Evidence map›Paper›PMID 38734662›Full record

ArticleJournal of neuroinflammation2024

Thymic gene expression analysis reveals a potential link between HIF-1A and Th17/Treg imbalance in thymoma associated myasthenia gravis.

İlayda Altınönder, Mustafa Kaya, Sibel P Yentür, Arman Çakar, Hacer Durmuş, Gülçin Yegen, Berker Özkan, Yeşim Parman, Amr H Sawalha, Guher Saruhan-Direskeneli

Abstract read
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Article in Journal of neuroinflammation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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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

11 citing papers in PubMed.

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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.

İlayda Altınönder *Department of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Mustafa Kaya *Department of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Sibel P YentürDepartment of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Arman ÇakarDepartment of Neurology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Hacer DurmuşDepartment of Neurology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Gülçin YegenDepartment of Thoracic Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Berker ÖzkanDepartment of Pathology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Yeşim ParmanDepartment of Neurology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey.
Amr H SawalhaDivision of Rheumatology, Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA.
Guher Saruhan-DireskeneliDepartment of Physiology, Istanbul Medical Faculty, Istanbul University, Istanbul, 34093, Turkey. gsaruhan@istanbul.edu.tr.

Funding

Istanbul University I.U. BAP (36227 and 36288)TÜBİTAK (116S317)
6 · The paper itself

Abstract

Myasthenia gravis (MG) is an immune-mediated disease frequently associated with thymic changes. Increased T helper 17 (Th17) cell activity and dysfunctional regulatory T (Treg) cells have been demonstrated in subgroups of MG. On the other hand, hypoxia-inducible factor 1 (HIF-1) has been shown to regulate the Th17/Treg balance by inducing Th17 differentiation while attenuating Treg development. To identify the underlying mechanisms of different thymic pathologies in MG development, we evaluated thymic samples from thymoma-associated myasthenia gravis (TAMG), MG with hyperplasia (TFH-MG) and thymoma without MG (TOMA) patients. Differential gene expression analysis revealed that TAMG and TFH-MG cells are associated with different functional pathways. A higher RORC/FOXP3 ratio provided evidence for Th17/Treg imbalance in TAMG potentially related to increased HIF1A. The hypoxic microenvironment in thymoma may be a driver of TAMG by increasing HIF1A. These findings may lead to new therapeutic approaches targeting HIF1A in the development of TAMG.

Indexed as

Hypoxia-Inducible Factor 1, alpha SubunitMyasthenia GravisTh17 CellsThymomaFemaleHumansMaleThymus GlandThymus NeoplasmsT-Lymphocytes, RegulatoryHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitHypoxia-inducible factor-1Myasthenia gravisThymomaThymus

Identifiers

PMID38734662
PMCPMC11088784

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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.