Evidence map›Paper›PMID 29410066›Full record

ArticleThe Journal of investigative dermatology2018

Vancomycin Mediates IgA Autoreactivity in Drug-Induced Linear IgA Bullous Dermatosis.

Jun Yamagami, Yoshio Nakamura, Keisuke Nagao, Takeru Funakoshi, Hayato Takahashi, Akiko Tanikawa, Takahisa Hachiya, Toshiyuki Yamamoto, Akemi Ishida-Yamamoto, Toshihiro Tanaka and 6 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in The Journal of investigative dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.2field-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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Clinical characteristics and treatment outcomes of linear IgA bullous dermatosis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Pooled it
  2. Pooled it
  3. Review
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  7. Diagnostic Techniques in Autoimmune Blistering Diseases.British journal of biomedical science · 2023
    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

16 authors at 8 institutions in 2 countries.

Jun YamagamiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan. Electronic address: yamagamijun@keio.jp.
Yoshio NakamuraDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Keisuke NagaoDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan; Dermatology Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Takeru FunakoshiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Hayato TakahashiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Akiko TanikawaDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Takahisa HachiyaMedical and Biological Laboratories Company, Nagoya, Japan.
Toshiyuki YamamotoDepartment of Dermatology, Fukushima Medical University, Fukushima, Japan.
Akemi Ishida-YamamotoDepartment of Dermatology, Asahikawa Medical University, Asahikawa, Japan.
Toshihiro TanakaDepartment of Dermatology, Shiga University of Medical Science, Otsu, Japan.
Noriki FujimotoDepartment of Dermatology, Shiga University of Medical Science, Otsu, Japan.
Chikako NishigoriDivision of Dermatology, Department of Internal Related, Graduate School of Medicine, Kobe University, Kobe, Japan.
Tetsuya YoshidaDepartment of Dermatology, Tokyo Medical Center, Tokyo, Japan.
Norito IshiiDepartment of Dermatology, Kurume University School of Medicine, Fukuoka, Japan.
Takashi HashimotoDepartment of Dermatology, Kurume University School of Medicine, Fukuoka, Japan.
Masayuki AmagaiDepartment of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Keio University · JPKurume University · JPShiga University of Medical Science · JPAsahikawa Medical University · JPFukushima Medical University · JPKobe University · JPMedical & Biological Laboratories (Japan) · JPTokyo Medical Center · JP

Funding

Exploring mechanisms that govern immune homeostasis in skinZIABC011561 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI NAGAO, KEISUKE · 2014 to 2021
$10.1M
Intramural NIH HHS ZIA BC011561
6 · The paper itself

Abstract

Vancomycin (VCM) is known to induce linear IgA bullous dermatosis (LAD). However, in contrast to conventional LAD, in which circulating IgA autoantibodies against basement membrane proteins are commonly detected, patient sera from VCM-induced LAD yields negative results in indirect immunofluorescence microscopy, and the targeted autoantigen remains undetermined. By using sera from a typical patient with VCM-induced LAD, we identified that co-incubation of sera with VCM resulted in linear IgA deposition at the basement membrane zone by indirect immunofluorescence. Patient sera reacted with the dermal side of 1 mol/L NaCl-split skin and with the recombinant noncollagenous (i.e., NC1) domain of type VII collagen by both immunoblot and ELISA in the presence of VCM. The investigation of an additional 13 patients with VCM-induced LAD showed that 10 out of the 14 sera (71.4%) reacted with the NC1 domain of type VII collagen by ELISA when spiked with VCM, whereas only 4 (28.6%) tested positive without it. The enhancement of reactivity to NC1 by VCM, as determined by optical density via ELISA, was observed in 10 out of the 14 sera (71.4%). These findings indicate that type VII collagen is a target autoantigen in VCM-induced LAD and that VCM mediates IgA autoreactivity against type VII collagen, providing an insight into mechanisms involved in drug-induced autoimmune disease.

Indexed as

AgedAnti-Bacterial AgentsAutoantibodiesAutoantigensAutoimmunityBasement MembraneBiopsyCalcinosisCollagen Type VIIEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin ALinear IgA Bullous DermatosisMixed Connective Tissue DiseasePrednisoloneAnti-Bacterial AgentsAutoantibodiesAutoantigensCollagen Type VIIImmunoglobulin APrednisoloneVancomycin

Identifiers

PMID29410066
PMCPMC8054301
OpenAlexW2786237831

What OpenQuestion holds

Textmetadata
LicenceTDM
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.