurin InhibitorsImmunosuppressive AgentsIsoantibodiescalcineurin inhibitorschronic alloantibody-mediated rejectionER stress

Identifiers

PMID40141353
PMCPMC11943340

What Socratic holds

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LicenceCC BY
Read underepoch 390

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 Socratic graph.