Evidence map›Paper›PMID 36498493›Full record

ArticleJournal of clinical medicine2022

Eryptosis in Peritoneal Dialysis-Related Peritonitis: The Potential Role of Inflammation in Mediating the Increase in Eryptosis in PD.

Grazia Maria Virzì, Sabrina Milan Manani, Davide Marturano, Anna Clementi, Silvia Lerco, Ilaria Tantillo, Anna Giuliani, Giovanni Giorgio Battaglia, Claudio Ronco, Monica Zanella

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In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 9 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

10 authors at 3 institutions in 1 country.

Grazia Maria VirzìDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.ORCID 0000-0001-7934-9800
Sabrina Milan MananiDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Davide MarturanoDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Anna ClementiInternational Renal Research Institute, Vicenza (IRRIV), 36100 Vicenza, Italy.
Silvia LercoInternational Renal Research Institute, Vicenza (IRRIV), 36100 Vicenza, Italy.
Ilaria TantilloDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Anna GiulianiDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Giovanni Giorgio BattagliaDepartment of Medicine (DIMED), University of Padua, 35100 Padua, Italy.
Claudio RoncoDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Monica ZanellaDepartment of Nephrology, Dialysis and Transplant, St Bortolo Hospital, 36100 Vicenza, Italy.
Ospedale San Bortolo · ITUniversity of Padua · ITInternational Renal Research Institute of Vicenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Peritonitis and exit site infections are the main complications of patients treated with peritoneal dialysis (PD). Erythrocytes (red blood cells—RBCs) are very sensitive cells, and they are characterized by eryptosis (programmed cell death). The purpose of this research was to assess eryptosis in PD patients with PD-related peritonitis and its connection to inflammatory markers in vivo and in vitro. Material and Methods: In this study, we included 65 PD patients: 34 PD patients without systemic inflammation nor PD-related peritonitis in the previous 3 months, and 31 PD patients with an acute episode of PD-related peritonitis. We measured C-reactive protein (CRP) and cytokine (IL-1β, IL-6, and IL-18) levels as systemic inflammatory markers. Eryptosis was evaluated by flow cytometric analyses in freshly isolated RBCs. The induction of eryptosis due to in vitro exposure to IL-1β, IL-6, and IL-18 was verified. Results: Eryptosis was significantly higher in PD patients with peritonitis (9.6%; IQR 4.2−16.7), compared to the those in the other group (2.7%; IQR 1.6−3.9) (p < 0.0001). Significant positive correlations were noticed between eryptosis and CRP, IL-1β, and IL-6. RBCs, incubated with greater concentrations of all cytokines in vitro, resulted in significantly higher occurrences of eryptosis in comparison with those incubated with lower concentration and with untreated cell (p < 0.05), and for those with extensive exposure (p < 0.05). Conclusion: In conclusion, we investigated a potential relationship between systemic eryptosis and the in vivo and in vitro inflammatory damage of the peritoneal membrane during peritonitis. Thus, the presented results revealed that upregulated inflammatory markers and immune system dysregulation could be the cause of high levels of systemic eryptosis during PD-related peritonitis.

Indexed as

cytokineseryptosisinflammationperitoneal dialysisperitonitis

Identifiers

PMID36498493
PMCPMC9737953
OpenAlexW4309931908

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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.