Evidence map›Paper›PMID 26654954›Full record

ArticleRespiratory research2015

Association of elevated α-defensin levels with interstitial pneumonia in patients with systemic sclerosis.

Noriho Sakamoto, Tomoyuki Kakugawa, Atsuko Hara, Shota Nakashima, Hirokazu Yura, Tatsuhiko Harada, Hiroshi Ishimoto, Kazuhiro Yatera, Yutaka Kuwatsuka, Toshihide Hara and 5 more

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pulmonary function tests as outcomes for systemic sclerosis interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2018
    Pooled it
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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

15 authors at 2 institutions in 1 country.

Noriho SakamotoSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. nsakamot@nagasaki-u.ac.jp.
Tomoyuki KakugawaSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. kakugawa@nagasaki-u.ac.jp.
Atsuko HaraSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. a-hara@nagasaki-u.ac.jp.
Shota NakashimaSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. shonaka@nagasaki-u.ac.jp.
Hirokazu YuraSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. h_yura.5994@me.com.
Tatsuhiko HaradaSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. harada-nagasaki@umin.ac.jp.
Hiroshi IshimotoDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan. h-ishimoto@med.uoeh-u.ac.jp.
Kazuhiro YateraDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan. yatera@med.uoeh-u.ac.jp.
Yutaka KuwatsukaDepartment of Dermatology, Graduate School of Medicine, Nagasaki University, Nagasaki, Japan. y-kuwa83@nagasaki-u.ac.jp.
Toshihide HaraDepartment of Dermatology, Graduate School of Medicine, Nagasaki University, Nagasaki, Japan. t-hara@nagasaki-u.ac.jp.
Kunihiro IchinoseDepartment of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. kichinos@nagasaki-u.ac.jp.
Yasushi ObaseSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. obaseya@nagasaki-u.ac.jp.
Yuji IshimatsuDepartment of Cardiopulmonary Rehabilitation Science, Unit of Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. yuji-i@nagasaki-u.ac.jp.
Shigeru KohnoSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. s-kohno@nagasaki-u.ac.jp.
Hiroshi MukaeSecond Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. hmukae@nagasaki-u.ac.jp.
Nagasaki University · JPUniversity of Occupational and Environmental Health Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterstitial lung disease (ILD) is the leading cause of mortality in patients with systemic sclerosis (SSc). Although the pathogenesis of SSc-ILD is not well understood, neutrophils may play a pivotal role in this process. Neutrophils store azurophil granules that contain defensins, antimicrobial peptides that function in regulating the inflammatory response, and IL-8, a potent chemoattractant for neutrophils. The present study evaluated the levels of defensins and IL-8 in patients with SSc-ILD to determine their roles in disease pathogenesis.

methodsDefensins (also known as human neutrophil peptides, HNPs) and IL-8 levels were measured in the serum and bronchoalveolar lavage fluid (BALF) of 33 patients with SSc-ILD and in 20 healthy controls by using ELISA.

resultsBALF analysis revealed a significant increase in HNPs in SSc-ILD patients (median; 240.0 pg/mL) than that of healthy controls (79.7 pg/mL). Additionally, IL-8 levels were higher in SSc-ILD patient serum and BALF as compared to healthy controls (16.4 pg/mL vs. 5.8 pg/mL and 15.4 pg/mL vs. 14.5 pg/mL, respectively). However, plasma HNPs levels were relatively unchanged. HNP and IL-8 levels in patient BALF displayed a significant positive correlation significantly correlated (r = 0.774, p <0.01), and which also correlated with clinical disease parameters--such as ILD biomarkers, pulmonary function tests, ratio of neutrophils and eosinophils in BALF, tricuspid regurgitation peak gradient (TRPG), and the extent of high-resolution computed tomography (HRCT) findings in the lung. Levels of plasma HNPs and serum IL-8 did not show a significant correlation with any clinical parameter. SSc-ILD progression was evaluated by pulmonary function tests, but no association was observed between VC change ratios and HNPs or IL-8 levels.

conclusionsBALF levels of HNPs and IL-8 were higher in SSc-ILD than in healthy controls, and are associated with various clinical disease parameters. Further studies are needed to clarify the role of defensins and IL-8 in SSc-ILD pathogenesis.

Indexed as

Agedalpha-DefensinsBiomarkersBronchoalveolar Lavage FluidEnzyme-Linked Immunosorbent AssayFemaleHumansInterleukin-8Lung Diseases, InterstitialMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesScleroderma, SystemicSeverity of Illness Indexalpha-DefensinsBiomarkersCXCL8 protein, humanInterleukin-8

Identifiers

PMID26654954
PMCPMC4676113
OpenAlexW2201568507

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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.