Evidence map›Paper›PMID 23690366›Full record

Trial reportLupus2013

Annexin A5 anticoagulant activity in children with systemic lupus erythematosus and the association with antibodies to domain I of β2-glycoprotein I.

D M Wahezi, N T Ilowite, X X Wu, L Pelkmans, B Laat, L E Schanberg, J H Rand, Atherosclerosis Prevention in Pediatric Lupus Erythematosus Investigators

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Lupus, 2013. 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
2.8field-weighted citation impact, top 11% 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, 26 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Pediatric antiphospholipid syndrome.Current rheumatology reports · 2015
    Review
  10. Review
  11. 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

8 authors at 5 institutions in 2 countries.

D M WaheziDepartment of Pediatrics, Division of Pediatric Rheumatology, Children's Hospital at Montefiore, Bronx, NY 10467, USA.
N T Ilowite
X X Wu
L Pelkmans
B Laat
L E Schanberg
J H Rand
Atherosclerosis Prevention in Pediatric Lupus Erythematosus Investigators
Children's Hospital at Montefiore · USMontefiore Medical Center · USDuke Medical Center · USMaastricht University · NLUniversity Medical Center Utrecht · NL

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
REDUCTION OF ANNEXIN IN ANTIPHOSPHOLIPID PREGNANCY LOSSR01HL061331 · NHLBI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI RAND, JACOB · 1999 to 2010
$2.6M
Clinical and Translational Science Award-K12KL2RR025749 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$991k
NOVEL BIOMARKERS FOR MECHANISTIC DIAGNOSIS OF THE ANTIPHOSPHOLIPID SYNDROMERC1HL101031 · NHLBI · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI RAND, JACOB · 2009 to 2010
$710k
Clinical and Translational Science Award-T32 (TL1)TL1RR025748 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$385k
PREVENTION OF CARDIOVASCULAR COMPLICATIONS IN PEDIATRIC SYSTEMIC LUPUS-264022265N01AR022265 · NIAMS · DUKE UNIVERSITY MEDICAL CTR. · PI SCHANBERG, LAURA E · 2002 to 2006
–
CCR NIH HHS NIH NHLBI RC1HL101031NCRR NIH HHS KL2 RR025749NCRR NIH HHS KL2RR025749NCRR NIH HHS TL1 RR025748NCRR NIH HHS TL1RR025748NCRR NIH HHS UL1 RR025750NCRR NIH HHS UL1RR025750NHLBI NIH HHS R01 HL061331NHLBI NIH HHS RC1 HL101031NIAMS NIH HHS N01 AR022265NIAMS NIH HHS NIHNIAMS NO1AR22265PHS HHS NIH NHLBI R01HL061331
6 · The paper itself

Abstract

Children with systemic lupus erythematosus (SLE) have a high prevalence of antiphospholipid (aPL) antibodies and are at increased risk for aPL-related thrombosis. We investigated the association between annexin A5 anticoagulant activity and antibodies to the domain I portion of β2-glycoprotein I (anti-DI antibodies), and propose a potential mechanism for the pathogenesis of aPL-related thrombosis. Using samples from 183 children with SLE collected during the Atherosclerosis Prevention in Pediatric Lupus Erythematosus (APPLE) trial, we examined resistance to the anticoagulant effects of annexin A5, using the annexin A5 resistance (A5R) assay, and evaluated for anti-DI IgG antibodies. Children with SLE had higher frequency of anti-D1 antibodies (p = 0.014) and significantly reduced A5R compared to pediatric controls: mean A5R = 172 ± 30% versus 242 ± 32% (p < 0.0001). Children with SLE and positive anti-DI antibodies had significantly lower mean A5R levels compared to those with negative anti-DI antibodies: mean A5R = 155 ± 24% versus 177 ± 30% (p < 0.0001). In multivariate analysis, anti-DI antibodies (p = 0.013) and lupus anticoagulant (LA) (p = 0.036) were both independently associated with reduced A5R. Children with SLE have significantly reduced annexin A5 anticoagulant activity that is associated with the presence of LA and anti-DI antibodies.

Indexed as

AdolescentAnnexin A5Antibodies, Antiphospholipidbeta 2-Glycoprotein IChildFemaleFollow-Up StudiesHumansImmunoglobulin GLupus Coagulation InhibitorLupus Erythematosus, SystemicMaleMultivariate AnalysisProspective StudiesYoung AdultAnnexin A5Antibodies, Antiphospholipidbeta 2-Glycoprotein IImmunoglobulin GLupus Coagulation Inhibitorannexin A5Antiphospholipid syndromepediatric lupusβ2-glycoprotein I

Identifiers

PMID23690366
PMCPMC4138827
OpenAlexW1996433458

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.