Evidence map›Paper›PMID 25925313›Full record

ArticleBMC musculoskeletal disorders2015

Reduced levels of circulating progenitor cells in juvenile idiopathic arthritis are counteracted by anti TNF-α therapy.

Giorgia Martini, Francesca Biscaro, Elisa Boscaro, Fiorella Calabrese, Francesca Lunardi, Monica Facco, Carlo Agostini, Francesco Zulian, Gian Paolo Fadini

Open access · goldAbstract readClinical Study
In one paragraph

Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

9 authors at 1 institution in 1 country.

Giorgia MartiniPaediatric Rheumatology Unit, Department of Paediatrics, 35128, Padova, Italy. martini@pediatria.unipd.it.
Francesca BiscaroPaediatric Rheumatology Unit, Department of Paediatrics, 35128, Padova, Italy. francesca.biscaro@ulssasolo.ven.it.
Elisa BoscaroDepartment of Medicine, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. elisaboscaro@ymail.com.
Fiorella CalabreseDepartment of Cardiovascular and Thoracic Sciences, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. fiorella.calabrese@unipd.it.
Francesca LunardiDepartment of Cardiovascular and Thoracic Sciences, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. francescalunardi@libero.it.
Monica FaccoDepartment of Medicine, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. monica.facco@unipd.it.
Carlo AgostiniDepartment of Medicine, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. carlo.agostini@unipd.it.
Francesco ZulianPaediatric Rheumatology Unit, Department of Paediatrics, 35128, Padova, Italy. zulian@pediatria.unipd.it.
Gian Paolo FadiniDepartment of Medicine, University of Padova, Via Giustiniani, 2, 35128, Padova, Italy. gianpaolo.fadini@unipd.it.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndothelial progenitor cells (EPC) promote angiogenesis and vascular repair. Though reduced EPC levels have been shown in rheumatoid arthritis, no study has so far evaluated EPCs in children with juvenile idiopathic arthritis (JIA). We aimed to study circulating EPCs in children with JIA, their relation to disease activity, and effects of anti TNF-α treatment.

methodsCirculating EPCs were quantified by flow cytometry based on CD34, CD133 and KDR expression in peripheral blood of 22 patients with oligoarticular JIA and 29 age-matched controls. EPCs were re-assessed in children with methotrexate-resistant oligo-extended JIA before and up to 12 month after initiation of anti-TNF-alpha therapy. Plasma concentrations of inflammatory and EPC-regulating factors were measured using a multiplex array. Confocal immunofluorescence was used to demonstrate EPCs in synovial tissues.

resultsChildren with active JIA showed a significant reduction of relative and absolute counts of circulating progenitor cells and EPCs compared to age-matched healthy controls. CD34(+) cell levels were modestly and inversely correlated to disease activity. A strong inverse correlation was found between serum TNF-α and EPC levels. In 8 patients treated with anti TNF-α agents, the number of EPCs rose to values similar to healthy controls. CD34(+)KDR(+) EPCs were found in the synovial tissue of JIA children, but not in control.

conclusionsChildren with JIA have reduced levels of the vasculoprotective and proangiogenic EPCs. While EPCs may contribute to synovial tissue remodelling, EPC pauperization may indicate an excess cardiovascular risk if projected later in life.

Indexed as

AC133 AntigenAdolescentAntigens, CDAntigens, CD34Anti-Inflammatory AgentsArthritis, JuvenileBiomarkersCase-Control StudiesCell CountChildChild, PreschoolEndothelial Progenitor CellsFemaleFlow CytometryGlycoproteinsHumansAC133 AntigenAntigens, CDAntigens, CD34Anti-Inflammatory AgentsBiomarkersGlycoproteinsPeptidesPROM1 protein, humanTumor Necrosis Factor-alphaVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID25925313
PMCPMC4418050
OpenAlexW2001357721

What OpenQuestion holds

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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.