Evidence map›Paper›PMID 31684904›Full record

ArticleBMC pediatrics2019

Changes of inflammatory mediators and oxidative stress indicators in children with Henoch-Schönlein purpura and clinical effects of hemoperfusion in the treatment of severe Henoch-Schönlein purpura with gastrointestinal involvement in children.

Ying Zhu, Yang Dong, Lin Wu, Fang Deng

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Proanthocyanidins alleviate Henoch-Schönlein purpura by mitigating inflammation and oxidative stress through regulation of the TLR4/MyD88/NF-κB pathway.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  4. Associations ofHeliyon · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pediatric Airway Surgeries in COVID 19 Era.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2021
    Article
  11. Serum TNF-Disease markers · 2020
    Article
  12. 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

4 authors at 2 institutions in 1 country.

Ying ZhuDepartment of Nephrology, Anhui Provincial Children's Hospital, No. 39 Wangjiang East Road, Hefei, 230051, China. 114931468@qq.com.ORCID 0000-0002-4422-516X
Yang DongDepartment of Nephrology, Anhui Provincial Children's Hospital, No. 39 Wangjiang East Road, Hefei, 230051, China.
Lin WuDepartment of Nephrology, Anhui Provincial Children's Hospital, No. 39 Wangjiang East Road, Hefei, 230051, China.
Fang DengDepartment of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Anhui Provincial Children's Hospital · CNAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the changes of inflammatory and oxidative stress responses in Henoch-Schönlein purpura (HSP) children, and further analyzed the therapeutic effects and mechanisms of hemoperfusion (HP) on HSP with severe gastrointestinal (GI) involvement.

methodsThere were 200 children with HSP were divided into three groups according to their clinical manifestations: 60 in HSP without GI and renal involvement group, 60 in HSP with GI involvement group, and 80 in HSPN group. The HSP with GI involvement group was subdivided into conventional treatment (n = 30) and HP (n = 30) groups. Thirty children who visited the department of children healthcare for healthy physical examinations from January to December 2017 were set as healthy control group. The IL-6 and TNF-α levels were detected by chemoluminescence method. The MDA, SOD and T-AOC levels were determined by thiobarbituric acid colorimetric method, hydroxylamine method and chemical colorimetry.

resultsCompared with healthy group, IL-6, TNF-α and MDA levels in HSP were increased in each group, while SOD and T-AOC were decreased (P = 0.000). IL-6, TNF-α and MDA levels in the HSPN group were the highest, SOD and T-AOC levels were the lowest (P = 0.000). Compared with those before treatment, IL-6, TNF-α and MDA levels in the conventional and HP groups were decreased and SOD and T-AOC levels were increased (P = 0.000). The changes in HP group were more significant than those in conventional group (P < 0.047). Compared with conventional group, glucocorticoid dosage and the occurrence rate of hematuria and/or proteinuria within 3 months were lower in HP group. (P = 0.000, 0.004).

conclusionsInflammatory and oxidative stress may be involved in the acute phase of HSP children. The intensity of inflammatory and oxidative stress responses were related to the degree of renal involvement. HP can reduce glucocorticoid dosage and the rate of renal involvement in children with severe HSP with GI involvement. The mechanism may be related to the fact that HP can effectively remove IL-6, TNF-α, MDA in HSP children.

Indexed as

HemoperfusionOxidative StressAdolescentAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCase-Control StudiesChildChild, PreschoolFemaleGlucocorticoidsHumansIgA VasculitisImmunosuppressive AgentsInflammation MediatorsInterleukin-6Intestinal DiseasesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsGlucocorticoidsImmunosuppressive AgentsInflammation MediatorsInterleukin-6MethylprednisoloneSuperoxide DismutaseTumor Necrosis Factor-alphaChildrenHemoperfusionHenoch-Schönlein purpuraInflammatory mediatorsOxidative stress

Identifiers

PMID31684904
PMCPMC6827241
OpenAlexW2986099029

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.