Evidence map›Paper›PMID 29369345›Full record

ArticleEuropean journal of immunology2018

Circulating plasmablasts are elevated and produce pathogenic anti-endothelial cell autoantibodies in idiopathic pulmonary arterial hypertension.

Lisa K Blum, Richard R L Cao, Andrew J Sweatt, Matthew Bill, Lauren J Lahey, Andrew C Hsi, Casey S Lee, Sarah Kongpachith, Chia-Hsin Ju, Rong Mao and 4 more

Open access · greenAbstract read
In one paragraph

Article in European journal of immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Biomarkers in Pulmonary Arterial Hypertension.Diagnostics (Basel, Switzerland) · 2022
    Review
  5. Autoimmunity Is a Significant Feature of Idiopathic Pulmonary Arterial Hypertension.American journal of respiratory and critical care medicine · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Review
  16. Management of Pulmonary Arterial Hypertension.Current cardiovascular risk reports · 2021
    Review
  17. Review
  18. Review
  19. Review
  20. Article
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

14 authors at 2 institutions in 1 country.

Lisa K BlumStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.ORCID 0000-0002-7921-8939
Richard R L CaoStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Andrew J SweattStanford University Medical Center, Division of Pulmonary and Critical Care Medicine, Stanford, CA, USA.
Matthew BillStanford University Medical Center, Division of Pulmonary and Critical Care Medicine, Stanford, CA, USA.
Lauren J LaheyStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Andrew C HsiStanford University Medical Center, Division of Pulmonary and Critical Care Medicine, Stanford, CA, USA.
Casey S LeeStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Sarah KongpachithStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Chia-Hsin JuStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Rong MaoStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Heidi H WongStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
Mark R NicollsVA Palo Alto Health Care System, Palo Alto, CA, USA.
Roham T ZamanianStanford University Medical Center, Division of Pulmonary and Critical Care Medicine, Stanford, CA, USA.
William H RobinsonStanford University School of Medicine, Division of Immunology and Rheumatology, Stanford, CA, USA.
VA Palo Alto Health Care System · USStanford Medicine · US

Funding

VRAC and Rho in pulmonary EC proliferationP01HL014985 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1985 to 2019
$35.1M
MOLECULAR &CELLULAR IMMUNOBIOLOGYT32AI007290 · NIAID · STANFORD UNIVERSITY · PI Sean Curtis Bendall, Olivia M Martinez · 1985 to 2026
$27.0M
The Cellular Response to Elafin in PAHP01HL108797 · NHLBI · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2011 to 2021
$19.7M
Training Program in Adult and Pediatric RheumatologyT32AR050942 · NIAMS · STANFORD UNIVERSITY · PI LEWIS, DAVID BRAM, ROBINSON, WILLIAM H · 2005 to 2025
$6.6M
Endothelial Injury, BMPR2 Dysfunction and Macrophage Activation Cause EndMT and PAHR01HL138473 · NHLBI · STANFORD UNIVERSITY · PI Mark Robert Nicolls, Marlene Rabinovitch · 2017 to 2026
$4.9M
Integrative Omics as a Discovery Tool for Pulmonary HypertensionR01HL122887 · NHLBI · STANFORD UNIVERSITY · PI NICOLLS, MARK ROBERT, RABINOVITCH, MARLENE · 2015 to 2018
$4.1M
Stanford Career Development Program in the Genetics & Genomics of Lun DiseasesK12HL089989 · NHLBI · STANFORD UNIVERSITY · PI KRASNOW, MARK A · 2007 to 2012
$1.6M
Stanford Career Development Program in Omics of Lung DiseasesK12HL120001 · NHLBI · STANFORD UNIVERSITY · PI NICOLLS, MARK ROBERT, RABINOVITCH, MARLENE · 2013 to 2017
$1.3M
NHLBI NIH HHS K12 HL089989NHLBI NIH HHS K12 HL120001NHLBI NIH HHS P01 HL014985NHLBI NIH HHS P01 HL108797NHLBI NIH HHS R01 HL122887NHLBI NIH HHS R01 HL138473NIAID NIH HHS T32 AI007290NIAMS NIH HHS T32 AR050942
6 · The paper itself

Abstract

Idiopathic pulmonary arterial hypertension (IPAH) is a devastating pulmonary vascular disease in which autoimmune and inflammatory phenomena are implicated. B cells and autoantibodies have been associated with IPAH and identified as potential therapeutic targets. However, the specific populations of B cells involved and their roles in disease pathogenesis are not clearly defined. We aimed to assess the levels of activated B cells (plasmablasts) in IPAH, and to characterize recombinant antibodies derived from these plasmablasts. Blood plasmablasts are elevated in IPAH, remain elevated over time, and produce IgA autoantibodies. Single-cell sequencing of plasmablasts in IPAH revealed repertoires of affinity-matured antibodies with small clonal expansions, consistent with an ongoing autoimmune response. Recombinant antibodies representative of these clonal lineages bound known autoantigen targets and displayed an unexpectedly high degree of polyreactivity. Representative IPAH plasmablast recombinant antibodies stimulated human umbilical vein endothelial cells to produce cytokines and overexpress the adhesion molecule ICAM-1. Together, our results demonstrate an ongoing adaptive autoimmune response involving IgA plasmablasts that produce anti-endothelial cell autoantibodies in IPAH. These antibodies stimulate endothelial cell production of cytokines and adhesion molecules, which may contribute to disease pathogenesis. These findings suggest a role for mucosally-driven autoimmunity and autoimmune injury in the pathogenesis of IPAH.

Indexed as

Antibody FormationAutoantibodiesAutoimmunityCytokinesEndothelial CellsFamilial Primary Pulmonary HypertensionFemaleHumansHuman Umbilical Vein Endothelial CellsIntercellular Adhesion Molecule-1Lymphocyte ActivationMaleMiddle AgedPlasma CellsAutoantibodiesCytokinesICAM1 protein, humanIntercellular Adhesion Molecule-1AntibodiesAutoimmunityB cellsClinical immunologyVDJ recombination

Identifiers

PMID29369345
PMCPMC5992033
OpenAlexW2793282764

What OpenQuestion holds

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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.