Evidence map›Paper›PMID 32619089›Full record

ArticleESC heart failure2020

Characterization of dendritic cells in human and experimental myocarditis.

Rudin Pistulli, Elise Andreas, Sebastian König, Stefanie Drobnik, Daniel Kretzschmar, Ilonka Rohm, Michael Lichtenauer, Bettina Heidecker, Marcus Franz, Gita Mall and 2 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. In the Acute Phase ofFrontiers in immunology · 2022
    Article
  17. Article
  18. 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

12 authors at 6 institutions in 4 countries.

Rudin PistulliDepartment of Cardiology I - Coronary and Peripheral Vascular Disease, Heart Failure, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A1, Münster, 48149, Germany.ORCID 0000-0001-7676-3942
Elise AndreasDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, Jena, Germany.
Sebastian KönigHeart Center Leipzig, Leipzig, Germany.
Stefanie DrobnikInstitute of Forensic Medicine, University of Jena, Jena, Germany.
Daniel KretzschmarDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, Jena, Germany.
Ilonka RohmDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, Jena, Germany.
Michael LichtenauerDepartment of Cardiology, University of Salzburg, Salzburg, Austria.
Bettina HeideckerDepartment of Cardiology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.
Marcus FranzDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, Jena, Germany.
Gita MallInstitute of Forensic Medicine, University of Jena, Jena, Germany.
Atilla YilmazInternal Medicine Clinic II, Elisabeth Hospital, Schmalkalden, Germany.
P Christian SchulzeDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, Jena, Germany.
Jena University Hospital · DEInternational Paper (United States) · USFranklin University · USLeipzig Heart Institute · DEUniversity Hospital Münster · DEUniversity of Salzburg · AT

Funding

Else-Kröner-Fresenius Foundation (PCS)
6 · The paper itself

Abstract

aimsDendritic cells (DCs) are central mediators of adaptive immunity, and there is growing evidence of their role in myocardial inflammatory disease. We hypothesized that plasmacytoid and myeloid DCs are involved in the mechanisms of myocarditis and analysed these two main subtypes in human myocarditis subjects, as well as in a murine model of experimental autoimmune myocarditis (EAM). METHODS AND

resultsCirculating DCs were analysed by flow cytometry in patients with acute myocarditis, dilated cardiomyopathy, and controls. Myocardial biopsies were immunostained for the presence of DCs and compared with non-diseased controls. In a mouse model of acute myocarditis induced through synthetic cardiac myosine peptide injection, effects of immunomodulation including DC inhibition through MCS-18 versus placebo treatment were tested at the peak of inflammation (Day 21), as well as 1 week later (partial recovery). Circulatory pDCs and mDCs were significantly reduced in myocarditis patients compared with controls (P < 0.01 for both) and remained so even after 6 months of follow-up. Human myocarditis biopsies showed accumulation of pDCs (two-fold CD304+/three-fold CD123+, all P < 0.05) compared with controls. Myocardial pDCs and mDCs accumulated in EAM (P for both <0.0001). MCS-18 treatment reduced pDC levels (P = 0.009), reduced myocardial inflammation (myocarditis score reduction from 2.6 to 1.8, P = 0.026), and improved ejection fraction (P = 0.03) in EAM at Day 21 (peak of inflammation). This effect was not observed during the partial recovery of inflammation on Day 28.

conclusionsCirculating DCs are reduced in human myocarditis and accumulate in the inflamed myocardium. MCS-18 treatment reduces DCs in EAM, leading to amelioration of inflammation and left ventricular remodelling during the acute phase of myocarditis. Our data further elucidate the role of DCs and their specific subsets in acute inflammatory cardiomyopathies.

Indexed as

Cardiomyopathy, DilatedMyocarditisAnimalsDendritic CellsHumansInflammationMiceMyocardiumDendritic cellDilated cardiomyopathyExperimental autoimmune myocarditisHeart failureMyocarditis

Identifiers

PMID32619089
PMCPMC7524053
OpenAlexW3039884981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.