Evidence map›Paper›PMID 17135217›Full record

Trial reportAnnals of the rheumatic diseases2007

A prospective study of anti-chromatin and anti-C1q autoantibodies in patients with proliferative lupus nephritis treated with cyclophosphamide pulses or azathioprine/methylprednisolone.

Cecile Grootscholten, Jürgen W C Dieker, Fabian D McGrath, Anja Roos, Ronald H W M Derksen, Johan van der Vlag, Mohamed R Daha, Jo H M Berden

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Immunosuppressive treatment for proliferative lupus nephritis.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Guideline
  3. Article
  4. Lupus Nephritis Biomarkers: A Critical Review.International journal of molecular sciences · 2024
    Review
  5. Review
  6. Lupus Nephritis Risk Factors and Biomarkers: An Update.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Anti-DNA antibodies--quintessential biomarkers of SLE.Nature reviews. Rheumatology · 2016
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Biomarkers for lupus nephritis: a critical appraisal.Journal of biomedicine & biotechnology · 2010
    Review
  19. Article
  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

8 authors at 3 institutions in 1 country.

Cecile GrootscholtenDivision of Nephrology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Jürgen W C Dieker
Fabian D McGrath
Anja Roos
Ronald H W M Derksen
Johan van der Vlag
Mohamed R Daha
Jo H M Berden
Radboud University Medical Center · NLLeiden University · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the prevalence and course of anti-chromatin (anti-nucleosome, anti-double-stranded (ds) DNA and anti-histone) and anti-C1q autoantibodies in patients with proliferative lupus nephritis (LN), treated in a randomised controlled trial with either cyclophosphamide or azathioprine plus methylprednisolone.

methodsAutoantibody levels were measured and analysed in 52 patients with proliferative LN, during their first year of treatment. Levels in both treatment arms were compared and associations with clinical, serological and outcome parameters were studied.

resultsAt study entry, prevalences for anti-nucleosome, anti-dsDNA, anti-histone and anti-C1q autoantibodies were 81%, 96%, 23% and 65%, respectively. Anti-chromatin autoantibodies correlated with each other, but not with anti-C1q levels. If patients were divided for their autoantibody titre at the start of treatment above or below the median, the only significant differences were higher SLE disease activity index with higher anti-nucleosome, and higher creatinine with higher anti-C1q autoantibodies. During the first year, a comparable rapid decline in the levels of anti-nucleosome, anti-dsDNA and anti-C1q autoantibodies was seen in both treatment arms. Anti-histone autoantibody levels were low and did not change. Renal flares were not preceded by rises in autoantibody titres.

conclusionsThese results indicate that measurement of anti-chromatin and anti-C1q autoantibodies is useful for diagnosing LN, but not for monitoring disease course.

Indexed as

Anti-Inflammatory AgentsAutoantibodiesAzathioprineBiomarkersChromatinComplement C1qCyclophosphamideDNADrug Therapy, CombinationHumansImmunosuppressive AgentsLupus NephritisMethylprednisoloneNucleosomesProspective StudiesAnti-Inflammatory AgentsAutoantibodiesAzathioprineBiomarkersChromatinComplement C1qCyclophosphamideDNAImmunosuppressive AgentsMethylprednisoloneNucleosomes

Identifiers

PMID17135217
PMCPMC1954637
OpenAlexW2131460546

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.