Evidence map›Paper›PMID 25909362›Full record

ArticlePloS one2015

Determination of plasma heparin level improves identification of systemic mast cell activation disease.

Milda Vysniauskaite, Hans-Jörg Hertfelder, Johannes Oldenburg, Peter Dreßen, Stefan Brettner, Jürgen Homann, Gerhard J Molderings

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Using the Right Criteria for MCAS.Current allergy and asthma reports · 2024
    Review
  3. Effects of Primary Mast Cell Disease on Hemostasis and Erythropoiesis.International journal of molecular sciences · 2021
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Nonclonal Mast Cell Activation Syndrome: A Growing Body of Evidence.Immunology and allergy clinics of North America · 2018
    Review
  9. Article
  10. Characterization of Mast Cell Activation Syndrome.The American journal of the medical sciences · 2017
    Article
  11. Article
  12. Chromogranin A is not a biomarker of mastocytosis.The journal of allergy and clinical immunology. In practice
    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 4 institutions in 2 countries.

Milda VysniauskaiteInstitute of Exp. Haematology & Transfusion Medicine, University Hospital of Bonn, Bonn, Germany.
Hans-Jörg HertfelderInstitute of Exp. Haematology & Transfusion Medicine, University Hospital of Bonn, Bonn, Germany.
Johannes OldenburgInstitute of Exp. Haematology & Transfusion Medicine, University Hospital of Bonn, Bonn, Germany.
Peter DreßenDepartment of Internal Medicine, St. Franziskus Hospital, Eitorf, Germany.
Stefan BrettnerDepartment of Oncology, Hematology and Palliative Care, County Hospital, Waldbröl, Germany.
Jürgen HomannCommunity Hospital St. Elisabeth, Bonn, Germany.
Gerhard J MolderingsInstitute of Human Genetics, University Hospital of Bonn, Bonn, Germany.
University Hospital Bonn · DECounty Hospital · GBSt. Elisabeth-Hospital Bochum · DESt. Franziskus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnosis of mast cell activation disease (MCAD), i.e. systemic mastocytosis (SM) and idiopathic systemic mast cell activation syndrome (MCAS), usually requires demonstration of increased mast cell (MC) mediator release. Since only a few MC mediators are currently established as biomarkers of MCAD, the sensitivity of plasma heparin level (pHL) as an indicator of increased MC activation was compared with that of serum tryptase, chromogranin A and urinary N-methylhistamine levels in 257 MCAD patients. Basal pHL had a sensitivity of 41% in MCAS patients and 27% in SM patients. Non-pharmacologic stimulation of MC degranulation by obstruction of venous flow for 10 minutes increased the sensitivity of pHL in MCAS patients to 59% and in SM patients to 47%. In MCAS patients tryptase, chromogranin A, and N-methylhistamine levels exhibited low sensitivities (10%, 12%, and 22%, respectively), whereas sensitivities for SM were higher (73%, 63%, and 43%, respectively). Taken together, these data suggest pHL appears more sensitive than the other mediators for detecting systemic MC activity in patients with MCAS. The simple, brief venous occlusion test appears to be a useful indicator of the presence of pathologically irritable MCs, at least in the obstructed compartment of the body.

Indexed as

AdolescentAdultAgedAged, 80 and overAnticoagulantsBiomarkersChromogranin AFemaleHeparinHumansMaleMast CellsMastocytosisMethylhistaminesMiddle AgedReproducibility of ResultsAnticoagulantsBiomarkersChromogranin AHeparinMethylhistaminesN-methylhistamineTryptases

Identifiers

PMID25909362
PMCPMC4409380
OpenAlexW2093536852

What OpenQuestion holds

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LicenceCC BY
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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.