Evidence map›Paper›PMID 31781107›Full record

ArticleFrontiers in immunology2019

Low Density Granulocytes in ANCA Vasculitis Are Heterogenous and Hypo-Responsive to Anti-Myeloperoxidase Antibodies.

Aisling Ui Mhaonaigh, Alice M Coughlan, Amrita Dwivedi, Jack Hartnett, Joana Cabral, Barry Moran, Kiva Brennan, Sarah L Doyle, Katherine Hughes, Rosemary Lucey and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 71 citations in OpenAlex.

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  5. Can we cure vasculitis?Current opinion in immunology · 2025
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  9. Neutrophils and NETs in kidney disease.Nature reviews. Nephrology · 2025
    Review
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  12. Review
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  20. 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

18 authors at 3 institutions in 1 country.

Aisling Ui MhaonaighTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Alice M CoughlanTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Amrita DwivediTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Jack HartnettDepartment of Clinical Medicine, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Joana CabralThe Regenerative Medicine Institute (REMEDI), National University of Ireland, Galway, Ireland.
Barry MoranSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Kiva BrennanDepartment of Clinical Medicine, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Sarah L DoyleDepartment of Clinical Medicine, School of Medicine, Trinity College Dublin, Dublin, Ireland.
Katherine HughesTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Rosemary LuceyTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Achilleas FloudasMolecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Ursula FearonMolecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Susan McGrathThe Regenerative Medicine Institute (REMEDI), National University of Ireland, Galway, Ireland.
Sarah CormicanThe Regenerative Medicine Institute (REMEDI), National University of Ireland, Galway, Ireland.
Aine De BhailisTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Eleanor J MolloyDepartment of Paediatrics, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Gareth BradyTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Mark A LittleTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Trinity College Dublin, Dublin, Ireland.
Trinity College Dublin · IEOllscoil na Gaillimhe – University of Galway · IENational Children’s Research Centre · IE

Funding

Wellcome TrustWellcome Trust 203930/B/16/Z
6 · The paper itself

Abstract

Low Density Granulocytes (LDGs), which appear in the peripheral blood mononuclear cell layer of density-separated blood, are seen in cancer, sepsis, autoimmunity, and pregnancy. Their significance in ANCA vasculitis (AAV) is little understood. As these cells bear the autoantigens associated with this condition and have been found to undergo spontaneous NETosis in other diseases, we hypothesized that they were key drivers of vascular inflammation. We found that LDGs comprise a 3-fold higher fraction of total granulocytes in active vs. remission AAV and disease controls. They are heterogeneous, split between cells displaying mature (75%), and immature (25%) phenotypes. Surprisingly, LDGs (unlike normal density granulocytes) are hyporesponsive to anti-myeloperoxidase antibody stimulation, despite expressing myeloperoxidase on their surface. They are characterized by reduced CD16, CD88, and CD10 expression, higher LOX-1 expression and immature nuclear morphology. Reduced CD16 expression is like that observed in the LDG population in umbilical cord blood and in granulocytes of humanized mice treated with G-CSF. LDGs in AAV are thus a mixed population of mature and immature neutrophils. Their poor response to anti-MPO stimulation suggests that, rather than being a primary driver of AAV pathogenesis, LDGs display characteristics consistent with generic emergency granulopoiesis responders in the context of acute inflammation.

Indexed as

AdultAgedAged, 80 and overAnimalsAntigens, SurfaceAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAutoantibodiesCell CountFemaleFlow CytometryGPI-Linked ProteinsGranulocytesHumansMaleMiceMiddle AgedAntigens, SurfaceAutoantibodiesFCGR3B protein, humanGPI-Linked ProteinsPeroxidaseReceptors, IgGANCA associated vasculitisanti-MPOlow density granulocytesneutrophil heterogeneityreactive oxygen species

Identifiers

PMID31781107
PMCPMC6856659
OpenAlexW2982879445

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.