Evidence map›Paper›PMID 34059085›Full record

ArticlePediatric rheumatology online journal2021

The "Intermediate" CD14 + CD16 + monocyte subpopulation plays a role in IVIG responsiveness of children with Kawasaki disease.

Yi Seul Kim, Hyun Jin Yang, Seung-Jung Kee, Insu Choi, Kisoo Ha, Katrina K Ki, In Seok Jeong, Hwa Jin Cho

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Platelet-Monocyte Aggregate Instigates Inflammation and Vasculopathy in Kawasaki Disease.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

8 authors at 3 institutions in 2 countries.

Yi Seul Kim *Department of Pediatric, Chonnam National University Children's Hospital, 42 Jaebong ro, Gwangju, South Korea.
Hyun Jin Yang *Chonnam National University Medical School, 42 Jaebong ro, Gwangju, South Korea.
Seung-Jung KeeChonnam National University Medical School, 42 Jaebong ro, Gwangju, South Korea.
Insu ChoiDepartment of Pediatric, Chonnam National University Children's Hospital, 42 Jaebong ro, Gwangju, South Korea.
Kisoo HaDepartment of Pediatrics, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Katrina K KiCritical Care Research Group,, The Prince Charles Hospital, Queensland, Chermside, Australia.
In Seok JeongChonnam National University Medical School, 42 Jaebong ro, Gwangju, South Korea. Isjeong1201@gmail.com.
Hwa Jin ChoDepartment of Pediatric, Chonnam National University Children's Hospital, 42 Jaebong ro, Gwangju, South Korea. chhj98@gmail.com.ORCID http://orcid.org/0000-0002-2458-8529
Chonnam National University · KRKorea University Medical Center · KRThe University of Queensland · AU

Funding

Biomedical institute of Chonnam National University Hospital BCR120006
6 · The paper itself

Abstract

backgroundKawasaki disease (KD) is an acute, self-limited febrile illness of unknown cause. Intravenous immunoglobulin (IVIG)-resistance are related to greater risk for permanent cardiac complications. We aimed to determine the correlation between monocytes and the phenotype of KD in relation to IVIG responsiveness in children. MATERIALS AND

methodsThe study cohort included 62 patients who were diagnosed with KD, 20 non febrile healthy controls (NFC), and 15 other febrile controls (OFC). In all enrolled patients, blood was taken at least 4 times and laboratory tests were performed. In addition, subtypes of monocytes were characterized via flow cytometry.

resultsThe numbers of intermediate monocytes were significantly lower in IVIG-resistant group compared to IVIG-responsive group before IVIG infusion (p < 0.0001). After infusion, intermediate monocytes decreased in the responsive group, while a trend of increase was observed in the resistant group. Only intermediate monocytes were significant in logistic regression with adjusted OR of 0.001 and p value of 0.03.

conclusionsCD14 + CD16 + intermediate monocyte may play an important role in IVIG responsiveness among KD children. Low starting levels of intermediate monocytes, followed by a dramatic increase post-IVIG infusion during acute phase of KD are associated with IVIG-resistance. Functional studies on intermediate monocyte may help to reveal the pathophysiology.

Indexed as

Immunoglobulins, IntravenousMonocytesMucocutaneous Lymph Node SyndromeBiomarkers, PharmacologicalChild, PreschoolFemaleFeverFlow CytometryGPI-Linked ProteinsHumansImmunologic FactorsImmunophenotypingLipopolysaccharide ReceptorsMalePatient AcuityReceptors, IgGBiomarkers, PharmacologicalFCGR3B protein, humanGPI-Linked ProteinsImmunoglobulins, IntravenousImmunologic FactorsLipopolysaccharide ReceptorsReceptors, IgGImmunityIntermediate monocyteIVIG-resistantIVIG responsivenessKawasaki disease

Identifiers

PMID34059085
PMCPMC8165978
OpenAlexW3116070345

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.