Evidence map›Paper›PMID 29674503›Full record

ArticleHaematologica2018

Dexamethasone promotes durable factor VIII-specific tolerance in hemophilia A mice via thymic mechanisms.

Maria T Georgescu, Paul C Moorehead, Alice S van Velzen, Kate Nesbitt, Birgit M Reipert, Katharina N Steinitz, Maria Schuster, Christine Hough, David Lillicrap

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Escape or Fight: Inhibitors in Hemophilia A.Frontiers in immunology · 2020
    Review
  4. Review
  5. Review
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

9 authors at 3 institutions in 2 countries.

Maria T GeorgescuDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
Paul C MooreheadJaneway Children's Health and Rehabilitation Centre, St. John's, NL, Canada.
Alice S van VelzenDepartment of Pediatric Hematology, Immunology and Infectious Diseases, Emma Children's Hospital, Amsterdam, the Netherlands.
Kate NesbittDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
Birgit M ReipertBaxalta Innovations GmbH, Vienna, Austria.
Katharina N SteinitzBaxalta Innovations GmbH, Vienna, Austria.
Maria SchusterBaxalta Innovations GmbH, Vienna, Austria.
Christine HoughDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
David LillicrapDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada david.lillicrap@queensu.ca.
Queen's University · CAEmma Kinderziekenhuis · NLMemorial University of Newfoundland · CA

Funding

CIHR FDN-154285CIHR MOP10912
6 · The paper itself

Abstract

The development of inhibitory antibodies to factor VIII is the most serious complication of replacement therapy in hemophilia A. Activation of the innate immune system during exposure to this protein contributes to inhibitor development. However, avoidance of factor VIII exposure during innate immune system activation by external stimuli (e.g., vaccines) has not been consistently shown to prevent inhibitors. We hypothesized that dexamethasone, a drug with potent anti-inflammatory effects, could prevent inhibitors by promoting immunologic tolerance to factor VIII in hemophilia A mice. Transient dexamethasone treatment during ainitial factor VIII exposure reduced the incidence of anti-factor VIII immunoglobulin G in both a conventional hemophilia A mouse model (E16KO, 77%

Indexed as

Immune ToleranceAnimalsAntibodiesDexamethasoneDisease Models, AnimalFactor VIIIHemophilia AImmunity, InnateImmunoglobulin GMiceRNA, MessengerThymus GlandTime FactorsT-Lymphocytes, RegulatoryTranscription, GeneticAntibodiesDexamethasoneFactor VIIIImmunoglobulin GRNA, Messenger

Identifiers

PMID29674503
PMCPMC6068046
OpenAlexW2799608052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.