Evidence map›Paper›PMID 34046719›Full record

ArticleEuropean journal of pediatrics2021

Increased proportion of Th17/Treg cells at the new diagnosed stage of chronic immune thrombocytopenia in pediatrics: the pilot study from a multi-center.

Hao Gu, Zhenping Chen, Xiaodong Shi, Hong Cui, Xuanguang Qin, Huimin Hu, Jingyao Ma, Lingling Fu, Jie Ma, Tianyou Wang and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Correlation between the CD8Frontiers in pediatrics · 2026
    Article
  3. Article
  4. Association of TCRαβFrontiers in immunology · 2025
    Article
  5. Article
  6. Article
  7. [Expression of miR-106b-5p in children with primary immune thrombocytopenia and its correlation with T cells].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Article
  8. 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

11 authors at 4 institutions in 1 country.

Hao Gu *Hematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China.
Zhenping Chen *Hematology and Oncology Laboratory, Beijing Pediatric Research Institute, Beijing Children's Hospital, National Center for Children's Health, Beijing, People's Republic of China.
Xiaodong ShiChildren's Hospital, Capital Institute of Pediatrics, Beijing, People's Republic of China.
Hong CuiBeijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Xuanguang QinBeijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.
Huimin HuBeijing TongRen Hospital, Capital Medical University, Beijing, People's Republic of China.
Jingyao MaHematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China.
Lingling FuHematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China.
Jie MaHematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China.
Tianyou WangHematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China. wangtianyou@bch.com.cn.
Runhui WuHematology & Oncology Center, Beijing Children's Hospital, Capital Medical University, Beijing, People's Republic of China. runhuiwu@hotmail.com.ORCID http://orcid.org/0000-0003-4030-209X
Capital Medical University · CNBeijing Children’s Hospital · CNBeijing Tongren Hospital · CNChildren's Hospital of Capital Institute of Pediatrics · CN

Funding

National Natural Science Foundation of China (CN) 81970111National Science and Technology Key Projects 2017ZX09304029001Natural Science Foundation of Beijing Municipality 7192064the Pediatric Medical Coordinated Development Center of Beijing Municipal Administration of Hospitals XTZD20180205
6 · The paper itself

Abstract

Chronic immune thrombocytopenia (CITP) is an autoimmune disease with many immune dysfunctions, including T helper type 17 cell (Th17)/regulatory T cells (Tregs) imbalance. Low quality of life and side effects of drugs are severe, especially in pediatrics. This study aimed to determine Th17/Treg polarization in pediatric CITP when first diagnosing ITP and evaluate its use as a predictive marker for pediatric CITP. This was a pilot study from a multi-center. Setting the effective data size to 100 patients, data entry ended in the 142nd patient who had completed a 1-year follow-up. The percentages of Treg cells and Th17 cells were quantified by flow cytometry when new diagnosed ITP patients first arrived. The association between the Th17/Treg ratio and CITP was analyzed statistically. The percentages of Treg cells and Th17 cells were lower (P = 0.0008) and higher (P = 0.0001), respectively, in the CITP-outcome group compared with the remission group. The receiver operating characteristic analysis showed that the area under the curve (AUC) of Treg and Th17 cells was 0.811 and 0.834, respectively. The ratio of Th17/Treg exhibited the largest AUC of 0.897 (cutoff value 0.076).Conclusions: Thus, the percentage of Th17 /Treg ratio of pediatric CITP is elevated at new diagnosed ITP stage. It is a promising predictive marker for the development of CITP to some extent.Trial registration: ChiCTR1900022419 (10

Indexed as

PediatricsPurpura, Thrombocytopenic, IdiopathicChildHumansPilot ProjectsQuality of LifeTh17 CellsT-Lymphocytes, RegulatoryChronic immune thrombocytopeniaEarly predictionTh17Th17/Treg ratioTreg

Identifiers

PMID34046719
OpenAlexW3165061780

What OpenQuestion holds

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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.