Evidence map›Paper›PMID 32599687›Full record

ArticleJournal of clinical medicine2020

Overexpression of PD-1 on Peripheral Blood Lymphocytes in Patients with Idiopathic Pulmonary Arterial Hypertension and Its Association with High Viral Loads of Epstein-Barr Virus and Poor Clinical Parameters.

Michał Tomaszewski, Ewelina Grywalska, Andrzej Tomaszewski, Piotr Błaszczak, Marcin Kurzyna, Jacek Roliński, Grzegorz Kopeć

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Lymphocyte Involvement in the Pathology of Pulmonary Arterial Hypertension.International journal of molecular sciences · 2024
    Article
  4. PD-1Respiratory research · 2024
    Article
  5. Article
  6. Periodontitis exacerbates pulmonary hypertension by promoting IFNγInternational journal of oral science · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. 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

7 authors at 3 institutions in 1 country.

Michał TomaszewskiDepartment of Cardiology, Medical University of Lublin, 20-954 Lublin, Poland.
Ewelina GrywalskaDepartment of Clinical Immunology and Immunotherapy, Medical University of Lublin, 20-093 Lublin, Poland.ORCID 0000-0002-0451-4741
Andrzej TomaszewskiDepartment of Cardiology, Medical University of Lublin, 20-954 Lublin, Poland.
Piotr BłaszczakDepartment of Cardiology, Cardinal Wyszynski Hospital, 20-718 Lublin, Poland.
Marcin KurzynaDepartment of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Centre of Postgraduate Medical Education, Fryderyk Chopin Hospital in European Health Centre Otwock, 05-400 Otwock, Poland.ORCID 0000-0002-6746-469X
Jacek RolińskiDepartment of Clinical Immunology and Immunotherapy, Medical University of Lublin, 20-093 Lublin, Poland.
Grzegorz KopećDepartment of Cardiac and Vascular Diseases, Faculty of Medicine, Jagiellonian University Medical College, Centre for Rare Cardiovascular Diseases, John Paul II Hospital, 31-202 Krakow, Poland.ORCID 0000-0001-9921-2801
Medical University of Lublin · PLCardinal Stefan Wyszynski University in Warsaw · PLJagiellonian University · PL

Funding

Uniwersytet Medyczny w Lublinie DS376, DS460, and DS461
6 · The paper itself

Abstract

Idiopathic pulmonary arterial hypertension (IPAH) is a rare but severe disease with the elevated blood pressure in the pulmonary arteries without a known trigger of vascular remodelling. It leads to the right heart failure with reduced survival. Changes in the immunological landscape of the lungs and the periphery are common in IPAH patients, suggesting an immune system dysfunction. A cohort of 25 IPAH patients was enrolled in our study to investigate a link between the patient's clinical status, immune parameters of the blood, and the Epstein-Barr virus (EBV) infection. We found significant alterations of the patients' peripheral blood parameters. Therein, T lymphocytes and NK cell counts were decreased in the IPAH patients' blood, while the proportion of regulatory T cells was increased. Additionally, levels of proinflammatory cytokines interleukin-6 (IL-6), IL-2, and interferon-gamma (IFN-γ) were elevated. We identified a weak correlation between EBV loads and IPAH patients' clinical state (r = 0.54) and between EBV loads and overexpression of PD-1 on helper T cells (r = 0.56). We speculate that a significant dysregulation of the immune system homeostasis observed in IPAH patients may contribute to increased susceptibility of those patients to EBV infection, yet further longitudinal studies are required to characterize this relation in detail.

Indexed as

cardiovascular diseaseEBVEpstein–Barr virushypertension immunopathologyidiopathic pulmonary arterial hypertensionIPAHPD-1

Identifiers

PMID32599687
PMCPMC7355537
OpenAlexW3036417229

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.