Evidence map›Paper›PMID 33590837›Full record

ArticleRheumatology (Oxford, England)2021

Solving the mystery of HBV-related mixed cryoglobulinemia: potential biomarkers of disease progression.

Krizia Pocino, Cecilia Napodano, Laura Gragnani, Gabriele Ciasca, Stefania Colantuono, Silvia Marri, Lorenzo Vantaggio, Francesca Gulli, Serena Lorini, Antonella Barini and 8 more

Abstract 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Hospitalisations With Cryoglobulin-Related Diseases in Spain Over 25 Years.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  2. Article
  3. Review
  4. 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

18 authors.

Krizia PocinoDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S, Rome.
Cecilia NapodanoDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S, Rome.
Laura GragnaniDepartment of Experimental and Clinical Medicine, Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MaSVE), University of Florence, Florence.ORCID 0000-0001-6800-9149
Gabriele CiascaIstituto di Fisica, Università Cattolica del Sacro Cuore, Fondazione Policlinico A. Gemelli I.R.C.C.S, Roma.
Stefania ColantuonoDepartment of Translational and Precision Medicine, Sapienza University of Rome.
Silvia MarriDepartment of Experimental and Clinical Medicine, Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MaSVE), University of Florence, Florence.
Lorenzo VantaggioDepartment of Translational and Precision Medicine, Sapienza University of Rome.
Francesca GulliDipartimento di Medicina di Laboratorio, Ospedale Madre Giuseppina Vannini.
Serena LoriniDepartment of Experimental and Clinical Medicine, Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MaSVE), University of Florence, Florence.
Antonella BariniArea Diagnostica di Laboratorio, Fondazione Policlinico Universitario 'A. Gemelli', I.R.C.C.S, Rome, Italy.
Annunziata StefanileArea Diagnostica di Laboratorio, Fondazione Policlinico Universitario 'A. Gemelli', I.R.C.C.S, Rome, Italy.
Luca MieleDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S, Rome.
Milvia CasatoDepartment of Translational and Precision Medicine, Sapienza University of Rome.
Anna Linda ZignegoDepartment of Experimental and Clinical Medicine, Interdepartmental Center for Systemic Manifestations of Hepatitis Viruses (MaSVE), University of Florence, Florence.
Gian Ludovico RapacciniDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S, Rome.
Mariapaola MarinoDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S, Rome.ORCID 0000-0001-9155-6378
Marcella VisentiniDepartment of Translational and Precision Medicine, Sapienza University of Rome.
Umberto BasileArea Diagnostica di Laboratorio, Fondazione Policlinico Universitario 'A. Gemelli', I.R.C.C.S, Rome, Italy.

Funding

Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario 'A. Gemelli' I.R.C.C.S.
6 · The paper itself

Abstract

objectivesThe biomarkers of an immunological dysregulation due to a chronic HBV infection are indeed understudied. If untreated, this condition may evolve into liver impairment co-occurring with extrahepatic involvements. Here, we aim to identify a new panel of biomarkers [including immunoglobulin G (IgG) subclasses, RF, and Free Light Chains (FLCs)] that may be useful and reliable for clinical evaluation of HBV-related cryoglobulinemia.

methodsWe retrospectively analysed clinical data from 44 HBV-positive patients. The patients were stratified (according to the presence/absence of mixed cryoglobulinemia) into two groups: 22 with cryoglobulins (CGs) and 22 without CGs. Samples from 20 healthy blood donors (HDs) were used as negative controls. Serum samples were tested for IgG subclasses, RF (-IgM, -IgG, and -IgA type), and FLCs.

resultsWe detected a strikingly different distribution of serum IgG subclasses between HDs and HBV-positive patients, together with different RF isotypes; in addition, FLCs were significantly increased in HBV-positive patients compared with HDs, while no significant difference was shown between HBV-positive patients with/without mixed cryoglobulinemia.

conclusionThe immune-inflammatory response triggered by HBV may be monitored by a peculiar profile of biomarkers. Our results open a new perspective in the precision medicine era; in these challenging times, they could also be employed to monitor the clinical course of those COVID-19 patients who are at high risk of HBV reactivation due to liver impairment and/or immunosuppressive therapies.

Indexed as

AdultAgedAged, 80 and overBiomarkersCOVID-19CryoglobulinemiaDisease ProgressionFemaleHepatitis B virusHumansMaleMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2Biomarkersfree light chainsHBVIgG subclassesmixed cryoglobulinemiarheumatoid factorvasculitis

Identifiers

PMID33590837
PMCPMC7928620

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.