Evidence map›Paper›PMID 30688042›Full record

ArticleActa ophthalmologica2019

Combined cellular and soluble mediator analysis for improved diagnosis of vitreoretinal lymphoma.

Joeri de Hoog, Willem A Dik, Lucy Lu, Kim C Heezen, Josianne C Ten Berge, Sigrid M A Swagemakers, Peter J van der Spek, Jacques J M van Dongen, Vincent H J van der Velden, Aniki Rothova and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Intraocular Lymphoma: A Review.Journal of ophthalmic & vision research · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Interleukins and cytokine biomarkers in uveitis.Indian journal of ophthalmology · 2020
    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

11 authors at 1 institution in 1 country.

Joeri de HoogDepartment of Ophthalmology, Erasmus MC, Rotterdam, the Netherlands.
Willem A DikDepartment of Immunology, Laboratory Medical Immunology, Erasmus MC, Rotterdam, the Netherlands.
Lucy LuDepartment of Ophthalmology, Erasmus MC, Rotterdam, the Netherlands.
Kim C HeezenDepartment of Immunology, Laboratory Medical Immunology, Erasmus MC, Rotterdam, the Netherlands.
Josianne C Ten BergeDepartment of Ophthalmology, Erasmus MC, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-4610-4991
Sigrid M A SwagemakersDepartment of Bioinformatics, Erasmus MC, Rotterdam, the Netherlands.
Peter J van der SpekDepartment of Bioinformatics, Erasmus MC, Rotterdam, the Netherlands.
Jacques J M van DongenDepartment of Immunology, Laboratory Medical Immunology, Erasmus MC, Rotterdam, the Netherlands.
Vincent H J van der VeldenDepartment of Immunology, Laboratory Medical Immunology, Erasmus MC, Rotterdam, the Netherlands.
Aniki RothovaDepartment of Ophthalmology, Erasmus MC, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-3324-5034
Anton W LangerakDepartment of Immunology, Laboratory Medical Immunology, Erasmus MC, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-2078-3220
Erasmus MC · NL

Funding

Landelijke Stichting voor Blinden en SlechtziendenRotterdamse Stichting BlindenbelangenUitZicht (Oogfonds)
6 · The paper itself

Abstract

purposePrimary vitreoretinal lymphoma [(P)VRL]) is a rare malignancy of the eye localized in the retina, vitreous or choroid. Here, we aim to determine the value of the combination of innovative diagnostic methods for accurate differentiation between (P)VRL and non-(P)VRL in patients with suspect uveitis or vitritis.

methodsMulticolour flow cytometric immunophenotyping of cells in the vitreous samples was performed using the EuroFlow small sample tube. Additionally, cytokines/chemokines and growth factors were measured in the vitreous specimens using a multiplex immunoassay. Data were evaluated in predefined clinical subgroups using omniviz unsupervised Pearson's correlation visualization and unsupervised heatmap analysis.

resultsA total of 53 patients were prospectively included in the period 2012-2015. In the (P)VRL subgroup (n = 10), nine cases showed aberrant surface membrane immunoglobulin (SmIg) light chain expression. In the non-(P)VRL group (n = 43) clearly skewed SmIg light chain expression was observed in two multiple sclerosis-related uveitis cases, but not in other uveitis types. Soluble mediator measurement revealed high interleukin (IL)-10/IL-6 ratios, and high IL-1RA levels in 9/10 (P)VRL cases, but not in any non-(P)VRL case. Further correlation and heatmap analysis revealed a minimal signature of cellular parameters (CD19+ B cells, aberrant SmIg light chain expression) and cytokine parameters (IL-10/IL-6 ratio >1, high IL-10, high IL-1 RA, high monocyte chemotactic protein-1, high macrophage inflammatory protein-1β) to reliably distinguish (P)VRL from non-(P)VRL.

conclusionHere, we show the power of a combined cellular and proteomics strategy for detecting (P)VRL in vitreous specimens, especially in cases with minor cellular (P)VRL infiltrates.

Indexed as

Biomarkers, TumorChoroidChoroid NeoplasmsCytokinesFemaleFlow CytometryFollow-Up StudiesHumansImmunoassayLymphomaMaleMiddle AgedProspective StudiesRetinaRetinal NeoplasmsVitreous BodyBiomarkers, TumorCytokinesdiagnosticsimmunologymultiparameter flow cytometrysoluble mediatorsuveitisvitreoretinal lymphoma

Identifiers

PMID30688042
PMCPMC6796208
OpenAlexW2911236219

What OpenQuestion holds

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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.