Evidence map›Paper›PMID 31434801›Full record

ArticleJCI insight2019

A panel of 4 biomarkers for the early diagnosis and therapeutic efficacy of aGVHD.

Xiaoping Li, Ting Chen, Qiangguo Gao, Wei Zhang, Yunshuo Xiao, Wen Zhu, Lingyu Zeng, Zhenyu Li, Shijie Yang, Rui Wang and 3 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

18 citing papers in PubMed, 19 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

13 authors at 3 institutions in 1 country.

Xiaoping LiMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Ting ChenMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Qiangguo GaoDepartment of Cell Biology, College of Basic Medicine, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Wei ZhangMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Yunshuo XiaoMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Wen ZhuMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Lingyu ZengBlood Diseases Institute, Xuzhou Medical University, Xuzhou, China.
Zhenyu LiBlood Diseases Institute, Xuzhou Medical University, Xuzhou, China.
Shijie YangMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Rui WangMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Xiaoqi WangMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Yimei FengMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Xi ZhangMedical Center of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Xinqiao Hospital · CNArmy Medical University · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDCytokine biomarkers have already been used to predict acute graft-versus-host disease (aGVHD) onset, nonrelapse mortality, and overall survival in human and mouse models, but the consistency of the consequences between patients and mice has not been evaluated. Furthermore, no study about any biomarker or biomarker panel for aGVHD grading or steroid sensitivity of aGVHD patients simultaneously has been reported.METHODSHere we established an aGVHD mouse model and explored the relation between aGVHD onset and variations of some cytokines. Based on the results and latest progress, we selected 16 cytokines and compared their serum variations in aGVHD patients and non-aGVHD patients after allogeneic hematopoietic stem cell transplantation. Using protein microarray, we explored the relation between the cytokine levels and aGVHD-related events (onset, grading, and steroid sensitivity).RESULTSThe increase of chemokine levels in murine aGVHD was very consistent with that of patients. We found obviously higher levels of IL-2, IL-4, Elafin, sST2, TLR4, and TNF-α, and lower levels of TGF-β in both aGVHD mouse models and aGVHD patients. In addition, patients with severe aGVHD showed increased IL-6, TLR4, TNF receptor 1 (TNFR1), and Elafin and decreased TGF-β. TLR4 and TNFR1 were significantly increased in steroid-refractory aGVHD patients compared with steroid-effective patients (P < 0.05).CONCLUSIONA combination of TLR4, TNFR1, TGF-β, and Elafin could be a new 4-biomarker panel to assist aGVHD diagnosis, grading, and evaluation of steroid sensitivity for clinical aGVHD patients.TRIAL REGISTRATIONChiCTR1900022292 "Clinical Research of Umbilical Cord-Derived Mesenchymal Stromal Cells in the Prophylaxis of Graft-Versus-Host Disease After HLA-Haploidentical Stem-Cell Transplantation."FUNDINGNational Key Research Program, National Natural Science Foundation of China, Chongqing Social Career and People's Livelihood Security Science and Technology Innovation Project, Fundamental and Frontier Research Program of Chongqing, and Foundation of Xinqiao Hospital.

Indexed as

Acute DiseaseAdolescentAdultAnimalsBiomarkersChildCytokinesDisease Models, AnimalFemaleGraft vs Host DiseaseHematopoiesisHematopoietic Stem Cell TransplantationHumansMaleMiceMice, Inbred BALB CBiomarkersCytokinesSteroidsBone marrow transplantationCytokinesHematologyImmunology

Identifiers

PMID31434801
PMCPMC6777816
OpenAlexW2969306524

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.