Evidence map›Paper›PMID 27784011›Full record

ArticleJournal of innate immunity2017

Decreased Neutrophil Extracellular Trap Degradation in Shiga Toxin-Associated Haemolytic Uraemic Syndrome.

Jonatan Leffler, Zoltán Prohászka, Bálint Mikes, György Sinkovits, Katarzyna Ciacma, Péter Farkas, Marienn Réti, Kata Kelen, György S Reusz, Attila J Szabó and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of innate immunity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Neutrophils and NETs in kidney disease.Nature reviews. Nephrology · 2025
    Review
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  13. The interplay between neutrophils, complement, and microthrombi in COVID-19.Best practice & research. Clinical rheumatology · 2021
    Review
  14. Verotoxin Receptor-Based Pathology and Therapies.Frontiers in cellular and infection microbiology · 2020
    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

12 authors at 4 institutions in 3 countries.

Jonatan LefflerSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.
Zoltán Prohászka
Bálint Mikes
György Sinkovits
Katarzyna Ciacma
Péter Farkas
Marienn Réti
Kata Kelen
György S Reusz
Attila J Szabó
Myriam Martin
Anna M Blom
Lund University · SEThird Way · USSemmelweis University · HUUnified Szent István and Szent László Hospital · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil extracellular traps (NETs) can stimulate thrombosis, and their degradation is decreased in several autoimmune disorders. It was recently reported that some patients with haemolytic uraemic syndrome (HUS) also fail to degrade NETs and that neutrophils from Shiga toxin-associated HUS are primed to form NETs.

methodWe used a well-characterized cohort of 74 thrombotic microangiopathy (TMA) patients, with a subset also providing follow-up samples, and 112 age-matched controls to investigate NET degradation and serum nuclease activity in TMA before, during and after treatment.

resultsWe identified that in the cohort of TMA patients, 50% of patients with Shiga toxin-associated HUS displayed a decreased ability to degrade NETs. NET degradation correlated with serum nuclease activity, but not with autoantibodies against double-stranded DNA, which has been previously observed in some autoimmune disorders. Further, NET degradation negatively correlated with serum creatinine levels, suggesting that kidney function was negatively impacted by the low NET degradation ability.

conclusionsWe revealed that decreased NET degradation is a common feature of Shiga toxin-associated HUS and that it is associated with decreased kidney function in these patients. It remains to be clarified whether improving NET degradation would be beneficial for the patient.

Indexed as

Neutrophil ActivationAdolescentAdultAgedCells, CulturedChildChild, PreschoolCohort StudiesDeoxyribonucleasesExtracellular TrapsFemaleHemolytic-Uremic SyndromeHumansInfantMaleMiddle AgedDeoxyribonucleasesShiga Toxin

Identifiers

PMID27784011
PMCPMC6738868
OpenAlexW2541024123

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.