Evidence map›Paper›PMID 28158996›Full record

ArticleBMC cardiovascular disorders2017

IgG4-positive cell infiltration in various cardiovascular disorders - results from histopathological analysis of surgical samples.

Ryoto Hourai, Satomi Kasashima, Koichi Sohmiya, Yohei Yamauchi, Hideki Ozawa, Yoshinobu Hirose, Yasuhiro Ogino, Takahiro Katsumata, Masahiro Daimon, Shu-Ichi Fujita and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Abdominal aortic aneurysm as an IgG4-related disease.Clinical and experimental immunology · 2019
    Trial
  2. Article
  3. Review
  4. Immunoglobulin G4-related solitary aneurysm of the deep femoral artery.Journal of vascular surgery cases and innovative techniques · 2022
    Article
  5. Hybrid treatment of an isolated immunoglobulin G4-related internal thoracic artery aneurysm.Journal of vascular surgery cases and innovative techniques · 2018
    Article
  6. Immunoglobulin G Subclass 4-Related Lymphoplasmacytic Thoracic Aortitis in a Patient with Acute Type A Aortic Dissection.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2018
    Article
  7. 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

12 authors at 2 institutions in 1 country.

Ryoto HouraiDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
Satomi KasashimaDepartment of Pathology, National Hospital Organization, Kanazawa Medical Center, Kanazawa, Japan.
Koichi SohmiyaDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
Yohei YamauchiDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
Hideki OzawaDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, Osaka, Japan.
Yoshinobu HiroseDepartment of Pathology, Osaka Medical College, Osaka, Japan.
Yasuhiro OginoDepartment of Pathology, Osaka Medical College, Osaka, Japan.
Takahiro KatsumataDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, Osaka, Japan.
Masahiro DaimonDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, Osaka, Japan.
Shu-Ichi FujitaDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
Masaaki HoshigaDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
Nobukazu IshizakaDepartment of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan. ishizaka@osaka-med.ac.jp.
Osaka Medical and Pharmaceutical University · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe diagnosis of Immunoglobulin G4 (IgG4)-related disease (IgG4-RD), in general, depends on serum IgG4 concentrations and histopathological findings; therefore, diagnosis of IgG4-RD in cardiovascular organs/tissues is often difficult owing to the risk of tissue sampling.

methodsPrevalence of IgG4-positive lymphoplasmacytic infiltration in 103 consecutive cardiovascular surgical samples from 98 patients with various cardiovascular diseases was analyzed immunohistochemically.

resultsThe diagnoses of the enrolled patients included aortic aneurysm (abdominal, n = 8; thoracic, n = 9); aortic dissection (n = 20); aortic stenosis (n = 24), aortic regurgitation (n = 10), and mitral stenosis/regurgitation (n = 17). In total, 10 (9.7%) of the 103 specimens showed IgG4-positive cell infiltration with various intensities; five of these were aortic valve specimens from aortic stenosis, and IgG4-positive cell infiltration was present at >10 /HPF in three of them. In one aortic wall sample from an abdominal aortic aneurysm, various histopathological features of IgG4-RD, such as IgG4-positive cell infiltration, obliterating phlebitis, and storiform fibrosis, were observed.

conclusionsIgG4-positive cell infiltration was observed in 9.7% of the surgical cardiovascular specimens, mainly in the aortic valve from aortic stenosis and in the aortic wall from aortic aneurysm. Whether IgG4-positive cell infiltration has pathophysiological importance in the development or progression of cardiovascular diseases should be investigated in future studies.

Indexed as

Chemotaxis, LeukocyteAgedAged, 80 and overAortaAortic AneurysmAortic ValveAortic Valve StenosisAortographyBiomarkersBiopsyCardiovascular DiseasesComputed Tomography AngiographyCross-Sectional StudiesFemaleHumansImmunoglobulin GBiomarkersImmunoglobulin GAortic aneurysmAortic stenosisAortic valveAortic wallIgG4-related disease

Identifiers

PMID28158996
PMCPMC5291949
OpenAlexW2583450654

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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.