Evidence map›Paper›PMID 19342676›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2009

Heat shock protein 96 is elevated in rheumatoid arthritis and activates macrophages primarily via TLR2 signaling.

Qi-Quan Huang, Rudina Sobkoviak, Angela R Jockheck-Clark, Bo Shi, Arthur M Mandelin, Paul Peter Tak, G Kennith Haines, Christopher V Nicchitta, Richard M Pope

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing 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

82 citing papers in PubMed, 156 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. ER-resident proteins are key players in cartilage and bone homeostasis.Frontiers in cell and developmental biology · 2025
    Review
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Common innate pathways to autoimmune disease.Clinical immunology (Orlando, Fla.) · 2020
    Review
  15. Review
  16. Article
  17. Identification of a TLR2 Inhibiting Wheat Hydrolysate.Molecular nutrition & food research · 2018
    Article
  18. Review
  19. Article
  20. Article

22 more citing papers are in PubMed but not listed here.

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

9 authors at 5 institutions in 2 countries.

Qi-Quan HuangDepartment of Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Rudina Sobkoviak
Angela R Jockheck-Clark
Bo Shi
Arthur M Mandelin
Paul Peter Tak
G Kennith Haines
Christopher V Nicchitta
Richard M Pope
Northwestern University · USDuke Medical Center · USDuke University Hospital · USUniversity of Amsterdam · NLYale University · US

Funding

Role of Stress-Response Protein gp96 in the Persistence of Rheumatoid ArthritisR01AR055240 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI POPE, RICHARD M. · 2008 to 2012
$1.7M
Role of Flip MacrophagesR01AR048269 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI POPE, RICHARD M. · 2003 to 2007
$1.3M
Mechanism of Chaperone-Mediated Tumor RejectionR01CA104392 · NCI · DUKE UNIVERSITY · PI NICCHITTA, CHRISTOPHER V. · 2004 to 2008
$1.2M
NCI NIH HHS CA104392NCI NIH HHS R01 CA104392NIAMS NIH HHS AR048269NIAMS NIH HHS AR055240NIAMS NIH HHS R01 AR048269NIAMS NIH HHS R01 AR055240
6 · The paper itself

Abstract

Macrophages are important mediators of chronic inflammation and are prominent in the synovial lining and sublining of patients with rheumatoid arthritis (RA). Recently, we demonstrated increased TLR2 and TLR4 expression and increased response to microbial TLR2 and TLR4 ligands in macrophages from the joints of RA. The current study characterized the expression of the 96-kDa heat shock glycoprotein (gp96) in the joints of RA and its role as an endogenous TLR ligand to promote innate immunity in RA. gp96 was increased in RA compared with osteoarthritis and arthritis-free control synovial tissues. The expression of gp96 strongly correlated with inflammation and synovial lining thickness. gp96 was increased in synovial fluid from the joints of RA compared with disease controls. Recombinant gp96 was a potent activator of macrophages and the activation was mediated primarily through TLR2 signaling. The cellular response to gp96 was significantly stronger with RA synovial macrophages compared with peripheral blood monocytes from RA or healthy controls. The transcription of TLR2, TNF-alpha, and IL-8, but not TLR4, was significantly induced by gp96, and the induction was significantly greater in purified RA synovial macrophages. The expression of TLR2, but not TLR4, on synovial fluid macrophages strongly correlated with the level of gp96 in the synovial fluid. The present study documents the potential role of gp96 as an endogenous TLR2 ligand in RA and provides insight into the mechanism by which gp96 promotes the chronic inflammation of RA, identifying gp96 as a potential new therapeutic target.

Indexed as

Signal TransductionAnimalsAntigens, NeoplasmArthritis, RheumatoidCell-Free SystemCell LineDogsGene Expression RegulationHumansMacrophagesSynovial MembraneToll-Like Receptor 2Toll-Like Receptor 4Antigens, Neoplasmsarcoma glycoprotein gp96 rejection antigensTLR4 protein, humanToll-Like Receptor 2Toll-Like Receptor 4

Identifiers

PMID19342676
PMCPMC2814438
OpenAlexW1590068435

What OpenQuestion 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 OpenQuestion graph.