Evidence map›Paper›PMID 20506305›Full record

ArticleArthritis and rheumatism2010

Lesional and nonlesional skin from patients with untreated juvenile dermatomyositis displays increased numbers of mast cells and mature plasmacytoid dendritic cells.

Sheela Shrestha, Barry Wershil, John F Sarwark, Timothy B Niewold, Teresa Philipp, Lauren M Pachman

Abstract read
In one paragraph

Article in Arthritis and rheumatism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Type I Interferons in Autoimmunity.The Journal of investigative dermatology · 2022
    Review
  7. Article
  8. Article
  9. The role of interferons type I, II and III in myositis: A review.Brain pathology (Zurich, Switzerland) · 2021
    Review
  10. Juvenile Dermatomyositis: New Clues to Diagnosis and Therapy.Current treatment options in rheumatology · 2021
    Article
  11. The Role of Cutaneous Type I IFNs in Autoimmune and Autoinflammatory Diseases.Journal of immunology (Baltimore, Md. : 1950) · 2020
    Review
  12. Psoriasis and Connective Tissue Diseases.International journal of molecular sciences · 2020
    Review
  13. Article
  14. Article
  15. Update on outcome assessment in myositis.Nature reviews. Rheumatology · 2018
    Review
  16. Review
  17. Type I interferon in rheumatic diseases.Nature reviews. Rheumatology · 2018
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Sheela ShresthaChildren's Memorial Research Center, Chicago, Illinois 60614-3363, USA.
Barry Wershil
John F Sarwark
Timothy B Niewold
Teresa Philipp
Lauren M Pachman
Lurie Children's Hospital · USNorthwestern University · USUniversity of Chicago · US

Funding

Untreated DQA1*0501+JDM:Clinical and Genetic ProfilesR01AR048289 · NIAMS · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI PACHMAN, LAUREN M. · 2002 to 2006
$1.4M
Genetic Regulation of interferon Alpha in Human LupusK08AI083790 · NIAID · UNIVERSITY OF CHICAGO · PI NIEWOLD, TIMOTHY B · 2009 to 2013
$616k
NIAID NIH HHS K08 AI083790NIAID NIH HHS K08-AI-083790NIAID NIH HHS L30 AI071651NIAMS NIH HHS R01 AR048289NIAMS NIH HHS R01-AR-48289
6 · The paper itself

Abstract

objectiveTo investigate the distribution of mast cells and dendritic cell (DC) subsets in paired muscle and skin (lesional/nonlesional) from untreated children with juvenile dermatomyositis (DM).

methodsMuscle and skin biopsy samples (4 skin biopsy samples with active rash) from 7 patients with probable/definite juvenile DM were compared with muscle and skin samples from 10 healthy pediatric controls. Mast cell distribution and number were assessed by toluidine blue staining and analyzed by Student's t-test. Immunohistochemical analysis was performed to identify mature DCs, myeloid DCs (MDCs), and plasmacytoid DCs (PDCs) by using antibodies against DC-LAMP, blood dendritic cell antigen 1 (BDCA-1), and BDCA-2, respectively. Myxovirus resistance protein A (MxA) staining indicated active type I interferon (IFN) signaling; positive staining was scored semiquantitatively and analyzed using the Mann-Whitney U test.

resultsBoth inflamed and nonlesional skin from patients with juvenile DM contained more mast cells than did skin from pediatric controls (P = 0.029), and comparable numbers of mast cells were present in lesional and nonlesional skin. Interestingly, mast cell numbers were greater in skin than in paired muscle tissue from patients with juvenile DM (P = 0.014) and were not increased in muscle from patients with juvenile DM compared with control muscle. Both muscle and skin from patients with juvenile DM showed more mature PDCs and MxA staining than did their corresponding control tissues (P < 0.05). In both muscle and skin from patients with juvenile DM and in pediatric control muscle, there were fewer MDCs than PDCs, and the distributions of MDCs and PDCs were similar in pediatric control skin samples.

conclusionThe identification of mast cells in skin (irrespective of rash) from patients with juvenile DM, but not in paired muscle tissue, suggests that they have a specific role in juvenile DM skin pathophysiology. In skin from patients with juvenile DM, increased numbers of PDCs and increased expression of type I IFN-induced protein suggest a selective influence on T cell differentiation and subsequent effector function.

Indexed as

BiomarkersBiopsyChild, PreschoolDendritic CellsDermatomyositisFemaleGTP-Binding ProteinsHumansInterferon Type IMagnetic Resonance ImagingMaleMast CellsMuscle, SkeletalMyxovirus Resistance ProteinsPolymorphism, GeneticSeverity of Illness IndexBiomarkersGTP-Binding ProteinsInterferon Type IMX1 protein, humanMyxovirus Resistance ProteinsTumor Necrosis Factor-alpha

Identifiers

PMID20506305
PMCPMC3312790
OpenAlexW2053248858

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.