Evidence map›Paper›PMID 30245695›Full record

ReviewFrontiers in immunology2018

Vascular Leaking, a Pivotal and Early Pathogenetic Event in Systemic Sclerosis: Should the Door Be Closed?

Cosimo Bruni, Tracy Frech, Mirko Manetti, Francesca Wanda Rossi, Daniel E Furst, Amato De Paulis, Felice Rivellese, Serena Guiducci, Marco Matucci-Cerinic, Silvia Bellando-Randone

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04630782 (Precision Medicine in Systemic Sclerosis Gastrointestinal Disease), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
6.7field-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.

NCT04630782 unknown statusnot on this mapstarted 2020, after this paper: background citation

Precision Medicine in Systemic Sclerosis Gastrointestinal Disease: Evaluating Imaging and Stool Biomarkers for Differentiating Disease Stages and Treatment Responses

TypeobservationalSponsorSingapore General HospitalRan2020 to 2023Enrolled70ConditionsSystemic Sclerosis, SclerodermaArmsPET-MRI scan
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 89 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. CD45+/ Col I+ Fibrocytes: Major source of collagen in the fibrotic lung, but not in passaged fibroblast cultures.Matrix biology : journal of the International Society for Matrix Biology · 2025
    Article
  7. A Window into the Vascular Endothelium in Covid-19: Nails.Dermatology practical & conceptual · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Vascular Contribution to Lung Repair and Fibrosis.American journal of respiratory cell and molecular biology · 2023
    Review
  15. Observational
  16. Article
  17. Article
  18. Review
  19. Review
  20. Copeptin as a Biomarker of Microcirculation Alterations in Systemic Sclerosis.Clinical, cosmetic and investigational dermatology · 2023
    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

10 authors at 4 institutions in 2 countries.

Cosimo BruniDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Tracy FrechDivision of Rheumatology, Department of Internal Medicine, Salt Lake Veterans Affair Medical Centre, University of Utah, Salt Lake City, UT, United States.
Mirko ManettiSection of Anatomy and Histology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Francesca Wanda RossiDepartment of Translational Medical Sciences, Center for Basic and Clinical Immunology Research (CISI), WAO Center of Excellence, University Federico II, Naples, Italy.
Daniel E FurstDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Amato De PaulisDepartment of Translational Medical Sciences, Center for Basic and Clinical Immunology Research (CISI), WAO Center of Excellence, University Federico II, Naples, Italy.
Felice RivelleseDepartment of Translational Medical Sciences, Center for Basic and Clinical Immunology Research (CISI), WAO Center of Excellence, University Federico II, Naples, Italy.
Serena GuiducciDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Marco Matucci-CerinicDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Silvia Bellando-RandoneDivision of Rheumatology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · ITUniversity of Utah · USUniversity of Washington · US

Funding

Systemic sclerosis (SSc) vasculopathy: Improved clinical monitoring and treatmentI01CX001183 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI FRECH, TRACY MINAN · 2016 to 2020
–
CSRD VA I01 CX001183
6 · The paper itself

Abstract

The early phase of systemic sclerosis (SSc) presents edema as one of the main features: this is clinically evident in the digital swelling (puffy fingers) as well as in the edematous skin infiltration of the early active diffuse subset. Other organs could be affected by this same disease process, such as the lung (with the appearance of ground glass opacities) and the heart (with edematous changes on cardiac magnetic resonance imaging). The genesis of tissue edema is tightly linked to pathological changes in the endothelium: various reports demonstrated the effect of transforming growth factor β, vascular endothelial growth factor and hypoxia-reperfusion damage with reactive oxygen species generation in altering vascular permeability and extravasation, in particular in SSc. This condition has an alteration in the glycocalyx thickness, reducing the protection of the vessel wall and causing non-fibrotic interstitial edema, a marker of vascular leak. Moreover, changes in the junctional adhesion molecule family and other adhesion molecules, such as ICAM and VCAM, are associated with an increased myeloid cells' extravasation in the skin and increased myofibroblasts transformation with further vascular leak and cellular migration. This mini-review examines current knowledge on determinants of vascular leak in SSc, shedding light on the role of vascular protection. This could enhance further studies in the light of drug development for early treatment, suggesting that the control of vascular leakage should be considered in the same way that vasodilation and inflammation reduction, as potential therapeutic targets.

Indexed as

Capillary PermeabilityAnimalsBiomarkersCapillariesDisease SusceptibilityEndothelium, VascularHumansImmune SystemLymphatic DiseasesScleroderma, SystemicBiomarkerscapillary leakedemaendothelial dysfunctionextravasationpermeabilitysystemic sclerosisvasculopathy

Identifiers

PMID30245695
PMCPMC6137210
OpenAlexW2892221017

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.