Evidence map›Paper›PMID 26315510›Full record

Observational studyArthritis research & therapy2015

Associations between circulating endostatin levels and vascular organ damage in systemic sclerosis and mixed connective tissue disease: an observational study.

Silje Reiseter, Øyvind Molberg, Ragnar Gunnarsson, May Brit Lund, Trond Mogens Aalokken, Pål Aukrust, Thor Ueland, Torhild Garen, Cathrine Brunborg, Annika Michelsen and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  8. Recent developments in connective tissue disease associated pulmonary arterial hypertension.International journal of cardiology. Congenital heart disease · 2024
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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

12 authors at 2 institutions in 2 countries.

Silje ReiseterInstitute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway. silje.reiseter@medisin.uio.no.
Øyvind MolbergInstitute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway. oyvind.molberg@medisin.uio.no.
Ragnar GunnarssonDepartment of Rheumatology, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. rgunnars@ous-hf.no.
May Brit LundDepartment of Respiratory Medicine, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. mblund@ous-hf.no.
Trond Mogens AalokkenDepartment of Radiology, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. taalokke@ous-hf.no.
Pål AukrustInstitute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway. paukrust@ous-hf.no.
Thor UelandInstitute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway. thor.ueland@medisin.uio.no.
Torhild GarenDepartment of Rheumatology, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. tgaren@ous-hf.no.
Cathrine BrunborgOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Ullevål, 0424, Oslo, Norway. cathrine.brunborg@ous-hf.no.
Annika MichelsenResearch Institute of Clinical Medicine, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. annika.michelsen@medisin.uio.no.
Aurelija AbraityteResearch Institute of Clinical Medicine, Oslo University Hospital Rikshospitalet, 0424, Oslo, Norway. Aurelija.abraityte@rr-research.no.
Anna-Maria Hoffmann-VoldInstitute of Clinical Medicine, University of Oslo, 0318, Oslo, Norway. a.m.hoffmann-vold@medisin.uio.no.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSystemic sclerosis (SSc) and mixed connective tissue disease (MCTD) are chronic immune-mediated disorders complicated by vascular organ damage. The aim of this study was to examine the serum levels of the markers of neoangiogenesis: endostatin and vascular endothelial growth factor (VEGF), in our unselected cohorts of SSc and MCTD.

methodsSera of SSc patients (N = 298) and MCTD patients (N = 162) from two longitudinal Norwegian cohorts were included. Blood donors were included as controls (N = 100). Circulating VEGF and endostatin were analyzed by enzyme immunoassay.

resultsMean endostatin levels were increased in SSc patients 93.7 (37) ng/ml (P < .001) and MCTD patients 83.2 (25) ng/ml (P < .001) compared to controls 65.1 (12) ng/ml. Median VEGF levels were elevated in SSc patients 209.0 (202) pg/ml compared to MCTD patients 181.3 (175) pg/ml (P = .017) and controls 150.0 (145) pg/ml (P < .001). Multivariable analysis of SSc subsets showed that pulmonary arterial hypertension (coefficient 15.7, 95 % CI: 2.2-29.2, P = .023) and scleroderma renal crisis (coefficient 77.6, 95 % CI: 59.3-100.0, P < .001) were associated with elevated endostatin levels. Multivariable analyses of MCTD subsets showed that digital ulcers were associated with elevated endostatin levels (coefficient 10.5, 95 % CI: 3.2-17.8, P = .005). The risk of death increased by 1.6 per SD endostatin increase (95 % CI: 1.2-2.1, P = .001) in the SSc cohort and by 1.6 per SD endostatin increase (95 % CI: 1.0-2.4, P = .041) in the MCTD cohort after adjustments to known risk factors.

conclusionsEndostatin levels were elevated in patients with SSc and MCTD, particularly SSc patients with pulmonary arterial hypertension and scleroderma renal crisis, and MCTD patients with digital ulcers. Elevated endostatin levels were also associated with increased all-cause mortality during follow-up in both groups of patients. We propose that endostatin might indicate the degree of vascular injury in SSc and MCTD patients.

Indexed as

AdultBiomarkersBlood VesselsCause of DeathCohort StudiesEndostatinsFemaleHumansHypertension, PulmonaryKaplan-Meier EstimateLinear ModelsMaleMiddle AgedMixed Connective Tissue DiseaseMultivariate AnalysisScleroderma, SystemicBiomarkersEndostatinsVascular Endothelial Growth Factor A

Identifiers

PMID26315510
PMCPMC4551562
OpenAlexW2136051844

What OpenQuestion holds

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Registered trials

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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.