Evidence map›Paper›PMID 25736140›Full record

ArticleLupus2015

Diagnosis and risk stratification in patients with anti-RNP autoimmunity.

M F Carpintero, L Martinez, I Fernandez, A C Garza Romero, C Mejia, Y J Zang, R W Hoffman, E L Greidinger

Open access · greenAbstract read
In one paragraph

Article in Lupus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 46 citations in OpenAlex.

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  16. [Characteristics of serum autoantibodies in patients with lupus nephritis and tubulointerstitial damage].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022
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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 1 country.

M F CarpinteroDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA.
L MartinezMiami VA Medical Center, Miami, USA.
I FernandezDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA.
A C Garza RomeroDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA.
C MejiaDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA.
Y J ZangDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA.
R W HoffmanEli Lilly and Company, Indianapolis, USA.
E L GreidingerDivision of Rheumatology, University of Miami Miller School of Medicine, Miami, USA Miami VA Medical Center, Miami, USA egreidinger@med.miami.edu.
University of Miami · USMiami VA Healthcare System · USEli Lilly (United States) · US

Funding

Immune Response to Small Nuclear Ribonucleoprotein AutoantigensR01AR043308 · NIAMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI GREIDINGER, ERIC L · 1997 to 2011
$3.6M
Innate Immune Response Patterns to Autoantigen-Associated RNAI01BX002047 · VA · MIAMI VA HEALTH CARE SYSTEM · PI GREIDINGER, ERIC L · 2014 to 2017
–
BLRD VA I01 BX002047NIAMS NIH HHS AR48805NIAMS NIH HHS R01 AR043308
6 · The paper itself

Abstract

introductionAnti-RNP autoantibodies occur either in mixed connective tissue disease (MCTD) (with a frequently favorable prognosis), or in systemic lupus erythematosus (SLE) cases with aggressive major organ disease. It is uncertain how to assess for the risk of severe disease in anti-RNP + patients.

methodsFollowing institutional review board-approved protocols, clinical data and blood were collected from patients with known or suspected anti-RNP autoimmunity and normal controls in a cohort study. Samples were screened for parameters of immune activation. Groups were compared based on clinical diagnoses, disease classification criteria, disease activity and specific end-organ clinical manifestations.

resultsNinety-seven per cent of patients satisfying Alarcon-Segovia MCTD criteria also met Systemic Lupus International Collaborating Clinic (SLICC) SLE criteria, while 47% of the anti-RNP + SLE patients also met MCTD criteria. Among SLICC SLE patients, MCTD criteria were associated with reduced rates of renal disease (odds ratio (OR) 4.3, 95% confidence interval (CI) 1.3-14.0), increased rates of Raynaud's phenomenon (OR 3.5, 95% CI 1.3-9.5) and increased serum B-cell maturation antigen, transmembrane activator and CAML interactor and TNFα levels. Circulating immune markers and markers of type I interferon activation were not effective at distinguishing clinical subgroups.

conclusionsAmong anti-RNP patients, the question of MCTD versus SLE is not either/or: most MCTD patients also have lupus. MCTD classification criteria (but not a broad set of immune markers) distinguish a subset of SLE patients at reduced risk for renal disease.

Indexed as

AdultAntibodies, AntinuclearAutoantibodiesBiomarkersCase-Control StudiesCohort StudiesFemaleGene ExpressionHumansLupus Erythematosus, SystemicMaleMiddle AgedMixed Connective Tissue DiseaseRaynaud DiseaseRibonucleoproteinsRisk AssessmentAntibodies, AntinuclearAutoantibodiesBiomarkersRibonucleoproteinsRNAclassification criteriainflammationmixed connective tissue diseaseSystemic lupus erythematosus

Identifiers

PMID25736140
PMCPMC4529793
OpenAlexW2111419566

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.