Evidence map›Paper›PMID 25865251›Full record

ReviewClinical and experimental immunology2015

Immunology of IgG4-related disease.

E Della-Torre, M Lanzillotta, C Doglioni

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Clinical and experimental immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03260088 (Evaluation Of Pleural Effusion At Assiut University Hospital), which is not on this map. Cited by 110 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 5 pooled it
20.6field-weighted citation impact, top 1% 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.

NCT03260088 unknown statusnot on this mapstarted 2017, after this paper: background citation

Evaluation Of Pleural Effusion At Assiut University Hospital

TypeobservationalSponsorAssiut UniversityRan2017 to 2020Enrolled1ConditionsPleural EffusionArmsImmunoglobulin G4
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 5 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Genetic Association in Immunoglobulin G4-Related Disease: A Systematic Review.International archives of allergy and immunology · 2026
    Pooled it
  2. Pooled it
  3. IgG4-related disorders of the gastrointestinal tract: Experience from a tertiary care centre with systematic review of Indian literature.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Review
  11. Article
  12. IgG4-Related Cholangitis.Seminars in liver disease · 2025
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

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

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

3 authors at 3 institutions in 1 country.

E Della-TorreUniversità Vita-Salute San Raffaele, Milan, Italy.
M LanzillottaUniversità Vita-Salute San Raffaele, Milan, Italy.
C DoglioniUniversità Vita-Salute San Raffaele, Milan, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition that derives its name from the characteristic finding of abundant IgG4(+) plasma cells in affected tissues, as well as the presence of elevated serum IgG4 concentrations in many patients. In contrast to fibrotic disorders, such as systemic sclerosis or idiopathic pulmonary fibrosis in which the tissues fibrosis has remained largely intractable to treatment, many IgG4-RD patients appear to have a condition in which the collagen deposition is reversible. The mechanisms underlying this peculiar feature remain unknown, but the remarkable efficacy of B cell depletion in these patients supports an important pathogenic role of B cell/T cell collaboration. In particular, aberrant T helper type 2 (Th2)/regulatory T cells sustained by putative autoreactive B cells have been proposed to drive collagen deposition through the production of profibrotic cytokines, but definitive demonstrations of this hypothesis are lacking. Indeed, a number of unsolved questions need to be addressed in order to fully understand the pathogenesis of IgG4-RD. These include the identification of an antigenic trigger(s), the implications (if any) of IgG4 antibodies for pathophysiology and the precise immunological mechanisms leading to fibrosis. Recent investigations have also raised the possibility that innate immunity might precede adaptive immunity, thus further complicating the pathological scenario. Here, we aim to review the most recent insights on the immunology of IgG4-RD, focusing on the relative contribution of innate and adaptive immune responses to the full pathological phenotype of this fibrotic condition. Clinical, histological and therapeutic features are also addressed.

Indexed as

Adaptive ImmunityB-LymphocytesCell CommunicationCollagenGene ExpressionGranuloma, Plasma CellHumansImmunity, InnateImmunoglobulin GInflammationMikulicz' DiseaseRetroperitoneal FibrosisTh2 CellsT-Lymphocytes, RegulatoryCollagenImmunoglobulin GIgG4IgG4-related diseaseimmunologypathogenesisreview

Identifiers

PMID25865251
PMCPMC4516435
OpenAlexW1988788868

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.