Evidence map›Paper›PMID 33539617›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2021

Dysfunction of complement receptors CR3 (CD11b/18) and CR4 (CD11c/18) in pre-eclampsia: a genetic and functional study.

A I Lokki, L Teirilä, M Triebwasser, E Daly, A Bhattacharjee, L Uotila, M Llort Asens, M I Kurki, M Perola, K Auro and 7 more

Open access · hybridAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2021. 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
2.0field-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

14 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 2 countries.

A I LokkiTranslational Immunology Research Program, Research Programs Unit, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4397-8415
L TeiriläTranslational Immunology Research Program, Research Programs Unit, University of Helsinki, Helsinki, Finland.
M TriebwasserDepartment of Medicine, Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, USA.
E DalyHospital and Harvard Medical School, Boston, MA, USA.
A BhattacharjeeHerantis Pharma Plc, Espoo, Finland.
L UotilaResearch Services, University of Helsinki, Helsinki, Finland.
M Llort AsensMolecular and Integrative Biosciences Research Program, Faculty of Bio- and Environmental Sciences, University of Helsinki, Helsinki, Finland.
M I KurkiNeurosurgery of Neuro Center, Kuopio University Hospital, Finland.
M PerolaDepartment of Health, National Institute for Health and Welfare, Helsinki, Finland.
K AuroDepartment of Government Services, National Institute for Health and Welfare, Helsinki, Finland.
J E SalmonHospital for Special Surgery-Weill Cornell Medicine, Department of Medicine, New York, NY, USA.
M DalyAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA.
J P AtkinsonDepartment of Medicine, Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, USA.
H LaivuoriDepartment of Obstetrics and Gynecology, Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere University, Tampere, Finland.
S FagerholmMolecular and Integrative Biosciences Research Program, Faculty of Bio- and Environmental Sciences, University of Helsinki, Helsinki, Finland.
S MeriTranslational Immunology Research Program, Research Programs Unit, University of Helsinki, Helsinki, Finland.
FinnpecMedical and Clinical Genetics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FIFinnish Institute for Health and Welfare · FIWashington University in St. Louis · USBroad Institute · USHarvard University · USHospital for Special Surgery · USLocal Initiatives Support Corporation · US

Funding

Translational Research Skills Development CoreU54HL112303 · NHLBI · WASHINGTON UNIVERSITY · PI SADLER, J EVAN · 2012 to 2016
$8.8M
INTRACELLULAR C3 PROTEINS: SOURCE, COMPOSITION, TRAFFICKING AND FUNCTIONR01GM099111 · NIGMS · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 2011 to 2019
$2.7M
Defining the Complosome in Human Cells, Tissues and Disease StatesR35GM136352 · NIGMS · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 2020 to 2024
$2.0M
Academy of Finland 121196Academy of Finland 278941Alfred Kordelin FoundationJane and Aatos Erkko FoundationMaud Kuistila Memorial FoundationNHLBI NIH HHS U54 HL112303NIGMS NIH HHS R01 GM099111NIGMS NIH HHS R35 GM136352NIH HHS R01 GM099111-20A1NIH HHS U54 HL112303Oskar Oscar Öflund's FoundationSigrid Jusélius Foundation
6 · The paper itself

Abstract

objectiveTo study genetic variants and their function within genes coding for complement receptors in pre-eclampsia.

designA case-control study.

settingPre-eclampsia is a common vascular disease of pregnancy. The clearance of placenta-derived material is one of the functions of the complement system in pregnancy. POPULATION: We genotyped 500 women with pre-eclamptic pregnancies and 190 pregnant women without pre-eclampsia, as controls, from the FINNPEC cohort, and 122 women with pre-eclamptic pregnancies and 1905 controls from the national FINRISK cohort.

methodsThe functional consequences of genotypes discovered by targeted exomic sequencing were explored by analysing the binding of the main ligand iC3b to mutated CR3 or CR4, which were transiently expressed on the surface of COS-1 cells.

main outcome measuresAllele frequencies were compared between pre-eclamptic pregnancies and controls in genetic studies. The functional consequences of selected variants were measured by binding assays.

resultsThe most significantly pre-eclampsia-linked CR3 variant M441K (P = 4.27E-4, OR = 1.401, 95% CI = 1.167-1.682) displayed a trend of increased adhesion to iC3b (P = 0.051). The CR4 variant A251T was found to enhance the adhesion of CR4 to iC3b, whereas W48R resulted in a decrease of the binding of CR4 to iC3b.

conclusionsResults suggest that changes in complement-facilitated phagocytosis are associated with pre-eclampsia. Further studies are needed to ascertain whether aberrant CR3 and CR4 activity leads to altered pro- and anti-inflammatory cytokine responses in individuals carrying the associated variants, and the role of these receptors in pre-eclampsia pathogenesis. TWEETABLE ABSTRACT: Genetic variants of complement receptors CR3 and CR4 have functional consequences that are associated with pre-eclampsia.

Indexed as

CD11b AntigenCD18 AntigensCytokinesFemaleGenotypeHumansIntegrin alphaXbeta2Macrophage-1 AntigenMutationPhagocytosisPre-EclampsiaPregnancyCD11b AntigenCD18 AntigensCytokinesIntegrin alphaXbeta2ITGAM protein, humanMacrophage-1 Antigencomplement receptorscomplement systemgenetic associationpre-eclampsiapregnancyβ2-integrins

Identifiers

PMID33539617
PMCPMC8255276
OpenAlexW3126859454

What OpenQuestion holds

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Registered trials

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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.