Evidence map›Paper›PMID 25879749›Full record

ArticleBMC immunology2015

C-reactive protein enhances activation of coagulation system and inflammatory response through dissociating into monomeric form in antineutrophil cytoplasmic antibody-associated vasculitis.

Peng-cheng Xu, Shan Lin, Xiao-wei Yang, Dong-Mei Gu, Tie-kun Yan, Li Wei, Bao-li Wang

Open access · goldAbstract read
In one paragraph

Article in BMC immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. The Role of Anti-mCRP Autoantibodies in Lupus Nephritis.Kidney diseases (Basel, Switzerland) · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  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 3 institutions in 1 country.

Peng-cheng XuDepartment of Nephrology, Tianjin Medical University General Hospital, Tianjin, 300052, China. nkxpc@163.com.
Shan LinDepartment of Nephrology, Tianjin Medical University General Hospital, Tianjin, 300052, China. shanlin_55@163.com.
Xiao-wei YangDepartment of Nephrology, Shandong Provincial Hospital affiliated to Shandong University, Jinan, Shandong, 250021, China. yangxw82@163.com.
Dong-Mei GuDepartment of Clinical Laboratory, Tianjin Medical University General Hospital, Tianjin, 300052, China. gudongmei1109@126.com.
Tie-kun YanDepartment of Nephrology, Tianjin Medical University General Hospital, Tianjin, 300052, China. tiekunyan@163.com.
Li WeiDepartment of Nephrology, Tianjin Medical University General Hospital, Tianjin, 300052, China. shokaku@163.com.
Bao-li WangKey Lab of Hormones and Development (Ministry of Health), Metabolic Diseases Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, 300070, China. baoliwang72@163.com.
Tianjin Medical University General Hospital · CNShandong University · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundC-reactive protein (CRP) exerts prothrombotic effects through dissociating from pentameric CRP (pCRP) into modified or monomeric CRP (mCRP). However, although the high prevalence of venous thromboembolism (VTE) in patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) has been identified, it remains unclear whether the high levels of circulating pCRP potentially contribute to this hypercoagulable state in AAV. ANCA can induce the generation of neutrophil extracellular traps (NETs). In this study, the NETs-dependent generation of mCRP from pCRP and the influences of mCRP on the activation of coagulation system and inflammatory response in AAV were investigated.

resultsNETs were induced after TNF-α primed neutrophils were incubated with ANCA-containing IgG. After ANCA-induced netting neutrophils were incubated statically with platelet-rich plasma (PRP) containing mCRP (60 μg/mL), the proportion of platelets expressing CD62p increased significantly, while no increased CD62p expression of platelets was observed after static incubation with PRP containing pCRP (60 μg/mL). Under flow conditions, perfusing immobilized ANCA-induced netting neutrophils with pCRP-containing PRP caused platelets activation and mCRP deposition. The newly generated mCRP induced platelets activation on ANCA-induced netting neutrophils, enhanced D-dimer formation, and enhanced high mobility group box 1 secretion by platelets.

conclusionsUnder flow conditions, ANCA-induced netting neutrophils can activate platelets and then prompt the formation of mCRP on activated platelets. Then the newly generated mCRP can further enhance the activation of platelets, the process of thrombogenesis, and the inflammatory response. So the high level of circulating pCRP is not only a sensitive marker for judging the disease activity, but also a participant in the pathophysiology of AAV.

Indexed as

Protein MultimerizationAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisBlood CoagulationCells, CulturedC-Reactive ProteinExtracellular TrapsFibrin Fibrinogen Degradation ProductsHemodynamicsHMGB ProteinsHumansInflammationNeutrophilsPlatelet ActivationP-SelectinStructure-Activity RelationshipAntibodies, Antineutrophil CytoplasmicC-Reactive ProteinFibrin Fibrinogen Degradation Productsfibrin fragment DHMGB ProteinsP-SelectinTumor Necrosis Factor-alpha

Identifiers

PMID25879749
PMCPMC4357196
OpenAlexW2033765871

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.