Evidence map›Paper›PMID 32559293›Full record

ArticleBlood advances2020

Line-selective macrophage activation with an anti-CD40 antibody drives a hemophagocytic syndrome in mice.

Giada Ingoglia, Ayla Yalamanoglu, Marc Pfefferlé, Irina L Dubach, Christian A Schaer, Kristyna Valkova, Kerstin Hansen, Nadja Schulthess, Rok Humar, Dominik J Schaer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-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

17 citing papers in PubMed, 21 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

11 authors at 2 institutions in 2 countries.

Giada IngogliaDivision of Internal Medicine and.
Ayla YalamanogluDivision of Internal Medicine and.
Marc PfefferléDivision of Internal Medicine and.
Irina L DubachDivision of Internal Medicine and.
Christian A SchaerInstitute of Anesthesiology, University of Zurich, Zurich, Switzerland.
Kristyna ValkovaDivision of Internal Medicine and.
Kerstin HansenDivision of Internal Medicine and.
Nadja SchulthessDivision of Internal Medicine and.
Rok HumarDivision of Internal Medicine and.
Dominik J SchaerDivision of Internal Medicine and.
Florence VallelianDivision of Internal Medicine and.
General Department of Preventive Medicine · VNUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic syndromes comprise a cluster of hyperinflammatory disorders, including hemophagocytic lymphohistiocytosis and macrophage activation syndrome. Overwhelming macrophage activation has long been considered a final common pathway in the pathophysiology of hemophagocytic syndromes leading to the characteristic cytokine storm, laboratory abnormalities, and organ injuries that define the clinical spectrum of the disease. So far, it is unknown whether primary macrophage activation alone can induce the disease phenotype. In this study, we established a novel mouse model of a hemophagocytic syndrome by treating mice with an agonistic anti-CD40 antibody (Ab). The response in wild-type mice is characterized by a cytokine storm, associated with hyperferritinemia, high soluble CD25, erythrophagocytosis, secondary endothelial activation with multiple organ vaso-occlusion, necrotizing hepatitis, and variable cytopenias. The disease is dependent on a tumor necrosis factor-α-interferon-γ-driven amplification loop. After macrophage depletion with clodronate liposomes or in mice with a macrophage-selective deletion of the CD40 gene (CD40flox/flox/LysMCre), the disease was abolished. These data provide a new preclinical model of a hemophagocytic syndrome and reinforce the key pathophysiological role of macrophages.

Indexed as

Lymphohistiocytosis, HemophagocyticMacrophage Activation SyndromeAnimalsInterferon-gammaMacrophage ActivationMacrophagesMiceInterferon-gamma

Identifiers

PMID32559293
PMCPMC7322947
OpenAlexW3036803917

What OpenQuestion holds

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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.