Evidence map›Paper›PMID 21482739›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2011

Autoantibody-mediated IL-6-dependent endothelin-1 elevation underlies pathogenesis in a mouse model of preeclampsia.

Cissy Chenyi Zhou, Roxanna A Irani, Yingbo Dai, Sean C Blackwell, M John Hicks, Susan M Ramin, Rodney E Kellems, Yang Xia

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
7.9field-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

39 citing papers in PubMed, 94 citations in OpenAlex.

  1. Review
  2. Article
  3. Endothelin-1 in Health and Disease.International journal of molecular sciences · 2023
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Preeclampsia: From Inflammation to Immunoregulation.Clinical medicine insights. Blood disorders · 2018
    Article
  13. Article
  14. Effect of a black cumin (Journal of Taibah University Medical Sciences · 2017
    Article
  15. Review
  16. Article
  17. The emerging role of endothelin-1 in the pathogenesis of pre-eclampsia.Therapeutic advances in cardiovascular disease · 2016
    Review
  18. Identifying immune mechanisms mediating the hypertension during preeclampsia.American journal of physiology. Regulatory, integrative and comparative physiology · 2016
    Review
  19. Endothelin, sex, and pregnancy: unique considerations for blood pressure control in females.American journal of physiology. Regulatory, integrative and comparative physiology · 2016
    Review
  20. Understanding mechanisms of hypertension in systemic lupus erythematosus.Therapeutic advances in cardiovascular disease · 2016
    Review
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

8 authors at 4 institutions in 2 countries.

Cissy Chenyi ZhouDepartment of Biochemistry and Molecular Biology, University of Texas Houston Medical School, Houston, TX 77030, USA.
Roxanna A Irani
Yingbo Dai
Sean C Blackwell
M John Hicks
Susan M Ramin
Rodney E Kellems
Yang Xia
Texas Medical Center · USUniversity of Houston · USHouston Medical Center · USTexas Children's Hospital · US

Funding

PURINE METABOLISM AT THE MATERNAL/FETAL INTERFACER01HD034130 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KELLEMS, RODNEY E · 1996 to 2012
$2.8M
Autoantibodies in Preeclampsia: Pre-symptomatic markers and therapeutic targetsRC4HD067977 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KELLEMS, RODNEY E, XIA, YANG · 2010 to 2010
$1.8M
AT1 Receptor Activating Autoantibodies and PreeclampsiaR01HL076558 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI XIA, YANG · 2005 to 2008
$1.0M
Angiotensin Receptor Autoantibodies and PreeclampsiaR56HD034130 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KELLEMS, RODNEY E · 2007 to 2007
$371k
NHLBI NIH HHS HL076558NHLBI NIH HHS R01 HL076558NICHD NIH HHS HD34130NICHD NIH HHS R01 HD034130NICHD NIH HHS R56 HD034130NICHD NIH HHS RC4 HD067977
6 · The paper itself

Abstract

Preeclampsia (PE) is a life-threatening hypertensive disorder of pregnancy. Elevated circulating endothelin-1 (ET-1) is associated with the disease. However the molecular basis of increased ET-1 production and its role in PE are unknown. This study aimed to investigate the causative factors, pathological role of elevated ET-1 production in PE, and the underlying mechanisms. In this study, we found that IgG from women with PE, in contrast to IgG from normotensive pregnant women, induced preproET-1 mRNA expression via angiotensin II type 1 receptor activation in kidneys and placentas in pregnant mice. The ET-A receptor-specific antagonist BQ123 significantly attenuated autoantibody-induced hypertension, proteinuria, and renal damage in pregnant mice, demonstrating that autoantibody-induced ET-1 production contributes to pathophysiology. Mechanistically, we discovered that IL-6 functioned downstream of TNF-α signaling, contributing to increased ET-1 production in pregnant mice. IL-6 blockade inhibited preeclamptic features in autoantibody-injected pregnant mice. Extending the data to human studies, we found that IL-6 was a key cytokine underlying ET-1 induction mediated by IgG from women with PE in human placental villous explants and that endothelial cells are a key source of ET-1. Overall, we provide human and mouse studies showing that angiotensin II type I receptor-agonistic autoantibody is a novel causative factor responsible for elevated ET-1 production and that increased TNF-α/IL-6 signaling is a key mechanism underlying increased ET-1 production and subsequent maternal features. Significantly, our findings revealed novel factors and signaling cascades involved in ET-1 production, subsequent disease symptom development, and possible therapeutic intervention in the management of PE.

Indexed as

AnimalsAutoantibodiesDisease Models, AnimalEndothelin-1FemaleHumansImmunoglobulin GInterleukin-6KidneyMicePlacentaPre-EclampsiaPregnancyReceptor, Angiotensin, Type 1RNA, MessengerSignal TransductionAutoantibodiesEndothelin-1Immunoglobulin GInterleukin-6Receptor, Angiotensin, Type 1RNA, MessengerTumor Necrosis Factor-alpha

Identifiers

PMID21482739
PMCPMC3269191
OpenAlexW2169154968

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.