Evidence map›Paper›PMID 34326846›Full record

ArticleFrontiers in immunology2021

Early Elevation of Complement Factor Ba Is a Predictive Biomarker for Transplant-Associated Thrombotic Microangiopathy.

Hiroshi Okamura, Hirohisa Nakamae, Takero Shindo, Katsuki Ohtani, Yoshihiko Hidaka, Yasufumi Ohtsuka, Yosuke Makuuchi, Masatomo Kuno, Teruhito Takakuwa, Naonori Harada and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07347990 (A Prospective, Multicenter, Single-Arm Study), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT07347990 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective, Multicenter, Single-Arm Study: Safety and Efficacy of Iptacopan in the Treatment of High-Risk Hematopoietic Stem Cell Transplantation-Associated Thrombotic Microangiopathy (TA-TMA)

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2026 to 2029Enrolled30ConditionsThrombotic Microangiopathy, Hematopoietic Stem Cell Transplantation (HSCT)Armsiptacopan
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Transplant-associated TMA: the conundrum of diagnosis and treatment.Hematology. American Society of Hematology. Education Program · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. The complement system in pediatric acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  19. Review
  20. Review
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

18 authors at 5 institutions in 1 country.

Hiroshi OkamuraHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Hirohisa NakamaeHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Takero ShindoHematology/Oncology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Katsuki OhtaniDepartment of Clinical Neutrition, Rakuno Gakuen University, Ebetsu, Japan.
Yoshihiko HidakaDepartment of Molecular Genetics, Wakayama Medical University, Wakayama, Japan.
Yasufumi OhtsukaDepartment of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan.
Yosuke MakuuchiHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Masatomo KunoHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Teruhito TakakuwaHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Naonori HaradaHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Mitsutaka NishimotoHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Yasuhiro NakashimaHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Hideo KohHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Asao HiroseHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Mika NakamaeHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Nobutaka WakamiyaThe Japanese Association for Complement Research, Wakayama, Japan.
Masayuki HinoHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Norimitsu InoueThe Japanese Association for Complement Research, Wakayama, Japan.
Osaka City University · JPRakuno Gakuen University · JPWakayama Medical University · JPKyoto University · JPSaga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transplant-associated thrombotic microangiopathy (TA-TMA) is a fatal complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Previous reports suggest that TA-TMA is caused by complement activation by complement-related genetic variants; however, this needs to be verified, especially in adults. Here, we performed a nested case-control study of allo-HSCT-treated adults at a single center. Fifteen TA-TMA patients and 15 non-TA-TMA patients, matched according to the propensity score, were enrolled. Based on a previous report showing an association between complement-related genes and development of TA-TMA, we first sequenced these 17 genes. Both cohorts harbored several genetic variants with rare allele frequencies; however, there was no difference in the percentage of patients in the TA-TMA and non-TA-TMA groups with the rare variants, or in the average number of rare variants per patient. Second, we measured plasma concentrations of complement proteins. Notably, levels of Ba protein on Day 7 following allo-HSCT were abnormally and significantly higher in TA-TMA than in non-TA-TMA cases, suggesting that complement activation

Indexed as

Complement Pathway, AlternativeAdultAgedBiomarkersComplement C4FemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPolymorphism, Single NucleotidePredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsThrombotic MicroangiopathiesBiomarkersComplement C4allogeneic hematopoietic stem cell transplantationalternative pathwayBacomplementtransplantation associated-thrombotic microangiopathy

Identifiers

PMID34326846
PMCPMC8315095
OpenAlexW3183118614

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.