Evidence map›Paper›PMID 32711743›Full record

ArticleThe Journal of pediatrics2020

Elevated Interleukin-6 Levels Predict Clinical Worsening in Pediatric Pulmonary Arterial Hypertension.

Jenny Y Chen, Megan Griffiths, Jun Yang, Melanie K Nies, Rachel L Damico, Catherine E Simpson, R Dhananjay Vaidya, Stephanie Brandal, D Dunbar Ivy, Eric D Austin and 7 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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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

17 authors at 6 institutions in 1 country.

Jenny Y ChenJohns Hopkins University School of Medicine, Baltimore, MD.
Megan GriffithsDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Jun YangDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Melanie K NiesDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
Rachel L DamicoDepartment of Anesthesia and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.
Catherine E SimpsonDepartment of Anesthesia and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.
R Dhananjay VaidyaDepartment of Internal Medicine, Johns Hopkins University, Baltimore, MD.
Stephanie BrandalDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD.
D Dunbar IvyDepartment of Pediatric Cardiology, Children's Hospital Colorado, Denver, CO.
Eric D AustinDivision of Allergy, Immunology, and Pulmonary Medicine, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.
William C NicholsDivision of Human Genetics, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Michael W PauciuloDivision of Human Genetics, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Katie LutzDivision of Human Genetics, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Erika B RosenzweigDivision of Pediatric Cardiology, Department of Pediatrics, Columbia University, New York City, NY.
Russel HirschDivision of Pediatric Cardiology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Delphine YungDivision of Pediatric Cardiology, Department of Pediatrics, University of Washington, Seattle, WA.
Allen D EverettDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins University, Baltimore, MD. Electronic address: aeveret3@jhmi.edu.
Johns Hopkins University · USUniversity of Cincinnati Medical Center · USChildren's Hospital Colorado · USColumbia University · USUniversity of Washington · USVanderbilt University Medical Center · US

Funding

Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
Pulmonary Hypertension Breakthrough InitiativeR24HL123767 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALDRED, MICHEALA A, ERZURUM, SERPIL C. · 2014 to 2017
$10.1M
National Biological Sample and Data Repository for PAHR24HL105333 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI NICHOLS, WILLIAM C · 2012 to 2016
$10.1M
Clinical and mechanistic role of HDGF in pulmonary hypertensionR01HL135114 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI EVERETT, ALLEN D · 2017 to 2020
$2.9M
Role of IGF axis in pulmonary hypertensionR01HL150070 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI EVERETT, ALLEN D, YANG, JUN · 2020 to 2023
$2.8M
The role of xanthine oxidoreductase activity and altered metabolism in scleroderma-associated pulmonary arterial hypertensionK23HL153781 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SIMPSON, CATHERINE · 2020 to 2024
$883k
NHLBI NIH HHS K23 HL153781NHLBI NIH HHS R01 HL135114NHLBI NIH HHS R01 HL150070NHLBI NIH HHS R24 HL105333NHLBI NIH HHS R24 HL123767NICHD NIH HHS K12 HD000850
6 · The paper itself

Abstract

objectiveTo assess whether circulating interleukin-6 (IL-6) is associated with measures of disease severity and clinical worsening in pediatric pulmonary arterial hypertension (PAH). STUDY

designIL-6 was measured by enzyme-linked immunosorbent assay in serum samples from a cross-sectional cohort from the National Heart, Lung, and Blood Institute Pulmonary Arterial Hypertension Biobank (n = 175) and a longitudinal cohort from Children's Hospital Colorado (CHC) (n = 61). Associations between IL-6, disease severity, and outcomes were studied with regression and Kaplan-Meier analysis.

resultsIn analyses adjusted for age and sex, each log-unit greater IL-6 was significantly associated in the Pulmonary Arterial Hypertension Biobank cohort with greater pulmonary vascular resistance indices, lower odds of having idiopathic PAH or treatment with prostacyclin, and greater odds of having PAH associated with a repaired congenital shunt. In the CHC cohort, each log-unit greater IL-6 was significantly associated with greater mean pulmonary arterial pressure over time. Kaplan-Meier analysis in the CHC cohort revealed that IL-6 was significantly associated with clinical worsening (a composite score of mortality, transplant, or palliative surgery) (P = .037).

conclusionsIL-6 was significantly associated with worse hemodynamics at baseline and over time and may be associated with clinical worsening. IL-6 may provide a less-invasive method for disease monitoring and prognosis in pediatric PAH as well as a potential therapeutic target.

Indexed as

AdolescentBiomarkersChildChild, PreschoolCross-Sectional StudiesDisease ProgressionEnzyme-Linked Immunosorbent AssayFemaleFollow-Up StudiesHumansInterleukin-6MalePrognosisPulmonary Arterial HypertensionPulmonary Wedge PressureBiomarkersInterleukin-6

Identifiers

PMID32711743
PMCPMC7388069
OpenAlexW3044937770

What Socratic 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 Socratic graph.