Evidence map›Paper›PMID 36535812›Full record

ReviewJournal of autoimmunity2023

The complement system and human autoimmune diseases.

Samantha L Coss, Danlei Zhou, Gilbert T Chua, Rabheh Abdul Aziz, Robert P Hoffman, Yee Ling Wu, Stacy P Ardoin, John P Atkinson, Chack-Yung Yu

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of autoimmunity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed
11.6field-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

107 citing papers in PubMed, 149 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. C4b-binding protein as an antigenic target in the pathogenesis of antiphosphatidylethanolamine autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  19. Article
  20. Article

47 more citing papers are in PubMed but not listed here.

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 4 institutions in 2 countries.

Samantha L CossAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA. Electronic address: Samantha.coss2@nationwidechildrens.org.
Danlei ZhouAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
Gilbert T ChuaDepartment of Pediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong SAR, China.
Rabheh Abdul AzizDepartment of Pediatrics, The Ohio State University, Columbus, OH, USA; Department of Allergy, Immunology and Rheumatology, University of Buffalo, NY, USA.
Robert P HoffmanAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
Yee Ling WuAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA; Department of Microbiology and Immunology, Loyola University Chicago, Maywood, IL, USA.
Stacy P ArdoinAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
John P AtkinsonDepartment of Medicine, Division of Rheumatology, Washington University School of Medicine, St Louis, MO, USA.
Chack-Yung YuAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; Department of Pediatrics, The Ohio State University, Columbus, OH, USA. Electronic address: chack-yung.yu@nationwidechildrens.org.
Nationwide Children's Hospital · USThe Ohio State University · USUniversity of Hong Kong · HKWashington University in St. Louis · US

Funding

Pathogenesis of SLE relapse in humansP01DK055546 · NIDDK · OHIO STATE UNIVERSITY · PI HEBERT, LEE A. · 2001 to 2007
$4.9M
Complement in Human Lupus: Deficiencies, Profiles and ComplicationsR01AR073311 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BIRMINGHAM, DANIEL J, YU, CHACK Y · 2018 to 2022
$2.1M
Defining the Complosome in Human Cells, Tissues and Disease StatesR35GM136352 · NIGMS · WASHINGTON UNIVERSITY · PI ATKINSON, JOHN · 2020 to 2024
$2.0M
Complement Genetics and Clinical Variability of Systemic Lupus ErythematosusR01AR054459 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI YU, CHACK Y · 2008 to 2012
$1.5M
MHC Complement Variants in Disease Susceptibility of Idiopathic Inflammatory MyopathiesR21AR070509 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI YU, CHACK Y · 2017 to 2018
$375k
NIAMS NIH HHS R01 AR054459NIAMS NIH HHS R01 AR073311NIAMS NIH HHS R21 AR070509NIDDK NIH HHS P01 DK055546NIGMS NIH HHS R35 GM136352
6 · The paper itself

Abstract

Genetic deficiencies of early components of the classical complement activation pathway (especially C1q, r, s, and C4) are the strongest monogenic causal factors for the prototypic autoimmune disease systemic lupus erythematosus (SLE), but their prevalence is extremely rare. In contrast, isotype genetic deficiency of C4A and acquired deficiency of C1q by autoantibodies are frequent among patients with SLE. Here we review the genetic basis of complement deficiencies in autoimmune disease, discuss the complex genetic diversity seen in complement C4 and its association with autoimmune disease, provide guidance as to when clinicians should suspect and test for complement deficiencies, and outline the current understanding of the mechanisms relating complement deficiencies to autoimmunity. We focus primarily on SLE, as the role of complement in SLE is well-established, but will also discuss other informative diseases such as inflammatory arthritis and myositis.

Indexed as

Autoimmune DiseasesLupus Erythematosus, SystemicComplement C1qComplement C4Complement C4aComplement System ProteinsHereditary Complement Deficiency DiseasesHumansComplement C1qComplement C4Complement C4aComplement System ProteinsAntiphospholipid syndromeAutoantibodiesClassical pathwayComplementGene copy number variationsGenetic and acquired deficienciesIdiopathic inflammatory myopathiesJuvenile dermatomyositisjuvenile idiopathic arthritisPolymorphismsrheumatoid arthritisSystemic lupus erythematosustype I interferon induced gene expression

Identifiers

PMID36535812
PMCPMC10276174
OpenAlexW4311833235

What OpenQuestion holds

Textmetadata
LicenceTDM
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.