Evidence map›Paper›PMID 26878864›Full record

ArticleAuto- immunity highlights2016

Nailfold videocapillaroscopy and serum VEGF levels in scleroderma are associated with internal organ involvement.

Maria De Santis, Angela Ceribelli, Francesca Cavaciocchi, Chiara Crotti, Marco Massarotti, Laura Belloli, Bianca Marasini, Natasa Isailovic, Elena Generali, Carlo Selmi

Open access · diamondAbstract read
In one paragraph

Article in Auto- immunity highlights, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  11. VEGF (Vascular Endothelial Growth Factor) and Fibrotic Lung Disease.International journal of molecular sciences · 2018
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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

10 authors at 2 institutions in 1 country.

Maria De SantisRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Angela CeribelliRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Francesca CavaciocchiRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Chiara CrottiRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Marco MassarottiRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Laura BelloliRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Bianca MarasiniRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Natasa IsailovicRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Elena GeneraliRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy.
Carlo SelmiRheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano, Milan, Italy. carlo.selmi@unimi.it.
IRCCS Humanitas Research Hospital · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNailfold videocapillaroscopy (NVC) identifies the microvascular hallmarks of systemic sclerosis (SSc) and vascular endothelial growth factor (VEGF) and may play a pivotal role in the associated vasculopathy. The aim of the present study was to compare NVC alterations with clinical subsets, internal organ involvement, and serum VEGF levels in a cohort of selected SSc cases.

methodsWe studied 44 patients with SSc who were evaluated within 3 months from enrollment by NVC, skin score, severity index, pulmonary function tests, carbon monoxide diffusing capacity (DLCO), echocardiography, pulmonary high-resolution computed tomography (HRCT), gastroesophageal (GE) endoscopy or manometry or X-ray, and serum autoantibodies. Serum VEGF-A levels were determined by ELISA in 72 SSc patients and 31 healthy controls.

resultsGiant capillaries were inversely correlated with age (p = 0.034, r = -0.34) and to the extent of reticular pattern at HRCT (p = 0.04, r = -0.5). Avascular areas were directly correlated with capillaroscopy skin ulcer risk index (CSURI) (p = 0.006, r = +0.4) and severity index (p = 0.004, r = +0.5). The mean capillary density was directly correlated to the ulcer number (p = 0.02, r = +0.4) and to DLCO/alveolar volume (p = 0.02, r = +0.4) and inversely correlated with severity index (p = 0.01, r = -0.4) and skin score (p = 0.02, r = -0.4). Serum VEGF levels were higher in the SSc population vs controls (p = 0.03) and inversely correlated with DLCO (p = 0.01, r =-0.4) and directly with ground-glass and reticular pattern at HRCT (p = 0.04, r = +0.4 for both).

conclusionsOur data suggest the importance of NVC not only for the diagnosis, but also for the global evaluation of SSc patients. Of note, serum VEGF levels may act as a biomarker of interstitial lung involvement.

Indexed as

AutoimmunityBiomarkersEndotheliumPersonalized medicineSystemic sclerosis

Identifiers

PMID26878864
PMCPMC4754208
OpenAlexW2300041283

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.