Evidence map›Paper›PMID 32305129›Full record

ArticleKidney international2020

Spleen tyrosine kinase inhibition is an effective treatment for established vasculitis in a pre-clinical model.

Stephen P McAdoo, Maria Prendecki, Anisha Tanna, Tejal Bhatt, Gurjeet Bhangal, John McDaid, Esteban S Masuda, H Terence Cook, Frederick W K Tam, Charles D Pusey

Open access · hybridAbstract read
In one paragraph

Article in Kidney international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 53 citations in OpenAlex.

  1. The Src-Family Kinases Hck, Fgr and Lyn Drive Immune Complex-Mediated Glomerulonephritis Through the Syk Tyrosine Kinase.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Targeting B Cells and Plasma Cells in Glomerular Disease.Journal of the American Society of Nephrology : JASN · 2025
    Review
  8. Neutrophils and NETs in kidney disease.Nature reviews. Nephrology · 2025
    Review
  9. Syk inhibitor attenuates lupus in FcγRIIbCell death discovery · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

10 authors at 2 institutions in 2 countries.

Stephen P McAdooCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK. Electronic address: s.mcadoo@imperial.ac.uk.
Maria PrendeckiCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Anisha TannaCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Tejal BhattCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Gurjeet BhangalCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
John McDaidCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Esteban S MasudaRigel Pharmaceuticals, South San Francisco, California, USA.
H Terence CookCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Frederick W K TamCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Charles D PuseyCentre for Inflammatory Disease, Department of Medicine, Imperial College London, London UK.
Imperial College London · GBRigel (United States) · US

Funding

Medical Research Council G0901997Wellcome Trust
6 · The paper itself

Abstract

The anti-neutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV) are a group of life-threatening multi-system diseases characterized by necrotising inflammation of small blood vessels and crescentic glomerulonephritis. ANCA are thought to play a direct pathogenic role. Previous studies have shown that spleen tyrosine kinase (SYK) is phosphorylated during ANCA-induced neutrophil activation in vitro. However, the role of SYK in vivo is unknown. Here, we studied its role in the pathogenesis of experimental autoimmune vasculitis, a pre-clinical model of myeloperoxidase-ANCA-induced pauci-immune systemic vasculitis in the Wistar Kyoto rat. Up-regulation of SYK expression in inflamed renal and pulmonary tissue during early autoimmune vasculitis was confirmed by immunohistochemical and transcript analysis. R406, the active metabolite of fostamatinib, a small molecule kinase inhibitor with high selectivity for SYK, inhibited ANCA-induced pro-inflammatory responses in rat leucocytes in vitro. In an in vivo study, treatment with fostamatinib for 14 days after disease onset resulted in rapid resolution of urinary abnormalities, significantly improved renal and pulmonary pathology, and preserved renal function. Short-term exposure to fostamatinib did not significantly affect circulating myeloperoxidase-ANCA levels, suggesting inhibition of ANCA-induced inflammatory mechanisms in vivo. Finally, SYK expression was demonstrated within inflammatory glomerular lesions in ANCA-associated glomerulonephritis in patients, particularly within CD68

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisGlomerulonephritisAnimalsAntibodies, Antineutrophil CytoplasmicHumansPeroxidaseRatsSyk KinaseAntibodies, Antineutrophil CytoplasmicPeroxidaseSyk KinaseANCAexperimental modelsglomerulonephritiskinase inhibitorsSYKvasculitis

Identifiers

PMID32305129
PMCPMC7242903
OpenAlexW2999505496

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.