Evidence map›Paper›PMID 27190361›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2016

Impact of individual intravenous iron preparations on the differentiation of monocytes towards macrophages and dendritic cells.

Lisa H Fell, Sarah Seiler-Mußler, Alexander B Sellier, Björn Rotter, Peter Winter, Martina Sester, Danilo Fliser, Gunnar H Heine, Adam M Zawada

Open access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Macrophage Plasticity and Atherosclerosis Therapy.Frontiers in molecular biosciences · 2021
    Review
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Safety of intravenous iron use in chronic kidney disease.Current opinion in nephrology and hypertension · 2016
    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 2 institutions in 1 country.

Lisa H FellDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Sarah Seiler-MußlerDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Alexander B SellierDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Björn RotterGenXPro, Frankfurt am Main, Germany.
Peter WinterGenXPro, Frankfurt am Main, Germany.
Martina SesterDepartment of Transplant and Infection Immunology, Saarland University Medical Center, Homburg, Germany.
Danilo FliserDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Gunnar H HeineDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Adam M ZawadaDepartment of Internal Medicine IV - Nephrology and Hypertension, Saarland University Medical Center, Homburg, Germany.
Saarland University · DEGenXPro (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of iron deficiency with intravenous (i.v.) iron is a first-line strategy to improve anaemia of chronic kidney disease. Previous in vitro experiments demonstrated that different i.v. iron preparations inhibit differentiation of haematopoietic stem cells to monocytes, but their effect on monocyte differentiation to macrophages and mature dendritic cells (mDCs) has not been assessed. We investigated substance-specific effects of iron sucrose (IS), sodium ferric gluconate (SFG), ferric carboxymaltose (FCM) and iron isomaltoside 1000 (IIM) on monocytic differentiation to M1/M2 macrophages and mDCs.

methodsVia flow cytometry and microRNA (miRNA) expression analysis, we morphologically and functionally characterized monocyte differentiation to M1/M2 macrophages and mDCs after monocyte stimulation with IS, SFG, FCM and IIM (0.133, 0.266 and 0.533 mg/mL, respectively). To assess potential clinical implications, we compared monocytic phagocytosis capacity in dialysis patients who received either 500 mg IS or IIM.

resultsPhenotypically, IS and SFG dysregulated the expression of macrophage (e.g. CD40, CD163) and mDC (e.g. CD1c, CD141) surface markers. Functionally, IS and SFG impaired macrophage phagocytosis capacity. Phenotypic and functional alterations were less pronounced with FCM, and virtually absent with IIM. In miRNA expression analysis of mDCs, IS dysregulated miRNAs such as miR-146b-5p and miR-155-5p, which are linked to Toll-like receptor and mitogen-activated protein kinase signalling pathways. In vivo, IS reduced monocytic phagocytosis capacity within 1 h after infusion, while IIM did not.

conclusionsThis study demonstrates that less stable i.v. iron preparations specifically affect monocyte differentiation towards macrophages and mDCs.

Indexed as

Anemia, Iron-DeficiencyCase-Control StudiesCell DifferentiationDendritic CellsDisaccharidesFerric CompoundsFerric Oxide, SaccharatedGlucaric AcidHematinicsHumansInjections, IntravenousIron CompoundsMacrophagesMaltoseMicroRNAsMonocytesDisaccharidesferric carboxymaltoseFerric Compoundsferric gluconateFerric Oxide, SaccharatedGlucaric AcidHematinicsIron Compoundsiron isomaltoside 1000MaltoseMicroRNAsCKDdendritic cellsimmune deficiencyiron therapymacrophages

Identifiers

PMID27190361
PMCPMC5091613
OpenAlexW2308491038

What OpenQuestion holds

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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.