Evidence map›Paper›PMID 18727629›Full record

ArticleClinical and experimental immunology2008

Antibodies to amino acid 200-239 (p200) of Ro52 as serological markers for the risk of developing congenital heart block.

L Strandberg, O Winqvist, S-E Sonesson, S Mohseni, S Salomonsson, K Bremme, J P Buyon, H Julkunen, M Wahren-Herlenius

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical and experimental immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00074373 (The Research Registry for Neonatal Lupus), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

NCT00074373 completednot on this mapstarted 2010, after this paper: background citation

The Research Registry for Neonatal Lupus

TypeobservationalSponsorNYU Langone HealthRan2010 to 2016Enrolled100ConditionsNeonatal Lupus, Systemic Lupus Erythematosus, Sjogren's Syndrome, Congenital Heart BlockArmsNo intervention, observational
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. An Overview of Neonatal Lupus with Anti-Ro Characteristics.International journal of molecular sciences · 2021
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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

9 authors at 3 institutions in 3 countries.

L StrandbergRheumatology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
O Winqvist
S-E Sonesson
S Mohseni
S Salomonsson
K Bremme
J P Buyon
H Julkunen
M Wahren-Herlenius
Karolinska Institutet · SEHelsinki University Hospital · FINew York University · US

Funding

Maternal Autoantibodies: Pathogenesis of Neonatal LupusR37AR042455 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL P · 2008 to 2018
$4.0M
MATERNAL AUTOANTIBODIES--PATHOGENESIS OF NEONATAL LUPUSR01AR042455 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL PAMELA · 1994 to 2007
$2.7M
STUDY OF DEXAMETHASONE IN NEONATAL LUPUS CHBR01AR046265 · NIAMS · HOSPITAL FOR JOINT DISEASES ORTHO INST · PI BUYON, JILL PAMELA · 2000 to 2004
$1.9M
NIAMS NIH HHS AR42455NIAMS NIH HHS AR46265NIAMS NIH HHS N01-AR-4-2271NIAMS NIH HHS R01 AR042455NIAMS NIH HHS R01 AR046265NIAMS NIH HHS R37 AR042455
6 · The paper itself

Abstract

Maternal autoantibodies to the p200-epitope of Ro52 have been suggested to correlate with development of congenital heart block. The aim of the present study was to evaluate the clinical relevance and predictive value of p200-antibodies in high-risk pregnancies. Sera from 515 Finnish, Swedish and American women were included in the study. Sera originated from 202 mothers with an infant affected by second- or third-degree atrioventricular block (AVB), 177 mothers with rheumatic disease having infants with normal heart rate and female blood donors (n = 136). A novel serological assay for Ro52 p200-antibodies with intra- and inter-assay variability of 3% and 3.8% respectively was developed. Mothers of children affected by AVB II-III had significantly higher p200-antibody levels than mothers with rheumatic disease having children with normal heart rate (P < 0.001). In the Swedish cohort, a distinction between foetuses with normal conduction, AVB I, AVB II and III was possible. A significant difference in anti-p200 levels between AVB I and AVB II-III groups compared with foetuses with normal conduction (P < 0.05 and P < 0.01) was observed. Using p200-antibodies as a second step analysis in Ro52-positive pregnancies increased the positive predictive value for foetal cardiac involvement (AVB I, II or III) from 0.39 (0.27-0.51) to 0.53 (0.37-0.68). In conclusion, Ro52 p200-antibodies may occur in women with unaffected children, but levels are significantly higher in mothers of children with congenital heart block and are suggested as a relevant marker in evaluating the risk for foetal AV block.

Indexed as

AdultAnalysis of VarianceAtrioventricular BlockAutoantibodiesBiomarkersCase-Control StudiesEnzyme-Linked Immunosorbent AssayFemaleFinlandGTPase-Activating ProteinsHeart BlockHumansPregnancyRibonucleoproteinsRisk FactorsSS-A AntigenARHGAP32 protein, humanAutoantibodiesBiomarkersGTPase-Activating ProteinsRibonucleoproteinsSS-A Antigen

Identifiers

PMID18727629
PMCPMC2561087
OpenAlexW2170700381

What OpenQuestion holds

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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 OpenQuestion graph.