Evidence map›Paper›PMID 24944545›Full record

ArticlePediatric rheumatology online journal2014

Anti-type II collagen antibodies, anti-CCP, IgA RF and IgM RF are associated with joint damage, assessed eight years after onset of juvenile idiopathic arthritis (JIA).

Lillemor Berntson, Ellen Nordal, Anders Fasth, Kristiina Aalto, Troels Herlin, Susan Nielsen, Marite Rygg, Marek Zak, Johan Rönnelid, Nordic Study Group of Pediatric Rheumatology (NoSPeR)

Open access · goldAbstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  14. Clinical Outcome and Long-term Remission in JIA.Current rheumatology reports · 2017
    Review
  15. IL-1Journal of immunology research · 2017
    Article
  16. 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

10 authors at 5 institutions in 4 countries.

Lillemor BerntsonDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Ellen NordalDepartment of Pediatrics, University Hospital of North Norway, Tromsø, Norway ; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway.
Anders FasthDepartment of Pediatrics, University of Gothenburg, Gothenburg, Sweden.
Kristiina AaltoDepartment of Pediatrics, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Troels HerlinÅrhus University Hospital, Skejby, Århus, Denmark.
Susan NielsenUniversity Clinic of Pediatrics II, Rigshospitalet, Copenhagen, Denmark.
Marite RyggDepartment of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway ; Department of Pediatrics, St. Olavs Hospital, Trondheim, Norway.
Marek ZakUniversity Clinic of Pediatrics II, Rigshospitalet, Copenhagen, Denmark.
Johan RönnelidDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Nordic Study Group of Pediatric Rheumatology (NoSPeR)
Uppsala University · SEHelsinki University Hospital · FINorwegian University of Science and Technology · NOAarhus University Hospital · DKUniversity Hospital of North Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly appearance of antibodies specific for native human type II collagen (anti-CII) characterizes an early inflammatory and destructive phenotype in adults with rheumatoid arthritis (RA). The objective of this study was to investigate the occurrence of anti-CII, IgM RF, IgA RF and anti-CCP in serum samples obtained early after diagnosis, and to relate the occurrence of autoantibodies to outcome after eight years of disease in children with juvenile idiopathic arthritis (JIA).

methodsThe Nordic JIA database prospectively included JIA patients followed for eight years with data on remission and joint damage. From this database, serum samples collected from 192 patients, at a median of four months after disease onset, were analysed for IgG anti-CII, IgM RF, IgA RF and IgG anti-CCP. Joint damage was assessed based on Juvenile Arthritis Damage Index for Articular damage (JADI-A), a validated clinical instrument for joint damage.

resultsElevated serum levels of anti-CII occurred in 3.1%, IgM RF in 3.6%, IgA RF in 3.1% and anti-CCP in 2.6% of the patients. Occurrence of RF and anti-CCP did to some extent overlap, but rarely with anti-CII. The polyarticular and oligoarticular extended categories were overrepresented in patients with two or more autoantibodies. Anti-CII occurred in younger children, usually without overlap with the other autoantibodies and was associated with high levels of C-reactive protein (CRP) early in the disease course. All four autoantibodies were significantly associated with joint damage, but not with active disease at the eight-year follow up.

conclusionsAnti-CII, anti-CCP, IgA RF and IgM RF detected early in the disease course predicted joint damage when assessed after eight years of disease. The role of anti-CII in JIA should be further studied.

Indexed as

Arthritis, JuvenileArthritis, RheumatoidAdultAge of OnsetAutoantibodiesBiomarkersChildCollagen Type IIDisease ProgressionFemaleFollow-Up StudiesHumansImmunoglobulin AImmunoglobulin MMalePrognosisAutoantibodiesBiomarkersCollagen Type IIImmunoglobulin AImmunoglobulin MRheumatoid FactorAnti-CCPAnti-collagen type II antibodiesArthritisChildJointsJuvenile Idiopathic ArthritisRheumatoid factor

Identifiers

PMID24944545
PMCPMC4061516
OpenAlexW2123780856

What OpenQuestion holds

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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.