Evidence map›Paper›PMID 25709430›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2015

Soluble urokinase-type plasminogen activator receptor is a novel biomarker predicting acute exacerbation in COPD.

Aziz Gumus, Nejat Altintas, Halit Cinarka, Aynur Kirbas, Muge Hazıroglu, Mevlut Karatas, Unal Sahin

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

Aziz GumusDepartment of Pulmonary Medicine, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Nejat AltintasDepartment of Pulmonary Medicine, School of Medicine, Namik Kemal University, Tekirdag, Turkey.
Halit CinarkaDepartment of Pulmonary Medicine, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Aynur KirbasDepartment of Clinical Biochemistry, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Muge HazırogluDepartment of Pulmonary Medicine, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Mevlut KaratasDepartment of Pulmonary Medicine, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Unal SahinDepartment of Pulmonary Medicine, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey.
Recep Tayyip Erdoğan University · TRNamık Kemal University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a chronic inflammatory condition, and progresses with acute exacerbations. (AE). During AE, levels of acute phase reactants such as C-reactive protein (CRP) and inflammatory cells in the circulation increase. Soluble urokinase-type plasminogen activator receptor (suPAR) levels increase in acute viral and bacterial infections and in diseases involving chronic inflammation. The purpose of this study was to investigate the effectiveness of suPAR in predicting diagnosis of AE of COPD (AE-COPD) and response to treatment.

methodsThe study population consisted of 43 patients diagnosed with AE-COPD and 30 healthy controls. suPAR, CRP, and fibrinogen levels were measured on the first day of hospitalization and on the seventh day of treatment.

resultsWe found that fibrinogen (P<0.001), CRP (P<0.001), and suPAR (P<0.001) were significantly higher in patients with AE-COPD than in healthy controls. Fibrinogen (P<0.001), CRP (P=0.001), and suPAR (P<0.001) were significantly decreased by the seventh day of treatment. However, the area under receiver operator characteristic curve showed that suPAR is superior to CRP and fibrinogen in distinguishing AE-COPD. There was a correlation between fibrinogen, CRP, and suPAR. However, only fibrinogen was a powerful predictor of suPAR in multiple linear regression. In multiple logistic regression, only suPAR and fibrinogen were strong predictors of AE-COPD (P=0.002 and P=0.014, respectively). Serum suPAR was negatively correlated with forced expiratory volume in 1 second (r=-478, P=0.001).

conclusionsuPAR is a marker of acute inflammation. It is well correlated with such inflammation markers as CRP and fibrinogen. suPAR can be used as a predictor of AE-COPD and in monitoring response to treatment.

Indexed as

AgedArea Under CurveBiomarkersC-Reactive ProteinCross-Sectional StudiesDisease ProgressionDrug MonitoringFemaleFibrinogenHumansInflammation MediatorsLinear ModelsLogistic ModelsMaleMiddle AgedMultivariate AnalysisBiomarkersC-Reactive ProteinFibrinogenInflammation MediatorsPLAUR protein, humanReceptors, Urokinase Plasminogen Activatorbiomarkerchronic obstructive pulmonary diseaseinflammationsuPAR

Identifiers

PMID25709430
PMCPMC4334296
OpenAlexW2093815898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.