Evidence map›Paper›PMID 23329363›Full record

ArticleMolecular diagnosis & therapy2013

Calprotectin in rheumatoid arthritis : association with disease activity in a cross-sectional and a longitudinal cohort.

Miriam García-Arias, Dora Pascual-Salcedo, Susana Ramiro, Marie-Eve Ueberschlag, Thomas M Jermann, Carlos Cara, Emilio Martín-Mola, Alejandro Balsa

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Article in Molecular diagnosis & therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

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  10. Characterization of serum biomarkers and antibody responses againstFrontiers in cellular and infection microbiology · 2022
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  20. The Role of Calprotectin in Rheumatoid Arthritis.Journal of translational internal medicine · 2019
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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

8 authors at 3 institutions in 3 countries.

Miriam García-AriasRheumatology Unit, La Paz University Hospital, Paseo de la Castellana, 261, 28046, Madrid, Spain. miponfe@hotmail.com
Dora Pascual-Salcedo
Susana Ramiro
Marie-Eve Ueberschlag
Thomas M Jermann
Carlos Cara
Emilio Martín-Mola
Alejandro Balsa
Hospital Universitario La Paz · ESBühlmann (Switzerland) · CHUCB Pharma (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCalprotectin is potentially a more sensitive biomarker of disease activity in rheumatoid arthritis (RA) than conventional acute-phase proteins such as the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) because it directly reflects inflammation in the synovium and synovial fluid rather than systemic inflammatory activity.

objectiveThe aim of this study was to evaluate relationships between serum calprotectin levels, disease activity, and response to treatment. Calprotectin was also investigated as a predictive marker of clinical response.

methodsThis observational study included selected cohorts of patients with RA treated at La Paz University Hospital, Madrid, Spain. Associations between serum calprotectin levels and clinical and laboratory parameters were analyzed in a cross-sectional cohort of 60 patients with varying disease activity, and changes in calprotectin levels in response to treatment with infliximab were analyzed at baseline and after 3 and 6 months of treatment in a longitudinal cohort of 20 patients with very active disease.

resultsIn the cross-sectional cohort, calprotectin levels correlated with rheumatoid factor levels (r = 0.25; p < 0.05) but not with titers of antibodies to cyclic citrullinated peptide. Significant correlations were also observed between calprotectin levels and the 28 swollen joint count (28-SJC), Disease Activity Score based on a 28-joint count (DAS28), Simplified Disease Activity Index (SDAI), ESR, and CRP levels. In the longitudinal cohort, calprotectin levels at baseline were not predictive of response to treatment but significantly decreased during treatment in responders (p < 0.0001).

conclusionCalprotectin levels strongly correlate with clinical and laboratory assessments of joint inflammation and also decrease in response to treatment, indicating that calprotectin is a promising marker for assessment and monitoring of disease activity in patients with RA. Investigations are required to further evaluate its diagnostic, prognostic, and therapeutic potential.

Indexed as

Acute-Phase ProteinsAdultAgedAntibodies, MonoclonalArthritis, RheumatoidBiomarkersBlood SedimentationC-Reactive ProteinCross-Sectional StudiesEndpoint DeterminationFemaleHumansInfliximabLeukocyte L1 Antigen ComplexLongitudinal StudiesMaleAcute-Phase ProteinsAntibodies, MonoclonalBiomarkersC-Reactive Proteincyclic citrullinated peptideInfliximabLeukocyte L1 Antigen ComplexPeptides, Cyclic

Identifiers

PMID23329363
OpenAlexW89672205

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Registered trials

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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.