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Record W4414933795 · doi:10.1097/mot.0000000000001254

Use of molecular mismatch to guide induction therapy

2025· article· en· W4414933795 on OpenAlexaff
Jenny Tran, James H. Lan

Bibliographic record

VenueCurrent Opinion in Organ Transplantation · 2025
Typearticle
Languageen
FieldMedicine
TopicCancer Immunotherapy and Biomarkers
Canadian institutionsVancouver General HospitalVancouver Coastal Health Research InstituteUniversity of British Columbia
Fundersnot available
KeywordsGenotypingCompatibility (geochemistry)Immune systemAntibody therapyInduction therapySelection (genetic algorithm)

Abstract

fetched live from OpenAlex

PURPOSE OF REVIEW: Current immune risk criteria for selecting induction therapy lack precision. Here, we examined the relationship of human leukocyte antigen (HLA) and molecular matching with outcomes in patients treated with different induction regimens and immunosuppressive minimization protocols to inform their potential utility in guiding therapy. RECENT FINDINGS: Initial studies evaluating induction therapy suggest the role of HLA matching in immune risk-stratification. However, criteria based on antigen level matching and panel-reactive antibodies are imprecise and risk over-assigning patients to treatment with T-cell-depleting agents. Molecularly defined low-risk patients comprise 19-61% of study cohorts. Across heterogenous induction regimens and immunosuppressive minimization studies, these patients consistently demonstrated low immune event rates, providing the basis for prospective trials to test its utility in guiding the choice of induction regimens. SUMMARY: Granular assessment of immune compatibility using molecular mismatch methods coupled with rapid genotyping technologies may help improve the selection of immunosuppressive regimens but will require prospective confirmation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: Bench or experimental
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.373
Threshold uncertainty score0.343

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.061
GPT teacher head0.366
Teacher spread0.305 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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