Evidence map›Paper›PMID 29580781›Full record

ArticleUrology2018

Elevated Urine Levels of Macrophage Migration Inhibitory Factor in Inflammatory Bladder Conditions: A Potential Biomarker for a Subgroup of Interstitial Cystitis/Bladder Pain Syndrome Patients.

Pedro L Vera, David M Preston, Robert M Moldwin, Deborah R Erickson, Behzad Mowlazadeh, Fei Ma, Dimitrios E Kouzoukas, Katherine L Meyer-Siegler, Magnus Fall

Abstract readComparative Study
In one paragraph

Article in Urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Animal Models of Hunner-Type Interstitial Cystitis.International journal of urology : official journal of the Japanese Urological Association · 2026
    Review
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Article
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  11. Review
  12. Article
  13. Review
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  15. Article
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  18. Article
  19. Article
  20. Advances in urinary biomarker discovery in urological research.Investigative and clinical urology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Pedro L VeraLexington VA Medical Center, Lexington, KY; Department of Physiology, University of Kentucky, Lexington, KY; Department of Surgery, University of Kentucky, Lexington, KY. Electronic address: Pedro.Vera@va.gov.
David M PrestonLexington VA Medical Center, Lexington, KY; Department of Urology, University of Kentucky, Lexington, KY.
Robert M MoldwinThe Arthur Smith Institute for Urology, Zucker School of Medicine at Hofstra-Northwell, Lake Success, NY.
Deborah R EricksonDepartment of Urology, University of Kentucky, Lexington, KY.
Behzad MowlazadehThe Bay Pines VA Healthcare System, Bay Pines, FL.
Fei MaLexington VA Medical Center, Lexington, KY; Department of Physiology, University of Kentucky, Lexington, KY.
Dimitrios E KouzoukasLexington VA Medical Center, Lexington, KY; Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY.
Katherine L Meyer-SieglerDepartment of Natural Sciences, St. Petersburg College, St Petersburg, FL; The Bay Pines VA Healthcare System, Bay Pines, FL.
Magnus FallDepartment of Urology, Institute of Clinical Sciences, University of Gothenburg, Sahlgrenska University Hospital, Göteborg, Sweden.
University of Kentucky · USBay Pines VA Healthcare System · USArthur Smith Institute for Urology · USSahlgrenska University Hospital · SE

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
MIF: a pro-inflammatory cytokine as a novel target to reduce bladder inflammationR01DK093496 · NIDDK · LEXINGTON BIOMEDICAL RESEARCH INSTITUTE · PI VERA, PEDRO L · 2012 to 2016
$1.2M
NIDDK NIH HHS R01 DK093496
6 · The paper itself

Abstract

objectiveTo investigate whether urinary levels of macrophage migration inhibitory factor (MIF) are elevated in interstitial cystitis/bladder pain syndrome (IC/BPS) patients with Hunner lesions and also whether urine MIF is elevated in other forms of inflammatory cystitis.

methodsUrine samples were assayed for MIF by enzyme-linked immunosorbent assay. Urine samples from 3 female groups were examined: IC/BPS patients without (N = 55) and with Hunner lesions (N = 43), and non-IC/BPS patients (N = 100; control group; no history of IC/BPS; cancer or recent bacterial cystitis). Urine samples from 3 male groups were examined: patients with bacterial cystitis (N = 50), radiation cystitis (N = 18) and noncystitis patients (N = 119; control group; negative for bacterial cystitis).

resultsUrine MIF (mean MIF pg/mL ±  standard error of the mean) was increased in female IC/BPS patients with Hunner lesions (2159 ± 435.3) compared with IC/BPS patients without Hunner lesions (460 ± 114.5) or non-IC/BPS patients (414 ± 47.6). Receiver operating curve analyses showed that urine MIF levels discriminated between the 2 IC groups (area under the curve = 72%; confidence interval 61%-82%). Male patients with bacterial and radiation cystitis had elevated urine MIF levels (2839 ± 757.1 and 4404 ± 1548.1, respectively) compared with noncystitis patients (681 ± 75.2).

conclusionUrine MIF is elevated in IC/BPS patients with Hunner lesions and also in patients with other bladder inflammatory and painful conditions. MIF may also serve as a noninvasive biomarker to select IC/BPS patients more accurately for endoscopic evaluation and possible anti-inflammatory treatment.

Indexed as

Area Under CurveBiomarkersCystitis, InterstitialEnzyme-Linked Immunosorbent AssayFemaleHumansInflammationIntramolecular OxidoreductasesMacrophage Migration-Inhibitory FactorsMalePainRadiation InjuriesROC CurveUlcerUrinary Bladder DiseasesUrinary Tract InfectionsBiomarkersIntramolecular OxidoreductasesMacrophage Migration-Inhibitory FactorsMIF protein, human

Identifiers

PMID29580781
PMCPMC5975106
OpenAlexW2789435112

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.