Evidence map›Paper›PMID 28082982›Full record

ArticleFrontiers in immunology2016

C1q Deficiency and Neuropsychiatric Systemic Lupus Erythematosus.

Rosanne A van Schaarenburg, César Magro-Checa, Jaap A Bakker, Y K Onno Teng, Ingeborg M Bajema, Tom W Huizinga, Gerda M Steup-Beekman, Leendert A Trouw

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
1.9field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Towards precision medicine for systemic lupus erythematosus and neuropsychiatric manifestations.Expert review of precision medicine and drug development · 2025
    Article
  8. Article
  9. Article
  10. A Collagen Triple Helix without the Super Helical Twist.bioRxiv : the preprint server for biology · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
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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 1 institution in 1 country.

Rosanne A van SchaarenburgDepartment of Rheumatology, Leiden University Medical Center , Leiden , Netherlands.
César Magro-ChecaDepartment of Rheumatology, Leiden University Medical Center , Leiden , Netherlands.
Jaap A BakkerDepartment of Clinical Chemistry and Laboratory Medicine, Leiden University Medical Center , Leiden , Netherlands.
Y K Onno TengDepartment of Nephrology, Leiden University Medical Center , Leiden , Netherlands.
Ingeborg M BajemaDepartment of Pathology, Leiden University Medical Center , Leiden , Netherlands.
Tom W HuizingaDepartment of Rheumatology, Leiden University Medical Center , Leiden , Netherlands.
Gerda M Steup-BeekmanDepartment of Rheumatology, Leiden University Medical Center , Leiden , Netherlands.
Leendert A TrouwDepartment of Rheumatology, Leiden University Medical Center , Leiden , Netherlands.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

C1q deficiency is a rare immunodeficiency, which is strongly associated with the development of systemic lupus erythematosus (SLE). A mutation in one of the C1q genes can either lead to complete deficiency or to low C1q levels with C1q polypeptide in the form of low-molecular weight (LMW) C1q. Patients with C1q deficiency mainly present with cutaneous and renal involvement. Although less frequent, neuropsychiatric (NP) involvement has also been reported in 20% of the C1q-deficient patients. This involvement appears to be absent in other deficiencies of early components of the complement classical pathway (CP) (C1r/C1s, C2, or C4 deficiencies). We describe a new case with C1q deficiency with a homozygous G34R mutation in C1qC-producing LMW-C1q presenting with a severe SLE flare with NP involvement. The serum of this patient contained very low levels of a LMW variant of C1q polypeptides. Cell lysates contained the three chains of C1q, but no intact C1q was detected, consistent with the hypothesis of the existence of a LMW-C1q. Furthermore, we provide a literature overview of NP-SLE in C1q deficiency and hypothesize about the potential role of C1q in the pathogenesis of NP involvement in these patients. The onset of NP-SLE in C1q-deficient individuals is more severe when compared with complement competent NP-SLE patients. An important number of cases present with seizures and the most frequent findings in neuroimaging are changes in basal ganglia and cerebral vasculitis. A defective CP, because of non-functional C1q, does not protect against NP involvement in SLE. The absence of C1q and, subsequently, some of its biological functions may be associated with more severe NP-SLE.

Indexed as

C1q deficiencycomplementlow molecular weight C1qmutationneuropsychiatric systemic lupus erythematosus

Identifiers

PMID28082982
PMCPMC5186770
OpenAlexW2566101946

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.