Evidence map›Paper›PMID 28877261›Full record

ArticlePloS one2017

Myelodysplastic syndrome patients present more severe respiratory muscle impairment and reduced forced vital capacity: Is disordered inflammatory signaling the culprit?

Bruno Memória Okubo, Anacélia Gomes de Matos, Howard Lopes Ribeiro Junior, Daniela de Paula Borges, Roberta Taiane Germano de Oliveira, Marilena Facundo de Castro, Manoel Ricardo Alves Martins, Romélia Pinheiro Gonçalves, Pedro Felipe Carvalhedo Bruin, Ronald Feitosa Pinheiro and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Traumatic dental injuries in the primary dentition and sequelae in permanent successors: a retrospective study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Observational
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 1 institution in 1 country.

Bruno Memória OkuboCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Anacélia Gomes de MatosCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Howard Lopes Ribeiro JuniorCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Daniela de Paula BorgesCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Roberta Taiane Germano de OliveiraCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Marilena Facundo de CastroDepartment of Clinical and Toxicological Analysis, Federal University of Ceará, Ceará, Brazil.
Manoel Ricardo Alves MartinsDepartment of Clinical Medicine, Federal University of Ceará, Ceará, Brazil.
Romélia Pinheiro GonçalvesDepartment of Clinical and Toxicological Analysis, Federal University of Ceará, Ceará, Brazil.
Pedro Felipe Carvalhedo BruinDepartment of Clinical Medicine, Federal University of Ceará, Ceará, Brazil.
Ronald Feitosa PinheiroCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Silvia Maria Meira MagalhãesCancer Cytogenomic Laboratory, Federal University of Ceará, Ceará, Brazil.
Universidade Federal do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe ageing process is associated with gradual decline in respiratory system performance. Anemia is highly prevalent among older adults and usually associated with adverse outcomes. Myelodysplastic syndromes (MDS) are a heterogeneous group of hematologic malignancies with increasing incidence with age and characterized by anemia and other cytopenias. The main objectives of this study were to evaluate respiratory muscle strength and lung function in elderly patients with anemia, compare data between myelodysplastic syndromes and non-clonal anemias and evaluate the influence of serum IL-8 level and NF-kB activity on deteriorate pulmonary function in this specific population.

participantsIndividuals aged 60 and older with anemia secondary to MDS, non-clonal anemia and healthy elderly individuals. MEASUREMENTS: Forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/ FVC ratio were measured by spirometry. Respiratory muscle strength was evaluated by maximal static respiratory pressures measurement. IL-8 analysis was performed by ELISA and activity of NF-kB by chemiluminescent assay.

resultsMean Hb concentration was comparable between patients with anemia. Significant differences were detected between all patients with anemia and controls for maximum-effort inspiratory mouth pressure (PImax) and also for maximum-effort expiratory mouth pressure (PEmax). The MDS group recorded a significantly lower PImax and PEmax percent predicted when compared to non-clonal anemia group. For FVC and FEV1, a significant difference was found in anemic patients, with even significantly lower values for FVC and FEV1 in MDS group. No significant differences were detected for PImax and PEmax and spirometry parameters when anemic patients were stratified according to the degree of anemia. A significant negative impact in FVC (% pred), PImax (% pred) and PEmax (% pred) was observed in patients with MDS and higher levels of IL-8 or increased activity of NF-kB.

conclusionA negative impact of anemia, independent of its degree, was demonstrated in respiratory muscle strength and lung function particularly in MDS. The well known elevated proinflammatory cytokines in MDS patients were proposed to play a role as was demonstrated by detrimental effect of higher IL-8 and NF-kB in pulmonary function tests in this population.

Indexed as

AnemiaCase-Control StudiesForced Expiratory VolumeHumansInflammationInterleukin-8LungMuscle StrengthMyelodysplastic SyndromesNF-kappa BRespiratory MusclesVital CapacityCXCL8 protein, humanInterleukin-8NF-kappa B

Identifiers

PMID28877261
PMCPMC5587331
OpenAlexW2611569256

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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.