Evidence map›Paper›PMID 26368565›Full record

Trial reportPloS one2015

The Human Endogenous Protection System against Cell-Free Hemoglobin and Heme Is Overwhelmed in Preeclampsia and Provides Potential Biomarkers and Clinical Indicators.

Magnus Gram, Ulrik Dolberg Anderson, Maria E Johansson, Anneli Edström-Hägerwall, Irene Larsson, Maya Jälmby, Stefan R Hansson, Bo Åkerström

Erratum issuedOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Biomolecules · 2021
    Article
  4. Article
  5. The Role of αInternational journal of molecular sciences · 2020
    Review
  6. Article
  7. αFrontiers in physiology · 2020
    Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. αFrontiers in physiology · 2018
    Article
  15. Article
  16. Urinary Extracellular Vesicles of Podocyte Origin and Renal Injury in Preeclampsia.Journal of the American Society of Nephrology : JASN · 2017
    Article
  17. Article
  18. Red cell DAMPs and inflammation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2016
    Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Magnus GramLund University, Department of Clinical Sciences Lund, Infection Medicine, Lund, Sweden.
Ulrik Dolberg AndersonLund University, Department of Clinical Sciences Lund, Obstetrics and Gynecology, Lund, Sweden.
Maria E JohanssonLund University, Department of Clinical Sciences Lund, Infection Medicine, Lund, Sweden.
Anneli Edström-HägerwallLund University, Department of Clinical Sciences Lund, Infection Medicine, Lund, Sweden.
Irene LarssonLund University, Department of Clinical Sciences Lund, Obstetrics and Gynecology, Lund, Sweden.
Maya JälmbyLund University, Department of Clinical Sciences Lund, Obstetrics and Gynecology, Lund, Sweden.
Stefan R HanssonLund University, Department of Clinical Sciences Lund, Obstetrics and Gynecology, Lund, Sweden.
Bo ÅkerströmLund University, Department of Clinical Sciences Lund, Infection Medicine, Lund, Sweden.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preeclampsia (PE) complicates 3-8% of all pregnancies and manifests clinically as hypertension and proteinuria in the second half of gestation. The pathogenesis of PE is not fully understood but recent studies have described the involvement of cell-free fetal hemoglobin (HbF). Hypothesizing that PE is associated with prolonged hemolysis we have studied the response of the cell-free Hb- and heme defense network. Thus, we have investigated the levels of cell-free HbF (both free, denoted HbF, and in complex with Hp, denoted Hp-HbF) as well as the major human endogenous Hb- and heme-scavenging systems: haptoglobin (Hp), hemopexin (Hpx), α1-microglobulin (A1M) and CD163 in plasma of PE women (n = 98) and women with normal pregnancies (n = 47) at term. A significant increase of the mean plasma HbF concentration was observed in women with PE. Plasma levels of Hp and Hpx were statistically significantly reduced, whereas the level of the extravascular heme- and radical scavenger A1M was significantly increased in plasma of women with PE. The Hpx levels significantly correlated with maternal blood pressure. Furthermore, HbF and the related scavenger proteins displayed a potential to be used as clinical biomarkers for more precise diagnosis of PE and are candidates as predictors of identifying pregnancies with increased risk of obstetrical complications. The results support that PE pathophysiology is associated with increased HbF-concentrations and an activation of the physiological Hb-heme defense systems.

Indexed as

Blood PressureHemolysisPre-EclampsiaAdultAlpha-GlobulinsBiomarkersFemaleHaptoglobinsHemeHemoglobinsHemopexinHumansPregnancyAlpha-GlobulinsBiomarkerschorionic alpha(1)-microglobulinHaptoglobinsHemeHemoglobinsHemopexin

Identifiers

PMID26368565
PMCPMC4569570
OpenAlexW1840830224

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.