Evidence map›Paper›PMID 24174326›Full record

ArticleScience translational medicine2013

Immune-mediated pore-forming pathways induce cellular hypercitrullination and generate citrullinated autoantigens in rheumatoid arthritis.

Violeta Romero, Justyna Fert-Bober, Peter A Nigrovic, Erika Darrah, Uzma J Haque, David M Lee, Jennifer van Eyk, Antony Rosen, Felipe Andrade

Abstract read
In one paragraph

Article in Science translational medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 3 pooled it
15.4field-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

146 citing papers in PubMed, 3 syntheses or guidelines pooled it, 244 citations in OpenAlex.

  1. Pooled it
  2. Role of Neutrophils on the Ocular Surface.International journal of molecular sciences · 2021
    Pooled it
  3. Pooled it
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  7. Article
  8. Cytotoxic CD4Signal transduction and targeted therapy · 2026
    Review
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  15. Genomic diversity inMicrobial genomics · 2025
    Article
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  18. Article
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  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Violeta RomeroDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
Justyna Fert-Bober
Peter A Nigrovic
Erika Darrah
Uzma J Haque
David M Lee
Jennifer van Eyk
Antony Rosen
Felipe Andrade
Johns Hopkins Medicine · USHarvard University · USJohns Hopkins University · US

Funding

Phenotype-Specific Immune Responses in the Systemic VasculitidesP30AR053503 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI ROSEN, ANTONY · 2006 to 2015
$6.4M
Apoptosis in Sjogrens SyndromeR37DE012354 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI ROSEN, ANTONY · 2002 to 2011
$5.3M
Mechanisms in Sjogrens SyndromeR01DE012354 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI ROSEN, ANTONY · 1998 to 2017
$3.4M
A new post-translational modification, citrullination, changes in heart failureR21HL112586 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI VAN EYK, JENNIFER E · 2012 to 2013
$436k
NHLBI NIH HHS 1R21HL112586-01NHLBI NIH HHS HHSN268201000032CNHLBI NIH HHS R21 HL112586NIAMS NIH HHS P30 AR053503NIDCR NIH HHS R01 DE012354NIDCR NIH HHS R37 DE012354NIDCR NIH HHS R37 DE-12354
6 · The paper itself

Abstract

Autoantibodies to citrullinated protein antigens are specific markers of rheumatoid arthritis (RA). Although protein citrullination can be activated by numerous stimuli in cells, it remains unclear which of these produce the prominent citrullinated autoantigens targeted in RA. In these studies, we show that RA synovial fluid cells have an unusual pattern of citrullination with marked citrullination of proteins across the broad range of molecular weights, which we term cellular hypercitrullination. Although histone citrullination is a common event during neutrophil activation and death induced by different pathways including apoptosis, NETosis, and necroptosis/autophagy, hypercitrullination is not induced by these stimuli. However, marked hypercitrullination is induced by two immune-mediated membranolytic pathways, mediated by perforin and the membrane attack complex (MAC), which are active in the RA joint and of importance in RA pathogenesis. We further demonstrate that perforin and MAC activity on neutrophils generate the profile of citrullinated autoantigens characteristic of RA. These data suggest that activation of peptidylarginine deiminases during complement and perforin activity may be at the core of citrullinated autoantigen production in RA. These pathways may be amenable to monitoring and therapeutic modulation.

Indexed as

ApoptosisArthritis, RheumatoidAutoantigensCells, CulturedCitrullineComplement ActivationComplement Membrane Attack ComplexGranzymesHumansNeutrophilsSynovial FluidAutoantigensCitrullineComplement Membrane Attack ComplexGranzymes

Identifiers

PMID24174326
PMCPMC4032227
OpenAlexW2072460496

What OpenQuestion holds

Textmetadata
LicenceTDM
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.