Evidence map›Paper›PMID 34686774›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2022

Transcriptome and unique cytokine microenvironment of Castleman disease.

Anna Wing, Jason Xu, Wenzhao Meng, Aaron M Rosenfeld, Elizabeth Y Li, Gerald Wertheim, Michele Paessler, Adam Bagg, Dale Frank, Kai Tan and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Spatial transcriptomics study of Castleman disease.Journal of translational medicine · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
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  14. Article
  15. Article
  16. Review
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  20. Kikuchi-Fujimoto disease is mediated by an aberrant type I interferon response.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    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

15 authors at 2 institutions in 1 country.

Anna Wing *Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jason Xu *Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Wenzhao MengDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.
Aaron M RosenfeldDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.ORCID http://orcid.org/0000-0002-2266-0355
Elizabeth Y LiPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gerald WertheimDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.
Michele PaesslerDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.
Adam BaggDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.
Dale FrankDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.ORCID http://orcid.org/0000-0002-6919-868X
Kai TanDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
David T TeacheyDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Megan S LimDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.
Eline Luning PrakDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA.ORCID http://orcid.org/0000-0002-9478-9211
David C FajgenbaumCenter for Cytokine Storm Treatment and Laboratory, Department of Medicine, University of Pennsylvania, Philadelphia, USA.
Vinodh PillaiDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, USA. pillaiv1@chop.edu.ORCID http://orcid.org/0000-0001-7126-6226
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
mTOR as a Central Regulator of iMCD Pathogenesis and Novel Therapeutic TargetR01HL141408 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Taku Kambayashi · 2018 to 2026
$6.1M
NCI NIH HHS P30 CA016520
6 · The paper itself

Abstract

Castleman disease (CD) represents a group of rare, heterogeneous and poorly understood disorders that share characteristic histopathological features. Unicentric CD (UCD) typically involves a single enlarged lymph node whereas multicentric CD (MCD) involves multiple lymph node stations. To understand the cellular basis of CD, we undertook a multi-platform analysis using targeted RNA sequencing, RNA in-situ hybridization (ISH), and adaptive immune receptor rearrangements (AIRR) profiling of archived tissue from 26 UCD, 14 MCD, and 31 non-CD reactive controls. UCD showed differential expression and upregulation of follicular dendritic cell markers (CXCL13, clusterin), angiogenesis factors (LPL, DLL4), extracellular matrix remodeling factors (TGFβ, SKIL, LOXL1, IL-1β, ADAM33, CLEC4A), complement components (C3, CR2) and germinal center activation markers (ZDHHC2 and BLK) compared to controls. MCD showed upregulation of IL-6 (IL-6ST, OSMR and LIFR), IL-2, plasma cell differentiation (XBP1), FDC marker (CXCL13, clusterin), fibroblastic reticular cell cytokine (CCL21), angiogenesis factor (VEGF), and mTORC1 pathway genes compared to UCD and controls. ISH studies demonstrated that VEGF was increased in the follicular dendritic cell-predominant atretic follicles and the interfollicular macrophages of MCD compared to UCD and controls. IL-6 expression was higher along interfollicular vasculature-associated cells of MCD. Immune repertoire analysis revealed oligoclonal expansions of T-cell populations in MCD cases (2/6) and UCD cases (1/9) that are consistent with antigen-driven T cell activation. The findings highlight the unique genes, pathways and cell types involved in UCD and MCD. We identify potential novel targets in CD that may be harnessed for therapeutics.

Indexed as

Castleman DiseaseADAM ProteinsClusterinCytokinesHumansInterleukin-6TranscriptomeVascular Endothelial Growth Factor AADAM33 protein, humanADAM ProteinsClusterinCytokinesInterleukin-6Vascular Endothelial Growth Factor A

Identifiers

PMID34686774
PMCPMC9272352
OpenAlexW3205003004

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.