Evidence map›Paper›PMID 26149498›Full record

ReviewThe British journal of dermatology2015

Tumour necrosis factor-α inhibition can stabilize disease in progressive vitiligo.

K C Webb, R Tung, L S Winterfield, A B Gottlieb, J M Eby, S W Henning, I C Le Poole

Open access · greenAbstract readReview
In one paragraph

Review in The British journal of dermatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 94 citations in OpenAlex.

  1. The immunology of vitiligo.Nature reviews. Immunology · 2026
    Review
  2. Review
  3. Review
  4. Review
  5. Tumor Necrosis Factor-Alpha: Ally and Enemy in Protean Cutaneous Sceneries.International journal of molecular sciences · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
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  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Autoimmunity in Segmental Vitiligo.Frontiers in immunology · 2020
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

K C WebbDepartment of Dermatology, Loyola University Stritch School of Medicine, 2160 South First Ave, Maywood, IL, U.S.A.
R TungDepartment of Dermatology, Loyola University Stritch School of Medicine, 2160 South First Ave, Maywood, IL, U.S.A.
L S WinterfieldDepartment of Dermatology, Loyola University Stritch School of Medicine, 2160 South First Ave, Maywood, IL, U.S.A.
A B GottliebDepartment of Dermatology, Tufts University Medical Center, Boston, MA, U.S.A.
J M EbyOncology Research Institute, Loyola University Chicago, IL, U.S.A.
S W HenningOncology Research Institute, Loyola University Chicago, IL, U.S.A.
I C Le PooleDepartments of Pathology, Microbiology and Immunology, Loyola University Stritch School of Medicine, 2160 South First Ave, Maywood, IL, U.S.A.
Loyola University Chicago · USTufts University · US

Funding

Modulating tolerance in a spontaneous mouse model of autoimmune vitiligoR01AR057643 · NIAMS · LOYOLA UNIVERSITY CHICAGO · PI LE POOLE, I. CAROLINE · 2010 to 2014
$1.6M
NIAMS NIH HHS R01 AR057643NIAMS NIH HHS R01AR057643
6 · The paper itself

Abstract

Tumour necrosis factor (TNF)-α, a proinflammatory cytokine central to many autoimmune diseases, has been implicated in the depigmentation process in vitiligo. We review its role in vitiligo by exploring its pro- and anti-inflammatory properties and examine the effects of blocking its actions with TNF-α antagonist therapeutics in reports available in the literature. We found that TNF-α inhibition halts disease progression in patients with progressive vitiligo but that, paradoxically, treatment can be associated with de novo vitiligo development in some patients when used for other autoimmune conditions, particularly when using adalimumab and infliximab. These studies reinforce the importance of stating appropriate outcomes measures, as most pilot trials propose to measure repigmentation, whereas halting depigmentation is commonly overlooked as a measure of success. We conclude that TNF-α inhibition has proven useful for patients with progressive vitiligo, where TNF-α inhibition is able to quash cytotoxic T-cell-mediated melanocyte destruction. However, a lingering concern for initiating de novo disease will likely prevent more widespread application of TNF inhibitors to treat vitiligo.

Indexed as

AdultAgedAntibodies, MonoclonalClinical Trials as TopicDermatologic AgentsDisease ProgressionFemaleForecastingHumansMaleMelanocytesMiddle AgedT-LymphocytesTumor Necrosis Factor-alphaVitiligoAntibodies, MonoclonalDermatologic AgentsTumor Necrosis Factor-alpha

Identifiers

PMID26149498
PMCPMC4583813
OpenAlexW2101185400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.