Evidence map›Paper›PMID 10903337›Full record

ArticleThe Journal of clinical investigation2000

Cytotoxic mAb from rheumatic carditis recognizes heart valves and laminin.

J E Galvin, M E Hemric, K Ward, M W Cunningham

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
10.8field-weighted citation impact, top 2% 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.

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

97 citing papers in PubMed, 242 citations in OpenAlex.

  1. Usefulness of immunosuppression for giant cell myocarditis.The American journal of cardiology · 2008
    Trial
  2. Review
  3. Review
  4. Review
  5. Valve biology and rheumatic heart disease pathogenesis.Nature cardiovascular research · 2026
    Review
  6. Acute rheumatic fever and rheumatic heart disease.Nature reviews. Disease primers · 2026
    Review
  7. Article
  8. Mechanisms of mitral valve development and disease.Frontiers in cardiovascular medicine · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. From Infection to Autoimmunity:Microorganisms · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

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

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 at 1 institution in 1 country.

J E GalvinDepartment of Microbiology and Immunology, and. Department of Pediatric Cardiology, Children's Heart Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
M E Hemric
K Ward
M W Cunningham
University of Oklahoma Health Sciences Center · US

Funding

AUTOIMMUNE DETERMINANTS OF HUMAN CARDIAC MYOSINR01HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 1997 to 2013
$4.7M
MYOSIN--A LINK BETWEEN STREPTOCOCCI AND HEARTR37HL035280 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CUNNINGHAM, MADELEINE W. · 1999 to 2008
$3.0M
Autoimmune Determinants of Human Cardiac MyosinR56HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 2008 to 2015
$933k
MYOSIN: A LINK BETWEEN STREPTOCOCCI AND HEARTR01HL035280 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CUNNINGHAM, MADELEINE W. · 1986 to 1998
–
NHLBI NIH HHS HL35280NHLBI NIH HHS HL56267NHLBI NIH HHS R01 HL056267NHLBI NIH HHS R37 HL035280NHLBI NIH HHS R56 HL056267
6 · The paper itself

Abstract

Anti-streptococcal antibodies cross-reactive with N-acetyl-betaD-glucosamine (GlcNAc) and myosin are present in the sera of patients with rheumatic fever (RF). However, their role in tissue injury is not clear. In this study, we show that anti-GlcNAc/anti-myosin mAb 3.B6 from a rheumatic carditis patient was cytotoxic for human endothelial cell lines and reacted with human valvular endothelium and underlying basement membrane. Reactivity of mAb 3.B6 with the valve was inhibited by human cardiac myosin > laminin > GlcNAc. The mAb 3.B6 epitopes were localized in fragments of human cardiac myosin, including heavy meromyosin (HMM), the S1 subfragment, and two light meromyosin (LMM) peptides containing amino acid sequences KEALISSLTRGKLTYTQQ (LMM 1) and SERVQLLHSQNTSLINQK (LMM 33). A novel feature of mAb 3.B6 was its reactivity with the extracellular matrix protein laminin, which may explain its reactivity with the valve surface. A laminin A-chain peptide (HTQNT) that includes homology to LMM33 inhibited the reactivity of mAb 3.B6 with human valve. These data support the hypothesis that cross-reactive antibodies in rheumatic carditis cause injury at the endothelium and underlying matrix of the valve.

Indexed as

Cytotoxicity, ImmunologicAcetylglucosamineAdolescentAmino Acid SequenceAntibodies, MonoclonalEndothelium, VascularEnzyme-Linked Immunosorbent AssayEpitope MappingHeart ValvesHumansLamininMaleMolecular MimicryMolecular Sequence DataMyocarditisMyosinsAcetylglucosamineAntibodies, MonoclonalLamininMyosinsPeptide Fragments

Identifiers

PMID10903337
PMCPMC314302
OpenAlexW2075460902

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.