Evidence map›Paper›PMID 26941007›Full record

ArticleJournal of cardiac failure2016

Autoimmunity Against the Heart and Cardiac Myosin in Children With Myocarditis.

Kathleen E Simpson, Madeleine W Cunningham, Caroline K Lee, Kent Ward, Alan Tong, Saar Danon, Catherine Simon, Jeffrey W Delaney, Charles E Canter

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of cardiac failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Regulatory Role of CD4Journal of immunology research · 2018
    Review
  8. Review
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

9 authors at 5 institutions in 1 country.

Kathleen E SimpsonWashington University School of Medicine in St Louis, St Louis, Missouri. Electronic address: simpson_k@kids.wustl.edu.
Madeleine W CunninghamUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Caroline K LeeWashington University School of Medicine in St Louis, St Louis, Missouri.
Kent WardUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Alan TongPediatrix Cardiology, Springfield, Missouri.
Saar DanonSaint Louis University School of Medicine, St Louis, Missouri.
Catherine SimonUniversity of Missouri Kansas City School of Medicine, Kansas City, Missouri.
Jeffrey W DelaneyUniversity of Nebraska Medical Center, Omaha, Nebraska.
Charles E CanterWashington University School of Medicine in St Louis, St Louis, Missouri.
Washington University in St. Louis · USUniversity of Oklahoma Health Sciences Center · USSaint Louis University · USUniversity of Missouri–Kansas City · USUniversity of Nebraska Medical Center · US

Funding

AUTOIMMUNE DETERMINANTS OF HUMAN CARDIAC MYOSINR01HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 1997 to 2013
$4.7M
MYOSIN--A LINK BETWEEN STREPTOCOCCI AND HEARTR37HL035280 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CUNNINGHAM, MADELEINE W. · 1999 to 2008
$3.0M
Autoimmune Determinants of Human Cardiac MyosinR56HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 2008 to 2015
$933k
NHLBI NIH HHS R01 HL056267NHLBI NIH HHS R37 HL035280NHLBI NIH HHS R56 HL056267
6 · The paper itself

Abstract

backgroundHost autoimmune activity in myocarditis has been proposed to play a role in development of cardiac disease, but evidence of autoimmunity and relationship to outcomes have not been evaluated in pediatric myocarditis.

methodsWe performed a multi-institutional study of children with clinical myocarditis. Newly diagnosed patients were followed for up to 12 months and previously diagnosed patients at a single follow-up for serum levels of autoantibodies to human cardiac myosin, beta-adrenergic receptors 1 and 2, muscarinic-2 receptors, and antibody-mediated protein kinase A (PKA) activation in heart cells in culture. Results were compared with those of healthy control children.

resultsBoth previously diagnosed patient at follow-up (P = .0061) and newly diagnosed patients at presentation (P = .0127) had elevated cardiac myosin antibodies compared with control subjects. Antibody levels were not associated with recovery status at follow-up in either group. PKA activation was higher at presentation in the newly diagnosed patients who did not recovery normal function (P = .042).

conclusionsChildren with myocarditis have evidence of autoantibodies against human cardiac myosin at diagnosis and follow-up compared with control subjects. Differences in antibody-mediated cell signaling may contribute to differences in patient outcomes, as suggested by elevated antibody-mediated PKA activation in heart cells by the serum from nonrecovered patients.

Indexed as

AutoimmunityAutoantibodiesCardiac MyosinsChildChild, PreschoolCyclic AMP-Dependent Protein KinasesHeartHumansInfantMyocarditisMyocytes, CardiacAutoantibodiesCardiac MyosinsCyclic AMP-Dependent Protein KinasesautoantibodyautoimmunityMyocarditis

Identifiers

PMID26941007
PMCPMC10322146
OpenAlexW2292009080

What OpenQuestion holds

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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.