Evidence map›Paper›PMID 23959890›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2013

Pathogenetic mechanisms of amyloid A amyloidosis.

J Paul Simons, Raya Al-Shawi, Stephan Ellmerich, Ivana Speck, Samrina Aslam, Winston L Hutchinson, Palma P Mangione, Petra Disterer, Janet A Gilbertson, Toby Hunt and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

63 citing papers in PubMed, 117 citations in OpenAlex.

  1. Review
  2. [An unusual cause for kidney transplantation].Innere Medizin (Heidelberg, Germany) · 2026
    Article
  3. Pathogenesis and kidney prognosis of renal amyloidosis.Cellular and molecular life sciences : CMLS · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. What Cardiologists Should Know About Amyloidosis.Journal of clinical medicine · 2025
    Review
  10. Serum Amyloid A: A Double-Edged Sword in Health and Disease.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Anakinra-Associated Systemic Amyloidosis.Arthritis & rheumatology (Hoboken, N.J.) · 2024
    Article
  20. Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 2 countries.

J Paul SimonsWolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine, University College London, London NW3 2PF, United Kingdom.
Raya Al-Shawi
Stephan Ellmerich
Ivana Speck
Samrina Aslam
Winston L Hutchinson
Palma P Mangione
Petra Disterer
Janet A Gilbertson
Toby Hunt
David J Millar
Shane Minogue
Karl Bodin
Mark B Pepys
Philip N Hawkins
University College London · GB

Funding

Biotechnology and Biological Sciences Research Council BB/G021163/1Biotechnology and Biological Sciences Research Council BB/I007806/1Medical Research Council G0901596National Centre for the Replacement, Refinement and Reduction of Animals in Research G0800737/1
6 · The paper itself

Abstract

Systemic amyloid A (AA) amyloidosis is a serious complication of chronic inflammation. Serum AA protein (SAA), an acute phase plasma protein, is deposited extracellularly as insoluble amyloid fibrils that damage tissue structure and function. Clinical AA amyloidosis is typically preceded by many years of active inflammation before presenting, most commonly with renal involvement. Using dose-dependent, doxycycline-inducible transgenic expression of SAA in mice, we show that AA amyloid deposition can occur independently of inflammation and that the time before amyloid deposition is determined by the circulating SAA concentration. High level SAA expression induced amyloidosis in all mice after a short, slightly variable delay. SAA was rapidly incorporated into amyloid, acutely reducing circulating SAA concentrations by up to 90%. Prolonged modest SAA overexpression occasionally produced amyloidosis after long delays and primed most mice for explosive amyloidosis when SAA production subsequently increased. Endogenous priming and bulk amyloid deposition are thus separable events, each sensitive to plasma SAA concentration. Amyloid deposits slowly regressed with restoration of normal SAA production after doxycycline withdrawal. Reinduction of SAA overproduction revealed that, following amyloid regression, all mice were primed, especially for rapid glomerular amyloid deposition leading to renal failure, closely resembling the rapid onset of renal failure in clinical AA amyloidosis following acute exacerbation of inflammation. Clinical AA amyloidosis rarely involves the heart, but amyloidotic SAA transgenic mice consistently had minor cardiac amyloid deposits, enabling us to extend to the heart the demonstrable efficacy of our unique antibody therapy for elimination of visceral amyloid.

Indexed as

AmyloidAmyloidosisAnimalsCongo RedDNA PrimersDoxycyclineFemaleGene Expression RegulationInflammationMiceMice, TransgenicReal-Time Polymerase Chain ReactionSerum Amyloid A ProteinAmyloidCongo RedDNA PrimersDoxycyclineSerum Amyloid A Protein3Rsdisease model

Identifiers

PMID23959890
PMCPMC3791773
OpenAlexW2044296849

What OpenQuestion holds

Textmetadata
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.