Evidence map›Paper›PMID 31020474›Full record

ArticleClinical rheumatology2019

Autoantibodies, elevated cytokines, and neurocognitive abnormalities in offspring of women with systemic lupus erythematosus: comparison with healthy controls.

Maria Gariup, Sara Lera-Miguel, Ferrán Torres, Eva Varela, Carles Serra-Pagès, Azucena González-Navarro, Gerard Espinosa, Luisa Lázaro, Ricard Cervera, Astrid Morer

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. [Research progress on long-term developmental outcomes of offspring of pregnant women with systemic lupus erythematosus].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
  6. Article
  7. Article
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

10 authors at 4 institutions in 1 country.

Maria GariupFaculty of Medicine and Health Sciences, University of Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain. gariup@clinic.cat.
Sara Lera-MiguelDepartment of Child and Adolescent Psychiatry and Psychology, Hospital Clínic de Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Ferrán TorresBiostatistics and Data Management Core Facility, IDIBAPS, c/ Villarroel 170, 08036, Barcelona, Spain.
Eva VarelaDepartment of Child and Adolescent Psychiatry and Psychology, Hospital Clínic de Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Carles Serra-PagèsFaculty of Medicine and Health Sciences, University of Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Azucena González-NavarroAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Gerard EspinosaAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.
Luisa LázaroFaculty of Medicine and Health Sciences, University of Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Ricard CerveraFaculty of Medicine and Health Sciences, University of Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Astrid MorerFaculty of Medicine and Health Sciences, University of Barcelona, c/ Villarroel 170, 08036, Barcelona, Spain.
Hospital Clínic de Barcelona · ESUniversitat de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat Autònoma de Barcelona · ES

Funding

Hospital Universitari Clínic de Barcelona (ES) Beca de Fin de ResidenciaInstituto de Salud Carlos III PI040700
6 · The paper itself

Abstract

introductionResearch describes higher incidence of neurodevelopmental disorders and learning disabilities in offspring of women affected by lupus. Factors implied are pregnancy and delivery adversities and exposure to maternal antibodies and cytokines. Little is known about the offspring immunological condition or the relation between offspring and maternal condition.

objectivesThis study was conducted in order to analyze immunological configuration, psychopathology, and neuropsychological performance of young offspring of women with lupus, in comparison with healthy controls and in relation to maternal psychophysical condition.

methodsTwenty-one offspring aged 8-17 of 17 women with lupus and 34 controls were recruited. Pregnancy conditions, stress factors, and immunological, psychopathological, and neuropsychological characteristics were compared. Immunological tests included standard lupus screening, lupus-related autoantibodies, antibodies against GluN2 subunit of the N-methyl-D-aspartate receptor (NMDAR) (anti-DWEYS Ab), and levels of ten cytokines (IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, GMCSF, IFN-γ, TNF-α).

resultsOffspring had lower leukocyte count (p = 0.001) and higher levels of anti-dsDNA Ab (p = 0.022), anti-DWEYS-GluN2 Ab (p < 0.001), and eight cytokines (IL-1β, IL-2, IL-4, IL-5, IL-6, IL-10, TNF-α-all p < 0.001-and IFN-γ, p = 0.026) than controls. Their cytokine levels did not differ from their mothers'; 23.9% of offspring met the criteria for a clinical psychiatric diagnosis. No differences were found in intelligence measures. Various neuropsychological scores correlated inversely with maternal psychophysical health.

conclusionsOffspring's profile suggests proinflammatory and autoimmune activation. Their rate of psychiatric diagnosis appears higher than in the general population, and their cognitive performance is related to maternal psychophysical health. Longitudinal research might investigate whether immunological and psychosocial conditions influence psychopathology and cognition. Graphical abstract The hypothesized sequence for physical and neuropsychological development for the SLE offspring.

Indexed as

Child of Impaired ParentsLupus Erythematosus, SystemicAdolescentAutoantibodiesChildCognition DisordersCytokinesFemaleHumansMalePregnancyPrenatal Exposure Delayed EffectsAutoantibodiesCytokinesAnti-DWEYSAnti-NMDA/glutamate receptor antibodiesCognitive developmentCytokinesParental depressionSystemic lupus erythematosus

Identifiers

PMID31020474
OpenAlexW2940515139

What OpenQuestion holds

Textmetadata
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.