Evidence map›Paper›PMID 27160365›Full record

ArticleJournal of autoimmunity2016

Complement inhibition by hydroxychloroquine prevents placental and fetal brain abnormalities in antiphospholipid syndrome.

Maria Laura Bertolaccini, Gregorio Contento, Ross Lennen, Giovanni Sanna, Philip J Blower, Michelle T Ma, Kavitha Sunassee, Guillermina Girardi

Open access · greenAbstract read
In one paragraph

Article in Journal of autoimmunity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
12.3field-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.

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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  3. Pediatric APS: State of the Art.Current rheumatology reports · 2020
    Pooled it
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  16. The pathogenesis of obstetric APS: a 2023 update.Clinical immunology (Orlando, Fla.) · 2023
    Review
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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

8 authors at 4 institutions in 1 country.

Maria Laura BertolacciniDivision of Women's Health, St Thomas' Hospital, King's College London, London, SE1 7EH, UK.
Gregorio ContentoDivision of Women's Health, St Thomas' Hospital, King's College London, London, SE1 7EH, UK.
Ross LennenBHF/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, EH16 4TJ, UK.
Giovanni SannaLouise Coote Lupus Unit, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, SE1 7EH, UK.
Philip J BlowerDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, SE1 7EH, UK.
Michelle T MaDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, SE1 7EH, UK.
Kavitha SunasseeDivision of Imaging Sciences and Biomedical Engineering, King's College London, London, SE1 7EH, UK.
Guillermina GirardiDivision of Women's Health, St Thomas' Hospital, King's College London, London, SE1 7EH, UK; MRC Centre for Inflammation Research, Queen's Medical Research Institute University of Edinburgh, Edinburgh, EH16 4TJ, UK. Electronic address: guillermina.girardi@kcl.ac.uk.
King's College London · GBSt Thomas' Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBUniversity of Edinburgh · GB

Funding

Cancer Research UK 16463Medical Research Council G0901697Medical Research Council MC_PC_15041Medical Research Council MC_PC_15049Wellcome Trust 084052
6 · The paper itself

Abstract

Placental ischemic disease and adverse pregnancy outcomes are frequently observed in patients with antiphospholipid syndrome (APS). Despite the administration of conventional antithrombotic treatment a significant number of women continue to experience adverse pregnancy outcomes, with uncertain prevention and management. Efforts to develop effective pharmacological strategies for refractory obstetric APS cases will be of significant clinical benefit for both mothers and fetuses. Although the antimalarial drug, hydroxychloroquine (HCQ) is increasingly used to treat pregnant women with APS, little is known about its efficacy and mechanism of action of HCQ. Because complement activation plays a crucial and causative role in placental ischemia and abnormal fetal brain development in APS we hypothesised that HCQ prevents these pregnancy complications through inhibition of complement activation. Using a mouse model of obstetric APS that closely resembles the clinical condition, we found that HCQ prevented fetal death and the placental metabolic changes -measured by proton magnetic resonance spectroscopy in APS-mice. Using

Indexed as

AdultAnimalsAntimalarialsAntiphospholipid SyndromeBrainComplement ActivationComplement C3aComplement C5aEnzyme-Linked Immunosorbent AssayFemaleHumansHydroxychloroquineMaleMice, Inbred C57BLMiddle AgedPlacentaAntimalarialsComplement C3aComplement C5aHydroxychloroquineAnimal modelAntiphospholipid syndromeHydroxychloroquinePregnancyProton magnetic resonance spectroscopySPECT/CT

Identifiers

PMID27160365
PMCPMC6203312
OpenAlexW2370725364

What OpenQuestion holds

Textmetadata
LicenceTDM
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.