Evidence map›Paper›PMID 29795561›Full record

ArticlePloS one2018

Association of serum high-mobility group box protein 1 level with outcomes of acute exacerbation of idiopathic pulmonary fibrosis and fibrosing nonspecific interstitial pneumonia.

Hiroshige Shimizu, Susumu Sakamoto, Takuma Isshiki, Kenta Furuya, Atsuko Kurosaki, Sakae Homma

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Hiroshige ShimizuDepartment of Respiratory Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.ORCID 0000-0001-9177-9811
Susumu SakamotoDepartment of Respiratory Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.
Takuma IsshikiDepartment of Respiratory Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.
Kenta FuruyaDepartment of Respiratory Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.
Atsuko KurosakiDepartment of Diagnostic Radiology, Fukujuji Hospital, Kiyose, Tokyo, Japan.
Sakae HommaDepartment of Respiratory Medicine, Toho University Omori Medical Center, Ota-ku, Tokyo, Japan.
Toho University · JPFukujuji Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveHigh-mobility group box 1 (HMGB1) protein is important in acute lung injury. However, the role of HMGB-1 in acute exacerbation of fibrosing interstitial pneumonia (AE-FIP) has not been adequately studied.

methodsWe prospectively measured serum HMGB1 level from disease onset to day 7 in 36 patients with AE-FIP6 patients had missing data because of early death (within 7 days). We then examined the association of HMGB1 level and outcome, and the associations of rhTM with HMGB1 level and outcome in 19 patients who were treated with rhTM (rhTM group) and 11 patients who were not (control group).

resultsData from 36 AE-FIP patients (mean age, 73.5±6.7years) were analyzed. Serum HMGB1 level was significantly higher in patients with AE-FIP than in those with stable idiopathic pulmonary fibrosis (16.4±13.5 vs 5.7±2.6 ng/ml, respectively; p = 0.003). HMGB1 was significantly lower on day 7 than at AE-FIP onset in survivors (6.5±4.8 vs 14.7±12.9 ng/ml, respectively; p = 0.02) but not in nonsurvivors (14.6±10.5 vs 9.2±4.8 ng/ml, respectively; p = 0.08). Although HMGB1 level at day 7 was significantly lower after rhTM treatment than at AE-FIP onset (8.4±6.1 vs 15.2±12.5 ng/ml, respectively; p = 0.02), it did not significantly decrease in patients receiving treatments other than rhTM (11.3±11.3 vs 8.3±5.3 ng/ml, respectively; p = 0.37). Three-month survival was 60.0% in the rhTM group and 36.4% in the control group (p = 0.449). In multivariate analysis, a decrease in HMGB1 was a significant independent predictor of 3-month survival (Odds ratio, 12.4; p = 0.007).

conclusionrhTM lowers serum HMGB1 level and may improve survival after AE-FIP. HMGB1 may be a promising therapeutic target for AE-FIP.

Indexed as

AgedAged, 80 and overDisease ProgressionFemaleHMGB1 ProteinHumansIdiopathic Interstitial PneumoniasIdiopathic Pulmonary FibrosisKaplan-Meier EstimateMaleMultivariate AnalysisPrognosisProspective StudiesRecombinant ProteinsReference ValuesThrombomodulinHMGB1 ProteinHMGB1 protein, humanRecombinant ProteinsTHBD protein, humanThrombomodulin

Identifiers

PMID29795561
PMCPMC5967827
OpenAlexW2803947670

What OpenQuestion holds

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LicenceCC BY
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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.