Evidence map›Paper›PMID 24914072›Full record

ArticleAnnals of the rheumatic diseases2015

Gadolinium-based compounds induce NLRP3-dependent IL-1β production and peritoneal inflammation.

Christian Schmidt-Lauber, Lukas Bossaller, Hani H Abujudeh, Gregory I Vladimer, Anette Christ, Katherine A Fitzgerald, Eicke Latz, Ellen M Gravallese, Ann Marshak-Rothstein, Jonathan Kay

Registry-linked trialAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00677092 (An Open Label Phase 2 Pilot Study to Determine the Safety, Efficacy and Tolerability of Gleevec), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT00677092 phase2completednot on this map

An Open Label Phase 2 Pilot Study to Determine the Safety, Efficacy and Tolerability of Gleevec (Imatinib Mesylate) in the Treatment of Nephrogenic Systemic Fibrosis

TypeinterventionalSponsorMassachusetts General HospitalRan2007 to 2009Enrolled12ConditionsNephrogenic Systemic FibrosisArmsImatinib mesylate
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  12. [Cutaneous manifestations in renal diseases].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 2016
    Review
  13. Human IgE-independent systemic anaphylaxis.The Journal of allergy and clinical immunology · 2016
    Review
  14. Article
  15. Article
  16. 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

10 authors at 3 institutions in 2 countries.

Christian Schmidt-LauberDivision of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Lukas BossallerDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Hani H AbujudehDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Gregory I VladimerDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Anette ChristDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Katherine A FitzgeraldDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Eicke LatzDivision of Infectious Diseases and Immunology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA Institute of Innate Immunity, University of Bonn and German Center of Neurodegenerative Diseases (DZNE), Bonn, Germany.
Ellen M GravalleseDivision of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Ann Marshak-RothsteinDivision of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Jonathan KayDivision of Rheumatology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID http://orcid.org/0000-0002-8970-4260
University of Massachusetts Chan Medical School · USHarvard University · USUniversity of Bonn · DE

Funding

Toll-Like Receptors in Systemic Autoimmune DiseaseP01AR050256 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SHLOMCHIK, MARK J · 2004 to 2013
$13.4M
Innate Immunity Training ProgramT32AI095213 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SILVERMAN, NEAL · 2011 to 2025
$2.5M
Inflammasome activation by cholesterol crystalsR01HL093262 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LATZ, EICKE · 2009 to 2013
$2.0M
Immunological Mechanisms in Systemic Autoimmune DiseaseR01AR055634 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MARSHAK-ROTHSTEIN, ANN · 2008 to 2012
$1.8M
NHLBI NIH HHS HL093262NHLBI NIH HHS R01 HL093262NIAID NIH HHS T32 AI095213NIAMS NIH HHS P01 AR050256NIAMS NIH HHS R01 AR055634
6 · The paper itself

Abstract

objectiveNephrogenic systemic fibrosis (NSF) is a progressive fibrosing disorder that may develop in patients with chronic kidney disease after administration of gadolinium (Gd)-based contrast agents (GBCAs). In the setting of impaired renal clearance of GBCAs, Gd deposits in various tissues and fibrosis subsequently develops. However, the precise mechanism by which fibrosis occurs in NSF is incompletely understood. Because other profibrotic agents, such as silica or asbestos, activate the nucleotide-binding oligomerisation domain (NOD)-like receptor protein 3 (NLRP3) inflammasome and initiate interleukin (IL)-1β release with the subsequent development of fibrosis, we evaluated the effects of GBCAs on inflammasome activation.

methodsBone marrow derived macrophages from C57BL/6, Nlrp3(-/-) and Asc(-/-) mice were incubated with three Gd-containing compounds and IL-1β activation and secretion was detected by ELISA and western blot analysis. Inflammasome activation and regulation was investigated in IL-4- and interferon (IFN)γ-polarised macrophages by ELISA, quantitative real time (qRT)-PCR and NanoString nCounter analysis. Furthermore, C57BL/6 and Nlrp3(-/-)mice were intraperitoneally injected with GBCA and recruitment of inflammatory cells to the peritoneum was analysed by fluorescence-activated cell sorting (FACS).

resultsFree Gd and GBCAs activate the NLRP3 inflammasome and induce IL-1β secretion in vitro. Gd-diethylenetriaminepentaacetic acid also induces the recruitment of neutrophils and inflammatory monocytes to the peritoneum in vivo. Gd activated IL-4-polarised macrophages more effectively than IFNγ-polarised macrophages, which preferentially expressed genes known to downregulate inflammasome activity.

conclusionsThese data suggest that Gd released from GBCAs triggers a NLRP3 inflammasome-dependent inflammatory response that leads to fibrosis in an appropriate clinical setting. The preferential activation of IL-4-differentiated macrophages is consistent with the predominantly fibrotic presentation of NSF.

Indexed as

AnimalsApoptosis Regulatory ProteinsCARD Signaling Adaptor ProteinsCarrier ProteinsContrast MediaDisease Models, AnimalGadoliniumGadolinium DTPAInflammasomesInterleukin-1betaMacrophagesMiceMice, Inbred C57BLMice, KnockoutNephrogenic Fibrosing DermopathyNLR Family, Pyrin Domain-Containing 3 ProteinApoptosis Regulatory ProteinsCARD Signaling Adaptor ProteinsCarrier ProteinsContrast MediagadodiamideGadoliniumgadolinium chlorideGadolinium DTPAIL1B protein, mouseInflammasomesInterleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mouseOrganometallic CompoundsPycard protein, mouseCytokinesInflammationMagnetic Resonance Imaging

Identifiers

PMID24914072
PMCPMC4428954
OpenAlexW1992352175

What OpenQuestion holds

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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.