Evidence map›Paper›PMID 33512463›Full record

ArticleRheumatology (Oxford, England)2021

Mer tyrosine kinase as a possible link between resolution of inflammation and tissue fibrosis in IgG4-related disease.

Lucrezia Rovati, Naoki Kaneko, Federica Pedica, Antonella Monno, Takashi Maehara, Cory Perugino, Marco Lanzillotta, Simone Pecetta, John H Stone, Claudio Doglioni and 3 more

Open access · greenAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2021. 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
1.2field-weighted citation impact, top 22% 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, 24 citations in OpenAlex.

  1. Article
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  10. Efferocytosis in Homeostasis.Advances in experimental medicine and biology · 2025
    Review
  11. Article
  12. Article
  13. Immune dysregulation in immunoglobulin G4-related disease.The Japanese dental science review · 2023
    Review
  14. Reviewing the Regulators of COL1A1.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Research progress on inflammatory mechanism of primary Sjögren syndrome.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2021
    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

13 authors at 3 institutions in 3 countries.

Lucrezia RovatiUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0003-1222-9825
Naoki KanekoRagon Institute of MGH, MIT, and Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Federica PedicaUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonella MonnoAutoimmunity and Vascular Inflammation Laboratory, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Takashi MaeharaRagon Institute of MGH, MIT, and Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Cory PeruginoRagon Institute of MGH, MIT, and Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Marco LanzillottaUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Simone PecettaRagon Institute of MGH, MIT, and Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
John H StoneDivision of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Claudio DoglioniUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Angelo A ManfrediUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Shiv PillaiRagon Institute of MGH, MIT, and Harvard, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Emanuel Della-TorreUniversità Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Harvard University · USVita-Salute San Raffaele University · ITKyushu University · JP

Funding

The importance of the IgG4 glycome in IgG4-related disease(s)U19AI110495 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI SHIV Subramaniam PILLAI · 2014 to 2026
$7.9M
Targeting T cell Subsets in Autoimmune DiseaseUM1AI144295 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI John H Stone · 2019 to 2026
$1.4M
Giovani Ricercatori 2018-Research GrantNIAID NIH HHS U19 AI110495NIAID NIH HHS UM1 AI144295NIH HHS U19 AI110495
6 · The paper itself

Abstract

objectivesIgG4-related disease (IgG4-RD) is a systemic fibro-inflammatory disorder characterized by a dysregulated resolution of inflammation and wound healing response that might develop after an apoptotic insult induced by cytotoxic T lymphocytes (CTLs). Mer receptor tyrosine kinase (MerTK) and its ligand, protein S (ProS1), have a pivotal role in the resolution of inflammation, being implicated in the clearance of apoptotic cells, quenching of the immune response and development of tissue fibrosis. In the present work we aimed to investigate a possible involvement of the MerTK signalling pathway in the pathogenesis of IgG4-RD and development of tissue fibrosis.

methodsMerTK and ProS1 expression patterns in IgG4-RD lesions were evaluated by immunohistochemistry and immunofluorescence studies. Circulating MerTK+ monocytes, soluble Mer and MerTK ligands were measured in the peripheral blood of IgG4-RD patients and healthy controls by flow cytometry and ELISA, respectively.

resultsMerTK was highly expressed by macrophages infiltrating IgG4-RD lesions. MerTK+ macrophages were more abundant in IgG4-RD than in Sjögren's syndrome and interacted with apoptotic cells and ProS1-expressing T and B lymphocytes. Moreover, they expressed the pro-fibrotic cytokine TGF-β and their numbers declined following rituximab-induced disease remission. Circulating MerTK+ monocytes, soluble Mer and MerTK ligands were not increased in the peripheral blood of patients with IgG4-RD.

conclusionsThe MerTK-ProS1 axis is activated in IgG4-RD lesions, possibly leading to persistent stimulation of processes involved in the resolution of inflammation and tissue fibrosis.

Indexed as

Case-Control Studiesc-Mer Tyrosine KinaseEnzyme-Linked Immunosorbent AssayFemaleFibrosisFlow CytometryFluorescent Antibody TechniqueHumansImmunoglobulin G4-Related DiseaseInflammationLeukocytes, MononuclearMacrophagesMalec-Mer Tyrosine KinaseMERTK protein, humanfibrosisIgG4-related diseasemacrophagesMerTKprotein S

Identifiers

PMID33512463
PMCPMC8487308
OpenAlexW3123236692

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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.