Evidence map›Paper›PMID 8443965›Full record

ArticleClinical and experimental immunology1993

Serum markers of T cell activation in relapses of Wegener's granulomatosis.

C A Stegeman, J W Tervaert, M G Huitema, C G Kallenberg

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In one paragraph

Article in Clinical and experimental immunology, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 108 citations in OpenAlex.

  1. Review
  2. Article
  3. The immunopathology of ANCA-associated vasculitis.Seminars in immunopathology · 2014
    Review
  4. Article
  5. Article
  6. T cells in vascular inflammatory diseases.Frontiers in immunology · 2014
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Cellular aspects of vasculitis--T cell-mediated aspects.Springer seminars in immunopathology · 2001
    Review
  17. Immunopathological aspects of systemic vasculitis.Springer seminars in immunopathology · 2001
    Review
  18. Article
  19. Pathogenesis and treatment of ANCA-associated systemic vasculitis.Journal of the Royal Society of Medicine · 1999
    Review
  20. Article
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

4 authors.

C A StegemanDepartment of Internal Medicine, University Hospital Groningen, The Netherlands.
J W Tervaert
M G Huitema
C G Kallenberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Levels of soluble IL-2 receptor (sIL-2R), soluble CD4 (sCD4) and CD8 (sCD8) were measured by sandwich ELISA as markers for T cell activation in serial serum samples from 16 patients showing 18 histologically proven relapses of Wegener's granulomatosis (WG). Levels of sIL-2R increased from 1065 U/ml (median, range 373-2345 U/ml) 6 months before the relapse to 1684 U/ml (median, range 486-3404 U/ml) at the moment of relapse for the whole group (P = 0.10). The eight major relapses showed a profound rise in sIL-2R levels, from 1008 U/ml (median, range 686-1553 U/ml) 6 months before the relapse, to 1994 U/ml (median, range 1469-3404 U/ml) at the moment of relapse (P < 0.01). The levels of sIL-2R at the moment of relapse were significantly higher at the eight major relapses than at the time of the 10 minor relapses (P < 0.05). Minor relapses were not accompanied by a significant rise in sIL-2R levels. Titres of antineutrophil cytoplasmic antibodies (ANCA) rose by two or more titresteps or from negative to positive in 15/18 patients during the 6 months period before the relapse. In all seven cases with both a rise of the ANCA titre and an at least 25% increase in sIL-2R levels, the rise in ANCA preceded the rise in sIL-2R by at least 1 month. The level of sIL-2R at the moment of relapse correlated with the level of C-reactive protein (r = 0.488, P < 0.05) and with the disease activity score (r = 0.824, P < 0.002). There were no significant changes in levels of sCD4 or sCD8, although the levels of sCD4 tended to be higher at the time of major relapses. We conclude that major relapses of Wegener's granulomatosis are accompanied by systemic T cell activation. T cell activation, however, does not appear to precede the rise in ANCA titre.

Indexed as

Antibodies, Antineutrophil CytoplasmicAutoantibodiesBiomarkersCD4 AntigensCD8 AntigensEnzyme-Linked Immunosorbent AssayGranulomatosis with PolyangiitisHumansImmunoglobulin GLymphocyte ActivationReceptors, Interleukin-2T-LymphocytesAntibodies, Antineutrophil CytoplasmicAutoantibodiesBiomarkersCD4 AntigensCD8 AntigensImmunoglobulin GReceptors, Interleukin-2

Identifiers

PMID8443965
PMCPMC1554716
OpenAlexW2020644012

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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.