Evidence map›Paper›PMID 26913032›Full record

ReviewFrontiers in immunology2016

Early Components of the Complement Classical Activation Pathway in Human Systemic Autoimmune Diseases.

Katherine E Lintner, Yee Ling Wu, Yan Yang, Charles H Spencer, Georges Hauptmann, Lee A Hebert, John P Atkinson, C Yung Yu

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05193591 (Evaluation of Anti-C1s, Anti-HMGB1 and Anti-C1q Autoantibodies in the Pathogenesis for Patients With Systemic Lupus Erythematosus), which is not on this map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
10.3field-weighted citation impact, top 1% 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.

NCT05193591 recruitingnot on this mapstarted 2022, after this paper: background citation

Evaluation of Anti-C1s, Anti-HMGB1 and Anti-C1q Autoantibodies in the Pathogenesis for Patients With Systemic Lupus Erythematosus (SLE)

TypeobservationalSponsorUniversity Hospital, GrenobleRan2022 to 2025Enrolled30ConditionsLupus Erythematosus, SystemicArmsAutoantibodies evaluation in lupus
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 193 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Immune dysregulation and epileptogenesis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Type I IFN receptor blockade by anifrolumab reduces cutaneous lupus in monogenic SLE.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. The Complement System.Advances in experimental medicine and biology · 2025
    Review
  20. Monogenic lupus - from gene to targeted therapy.Molecular and cellular pediatrics · 2024
    Review

35 more citing papers are in PubMed but not listed here.

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

8 authors at 4 institutions in 2 countries.

Katherine E LintnerCenter for Molecular and Human Genetics, Division of Pediatric Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University , Columbus, OH , USA.
Yee Ling WuCenter for Molecular and Human Genetics, Division of Pediatric Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University , Columbus, OH , USA.
Yan YangCenter for Molecular and Human Genetics, Division of Pediatric Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University , Columbus, OH , USA.
Charles H SpencerCenter for Molecular and Human Genetics, Division of Pediatric Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University , Columbus, OH , USA.
Georges HauptmannLaboratoire d'Immuno-Rhumatologie Moleculaire, INSERM UMR_S 1109, LabEx Transplantex, Faculté de Médecine, Université de Strasbourg , Strasbourg , France.
Lee A HebertDivision of Nephrology, College of Medicine, The Ohio State University , Columbus, OH , USA.
John P AtkinsonDivision of Rheumatology, Department of Medicine, Washington University School of Medicine , St. Louis, MO , USA.
C Yung YuCenter for Molecular and Human Genetics, Division of Pediatric Rheumatology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University , Columbus, OH , USA.
The Ohio State University · USNationwide Children's Hospital · USInserm · FRWashington University in St. Louis · US

Funding

Translational Research Skills Development CoreU54HL112303 · NHLBI · WASHINGTON UNIVERSITY · PI SADLER, J EVAN · 2012 to 2016
$8.8M
Pathogenesis of SLE relapse in humansP01DK055546 · NIDDK · OHIO STATE UNIVERSITY · PI HEBERT, LEE A. · 2001 to 2007
$4.9M
Complement Receptor One (CRI): Structure/FunctionR01AI041592 · NIAID · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 1997 to 2013
$3.9M
Complement Genetics and Clinical Variability of Systemic Lupus ErythematosusR01AR054459 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI YU, CHACK Y · 2008 to 2012
$1.5M
NHLBI NIH HHS U54 HL112303NIAID NIH HHS R01 AI041592NIAMS NIH HHS R01 AR054459NIDDK NIH HHS P01 DK055546
6 · The paper itself

Abstract

The complement system consists of effector proteins, regulators, and receptors that participate in host defense against pathogens. Activation of the complement system, via the classical pathway (CP), has long been recognized in immune complex-mediated tissue injury, most notably systemic lupus erythematosus (SLE). Paradoxically, a complete deficiency of an early component of the CP, as evidenced by homozygous genetic deficiencies reported in human, are strongly associated with the risk of developing SLE or a lupus-like disease. Similarly, isotype deficiency attributable to a gene copy-number (GCN) variation and/or the presence of autoantibodies directed against a CP component or a regulatory protein that result in an acquired deficiency are relatively common in SLE patients. Applying accurate assay methodologies with rigorous data validations, low GCNs of total C4, and heterozygous and homozygous deficiencies of C4A have been shown as medium to large effect size risk factors, while high copy numbers of total C4 or C4A as prevalent protective factors, of European and East-Asian SLE. Here, we summarize the current knowledge related to genetic deficiency and insufficiency, and acquired protein deficiencies for C1q, C1r, C1s, C4A/C4B, and C2 in disease pathogenesis and prognosis of SLE, and, briefly, for other systemic autoimmune diseases. As the complement system is increasingly found to be associated with autoimmune diseases and immune-mediated diseases, it has become an attractive therapeutic target. We highlight the recent developments and offer a balanced perspective concerning future investigations and therapeutic applications with a focus on early components of the CP in human systemic autoimmune diseases.

Indexed as

autoimmune diseasesclassical pathwaycomplement C1qcomplement C1rcomplement C1scomplement C2complement C4systemic lupus erythematosus

Identifiers

PMID26913032
PMCPMC4753731
OpenAlexW2287049166

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.