Evidence map›Paper›PMID 22343096›Full record

ArticleLupus2012

Effect of hydroxychloroquine treatment on pro-inflammatory cytokines and disease activity in SLE patients: data from LUMINA (LXXV), a multiethnic US cohort.

R Willis, A M Seif, G McGwin, L A Martinez-Martinez, E B González, N Dang, E Papalardo, J Liu, L M Vilá, J D Reveille and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Lupus, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 5 pooled it
7.4field-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

84 citing papers in PubMed, 5 syntheses or guidelines pooled it, 185 citations in OpenAlex.

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24 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

12 authors at 4 institutions in 2 countries.

R WillisUniversity of Texas Medical Branch, Galveston, USA.
A M Seif
G McGwin
L A Martinez-Martinez
E B González
N Dang
E Papalardo
J Liu
L M Vilá
J D Reveille
G S Alarcón
S S Pierangeli
The University of Texas Medical Branch at Galveston · USUniversity of Alabama at Birmingham · USThe University of Texas Health Science Center at Houston · USUniversity of Puerto Rico, Medical Sciences Campus · PR

Funding

Zevalin Radioimmunotherapy Using a Modified TreatmentM01RR000032 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI RICH, ROBERT R. · 1985 to 2008
$23.6M
Program Project in the Genetics of SLEP01AR049084 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2002 to 2012
$12.7M
VALIDATION OF THE CLINICAL DEMENTIA RATING SCALEP20RR011126 · NCRR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI KRAISELBURD, EDMUNDO NELSON · 1995 to 2009
$11.2M
Zolmitriptan challenge and human performance testingM01RR002558 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SCHULTZ, STANLEY G · 1985 to 2006
$10.3M
Antiphospholipid antibodies and lupus: new molecular targets for treatmentR01AR056745 · NIAMS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R., GONZALEZ, EMILIO B · 2010 to 2014
$1.6M
Pre-and Postdoctoral Training in the Rheumatic DiseasesT32AR052283 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI REVEILLE, JOHN DUFFIN · 2007 to 2011
$945k
NCRR NIH HHS 1P20RR11126NCRR NIH HHS M01 RR000032NCRR NIH HHS M01-RR00032NCRR NIH HHS M01 RR002558NCRR NIH HHS M01-RR02558NCRR NIH HHS P20 RR011126NIAMS NIH HHS P01 AR049084NIAMS NIH HHS P01 AR49084NIAMS NIH HHS R01 AR056745NIAMS NIH HHS T32 AR052283NIAMS NIH HHS T32AR052283T32
6 · The paper itself

Abstract

objectiveWe sought to determine the effect of hydroxychloroquine therapy on the levels proinflammatory/prothrombotic markers and disease activity scores in patients with systemic lupus erythematosus (SLE) in a multiethnic, multi-center cohort (LUMINA).

methodsPlasma/serum samples from SLE patients (n = 35) were evaluated at baseline and after hydroxychloroquine treatment. Disease activity was assessed using SLAM-R scores. Interferon (IFN)-α2, interleukin (IL)-1β, IL-6, IL-8, inducible protein (IP)-10, monocyte chemotactic protein-1, tumor necrosis factor (TNF)-α and soluble CD40 ligand (sCD40L) levels were determined by a multiplex immunoassay. Anticardiolipin antibodies were evaluated using ELISA assays. Thirty-two frequency-matched plasma/serum samples from healthy donors were used as controls.

resultsLevels of IL-6, IP-10, sCD40L, IFN-α and TNF-α were significantly elevated in SLE patients versus controls. There was a positive but moderate correlation between SLAM-R scores at baseline and levels of IFN-α (p = 0.0546). Hydroxychloroquine therapy resulted in a significant decrease in SLAM-R scores (p = 0.0157), and the decrease in SLAM-R after hydroxychloroquine therapy strongly correlated with decreases in IFN-α (p = 0.0087).

conclusionsHydroxychloroquine therapy resulted in significant clinical improvement in SLE patients, which strongly correlated with reductions in IFN-α levels. This indicates an important role for the inhibition of endogenous TLR activation in the action of hydroxychloroquine in SLE and provides additional evidence for the importance of type I interferons in the pathogenesis of SLE. This study underscores the use of hydroxychloroquine in the treatment of SLE.

Indexed as

AdolescentAdultAntirheumatic AgentsBiomarkersCD40 LigandChemokine CCL2Chemokine CXCL10Cohort StudiesCytokinesFemaleHumansHydroxychloroquineInterferon-alphaInterleukin-1betaInterleukin-6Interleukin-8Antirheumatic AgentsBiomarkersCD40 LigandChemokine CCL2Chemokine CXCL10CytokinesHydroxychloroquineInterferon-alphaInterleukin-1betaInterleukin-6Interleukin-8Tumor Necrosis Factor-alpha

Identifiers

PMID22343096
PMCPMC3808832
OpenAlexW1983493239

What OpenQuestion holds

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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.