Evidence map›Paper›PMID 21796504›Full record

ArticleJournal of clinical immunology2011

Cardiac autoantibodies from patients affected by a new variant of endemic pemphigus foliaceus in Colombia, South America.

Ana Maria Abreu-Velez, Michael S Howard, Zhe Jiao, Weiqing Gao, Hong Yi, Hans E Grossniklaus, Mauricio Duque-Ramírez, Samuel C Dudley

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 27 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Ana Maria Abreu-VelezGeorgia Dermatopathology Associates, Atlanta, Georgia, USA. abreuvelez@yahoo.com
Michael S Howard
Zhe Jiao
Weiqing Gao
Hong Yi
Hans E Grossniklaus
Mauricio Duque-Ramírez
Samuel C Dudley
Atlanta Gastroenterology Associates · USEmory University · USUniversity Medical Center · USUniversity of Illinois Chicago · US

Funding

Vascular specific ACE expression and atherosclerosisP01HL058000 · NHLBI · VANDERBILT UNIVERSITY · PI DIKALOV, SERGEY · 1998 to 2013
$20.7M
P30-Core Grant for Vision Research Core CP30EY006360 · NEI · EMORY UNIVERSITY · PI BOATRIGHT, JEFFREY H · 1986 to 2025
$15.3M
NEI NIH HHS NEI EY06360NEI NIH HHS P30 EY006360NHLBI NIH HHS P01 HL058000
6 · The paper itself

Abstract

Several patients affected by a new variant of endemic pemphigus foliaceus in El Bagre, Colombia (El Bagre-EPF) have experienced a sudden death syndrome, including persons below the age of 50. El Bagre-EPF patients share several autoantigens with paraneoplastic pemphigus patients, such as reactivity to plakins. Further, paraneoplastic pemphigus patients have autoantibodies to the heart. Therefore, we tested 15 El Bagre-EPF patients and 15 controls from the endemic area for autoreactivity to heart tissue using direct and indirect immunofluorescence, confocal microscopy, immunohistochemistry, immunoblotting, and immunoelectron microscopy utilizing heart extracts as antigens. We found that 7 of 15 El Bagre patients exhibited a polyclonal immune response to several cell junctions of the heart, often colocalizing with known markers. These colocalizing markers included those for the area composita of the heart, such as anti-desmoplakins I and II; markers for gap junctions, such as connexin 43; markers for tight junctions, such as ezrin and junctional adhesion molecule A; and adherens junctions, such pan-cadherin. We also detected colocalization of the patient antibodies within blood vessels, Purkinje fibers, and cardiac sarcomeres. We conclude that El Bagre-EPF patients display autoreactivity to multiple cardiac epitopes, that this disease may resemble what is found in patients with rheumatic carditis, and further, that the cardiac pathophysiology of this disorder warrants further evaluation.

Indexed as

Endemic DiseasesAdultAnimalsAntigen-Antibody ComplexAutoantibodiesAutoantigensCadherinsCattleCell Adhesion MoleculesColombiaConnexin 43Cytoskeletal ProteinsDeath, Sudden, CardiacDesmoplakinsEzrinHeartAntigen-Antibody ComplexAutoantibodiesAutoantigensCadherinsCell Adhesion MoleculesConnexin 43Cytoskeletal ProteinsDesmoplakinsEzrinF11R protein, humanReceptors, Cell Surface

Identifiers

PMID21796504
PMCPMC3380437
OpenAlexW1965916646

What OpenQuestion holds

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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.