Evidence map›Paper›PMID 22943199›Full record

Trial reportClinical and experimental immunology2012

Differential effects of infliximab on absolute circulating blood leucocyte counts of innate immune cells in early and late rheumatoid arthritis patients.

L R Coulthard, J Geiler, R J Mathews, L D Church, L J Dickie, D L Cooper, C Wong, S Savic, D Bryer, M H Buch and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

32 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  5. Review
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  9. Review
  10. Article
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  12. Article
  13. Rheumatoid arthritis CD14Clinical & translational immunology · 2021
    Article
  14. cDC1 are required for the initiation of collagen-induced arthritis.Journal of translational autoimmunity · 2020
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
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

13 authors at 2 institutions in 1 country.

L R CoulthardNIHR-Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Leeds, UK.
J Geiler
R J Mathews
L D Church
L J Dickie
D L Cooper
C Wong
S Savic
D Bryer
M H Buch
P Emery
A W Morgan
M F McDermott
University of Leeds · GBNIHR Leeds Musculoskeletal Biomedical Research Unit · GB

Funding

Arthritis Research UK 18475Arthritis Research UK 19269Medical Research CouncilVersus Arthritis 19269Wellcome Trust
6 · The paper itself

Abstract

Anti-tumour necrosis factor (TNF) biologics have revolutionized therapy of rheumatoid arthritis (RA). We compared the effects of infliximab on numbers of circulating leucocyte subsets in early RA (disease/symptom duration of ≤1 year) and late RA patients (>1 year). A control group consisted of early RA patients treated with a combination of methotrexate (MTX) and methylprednisolone. Blood samples were obtained at baseline (pre-therapy) from all RA patients, divided into three groups: (i) late RA receiving infliximab/MTX, (ii) early RA-infliximab/MTX, (iii) early RA-steroid/MTX, and also from follow-up patients at 2 and 14 weeks. Significant differences in absolute counts of monocytes and granulocytes were observed between healthy controls and RA patients. At baseline CD14(bright) monocytes and CD16(+) granulocytes were increased in both early RA and late RA patients. CD4(+) T cells, CD8(+) T cells and B cells were all increased at baseline in early RA, but not in late RA. At 2 weeks following infliximab treatment decreased granulocytes were observed in both early and late RA and decreased natural killer (NK) cells in late RA. CD16(+) granulocytes and NK cells were also decreased at 14 weeks post-infliximab in early RA. Biotinylated infliximab was used to detect membrane-associated TNF (mTNF)-expressing leucocytes in RA patients. CD16(+) granulocytes, NK cells and CD14(dim) monocytes all expressed higher levels of mTNF in RA patients. In summary infliximab is associated with decreased CD16(+) granulocyte and NK cell counts, possibly through binding of mTNF. Differential effects of infliximab between early and late RA suggest that pathogenic mechanisms change as disease progresses.

Indexed as

AdultAgedAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidB-LymphocytesCase-Control StudiesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDisease ProgressionDrug Therapy, CombinationFemaleFlow CytometryGPI-Linked ProteinsGranulocytesHumansAntibodies, MonoclonalAntirheumatic AgentsFCGR3B protein, humanGPI-Linked ProteinsInfliximabLipopolysaccharide ReceptorsMethotrexateMethylprednisoloneReceptors, IgGTumor Necrosis Factor-alpha

Identifiers

PMID22943199
PMCPMC3444715
OpenAlexW1516406395

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.