Evidence map›Paper›PMID 28086930›Full record

ArticleJournal of neuroinflammation2017

Mannose-binding lectin-associated serine protease 2 (MASP-2) contributes to poor disease outcome in humans and mice with pneumococcal meningitis.

E Soemirien Kasanmoentalib, Mercedes Valls Seron, Bart Ferwerda, Michael W Tanck, Aeilko H Zwinderman, Frank Baas, Arie van der Ende, William J Schwaeble, Matthijs C Brouwer, Diederik van de Beek

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Frontiers in cellular and infection microbiology · 2022
    Review
  6. Article
  7. Article
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  9. Article
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  13. Targeting the complement system in bacterial meningitis.Brain : a journal of neurology · 2019
    Review
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  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

E Soemirien KasanmoentalibDepartment of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Mercedes Valls SeronDepartment of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Bart FerwerdaDepartment of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Michael W TanckDepartment of Clinical Epidemiology, Biostatistics, and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Aeilko H ZwindermanDepartment of Clinical Epidemiology, Biostatistics, and Bioinformatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Frank BaasDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Arie van der EndeDepartment of Medical Microbiology, Center of Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.
William J Schwaeble
Matthijs C BrouwerDepartment of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands.
Diederik van de BeekDepartment of Neurology, Academic Medical Center, Amsterdam Neuroscience, Amsterdam, The Netherlands. d.vandebeek@amc.nl.
Academic Medical Center · NLAmsterdam Neuroscience · NLUniversity of Amsterdam · NL

Funding

Medical Research Council G0801952
6 · The paper itself

Abstract

backgroundPneumococcal meningitis is the most common and severe form of bacterial meningitis. Fatality rates are substantial, and long-term sequelae develop in about half of survivors. Disease outcome has been related to the severity of the pro-inflammatory response in the subarachnoid space. The complement system, which mediates key inflammatory processes, has been implicated as a modulator of pneumococcal meningitis disease severity in animal studies.

methodsWe investigated mannose-binding lectin-associated serine protease (MASP-2) levels in cerebrospinal fluid (CSF) samples derived from the diagnostic lumbar puncture, which was available for 307 of 792 pneumococcal meningitis episodes included in our prospective nationwide cohort study (39%), and the association between these levels and clinical outcome. Subsequently, we studied the role of MASP-2 in our experimental pneumococcal meningitis mouse model using Masp2

resultsMASP-2 levels in cerebrospinal fluid of patients with bacterial meningitis were correlated with poor functional outcome. Consistent with these human data, Masp2-deficient mice with pneumococcal meningitis had lower cytokine levels and increased survival compared to WT mice. Adjuvant treatment with MASP-2-specific monoclonal antibodies led to reduced complement activation and decreased disease severity.

conclusionsMASP-2 contributes to poor disease outcome in human and mice with pneumococcal meningitis. MASP-2-specific monoclonal antibodies can be used to attenuate the inflammatory response in pneumococcal meningitis.

Indexed as

AgedAnimalsAnti-Bacterial AgentsAntibodiesCeftriaxoneCohort StudiesCytokinesDisease Models, AnimalFemaleFreund's AdjuvantGene Expression RegulationGlasgow Outcome ScaleHumansMaleMannose-Binding Protein-Associated Serine ProteasesMeningitis, PneumococcalAnti-Bacterial AgentsAntibodiesCeftriaxoneCytokinesFreund's AdjuvantMannose-Binding Protein-Associated Serine ProteasesMASP2 protein, human

Identifiers

PMID28086930
PMCPMC5234106
OpenAlexW2572316552

What OpenQuestion holds

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LicenceCC BY
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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.