Evidence map›Paper›PMID 25417811›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2015

Malondialdehyde-acetaldehyde adducts and anti-malondialdehyde-acetaldehyde antibodies in rheumatoid arthritis.

Geoffrey M Thiele, Michael J Duryee, Daniel R Anderson, Lynell W Klassen, Stephen M Mohring, Kathleen A Young, Dathe Benissan-Messan, Harlan Sayles, Anand Dusad, Carlos D Hunter and 6 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 3 pooled it
10.2field-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

93 citing papers in PubMed, 3 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
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  12. Journal of oral microbiology · 2026
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  16. Article
  17. Autoantibodies as prognostic markers in rheumatoid arthritis.Journal of translational autoimmunity · 2025
    Review
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  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Geoffrey M ThieleVA Nebraska-Western Iowa Health Care System, Omaha, Nebraska, and University of Nebraska Medical Center, Omaha.
Michael J Duryee
Daniel R Anderson
Lynell W Klassen
Stephen M Mohring
Kathleen A Young
Dathe Benissan-Messan
Harlan Sayles
Anand Dusad
Carlos D Hunter
Jeremy Sokolove
William H Robinson
James R O'Dell
Anthony P Nicholas
Dean J Tuma
Ted R Mikuls
University of Nebraska Medical Center · USVA Nebraska Western Iowa Health Care System · USStanford University · USUniversity of Alabama at Birmingham · USVA Palo Alto Health Care System · US

Funding

Training Program in Adult and Pediatric RheumatologyT32AR050942 · NIAMS · STANFORD UNIVERSITY · PI LEWIS, DAVID BRAM, ROBINSON, WILLIAM H · 2005 to 2025
$6.6M
Environmental Factors and Autoantibody Expression in Rheumatoid ArthritisI01CX000896 · VA · OMAHA VA MEDICAL CENTER · PI MIKULS, TED RICHARD · 2014 to 2017
–
CSRD VA I01 CX000896NIAMS NIH HHS T32 AR050942
6 · The paper itself

Abstract

objectiveMalondialdehyde-acetaldehyde (MAA) adducts are a product of oxidative stress associated with tolerance loss in several disease states. This study was undertaken to investigate the presence of MAA adducts and circulating anti-MAA antibodies in patients with rheumatoid arthritis (RA).

methodsSynovial tissue from patients with RA and patients with osteoarthritis (OA) were examined for the presence of MAA-modified and citrullinated proteins. Anti-MAA antibody isotypes were measured in RA patients (n = 1,720) and healthy controls (n = 80) by enzyme-linked immunosorbent assay. Antigen-specific anti-citrullinated protein antibodies (ACPAs) were measured in RA patients using a multiplex antigen array. Anti-MAA isotype concentrations were compared in a subset of RA patients (n = 80) and matched healthy controls (n = 80). Associations of anti-MAA antibody isotypes with disease characteristics, including ACPA positivity, were examined in all RA patients.

resultsExpression of MAA adducts was increased in RA synovial tissue compared to OA synovial tissue, and colocalization with citrullinated proteins was found. Increased levels of anti-MAA antibody isotypes were observed in RA patients compared to controls (P < 0.001). Among RA patients, anti-MAA antibody isotypes were associated with seropositivity for ACPAs and rheumatoid factor (P < 0.001) in addition to select measures of disease activity. Higher anti-MAA antibody concentrations were associated with a greater number of positive antigen-specific ACPA analytes (expressed at high titer) (P < 0.001) and a higher ACPA score (P < 0.001), independent of other covariates.

conclusionMAA adduct formation is increased in RA and appears to result in robust antibody responses that are strongly associated with ACPAs. These results support speculation that MAA formation may be a cofactor that drives tolerance loss, resulting in the autoimmune responses characteristic of RA.

Indexed as

AcetaldehydeAdultAgedArthritis, RheumatoidAutoantibodiesCross ReactionsEnzyme-Linked Immunosorbent AssayFemaleHumansImmunohistochemistryMaleMalondialdehydeMiddle AgedOsteoarthritisPeptides, CyclicSynovial MembraneAcetaldehydeAutoantibodiescyclic citrullinated peptideMalondialdehydePeptides, Cyclic

Identifiers

PMID25417811
PMCPMC5469548
OpenAlexW1897586466

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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.