Evidence map›Paper›PMID 35766055›Full record

ArticleCirculation2022

Detection of G Protein-Coupled Receptor Autoantibodies in Postural Orthostatic Tachycardia Syndrome Using Standard Methodology.

Juliette Hall, Kate M Bourne, Steven Vernino, Viktor Hamrefors, Isabella Kharraziha, Jan Nilsson, Robert S Sheldon, Artur Fedorowski, Satish R Raj

Open access · hybridAbstract read
In one paragraph

Article in Circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.0field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Autoimmunity in Long Covid and POTS.Oxford open immunology · 2023
    Review
  12. Review
  13. Article
  14. 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

9 authors at 5 institutions in 3 countries.

Juliette HallDepartment of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Canada (J. H., K.M.B., R.S.S., S.R.R.).ORCID 0000-0003-4580-3977
Kate M BourneDepartment of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Canada (J. H., K.M.B., R.S.S., S.R.R.).ORCID 0000-0002-8355-0002
Steven VerninoDepartment of Neurology, UT Southwestern Medical Center, Dallas, TX (S.V.).
Viktor HamreforsDepartment of Internal Medicine, Skåne University Hospital, Malmö, Sweden (V.H.).ORCID 0000-0002-8475-0866
Isabella KharrazihaDepartment of Clinical Sciences, Lund University, Malmö, Sweden (V.H., I.K., J.N., A.F.).ORCID 0000-0001-9150-1289
Jan NilssonDepartment of Clinical Sciences, Lund University, Malmö, Sweden (V.H., I.K., J.N., A.F.).ORCID 0000-0002-9752-7479
Robert S SheldonDepartment of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Canada (J. H., K.M.B., R.S.S., S.R.R.).ORCID 0000-0002-3463-4082
Artur Fedorowski *Department of Clinical Sciences, Lund University, Malmö, Sweden (V.H., I.K., J.N., A.F.).ORCID 0000-0002-5352-6327
Satish R Raj *Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Canada (J. H., K.M.B., R.S.S., S.R.R.).ORCID 0000-0002-5890-3785
Libin Cardiovascular Institute of Alberta · CAMalmö University · SEKarolinska University Hospital · SESkåne University Hospital · SESouthwestern Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
CIHR MOP142426NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

backgroundPostural orthostatic tachycardia syndrome (POTS) is a disorder of orthostatic intolerance that primarily affects women of childbearing age. The underlying pathophysiology of POTS is not fully understood, but it has been suggested that autoimmunity may play a role. The aim of this study was to compare concentrations of autoantibodies to cardiovascular G protein-coupled receptors between patients with POTS and healthy controls.

methodsSera were collected from 116 patients with POTS (91% female; medium age, 29 years) and 81 healthy controls (84% female; medium age, 27 years) from Calgary, Canada, and Malmö, Sweden. Samples were evaluated for autoantibodies to 11 receptors (adrenergic, muscarinic, angiotensin II, and endothelin) using a commercially available enzyme-linked immunosorbent assay.

resultsAutoantibody concentrations against all of the receptors tested were not significantly different between controls and patients with POTS. The majority of patients with POTS (98.3%) and all controls (100%) had α1 adrenergic receptor autoantibody concentrations above the seropositive threshold provided by the manufacturer (7 units/mL). The proportion of patients with POTS versus healthy controls who fell above the diagnostic thresholds was not different for any tested autoantibodies. Receiver operating characteristic curves showed a poor ability to discriminate between patients with POTS and controls.

conclusionsPatients with POTS and healthy controls do not differ in their enzyme-linked immunosorbent assay-derived autoantibody concentrations to cardiovascular G protein-coupled receptors. These findings suggest that these tests are not useful for establishing the role of autoimmunity in POTS.

Indexed as

Orthostatic IntolerancePostural Orthostatic Tachycardia SyndromeAdultAutoantibodiesAutoimmunityFemaleHeart RateHumansMaleReceptors, G-Protein-CoupledAutoantibodiesReceptors, G-Protein-Coupledautoimmunityenzyme-linked immunosorbent assaypostural orthostatic tachycardia syndrome

Identifiers

PMID35766055
PMCPMC9390234
OpenAlexW4283732853

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.