Evidence map›Paper›PMID 36614095›Full record

ArticleInternational journal of molecular sciences2022

CXCL4-RNA Complexes Circulate in Systemic Sclerosis and Amplify Inflammatory/Pro-Fibrotic Responses by Myeloid Dendritic Cells.

Immacolata Pietraforte, Alessia Butera, Lucia Gaddini, Anna Mennella, Raffaella Palazzo, Doriana Campanile, Katia Stefanantoni, Valeria Riccieri, Roberto Lande, Loredana Frasca

Abstract 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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
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  9. Article
  10. The Role of CXCL4 in Systemic Sclerosis: DAMP, Auto-Antigen and Biomarker.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
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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.

Immacolata PietraforteIstituto Superiore di Sanità, Department of Oncology and Molecular Medicine, 00161 Rome, Italy.
Alessia ButeraIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.
Lucia GaddiniIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.
Anna MennellaIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.ORCID 0000-0003-3870-5332
Raffaella PalazzoIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.
Doriana CampanileIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.
Katia StefanantoniDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Roma, Italy.
Valeria RiccieriDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Roma, Italy.
Roberto LandeIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.ORCID 0000-0001-8398-4567
Loredana FrascaIstituto Superiore di Sanità, National Center for Drug Research and Evaluation, 00161 Rome, Italy.ORCID 0000-0001-6924-3826

Funding

FOREUM research grant 2020-2023
6 · The paper itself

Abstract

CXCL4 is an important biomarker of systemic sclerosis (SSc), an incurable autoimmune disease characterized by vasculopathy and skin/internal organs fibrosis. CXCL4 contributes to the type I interferon (IFN-I) signature, typical of at least half of SSc patients, and its presence is linked to an unfavorable prognosis. The mechanism implicated is CXCL4 binding to self-DNA, with the formation of complexes amplifying TLR9 stimulation in plasmacytoid dendritic cells (pDCs). Here, we demonstrate that, upon binding to self-RNA, CXCL4 protects the RNA from enzymatic degradation. As a consequence, CXCL4-RNA complexes persist in vivo. Indeed, we show for the first time that CXCL4-RNA complexes circulate in SSc plasma and correlate with both IFN-I and TNF-α. By using monocyte-derived DCs (MDDCs) pretreated with IFN-α as a model system (to mimic the SSc milieu of the IFN-I signature), we demonstrate that CXCL4-RNA complexes induce MDDC maturation and increase, in particular, pro-inflammatory TNF-α as well as IL-12, IL-23, IL-8, and pro-collagen, mainly in a TLR7/8-dependent but CXCR3-independent manner. In contrast, MDDCs produced IL-6 and fibronectin independently in their CXCL4 RNA-binding ability. These findings support a role for CXCL4-RNA complexes, besides CXCL4-DNA complexes, in immune amplification via the modulation of myeloid DC effector functions in SSc and also during normal immune responses.

Indexed as

Platelet Factor 4RNAScleroderma, SystemicAngiogenesis InhibitorsDendritic CellsFibrosisHumansImmunologic FactorsInterferon-alphaTumor Necrosis Factor-alphaAngiogenesis InhibitorsImmunologic FactorsInterferon-alphaPF4 protein, humanPlatelet Factor 4RNATumor Necrosis Factor-alphaCXCL4inflammationmyeloid dendritic cells (mDCs)RNAsystemic sclerosis

Identifiers

PMID36614095
PMCPMC9820649

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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.