Evidence map›Paper›PMID 25890187›Full record

Observational studyArthritis research & therapy2015

IgG anti-apolipoprotein A-1 antibodies in patients with systemic lupus erythematosus are associated with disease activity and corticosteroid therapy: an observational study.

Sara Croca, Paul Bassett, Sharon Chambers, Maria Davari, Karim Fouad Alber, Oliver Leach, Yiannis Ioannou, Ian Giles, David Isenberg, Anisur Rahman

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Lipid Metabolism Profiles in Rheumatic Diseases.Frontiers in pharmacology · 2021
    Review
  4. Article
  5. Review
  6. ApoA1 and ApoA1-specific self-antibodies in cardiovascular disease.Laboratory investigation; a journal of technical methods and pathology · 2016
    Review
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 1 institution in 1 country.

Sara CrocaCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. sara.croca.10@ucl.ac.uk.
Paul BassettJoint Research Office, UCL/University College London Hospital (UCLH)/Royal Free Hospital, Pond Street, London, NW3 2QG, UK. paul@statsconsultancy.co.uk.
Sharon ChambersCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. shrspk@aol.com.
Maria DavariCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. maria.davari.10@ucl.ac.uk.
Karim Fouad AlberCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. kfalber@gmail.com.
Oliver LeachCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. oliver.leach.11@ucl.ac.uk.
Yiannis IoannouCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. y.ioannou@ucl.ac.uk.
Ian GilesCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. i.giles@ucl.ac.uk.
David IsenbergCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. d.isenberg@ucl.ac.uk.
Anisur RahmanCentre for Rheumatology Research, University College London, 5 University Street, London, WC1E 6JF, UK. anisur.rahman@ucl.ac.uk.
University College London · GB

Funding

Arthritis Research UK 19423Versus Arthritis 19423
6 · The paper itself

Abstract

introductionIgG anti-apolipoprotein A-1 (IgG anti-apoA-1) antibodies are present in patients with systemic lupus erythematosus (SLE) and may link inflammatory disease activity and the increased risk of developing atherosclerosis and cardiovascular disease (CVD) in these patients. We carried out a rigorous analysis of the associations between IgG anti-apoA-1 levels and disease activity, drug therapy, serology, damage, mortality and CVD events in a large British SLE cohort.

methodsSerum IgG anti-apoA-1 levels were measured in 100 healthy controls to define a cut-off for positivity. In 499 patients with SLE we obtained the earliest stored serum sample from their disease course and measured IgG anti-apoA-1 level. We then examined associations between IgG anti-apoA-1 positivity in early disease and the development of damage, CVD or death over a mean follow-up period of 12.1 years in these patients. In a separate study, we measured IgG anti-apoA-1 levels in 397 samples taken longitudinally from 49 patients with SLE over a mean period of 89 months of fluctuating disease activity and carried out multi-variable analysis to examine the demographic, serological, disease activity and treatment factors associated with IgG anti-apoA-1 level over time.

resultsIn the longitudinal study, IgG anti-apoA-1 levels were significantly higher in patients with persistently active disease, those on high dose corticosteroid and those not taking hydroxychloroquine. Of the 499 subjects who had early disease IgG anti-apoA-1 levels measured, 135 (27%) were positive. However, we found no convincing associations between early IgG anti-apoA-1 positivity and development of damage, mortality or CVD.

conclusionsIgG anti-apoA-1 developed early in a quarter of our patients with SLE, but this had no major impact on subsequent clinical outcomes. However, levels of IgG anti-apoA-1 vary over time and are associated with disease activity, treatment with high dose corticosteroid and not taking hydroxychloroquine.

Indexed as

AdultAgedApolipoprotein A-IEnzyme-Linked Immunosorbent AssayFemaleGlucocorticoidsHumansImmunoglobulin GLongitudinal StudiesLupus Erythematosus, SystemicMaleMiddle AgedYoung AdultApolipoprotein A-IGlucocorticoidsImmunoglobulin G

Identifiers

PMID25890187
PMCPMC4354753
OpenAlexW2103690050

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.