Evidence map›Paper›PMID 1704188›Full record

ArticleThe American journal of pathology1991

Immunoreactivity of anti-streptococcal monoclonal antibodies to human heart valves. Evidence for multiple cross-reactive epitopes.

J M Gulizia, M W Cunningham, B M McManus

Open access · greenAbstract read
In one paragraph

Article in The American journal of pathology, 1991. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 56 citations in OpenAlex.

  1. Valve biology and rheumatic heart disease pathogenesis.Nature cardiovascular research · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Pathogenesis of group A streptococcal infections.Clinical microbiology reviews · 2000
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Cardiac contractile proteins and autoimmune myocarditis.Molecular and cellular biochemistry · 1993
    Review
  16. Cytotoxic and viral neutralizing antibodies crossreact with streptococcal M protein, enteroviruses, and human cardiac myosin.Proceedings of the National Academy of Sciences of the United States of America · 1992
    Article
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

3 authors at 1 institution in 1 country.

J M GuliziaDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha 68198-6495.
M W Cunningham
B M McManus
University of Nebraska Medical Center · US

Funding

MYOSIN--A LINK BETWEEN STREPTOCOCCI AND HEARTR37HL035280 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CUNNINGHAM, MADELEINE W. · 1999 to 2008
$3.0M
MYOSIN: A LINK BETWEEN STREPTOCOCCI AND HEARTR01HL035280 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CUNNINGHAM, MADELEINE W. · 1986 to 1998
–
NHLBI NIH HHS HL01913NHLBI NIH HHS HL35280NHLBI NIH HHS R37 HL035280
6 · The paper itself

Abstract

Association of group A streptococci with acute rheumatic fever and valvular heart disease is well established; however the basis of valve injury remains unclear. In this study, anti-streptococcal monoclonal antibodies (MAbs) cross-reactive with myocardium were reacted with sections from 22 rheumatic valves, nine normal, five endocarditic, one 'floppy,' and one Marfan valve. In immunohistochemical studies, MAb reactivity was observed with cardiac myocytes, smooth muscle cells, cell surface and cytoplasm of endothelial cells lining valves, and valvular interstitial cells. Endothelial basement membrane and elastin fibrils reacted with the MAbs, whereas collagen was unreactive. Similar reactivity was seen with sera from acute rheumatic fever patients. The anti-streptococcal MAbs reacted with intravalvular myosin and vimentin in Western blots, and purified elastin competitively inhibited the binding of the anti-streptococcal MAbs to whole group A streptococci. The data show that human heart valves have numerous sites of immunoreactivity with anti-streptococcal MAbs and acute rheumatic fever sera of potential importance in the pathogenesis of rheumatic valvular injury.

Indexed as

AdultAgedAntibodies, BacterialAntibodies, MonoclonalBloodCross ReactionsElastinEnzyme-Linked Immunosorbent AssayEpitopesHeart Valve DiseasesHeart ValvesHumansImmunohistochemistryMiddle AgedProteinsReference ValuesAntibodies, BacterialAntibodies, MonoclonalElastinEpitopesProteins

Identifiers

PMID1704188
PMCPMC1886198
OpenAlexW121744710

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.