Evidence map›Paper›PMID 34917912›Full record

ArticleJHEP reports : innovation in hepatology2022

Immunomodulatory receptor VSIG4 is released during spontaneous bacterial peritonitis and predicts short-term mortality.

Johanna Reißing, Philipp Lutz, Mick Frissen, Oluwatomi Ibidapo-Obe, Philipp A Reuken, Theresa H Wirtz, Sven Stengel, Stefanie Quickert, Michael Rooney, Karsten Große and 4 more

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Adoptive transfer of VSIG4Journal of translational medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Plasma proteomics identifies molecular subtypes in sepsis.Critical care (London, England) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Liver cirrhosis and immune dysfunction.International immunology · 2022
    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

14 authors at 3 institutions in 1 country.

Johanna ReißingDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Philipp LutzDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Mick FrissenDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Oluwatomi Ibidapo-ObeDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Philipp A ReukenDepartment of Internal Medicine IV (Gastroenterology, Hepatology, and Infectious Diseases), Jena University Hospital, Jena, Germany.
Theresa H WirtzDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Sven StengelDepartment of Internal Medicine IV (Gastroenterology, Hepatology, and Infectious Diseases), Jena University Hospital, Jena, Germany.
Stefanie QuickertDepartment of Internal Medicine IV (Gastroenterology, Hepatology, and Infectious Diseases), Jena University Hospital, Jena, Germany.
Michael RooneyDepartment of Internal Medicine IV (Gastroenterology, Hepatology, and Infectious Diseases), Jena University Hospital, Jena, Germany.
Karsten GroßeDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Henning W ZimmermannDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Christian TrautweinDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Andreas StallmachDepartment of Internal Medicine IV (Gastroenterology, Hepatology, and Infectious Diseases), Jena University Hospital, Jena, Germany.
Tony BrunsDepartment of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
RWTH Aachen University · DEJena University Hospital · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsV-set Ig-domain-containing 4 (VSIG4) is an immunomodulatory macrophage complement receptor modulating innate and adaptive immunity and affecting the resolution of bacterial infections. Given its expression on peritoneal macrophages (PMs), we hypothesised a prognostic role of peritoneal VSIG4 concentrations in patients with spontaneous bacterial peritonitis (SBP).

methodsWe isolated PMs from patients with cirrhosis and analysed VSIG4 expression and release by flow cytometry, quantitative real-time PCR, ELISA, and confocal microscopy. We measured soluble VSIG4 concentrations in ascites from 120 patients with SBP and 40 patients without SBP and investigated the association of soluble VSIG4 in ascites with 90-day survival after SBP using Kaplan-Meier statistics, Cox regression, and competing-risks regression analysis.

resultsVSIG4 expression was high on resting, large PMs, which co-expressed CD206, CD163, and tyrosine-protein kinase Mer (MERTK).

conclusionsVSIG4 is released from activated PMs into ascites during SBP. Higher peritoneal VSIG4 levels indicate patients with organ failure and poor prognosis. LAY SUMMARY: Patients with liver cirrhosis who develop ascites have an increased risk of infection and mortality. Our study shows that in patients with infected ascites, the complement receptor VSIG4 is released by resident macrophages into the abdominal fluid where it can be measured. Patients with elevated levels of this protein in ascites are at high risk of dying within 90 days.

Indexed as

AF, ascitic fluidBacterial infectionBiomarkerBSA, bovine serum albuminC3, complement component 3CCR2, C-C chemokine receptor type 2EEA1, early endosome antigen 1FCS, foetal calf serumFMO, fluorescence minus oneHLA-DR, human leucocyte antigen-DR isotypeIMC, isotype-matched controlINR, international normalised ratioLAMP2, lysosome-associated membrane protein 2LPS, lipopolysaccharideMACS, magnet-activated cell sortingMELD, model for end-stage liver diseaseMERTK, tyrosine-protein kinase MerMFI, median fluorescence intensityMMP, matrix metalloproteinaseMOI, multiplicity of infectionMPLA, monophosphoryl lipid APAMP, pathogen-associated molecular patternPD-L1, programmed cell death 1 ligand 1PFA, paraformaldehydePM, peritoneal macrophagePrognostic factorqRT-PCR, quantitative real-time PCRRisk of deathSBP, spontaneous bacterial peritonitissVSIG4, soluble V-set Ig-domain-containing 4TAPI-2, tumour necrosis factor protease inhibitor 2TLR, Toll-like receptorTNF, tumour necrosis factorVSIG4, V-set Ig-domain-containing 4

Identifiers

PMID34917912
PMCPMC8666561
OpenAlexW3208493648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.