Evidence map›Paper›PMID 20558828›Full record

ArticleCirculation research2010

Role of the urokinase plasminogen activator receptor in mediating impaired efferocytosis of anti-SSA/Ro-bound apoptotic cardiocytes: Implications in the pathogenesis of congenital heart block.

Paraskevi Briassouli, Elena V Komissarova, Robert M Clancy, Jill P Buyon

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Circulation research, 2010. 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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 map

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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Macrophage Efferocytosis in Heart.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  2. Maternal Immune Activation: Implications for Congenital Heart Defects.Clinical reviews in allergy & immunology · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. MicroRNA-181c-5p modulates phagocytosis efficiency in bone marrow-derived macrophages.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2022
    Article
  7. Article
  8. Review
  9. Cardiomyocytes induce macrophage receptor shedding to suppress phagocytosis.Journal of molecular and cellular cardiology · 2015
    Article
  10. Review
  11. Review
  12. Clinical and pathological roles of Ro/SSA autoantibody system.Clinical & developmental immunology · 2012
    Review
  13. Article
  14. Article
  15. 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

4 authors at 3 institutions in 1 country.

Paraskevi BriassouliDepartment of Medicine, New York University School of Medicine, New York, 10016, USA. pbriassou@mac.com
Elena V Komissarova
Robert M Clancy
Jill P Buyon
New York University · USCenter for Rheumatology · USRobert Morris 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
NIAMS NIH HHS R01 AR042455NIAMS NIH HHS R01 AR42455-01NIAMS NIH HHS R37 AR042455
6 · The paper itself

Abstract

rationaleBinding of maternal anti-Ro/La antibodies to cognate antigen expressed on apoptotic cardiocytes decreases clearance by healthy cardiocytes, which may contribute to the development of autoimmune associated congenital heart block and fatal cardiomyopathy.

objectiveGiven recent evidence implicating the urokinase plasminogen activator receptor (uPAR) as a "don't eat me" signal during efferocytosis, experiments addressed whether surface bound anti-Ro antibodies inhibit apoptotic cell removal via an effect on the expression/function of the urokinase-type plasminogen activator protease uPA/uPAR system. METHODS AND

resultsAs assessed by flow cytometry and confocal microscopy, uPAR colocalizes and interacts with Ro60 on the surface of apoptotic human fetal cardiocytes. Blocking of uPAR enhances phagocytosis of apoptotic cardiocytes by healthy cardiocytes and reverses the anti-Ro60-dependent impaired clearance of apoptotic cardiocytes. Binding of anti-Ro60 antibodies to apoptotic cardiocytes results in increased uPAR expression, as well as enhanced uPA activity. The binding of anti-Ro60 did not alter other surface molecules involved in cell recognition (calreticulin, CD31, or CD47).

conclusionsThese data suggest that increased uPAR expression and uPA activity induced by anti-Ro60 binding to the apoptotic fetal cardiocyte provide a molecular basis by which these antibodies inhibit efferocytosis and ultimately lead to scar of the fetal conduction system and working myocardium.

Indexed as

AnimalsAntibodies, MonoclonalApoptosisCalreticulinCardiomyopathiesCD47 AntigenChickensFemaleFetal DiseasesFetusFlow CytometryHeart BlockHeart Conduction SystemHumansImmunoglobulin GMiceAntibodies, MonoclonalCalreticulinCD47 AntigenImmunoglobulin GPlatelet Endothelial Cell Adhesion Molecule-1Receptors, Urokinase Plasminogen ActivatorUrokinase-Type Plasminogen Activator

Identifiers

PMID20558828
PMCPMC3951117
OpenAlexW2166633076

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.