Evidence map›Paper›PMID 28614418›Full record

Observational studyPloS one2017

IL-33 and ST2 levels in chronic kidney disease: Associations with inflammation, vascular abnormalities, cardiovascular events, and survival.

Ozkan Gungor, Hilmi Umut Unal, Aydin Guclu, Mustafa Gezer, Tayfun Eyileten, Fatma Betül Guzel, Orcun Altunoren, Ertugrul Erken, Yusuf Oguz, Ismail Kocyigit and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 8% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Article
  8. Review
  9. Immunomodulatory Functions of Intercalated Cells in Kidney Autoimmunity.bioRxiv : the preprint server for biology · 2025
    Article
  10. Role of Mast Cells and Their Mediators in Chronic Kidney Diseases.International journal of molecular sciences · 2025
    Review
  11. Article
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  14. 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

11 authors at 4 institutions in 1 country.

Ozkan GungorDepartment of Nephrology, Sütçü İmam University, Kahramanmaras, Turkey.
Hilmi Umut UnalDepartment of Nephrology, Gulhane School of Medicine, Ankara, Turkey.
Aydin GucluDepartment of Nephrology, Ahi Evran University, Kirsehir, Turkey.
Mustafa GezerDepartment of Nephrology, Gulhane School of Medicine, Ankara, Turkey.
Tayfun EyiletenDepartment of Nephrology, Gulhane School of Medicine, Ankara, Turkey.
Fatma Betül GuzelDepartment of Nephrology, Sütçü İmam University, Kahramanmaras, Turkey.
Orcun AltunorenDepartment of Nephrology, Sütçü İmam University, Kahramanmaras, Turkey.
Ertugrul ErkenDepartment of Nephrology, Sütçü İmam University, Kahramanmaras, Turkey.
Yusuf OguzDepartment of Nephrology, Gulhane School of Medicine, Ankara, Turkey.
Ismail KocyigitDepartment of Nephrology, Erciyes University, Kayseri, Turkey.
Mahmut Ilker YilmazDepartment of Nephrology, Gulhane School of Medicine, Ankara, Turkey.
Gülhane Askerî Tıp Akademisi · TRKahramanmaraş Sütçü İmam University · TRAhi Evran University · TRErciyes University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIncreased inflammation, associated with the increase in chronic kidney disease (CKD) stage, has a very important influence in vascular injury and cardiovascular diseases. In this study, we aimed to investigate the levels of IL-33 and ST2 in the different stages of CKD and to determine their effect on vascular damage and cardiovascular events (CVE).

methodsThis was an observational cohort study in which serum IL-33 and ST2 were obtained from 238 CKD (stages 1-5) patients. We examined the changes in IL-33/ST2 levels in CKD patients, as well as the association with a surrogate of endothelial dysfunction. Fatal and non-fatal CVE were recorded for a mean of 24 months. We also performed a COX regression analysis to determine the association of IL-33/ST2 levels with CVE and survival.

resultsIL-33 and ST2 levels were significantly increased and estimated glomerular filtration rates (eGFR) were decreased. Flow-mediated dilatation (FMD) was significantly decreased from stage 1 to stage 5 CKD. IL-33 and ST2 levels were associated with FMD, and ST2 was a predictor. Multivariate Cox analysis showed that the presence of diabetes mellitus, smoking, and proteinuria and haemoglobin, Hs-CRP, IL-33, and ST2 were associated with the risk of CVE. Kaplan-Meier survival curves showed that patients with IL-33 and ST2 levels below the median value (IL-33 = 132.6 ng/L, ST2 = 382.9 pg/mL) had a higher cumulative survival compared with patients who had IL-33 and ST2 levels above the median value (log-rank test, p = 0.000).

conclusionThis is the first study that demonstrates that serum IL-33 and ST2 are associated with vascular injury, cardiovascular events, and survival in CKD patients.

Indexed as

Up-RegulationAdultAgedCardiovascular DiseasesCohort StudiesFemaleGlomerular Filtration RateHumansInterleukin-1 Receptor-Like 1 ProteinInterleukin-33MaleMiddle AgedRegression AnalysisRenal Insufficiency, ChronicSurvival AnalysisIL1RL1 protein, humanIL33 protein, humanInterleukin-1 Receptor-Like 1 ProteinInterleukin-33

Identifiers

PMID28614418
PMCPMC5470678
OpenAlexW2736685273

What OpenQuestion holds

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LicenceCC BY
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.