Evidence map›Paper›PMID 28801815›Full record

ArticleAnnals of hematology2017

Plasma levels of complement activation fragments C3b and sC5b-9 significantly increased in patients with thrombotic microangiopathy after allogeneic stem cell transplantation.

Jiaqian Qi, Jie Wang, Jia Chen, Jian Su, Yaqiong Tang, Xiaojin Wu, Xiao Ma, Feng Chen, Changgeng Ruan, X Long Zheng and 2 more

Open access · greenAbstract read
In one paragraph

Article in Annals of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 19% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  6. Complement activation in secondary thrombotic microangiopathies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
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  13. Transplant-associated TMA: the conundrum of diagnosis and treatment.Hematology. American Society of Hematology. Education Program · 2024
    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 3 institutions in 2 countries.

Jiaqian QiThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Jie WangThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Jia ChenThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Jian SuThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Yaqiong TangThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Xiaojin WuThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Xiao MaThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Feng ChenThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
Changgeng RuanThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China.
X Long ZhengDivsion of Laboratory Medicine, Department of Pathology, The University of Alabama at Birmingham, Birmingham, AL, 35243, USA.
Depei WuThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China. drwudepei@163.com.
Yue HanThe First Affiliated Hospital of Soochow University, Jiangsu Institute of Haematology, Suzhou, China. hanyue@suda.edu.cn.
Soochow University · CNFirst Affiliated Hospital of Soochow University · CNUniversity of Alabama at Birmingham · US

Funding

Pathogenesis of Thrombotic MicroangiopathyR01HL126724 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ZHENG, X. LONG · 2015 to 2018
$1.8M
Novel Therapeutics for Acquired Thrombotic Thrombocytopenic PurpuraR01HL115187 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ZHENG, X. LONG · 2013 to 2016
$1.6M
NHLBI NIH HHS R01 HL115187NHLBI NIH HHS R01 HL126724
6 · The paper itself

Abstract

Transplantation-associated thrombotic microangiopathy (TA-TMA) is an uncommon but severe complication in patients undergoing allogeneic stem cell transplantation (allo-SCT). However, the mechanism is unclear. From 2011 to 2014, 20 patients with TA-TMA, 20 patients without, and 54 patients with various other complications, including veno occlusive disease (VOD), graft-versus-host disease (GVHD), and infection, were recruited in the study. Plasma vWF antigen (vWFAg), vWF activity (vWFAc), and ADAMTS13 activity were determined in these patients by ELISAs and FRETS-vWF73 assay, respectively. Plasma C3b, sC5b-9, and CH50 were also determined by ELISAs. Plasma levels of C3b were significantly increased in patients with either TA-TMA (p < 0.0001) or GVHD (p < 0.01). Plasma sC5b-9 and CH50 levels in patients with TA-TMA were also significantly increased (p < 0.001). Plasma ADAMTS13 activity was lower in patients with VOD, but normal with other complications. Both plasma vWFAg and vWFAc levels were not elevated in patients with TA-TMA or VOD compared with those of other groups. Complement activation likely via an alternative pathway (increased C3b, sC5b-9, and CH50) may play a role in the pathogenesis of TA-TMA. ADAMTS13 activity is reduced in VOD, but the ADAMTS13/vWF axis appears to be unaffected in patients with TA-TMA.

Indexed as

AdolescentAdultBiomarkersComplement ActivationComplement C3bComplement Membrane Attack ComplexFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleThrombotic MicroangiopathiesTransplantation, HomologousYoung AdultBiomarkersComplement C3bComplement Membrane Attack ComplexSC5b-9 protein complexC3bComplement activationsC5b-9Stem cell transplantationTransplantation-associated thrombotic microangiopathy

Identifiers

PMID28801815
PMCPMC6225065
OpenAlexW2743394197

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.