Evidence map›Paper›PMID 27432357›Full record

ArticleAnnals of the rheumatic diseases2017

Endothelial progenitor dysfunction associates with a type I interferon signature in primary antiphospholipid syndrome.

Robert C Grenn, Srilakshmi Yalavarthi, Alex A Gandhi, Nayef M Kazzaz, Carlos Núñez-Álvarez, Diego Hernández-Ramírez, Antonio R Cabral, W Joseph McCune, Paula L Bockenstedt, Jason S Knight

Open access · greenAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
10.2field-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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Endothelial Progenitor Cells in Autoimmune Disorders.Stem cell reviews and reports · 2023
    Review
  12. Article
  13. The ABCs of antiphospholipid syndrome.Archives of rheumatology · 2023
    Review
  14. Article
  15. An Update on Antiphospholipid Syndrome.Current rheumatology reports · 2022
    Review
  16. Review
  17. Review
  18. Linking clotting and autoimmunity.Science (New York, N.Y.) · 2021
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 3 countries.

Robert C GrennDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Srilakshmi YalavarthiDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Alex A GandhiDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Nayef M KazzazDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Carlos Núñez-ÁlvarezDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Diego Hernández-RamírezDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Antonio R CabralDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
W Joseph McCuneDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Paula L BockenstedtDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jason S KnightDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan–Ann Arbor · USInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MX

Funding

Innate Immunity in the Pathogenesis of Lupus and Antiphospholipid VasculopathyK08AR066569 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KNIGHT, JASON · 2014 to 2018
$692k
NIAMS NIH HHS K08 AR066569
6 · The paper itself

Abstract

objectivesPatients with antiphospholipid syndrome (APS) are at risk for subclinical endothelial injury, as well as accelerated atherosclerosis. In the related disease systemic lupus erythematosus, there is a well-established defect in circulating endothelial progenitors, which leads to an accrual of endothelial damage over time. This defect has been at least partially attributed to exaggerated expression of type I interferons (IFNs). We sought to determine whether these pathways are important in APS.

methodsWe studied 68 patients with primary APS. Endothelial progenitors were assessed by flow cytometry and functional assay. Type I IFN activity was determined by a well-accepted bioassay, while peripheral blood mononuclear cells were scored for expression of IFN-responsive genes.

resultsEndothelial progenitors from patients with APS demonstrated a marked defect in the ability to differentiate into endothelial cells, a phenotype which could be mimicked by treating control progenitors with APS sera. Elevated type I IFN activity was detected in the circulation of patients with APS (a finding that was then replicated in an independent cohort). While IgG depletion from APS sera did not rescue endothelial progenitor function, the dysfunction was successfully reversed by a type I IFN receptor-neutralising antibody.

conclusionsWe describe, for the first time to our knowledge, an IFN signature in primary APS and show that this promotes impaired endothelial progenitor function. This work opens the door to novel approaches that may mitigate vascular damage in APS, such as anti-IFN drugs.

Indexed as

AdultAgedAntibodies, NeutralizingAntiphospholipid SyndromeCase-Control StudiesCell DifferentiationEndothelial Progenitor CellsFemaleFlow CytometryHumansInterferon-alphaInterferon Type ILeukocytes, MononuclearMaleMiddle AgedReceptor, Interferon alpha-betaAntibodies, NeutralizingIFNAR2 protein, humanInterferon-alphaInterferon Type IReceptor, Interferon alpha-betaAntiphospholipid SyndromeAtherosclerosisCytokines

Identifiers

PMID27432357
PMCPMC5233467
OpenAlexW2478788944

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.