Evidence map›Paper›PMID 31879336›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Therapeutic Myeloperoxidase Inhibition Attenuates Neutrophil Activation, ANCA-Mediated Endothelial Damage, and Crescentic GN.

Marilina Antonelou, Erik Michaëlsson, Rhys D R Evans, Chun Jing Wang, Scott R Henderson, Lucy S K Walker, Robert John Unwin, Alan D Salama, RAVE-ITN Investigators

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.1field-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

44 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
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  3. Role of neutrophils in regulating vascular permeability in inflammatory and autoimmune diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  7. NLRP3 inflammasome activity and pyroptosis are involved in CD206Acta biochimica et biophysica Sinica · 2025
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  14. Therapeutic Potentials of Jamun (International journal of food science · 2025
    Review
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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

9 authors at 3 institutions in 3 countries.

Marilina AntonelouCentre for Nephrology and.ORCID 0000-0001-6653-7511
Erik MichaëlssonBioscience Cardiovascular and.ORCID 0000-0001-8643-2821
Rhys D R EvansCentre for Nephrology and.
Chun Jing WangInstitute of Immunity & Transplantation, University College London, London, United Kingdom.
Scott R HendersonCentre for Nephrology and.
Lucy S K WalkerInstitute of Immunity & Transplantation, University College London, London, United Kingdom.
Robert John UnwinCentre for Nephrology and.
Alan D SalamaCentre for Nephrology and a.salama@ucl.ac.uk.
RAVE-ITN Investigators
Centre for Sight · INUniversity College London · GBAstraZeneca (Sweden) · SE

Funding

Medical Research Council MR/P001777/1
6 · The paper itself

Abstract

backgroundMyeloperoxidase released after neutrophil and monocyte activation can generate reactive oxygen species, leading to host tissue damage. Extracellular glomerular myeloperoxidase deposition, seen in ANCA-associated vasculitis, may enhance crescentic GN through antigen-specific T and B cell activation. Myeloperoxidase-deficient animals have attenuated GN early on, but augmented T cell responses. We investigated the effect of myeloperoxidase inhibition, using the myeloperoxidase inhibitor AZM198, to understand its potential role in treating crescentic GN.

methodsWe evaluated renal biopsy samples from patients with various forms of crescentic GN for myeloperoxidase and neutrophils, measured serum myeloperoxidase concentration in patients with ANCA-associated vasculitis and controls, and assessed neutrophil extracellular trap formation, reactive oxygen species production, and neutrophil degranulation in ANCA-stimulated neutrophils in the absence and presence of AZM198. We also tested the effect of AZM198 on ANCA-stimulated neutrophil-mediated endothelial cell damage

resultsAll biopsy specimens with crescentic GN had extracellular glomerular myeloperoxidase deposition that correlated significantly with eGFR and crescent formation.

conclusionsMyeloperoxidase inhibition reduced neutrophil degranulation and neutrophil-mediated endothelial cell damage in patients with ANCA-associated vasculitis. In preclinical crescentic GN, delayed myeloperoxidase inhibition suppressed kidney damage without augmenting adaptive immune responses, suggesting it might offer a novel adjunctive therapeutic approach in crescentic GN.

Indexed as

Adaptive ImmunityAnimalsAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisCell DegranulationEndothelial CellsExtracellular TrapsGlomerulonephritisHumansMiceMice, Inbred BALB CMice, Inbred C57BLNeutrophil ActivationPeroxidaseAntibodies, Antineutrophil CytoplasmicPeroxidaseANCAglomerular endothelial cellsglomerulonephritismyeloperoxidaseneutrophilsvasculitis

Identifiers

PMID31879336
PMCPMC7003306
OpenAlexW2998541318

What OpenQuestion holds

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Registered trials

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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.