Evidence map›Paper›PMID 31444145›Full record

ArticleEBioMedicine2019

Blockade of the kallikrein-kinin system reduces endothelial complement activation in vascular inflammation.

Ingrid Lopatko Fagerström, Anne-Lie Ståhl, Maria Mossberg, Ramesh Tati, Ann-Charlotte Kristoffersson, Robin Kahn, Jean-Loup Bascands, Julie Klein, Joost P Schanstra, Mårten Segelmark and 1 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 38 citations in OpenAlex.

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  20. Kinin B1 Receptor Is Important in the Pathogenesis of Myeloperoxidase-Specific ANCA GN.Journal of the American Society of Nephrology : JASN · 2020
    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

11 authors at 4 institutions in 2 countries.

Ingrid Lopatko FagerströmDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Anne-Lie StåhlDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Maria MossbergDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Ramesh TatiDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Ann-Charlotte KristofferssonDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden.
Robin KahnDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden; Wallenberg Center for Molecular Medicine, Lund University, Lund, Sweden.
Jean-Loup BascandsInstitut National de la Sante et de la Recherche Medicale (INSERM), U1188, Université de La Réunion, France.
Julie KleinInstitut National de la Santé et de la Recherche Médicale (INSERM), U1048, Institute of Cardiovascular and Metabolic Disease, Toulouse, France; Université Toulouse III Paul Sabatier, Toulouse, France.
Joost P SchanstraInstitut National de la Santé et de la Recherche Médicale (INSERM), U1048, Institute of Cardiovascular and Metabolic Disease, Toulouse, France; Université Toulouse III Paul Sabatier, Toulouse, France.
Mårten SegelmarkDepartment of Nephrology, Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Diana KarpmanDepartment of Pediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden. Electronic address: diana.karpman@med.lu.se.
Lund University · SEUniversité Toulouse III - Paul Sabatier · FRInserm · FRLinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe complement and kallikrein-kinin systems (KKS) are activated during vascular inflammation. The aim of this study was to investigate if blockade of the KKS can affect complement activation on the endothelium during inflammation.

methodsComplement deposition on endothelial microvesicles was assayed in vasculitis patient plasma samples and controls. Plasma was perfused over glomerular endothelial cells and complement deposition assayed by flow cytometry. The effect of the kinin system was assessed using kinin receptor antagonists and C1-inhibitor. The in vivo effect was assessed in kidney sections from mice with nephrotoxic serum-induced glomerulonephritis treated with a kinin receptor antagonist.

findingsVasculitis patient plasma had significantly more C3- and C9-positive endothelial microvesicles than controls. Perfusion of patient acute-phase plasma samples over glomerular endothelial cells induced the release of significantly more complement-positive microvesicles, in comparison to remission or control plasma. Complement activation on endothelial microvesicles was reduced by kinin B1- and B2-receptor antagonists or by C1-inhibitor (the main inhibitor of the classical pathway and the KKS). Likewise, perfusion of glomerular endothelial cells with C1-inhibitor-depleted plasma induced the release of complement-positive microvesicles, which was significantly reduced by kinin-receptor antagonists or C1-inhibitor. Mice with nephrotoxic serum-induced glomerulonephritis exhibited significantly reduced glomerular C3 deposition when treated with a B1-receptor antagonist.

interpretationExcessive complement deposition on the endothelium will promote endothelial injury and the release of endothelial microvesicles. This study demonstrates that blockade of the KKS can reduce complement activation and thereby the inflammatory response on the endothelium.

fundingFull details are provided in the Acknowledgements/Funding section.

Indexed as

AdultAgedAnimalsBiological TransportBradykininCell-Derived MicroparticlesCells, CulturedComplement ActivationComplement C1 Inhibitor ProteinComplement System ProteinsDisease Models, AnimalEndothelial CellsEndothelium, VascularFemaleHumansImmunoglobulin GBradykininComplement C1 Inhibitor ProteinComplement System ProteinsicatibantImmunoglobulin GR 715ComplementEndothelial microvesiclesKidneyKininMouseVasculitis

Identifiers

PMID31444145
PMCPMC6796560
OpenAlexW2969803701

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.