Evidence map›Paper›PMID 33393227›Full record

ArticleACR open rheumatology2021

Role of Serum IL-6 in Neuropsychiatric Systemic lupus Erythematosus.

Shunsei Hirohata, Hirotoshi Kikuchi

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.8field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Cognitive dysfunction in pediatric systemic lupus erythematosus: current knowledge and future directions.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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

2 authors at 2 institutions in 1 country.

Shunsei HirohataNobuhara Hospital, Tatsuno, Hyogo, Japan, and, Teikyo University School of Medicine, Tokyo, Japan, and Kitasato University School of Medicine, Sagamihara, Japan.ORCID https://orcid.org/0000-0003-1911-7383
Hirotoshi KikuchiTeikyo University School of Medicine, Tokyo, Japan.
Nobuhara Hospital · JPTeikyo University · JP

Funding

Grant-in-aid (c) from the Ministry of Education, Culture, Science, and Sports of Japan 23591447
6 · The paper itself

Abstract

objectiveThe present study was designed in order to elucidate the roles of serum interleukin 6 (IL-6) in the pathogenesis in neuropsychiatric systemic lupus erythematosus (NPSLE).

methodsPaired serum and cerebrospinal fluid (CSF) samples were obtained from 101 patients with SLE when they presented active neuropsychiatric manifestations (69 patients with diffuse psychiatric/neuropsychological syndromes [diffuse NPSLE] and 32 patients with neurologic syndromes or peripheral nervous system involvement [focal NPSLE]) and from 22 control patients without SLE with noninflammatory neurological diseases. The levels of albumin and IL-6 in CSF and sera were measured by enzyme-linked immunosorbent assay.

resultsSerum IL-6 and CSF IL-6 were elevated in NPSLE compared with non-SLE controls. Among NPSLE, serum IL-6 and CSF IL-6 were significantly elevated in acute confusional state (ACS) compared with non-ACS diffuse NPSLE (anxiety disorder, cognitive dysfunction, mood disorder, and psychosis) or focal NPSLE. Q albumin (CSF/serum albumin quotient) was also significantly higher in ACS than in the other two groups of NPSLE. Of note, serum IL-6 (r = 0.2801, p = 0.0207), but not CSF IL-6 (r = 0.1602, p = 0.1918), was significantly correlated with Q albumin in patients with diffuse NPSLE, including ACS and non-ACS.

conclusionThese results indicate that serum IL-6 as well as CSF IL-6 is involved in the pathogenesis of NPSLE. Moreover, it is suggested that serum IL-6 might play a most important role in blood-brain barrier breakdown in NPSLE.

Identifiers

PMID33393227
PMCPMC7811696
OpenAlexW3119167314

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.