Evidence map›Paper›PMID 34539623›Full record

ArticleFrontiers in immunology2021

The Involvement of Neutrophil Extracellular Traps in Disease Activity Associated With IgA Vasculitis.

Xiu-Qi Chen, Li Tu, Jia-Sen Zou, Shi-Qun Zhu, Yan-Jun Zhao, Yuan-Han Qin

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.6field-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

24 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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  8. Neutrophils and NETs in kidney disease.Nature reviews. Nephrology · 2025
    Review
  9. Article
  10. Frontiers in pharmacology · 2025
    Article
  11. Article
  12. Frontiers in cellular and infection microbiology · 2025
    Article
  13. Article
  14. Review
  15. Immunoglobulin A vasculitis: The clinical features and pathophysiology.The Kaohsiung journal of medical sciences · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Xiu-Qi ChenDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Li TuDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Jia-Sen ZouDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Shi-Qun ZhuDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Yan-Jun ZhaoDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
Yuan-Han QinDepartment of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China.
First Affiliated Hospital of GuangXi Medical University · CNGuangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This aim of this study was to determine whether neutrophil extracellular traps (NETs) are involved in the pathogenesis of IgA vasculitis (IgAV) and investigate whether the circulating NETs levels are associated with disease activity in children. Methods: We performed a case-control study and collected blood samples from 193 children with different stages of IgAV (61 were at the onset stage, 64 at the remission stage, 43 at the active stage, and 25 were undergoing drug withdrawal). A total of 192 healthy children were recruited as controls. Circulating cell free DNA (cf-DNA) was obtained from the plasma and quantified by using the Quant-iT PicoGreen DNA quantification kit. NETs-associated myeloperoxidase-DNA (MPO-DNA), citrullinated-histone H3 (cit-H3), neutrophil elastase (NE), and the deoxyribonuclease I (DNase I) concentrations were measured using enzyme-linked immunosorbent assays. The presence of NETs in the kidney and gastrointestinal tissues of onset and active IgAV patients was determined by multiple immunofluorescence staining in 15 IgAV nephritis patients and 9 IgAV patients without IgAV nephritis, respectively. NETs degradation potency of collected sera samples from IgAV patients were checked Results: Circulating levels of cf-DNA in onset and active IgAV patients were significantly higher than those in remission and drug withdrawal patients as well as healthy controls. The results were similar for MPO-DNA and NE. The levels of circulating cf-DNA correlated significantly with MPO-DNA, NE and DNase I. A significantly decreased degradation of NETs from the onset and active IgAV patients was observed, but was normal in healthy controls. Furthermore, presence of NETs was also confirmed in all renal and gastrointestinal tissues obtained from the onset and active IgAV patients but not control samples. Conclusions: Our data showed that NETs were released into the circulation of IgAV patients and are involved in the disease activity. The circulating levels of NETs maybe used to assess disease severity in children with IgAV.

Indexed as

BiomarkersCase-Control StudiesCell-Free Nucleic AcidsChildChild, PreschoolDNAExtracellular TrapsFemaleGastrointestinal TractHumansIgA VasculitisImmunoglobulin AKidneyMaleNeutrophil ActivationNeutrophilsBiomarkersCell-Free Nucleic AcidsDNAImmunoglobulin AchildrenIgA vasculitisIgAV nephritisneutrophil extracellular trapspathogenesis

Identifiers

PMID34539623
PMCPMC8446352
OpenAlexW3196393909

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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.