Evidence map›Paper›PMID 35095884›Full record

ArticleFrontiers in immunology2021

Increased Circulating Cell-Free DNA in Eosinophilic Granulomatosis With Polyangiitis: Implications for Eosinophil Extracellular Traps and Immunothrombosis.

Teppei Hashimoto, Shigeharu Ueki, Yosuke Kamide, Yui Miyabe, Mineyo Fukuchi, Yuichi Yokoyama, Tetsuya Furukawa, Naoto Azuma, Nobuyuki Oka, Hiroki Takeuchi and 5 more

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 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
9.4field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 56 citations in OpenAlex.

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  12. Mitochondrial dysfunction is a major cause of thromboinflammation and inflammatory cell death in critical illnesses.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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  19. The pathogenesis of cancer-associated thrombosis.International journal of hematology · 2024
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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 7 institutions in 2 countries.

Teppei HashimotoDivision of Diabetes, Endocrinology and Clinical Immunology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Shigeharu UekiDepartment of General Internal Medicine and Clinical Laboratory Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Yosuke KamideNational Hospital Organization Sagamihara National Hospital, Clinical Research Center, Sagamihara, Japan.
Yui MiyabeDepartment of General Internal Medicine and Clinical Laboratory Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Mineyo FukuchiDepartment of General Internal Medicine and Clinical Laboratory Medicine, Akita University Graduate School of Medicine, Akita, Japan.
Yuichi YokoyamaPathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Tetsuya FurukawaDivision of Diabetes, Endocrinology and Clinical Immunology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Naoto AzumaDivision of Diabetes, Endocrinology and Clinical Immunology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Nobuyuki OkaDepartment of Neurology, Kyoto Konoe Rehabilitation Hospital, Kyoto, Japan.
Hiroki TakeuchiDepartment of Neurology, National Hospital Organization Minami Kyoto Hospital, Kyoto, Japan.
Kyoko KannoDepartment of Dermatology, Asahikawa Medical University, Asahikawa, Japan.
Akemi Ishida-YamamotoDepartment of Dermatology, Asahikawa Medical University, Asahikawa, Japan.
Masami TaniguchiNational Hospital Organization Sagamihara National Hospital, Clinical Research Center, Sagamihara, Japan.
Akira HashiramotoDepartment of Biophysics, Kobe University Graduate School of Health Sciences, Kobe, Japan.
Kiyoshi MatsuiDivision of Diabetes, Endocrinology and Clinical Immunology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Hyogo Medical University · JPAkita University · JPAsahikawa Medical University · JPNational Sagamihara Hospital · JPKobe University · JPKyoto Medical Center · JPUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endogenous DNA derived from nuclei or mitochondria is released into the blood circulation as cell-free DNA (cfDNA) following cell damage or death. cfDNA is associated with various pathological conditions; however, its clinical significance in antineutrophil cytoplasmic antibody-associated vasculitis (AAV) remains unclear. This study aimed to evaluate the clinical significance of cfDNA in AAV. Methods: We enrolled 35 patients with AAV, including 10 with eosinophilic granulomatosis with polyangiitis (EGPA), 13 with microscopic polyangiitis, and 12 with granulomatosis with polyangiitis. Serum cf-nuclear DNA (cf-nDNA) and cf-mitochondrial DNA (cf-mtDNA) levels were measured by quantitative polymerase chain reaction before and after the initiation of immunosuppressive therapy. Tissue samples from EGPA patients were examined by immunofluorescence and transmission electron microscopy. The structure of eosinophil extracellular traps (EETs) and neutrophil extracellular traps (NETs) and stability against DNase were assessed Results: Serum cf-nDNA and cf-mtDNA levels were significantly higher in AAV than in healthy controls, with the highest levels in EGPA; however, serum DNase activities were comparable among all groups. cf-nDNA and cf-mtDNA decreased after treatment and were associated with disease activity only in EGPA. Blood eosinophil count and plasma D-dimer levels were significantly correlated with cf-nDNA in EGPA and cf-mtDNA. EGPA tissue samples showed lytic eosinophils and EETs in small-vessel thrombi. The structure of EETs showed bolder net-like chromatin threads Conclusion: cfDNA was increased in EGPA, associated with disease activity. The presence of DNase-resistant EETs in small-vessel thrombi might contribute to higher concentration of cfDNA and the occurrence of immunothrombosis in EGPA.

Indexed as

Cell-Free Nucleic AcidsThromboinflammationAgedAntibodies, Antineutrophil CytoplasmicBiomarkersBlood PlateletsDiagnosis, DifferentialDisease SusceptibilityEosinophilsExtracellular TrapsFemaleFibrin Fibrinogen Degradation ProductsGranulomatosis with PolyangiitisHumansImmunosuppressive AgentsKidney Function TestsAntibodies, Antineutrophil CytoplasmicBiomarkersCell-Free Nucleic AcidsFibrin Fibrinogen Degradation Productsfibrin fragment DImmunosuppressive AgentsANCA-associated vasculitiscell-free DNAeosinophil extracellular traps (EETs)eosinophilic granulomatosis with polyangiitisimmunothrombosisthrombosis

Identifiers

PMID35095884
PMCPMC8790570
OpenAlexW4226080520

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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.