Evidence map›Paper›PMID 32850816›Full record

ArticleFrontiers in cell and developmental biology2020

Mediastinal Lymphadenopathy, Class-Switched Auto-Antibodies and Myocardial Immune-Complexes During Heart Failure in Rodents and Humans.

Amalia Sintou, Catherine Mansfield, Alma Iacob, Rasheda A Chowdhury, Salomon Narodden, Stephen M Rothery, Robert Podovei, Jose L Sanchez-Alonso, Elisa Ferraro, Pamela Swiatlowska and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cell and developmental biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Immunometabolism in heart failure.Nature reviews. Cardiology · 2025
    Review
  3. Article
  4. Review
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  10. Review
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  12. Myocardial-Treg Crosstalk: How to Tame a Wolf.Frontiers in immunology · 2022
    Review
  13. 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

15 authors at 2 institutions in 2 countries.

Amalia SintouNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Catherine MansfieldNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Alma IacobNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Rasheda A ChowdhuryNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Salomon NaroddenNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Stephen M RotheryNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Robert PodoveiNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Jose L Sanchez-AlonsoNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Elisa FerraroNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Pamela SwiatlowskaNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Sian E HardingNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Sanjay PrasadNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Nadia RosenthalNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Julia GorelikNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Susanne SattlerNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Imperial College London · GBRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

Exploration of Arrhythmogenic Triggers and Substrates in Heart FailureR01HL126802 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI EFIMOV, IGOR R, GORELIK, JULIA · 2016 to 2019
$2.8M
British Heart Foundation PG/16/17/32069British Heart Foundation PG/16/93/32345British Heart Foundation PG/17/3/32722British Heart Foundation RG/17/13/33173British Heart Foundation RM/17/1/33377NHLBI NIH HHS R01 HL126802
6 · The paper itself

Abstract

Mediastinal lymphadenopathy and auto-antibodies are clinical phenomena during ischemic heart failure pointing to an autoimmune response against the heart. T and B cells have been convincingly demonstrated to be activated after myocardial infarction, a prerequisite for the generation of mature auto-antibodies. Yet, little is known about the immunoglobulin isotype repertoire thus pathological potential of anti-heart auto-antibodies during heart failure. We obtained human myocardial tissue from ischemic heart failure patients and induced experimental MI in rats. We found that anti-heart autoimmunity persists during heart failure. Rat mediastinal lymph nodes are enlarged and contain active secondary follicles with mature isotype-switched IgG2a B cells. Mature IgG2a auto-antibodies specific for cardiac antigens are present in rat heart failure serum, and IgG and complement C3 deposits are evident in heart failure tissue of both rats and human patients. Previously established myocardial inflammation, and the herein provided proof of B cell maturation in lymph nodes and myocardial deposition of mature auto-antibodies, provide all the hallmark signs of an established autoimmune response in chronic heart failure.

Indexed as

adaptive immune systemanti-heartauto-antibodiesautoimmunitychronic heart failuremyocardial infarction

Identifiers

PMID32850816
PMCPMC7426467
OpenAlexW3048311242

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.