Evidence map›Paper›PMID 20517154›Full record

ReviewCurrent opinion in rheumatology2010

Macrophage activation syndrome: advances towards understanding pathogenesis.

Alexei A Grom, Elizabeth D Mellins

Abstract readReview
In one paragraph

Review in Current opinion in rheumatology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
8.0field-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

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 208 citations in OpenAlex.

  1. Pooled it
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  14. Bacteria-Associated Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
    Review
  15. Antioxidant Effects and Probiotic Properties ofFoods (Basel, Switzerland) · 2023
    Article
  16. Article
  17. Review
  18. Adult-Onset Still's Disease-A Complex Disease, a Challenging Treatment.International journal of molecular sciences · 2022
    Review
  19. Review
  20. Article

24 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

2 authors at 2 institutions in 1 country.

Alexei A GromDivision of Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA. Alexei.Grom@cchmc.org
Elizabeth D Mellins
Stanford University · USUniversity of Cincinnati · US

Funding

PHARMACOGENOMICS OF JUVENILE RHEUMATOID ARTHRITISP60AR047784 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI LOVELL, DANIEL JOE · 2001 to 2012
$10.5M
A role for IL-1 in SJIA monocyte phenotypes: A RAPPORT ancillary studyR01AR061297 · NIAMS · STANFORD UNIVERSITY · PI MELLINS, ELIZABETH D · 2010 to 2013
$1.2M
Immune cell dysfunction in SJIAR21AI075254 · NIAID · STANFORD UNIVERSITY · PI MELLINS, ELIZABETH D · 2008 to 2009
$435k
Inflammasome function and SJIAR21AR062765 · NIAMS · STANFORD UNIVERSITY · PI MELLINS, ELIZABETH D · 2012 to 2013
$382k
NIAID NIH HHS R21 AI075254NIAMS NIH HHS AR047784NIAMS NIH HHS P60 AR047784NIAMS NIH HHS R01 AR061297NIAMS NIH HHS R21 AR062765
6 · The paper itself

Abstract

purpose of reviewMacrophage activation syndrome (MAS), a major cause of morbidity and mortality in pediatric rheumatology, is most strongly associated with systemic juvenile idiopathic arthritis (SJIA). There are no validated diagnostic criteria and early diagnosis is difficult. This review summarizes the progress in understanding of MAS pathophysiology that may help define specific diagnostic biomarkers. RECENT

findingsMAS is similar to the autosomal recessive disorders collectively known as familial hemophagocytic lymphohistiocytosis (FHLH), all associated with various genetic defects affecting the cytolytic pathway. Cytolytic function is profoundly depressed in SJIA with MAS as well. This immunologic abnormality distinguishes SJIA from other rheumatic diseases and is caused by both genetic and acquired factors. Phenotypic characterization of hemophagocytic macrophages has been another focus of research. These macrophages express CD163, a scavenger receptor that binds hemoglobin-haptoglobin complexes, and initiate pathways important for adaptation to oxidative stress induced by free iron. Expansion of these macrophages is seen in more than 30% of SJIA patients perhaps representing early stages of MAS. Recent gene expression studies linked expansion of these macrophages to distinct signatures. SUMMARY: Recent advances in understanding of pathophysiologic conditions that favor expansion of hemophagocytic macrophages provide a source of new MAS biomarkers with applicability to clinical practice.

Indexed as

Antigens, CDHumansMacrophage ActivationMacrophage Activation SyndromeMacrophagesT-LymphocytesAntigens, CD

Identifiers

PMID20517154
PMCPMC4443835
OpenAlexW1978121150

What OpenQuestion holds

Textmetadata
LicenceTDM
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.