Evidence map›Paper›PMID 21113169›Full record

ArticleNature chemical biology2011

Specific Btk inhibition suppresses B cell- and myeloid cell-mediated arthritis.

Julie A Di Paolo, Tao Huang, Mercedesz Balazs, James Barbosa, Kai H Barck, Brandon J Bravo, Richard A D Carano, James Darrow, Douglas R Davies, Laura E DeForge and 21 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Nature chemical biology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed
10.2field-weighted citation impact, top 1% 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

141 citing papers in PubMed, 329 citations in OpenAlex.

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  7. Small-Molecule Drugs Approved by the FDA in 2025.Molecules (Basel, Switzerland) · 2026
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  20. Sequelae of B-Cell Depleting Therapy: An Immunologist's Perspective.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 3 institutions in 1 country.

Julie A Di PaoloDepartment of Discovery Biology, CGI Pharmaceuticals, Branford, Connecticut, USA.
Tao Huang
Mercedesz Balazs
James Barbosa
Kai H Barck
Brandon J Bravo
Richard A D Carano
James Darrow
Douglas R Davies
Laura E DeForge
Lauri Diehl
Ronald Ferrando
Steven L Gallion
Anthony M Giannetti
Peter Gribling
Vincent Hurez
Sarah G Hymowitz
Randall Jones
Jeffrey E Kropf
Wyne P Lee
Patricia M Maciejewski
Scott A Mitchell
Hong Rong
Bart L Staker
J Andrew Whitney
Sherry Yeh
Wendy B Young
Christine Yu
Juan Zhang
Karin Reif
Kevin S Currie
GenentechThe University of Texas Health Science Center at San Antonio · USAngiogenesis Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bruton's tyrosine kinase (Btk) is a therapeutic target for rheumatoid arthritis, but the cellular and molecular mechanisms by which Btk mediates inflammation are poorly understood. Here we describe the discovery of CGI1746, a small-molecule Btk inhibitor chemotype with a new binding mode that stabilizes an inactive nonphosphorylated enzyme conformation. CGI1746 has exquisite selectivity for Btk and inhibits both auto- and transphosphorylation steps necessary for enzyme activation. Using CGI1746, we demonstrate that Btk regulates inflammatory arthritis by two distinct mechanisms. CGI1746 blocks B cell receptor-dependent B cell proliferation and in prophylactic regimens reduces autoantibody levels in collagen-induced arthritis. In macrophages, Btk inhibition abolishes FcγRIII-induced TNFα, IL-1β and IL-6 production. Accordingly, in myeloid- and FcγR-dependent autoantibody-induced arthritis, CGI1746 decreases cytokine levels within joints and ameliorates disease. These results provide new understanding of the function of Btk in both B cell- or myeloid cell-driven disease processes and provide a compelling rationale for targeting Btk in rheumatoid arthritis.

Indexed as

Agammaglobulinaemia Tyrosine KinaseAnimalsArthritis, ExperimentalArthritis, RheumatoidAutoantibodiesBenzamidesB-LymphocytesBridged Bicyclo Compounds, HeterocyclicCell ProliferationEnzyme ActivationInterleukin-1betaInterleukin-6MiceMyeloid CellsPhosphorylationProtein Kinase InhibitorsAgammaglobulinaemia Tyrosine KinaseAutoantibodiesBenzamidesBridged Bicyclo Compounds, HeterocyclicBtk protein, mouseCGI 1746Interleukin-1betaInterleukin-6Protein Kinase InhibitorsProtein-Tyrosine KinasesTumor Necrosis Factor-alpha

Identifiers

PMID21113169
OpenAlexW2093522627

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.