Evidence map›Paper›PMID 35955742›Full record

ArticleInternational journal of molecular sciences2022

Evaluation of Orbital Lymphoproliferative and Inflammatory Disorders by Gene Expression Analysis.

Karim Al-Ghazzawi, Sven Holger Baum, Roman Pförtner, Svenja Philipp, Nikolaos Bechrakis, Gina Görtz, Anja Eckstein, Fabian D Mairinger, Michael Oeverhaus

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Karim Al-GhazzawiDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0001-5874-764X
Sven Holger BaumDepartment of Oral and Maxillofacial Surgery, University of Duisburg-Essen, Kliniken-Essen-Mitte, 45136 Essen, Germany.ORCID 0000-0003-0122-085X
Roman PförtnerDepartment of Oral and Maxillofacial Surgery, University of Duisburg-Essen, Kliniken-Essen-Mitte, 45136 Essen, Germany.
Svenja PhilippDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0002-8077-3227
Nikolaos BechrakisDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.
Gina GörtzDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.
Anja EcksteinDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.
Fabian D MairingerInstitute of Pathology, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, Germany.
Michael OeverhausDepartment of Ophthalmology, University Hospital Essen, 45147 Essen, Germany.ORCID 0000-0003-0807-7689
Essen University Hospital · DEKliniken Essen-Mitte · DEUniversity of Duisburg-Essen · DE

Funding

Deutsche ForschungsgemeinschaftGerman Society for Strabism, Neuroophthalmology and Pediatric ophthalmology (Bielschowsky Foundation)University Hospital Essen (UMEA program)
6 · The paper itself

Abstract

Non-specific orbital inflammation (NSOI) and IgG4-related orbital disease (IgG4-ROD) are often challenging to differentiate. Furthermore, it is still uncertain how chronic inflammation, such as IgG4-ROD, can lead to mucosa-associated lymphoid tissue (MALT) lymphoma. Therefore, we aimed to evaluate the diagnostic value of gene expression analysis to differentiate orbital autoimmune diseases and elucidate genetic overlaps. First, we established a database of NSOI, relapsing NSOI, IgG4-ROD and MALT lymphoma patients of our orbital center (2000−2019). In a consensus process, three typical patients of the above mentioned three groups (mean age 56.4 ± 17 years) at similar locations were selected. Afterwards, RNA was isolated using the RNeasy FFPE kit (Qiagen) from archived paraffin-embedded tissues. The RNA of these 12 patients were then subjected to gene expression analysis (NanoString nCounter®), including a total of 1364 target genes. The most significantly upregulated and downregulated genes were used for a machine learning algorithm to distinguish entities. This was possible with a high probability (p < 0.0001). Interestingly, gene expression patterns showed a characteristic overlap of lymphoma with IgG4-ROD and NSOI. In contrast, IgG4-ROD shared only altered expression of one gene regarding NSOI. To validate our potential biomarker genes, we isolated the RNA of a further 48 patients (24 NSOI, 11 IgG4-ROD, 13 lymphoma patients). Then, gene expression pattern analysis of the 35 identified target genes was performed using a custom-designed CodeSet to assess the prediction accuracy of the multi-parameter scoring algorithms. They showed high accuracy and good performance (AUC ROC: IgG4-ROD 0.81, MALT 0.82, NSOI 0.67). To conclude, genetic expression analysis has the potential for faster and more secure differentiation between NSOI and IgG4-ROD. MALT-lymphoma and IgG4-ROD showed more genetic similarities, which points towards progression to lymphoma.

Indexed as

Immunoglobulin G4-Related DiseaseLymphoma, B-Cell, Marginal ZoneOrbital DiseasesAdultAgedGene ExpressionHumansImmunoglobulin GInflammationMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesRNAImmunoglobulin GRNAidiopathic orbital inflammationIgG4-related orbitopathyIgG4-RODlymphomaMALTnon-specific orbital inflammationpseudotumor orbitae

Identifiers

PMID35955742
PMCPMC9369106
OpenAlexW4289711425

What OpenQuestion holds

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LicenceCC BY
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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.