Evidence map›Paper›PMID 30348621›Full record

Trial reportEBioMedicine2018

Opposing roles of inter-α-trypsin inhibitor heavy chain 4 in recurrent pregnancy loss.

Lan Li, Bum-Chae Choi, Ji Eun Ryoo, Sang-Jin Song, Chang-Zhu Pei, Kwang Yul Lee, Jinyoung Paek, Kwang-Hyun Baek

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in EBioMedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Macrophages with ITIH4 overexpression attenuate inflammatory responses and regulate intestinal epithelial cells.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

8 authors at 5 institutions in 2 countries.

Lan LiThe Key Laboratory for Preclinical and Basic Research on Chronic Diseases, Department of Basic Medical Sciences, North China University of Science and Technology, Tangshan 06300, PR China; Department of Biomedical Science, CHA University, CHA General Hospital, Gyeonggi-Do 463-400, Republic of Korea.
Bum-Chae ChoiDepartment of Obstetrics and Gynecology, CL Women's Hospital, Gwangju 502-800, Republic of Korea.
Ji Eun RyooDepartment of Pharmacy, Yonsei University, Seoul 120-780, Republic of Korea.
Sang-Jin SongDepartment of Obstetrics and Gynecology, CL Women's Hospital, Gwangju 502-800, Republic of Korea.
Chang-Zhu PeiDepartment of Biomedical Science, CHA University, CHA General Hospital, Gyeonggi-Do 463-400, Republic of Korea.
Kwang Yul LeeCollege of Pharmacy, Research Institute of Drug Development, Chonnam National University, Gwangju 500-757, Republic of Korea.
Jinyoung PaekDepartment of Laboratory Medicine, CHA University, CHA General Hospital, Seoul 135-081, Republic of Korea.
Kwang-Hyun BaekDepartment of Biomedical Science, CHA University, CHA General Hospital, Gyeonggi-Do 463-400, Republic of Korea. Electronic address: baek@cha.ac.kr.
CHA University · KRKwangju Women's University · KRChonnam National University · KRNorth China University of Science and Technology · CNYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mechanism behind an increased risk of recurrent pregnancy loss (RPL) remains largely unknown. In our previous study, we identified that inter-α-trypsin inhibitor heavy chain 4 (ITI-H4) is highly expressed at a modified molecular weight of 36 kDa in serum derived from RPL patients. Yet, the precise molecular mechanism and pathways by which the short form of ITI-H4 carries out its function remain obscure.

methodsHuman sera and peripheral blood mononucleated cells (PBMCs) were collected from patients and normal controls to compare the expression levels of ITI-H4 and plasma kallikrein (KLKB1). Flow cytometric assay was performed to measure inflammatory markers in sera and culture supernatants. Furthermore, to investigate the functions of the two isoforms of ITI-H4, we performed migration, invasion, and proliferation assays.

findingsIn the current study, we showed that ITI-H4 as a biomarker of RPL could be regulated by KLKB1 through the IL-6 signaling cascade, indicating a novel regulatory system for inflammation in RPL. In addition, our study indicates that the two isoforms of ITI-H4 possess opposing functions on immune response, trophoblast invasion, and monocytes migration or proliferation.

interpretationThe ITI-H4 (∆N

Indexed as

Cell MovementCell ProliferationSignal TransductionAbortion, HabitualAdultBiomarkersBlood ProteinsFemaleGlycoproteinsHumansInterleukin-6MonocytesPlasma KallikreinPregnancyProteinase Inhibitory Proteins, SecretoryRisk FactorsBiomarkersBlood ProteinsGlycoproteinsIL6 protein, humanInterleukin-6ITIH4 protein, humanPlasma KallikreinProteinase Inhibitory Proteins, SecretoryEarly pregnancy lossImmune toleranceITI-H4Migration and invasionPlasma kallikrein

Identifiers

PMID30348621
PMCPMC6286651
OpenAlexW2897745931

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.