Evidence map›Paper›PMID 21742639›Full record

ArticleAnnals of the rheumatic diseases2011

Cytokine mRNA profiling identifies B cells as a major source of RANKL in rheumatoid arthritis.

Lorraine Yeo, Kai-Michael Toellner, Mike Salmon, Andrew Filer, Christopher D Buckley, Karim Raza, Dagmar Scheel-Toellner

Open access · bronzeAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
10.7field-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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 186 citations in OpenAlex.

  1. Serum Levels of IL-6 and TNF-α May Correlate with Activity and Severity of Rheumatoid Arthritis.Medical science monitor : international medical journal of experimental and clinical research · 2015
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Lorraine YeoMRC Centre for Immune Regulation, Institute for Biomedical Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Kai-Michael Toellner
Mike Salmon
Andrew Filer
Christopher D Buckley
Karim Raza
Dagmar Scheel-Toellner
University of Birmingham · GBSandwell & West Birmingham Hospitals NHS Trust · GB

Funding

Arthritis Research UK 16390Arthritis Research UK 17767Arthritis Research UK 18198Arthritis Research UK 19394Arthritis Research UK 20088Medical Research Council G1001390Medical Research Council G9818340Versus Arthritis 18547
6 · The paper itself

Abstract

objectivesIn rheumatoid arthritis (RA), a complex cytokine network drives chronic inflammation and joint destruction. So far, few attempts have been made to identify the cellular sources of individual cytokines systematically. Therefore, the primary objective of this study was systematically to assess the cytokine messenger RNA expression profiles in the five largest cell populations in the synovial fluid and peripheral blood of RA patients. To reflect the in vivo situation as closely as possible, the cells were neither cultured nor stimulated ex vivo.

methodsInflammatory cells from 12 RA patients were sorted into CD4 and CD8 T cells, B cells, macrophages and neutrophils. mRNA expression for 41 cytokines was determined by real-time PCR using microfluidic cards. Receptor activator nuclear factor kappa B ligand (RANKL) (TNFSF11) expression by B cells was further confirmed by flow cytometry and by immunofluorescence staining of frozen sections of synovial tissue from patients with RA.

resultsThe detection of cytokines characteristic for T cells and myeloid cells in the expected populations validated this methodology. Beyond the expected cytokine patterns, novel observations were made. Striking among these was the high expression of mRNA for RANKL in B cells from synovial fluid. This observation was validated at the protein level in synovial tissue and fluid.

conclusionsRANKL, the key cytokine driving bone destruction by osteoclast activation, is produced by synovial B cells in RA. This observation is of importance for our understanding of the role of B cells in RA and their therapeutic targeting.

Indexed as

AdultAgedAged, 80 and overArthritis, RheumatoidB-LymphocytesCytokinesFemaleGene Expression ProfilingHumansMaleMiddle AgedOligonucleotide Array Sequence AnalysisPolymerase Chain ReactionRANK LigandRNA, MessengerSynovial MembraneCytokinesRANK LigandRNA, MessengerTNFSF11 protein, human

Identifiers

PMID21742639
PMCPMC3184241
OpenAlexW2103445654

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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.