Evidence map›Paper›PMID 32188439›Full record

ArticleBMC pediatrics2020

Oxidative stress and gut-derived lipopolysaccharides in children affected by paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections.

Lorenzo Loffredo, Alberto Spalice, Francesca Salvatori, Giovanna De Castro, Cristiana Alessia Guido, Anna Maria Zicari, Paolo Ciacci, Simona Battaglia, Giulia Brindisi, Evaristo Ettorre and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-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

11 citing papers in PubMed, 18 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

15 authors at 4 institutions in 1 country.

Lorenzo LoffredoDepartment of Clinical, Internal, Anaesthetic and Cardiovascular Sciences, Sapienza University of Rome, I Clinica Medica, Viale del Policlinico 155, 00161, Rome, Italy. lorenzo.loffredo@uniroma1.it.
Alberto SpaliceDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Francesca SalvatoriDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Giovanna De CastroDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Cristiana Alessia GuidoDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Anna Maria ZicariDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Paolo CiacciDepartment of Clinical, Internal, Anaesthetic and Cardiovascular Sciences, Sapienza University of Rome, I Clinica Medica, Viale del Policlinico 155, 00161, Rome, Italy.
Simona BattagliaDepartment of Clinical, Internal, Anaesthetic and Cardiovascular Sciences, Sapienza University of Rome, I Clinica Medica, Viale del Policlinico 155, 00161, Rome, Italy.
Giulia BrindisiDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Evaristo EttorreDepartment of Clinical, Internal, Anaesthetic and Cardiovascular Sciences, Sapienza University of Rome, I Clinica Medica, Viale del Policlinico 155, 00161, Rome, Italy.
Cristina NocellaDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Guglielmo SalvatoriNeonatal Intensive Care Unit, Bambino Gesù Pediatric Hospital, Rome, Italy.
Marzia DuseDepartment of Pediatrics, Sapienza University of Rome, Rome, 00161, Italy.
Francesco VioliDepartment of Clinical, Internal, Anaesthetic and Cardiovascular Sciences, Sapienza University of Rome, I Clinica Medica, Viale del Policlinico 155, 00161, Rome, Italy.
Roberto CarnevaleDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
Sapienza University of Rome · ITClinica Mediterranea · ITPoliclinico Umberto I · ITBambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPaediatric autoimmune neuropsychiatric disorders associated with streptococcal infections syndrome (PANDAS) identifies patients with acute onset of obsessive-compulsive and tic disorders. The objective of this study was to evaluate serum NOX2 levels, as well as 8-iso-prostaglandin F2α (8-iso-PGF2α) and lipopolysaccharide (LPS) of PANDAS patients.

methodsIn this study we wanted to compare serum levels of soluble NOX2-dp (sNOX-2-dp), iso-PGF2α and LPS in 60 consecutive subjects, including 30 children affected by PANDAS and 30 controls (CT) matched for age and gender. Serum zonulin was used as intestinal permeability assay.

resultsCompared with CT, PANDAS children had increased serum levels of sNOX-2-dp, 8-iso-PGF2α and LPS. Bivariate analysis showed that serum sNOX2-dp was significantly correlated with LPS (Rs = 0.359; p = 0.005), zonulin (Rs = 0.444; p < 0.001) and 8-iso-PGF2α (Rs = 0.704; p < 0.001). Serum LPS significantly correlated with zonulin (Rs = 0.610; p < 0.001), and 8-iso-PGF2α (Rs = 0.591; p = 0.001). Finally, a multiple linear regression analysis showed that serum 8-iso-PGF2α and zonulin were the only independent variables associated with sNOX2-dp (R

conclusionThis study shows that children affected by PANDAS have high circulating levels of sNOX2-dp, isoprostanes and of LPS that could be involved in the process of neuroinflammation.

Indexed as

Autoimmune DiseasesGastrointestinal MicrobiomeLipopolysaccharidesObsessive-Compulsive DisorderOxidative StressStreptococcal InfectionsChildFemaleHumansMaleNADPH Oxidase 2LipopolysaccharidesNADPH Oxidase 2LPSNADPH oxidaseNOX2Oxidative stressPANDASPANS

Identifiers

PMID32188439
PMCPMC7079429
OpenAlexW3012816226

What OpenQuestion holds

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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.