Evidence map›Paper›PMID 26405558›Full record

ArticleLupus science & medicine2015

DNA methylation patterns in naïve CD4+ T cells identify epigenetic susceptibility loci for malar rash and discoid rash in systemic lupus erythematosus.

Paul Renauer, Patrick Coit, Matlock A Jeffries, Joan T Merrill, W Joseph McCune, Kathleen Maksimowicz-McKinnon, Amr H Sawalha

Open access · goldAbstract read
In one paragraph

Article in Lupus science & medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
4.2field-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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. An Update on the Pathogenesis of Skin Damage in Lupus.Current rheumatology reports · 2020
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Towards precision medicine for systemic lupus erythematosus and neuropsychiatric manifestations.Expert review of precision medicine and drug development · 2025
    Article
  7. Review
  8. Lupus, DNA Methylation, and Air Pollution: A Malicious Triad.International journal of environmental research and public health · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. T Cells in Systemic Lupus Erythematosus.Rheumatic diseases clinics of North America · 2021
    Review
  17. Article
  18. Article
  19. Deciphering DNA Methylation in HIV Infection.Frontiers in immunology · 2021
    Review
  20. 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

7 authors at 4 institutions in 1 country.

Paul RenauerDivision of Rheumatology, Department of Internal Medicine , University of Michigan , Ann Arbor, Michigan , USA.
Patrick CoitDivision of Rheumatology, Department of Internal Medicine , University of Michigan , Ann Arbor, Michigan , USA.
Matlock A JeffriesDepartment of Internal Medicine , University of Oklahoma Health Sciences Center , Oklahoma City, Oklahoma , USA.
Joan T MerrillClinical Pharmacology Program , Oklahoma Medical Research Foundation , Oklahoma City, Oklahoma , USA.
W Joseph McCuneDivision of Rheumatology, Department of Internal Medicine , University of Michigan , Ann Arbor, Michigan , USA.
Kathleen Maksimowicz-McKinnonDivision of Rheumatology , Henry Ford Health System , Detroit, Michigan , USA.
Amr H SawalhaDivision of Rheumatology, Department of Internal Medicine , University of Michigan , Ann Arbor, Michigan , USA ; Center for Computational Medicine and Bioinformatics, University of Michigan , Ann Arbor, Michigan , USA.
University of Michigan–Ann Arbor · USHenry Ford Health System · USOklahoma Medical Research Foundation · USUniversity of Oklahoma Health Sciences Center · US

Funding

Role of DNA methylation in lupusR01AI097134 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Amr H Sawalha · 2013 to 2026
$4.5M
NIAID NIH HHS R01 AI097134
6 · The paper itself

Abstract

objectiveSystemic lupus erythematosus (SLE) is a complex autoimmune disease characterised by heterogeneous clinical manifestations, autoantibody production and epigenetic dysregulation in T cells. We sought to investigate the epigenetic contribution to the development of cutaneous manifestations in SLE.

methodsWe performed genome-wide DNA methylation analyses in patients with SLE stratified by a history of malar rash, discoid rash or neither cutaneous manifestation, and age, sex and ethnicity matched healthy controls. We characterised differentially methylated regions (DMRs) in naïve CD4+ T cells unique to each disease subset, and assessed functional relationships between DMRs using bioinformatic approaches.

resultsWe identified 36 and 37 unique DMRs that contribute to the epigenetic susceptibility to malar rash and discoid rash, respectively. These DMRs were primarily localised to genes mediating cell proliferation and apoptosis. Hypomethylation of MIR886 and TRIM69, and hypermethylation of RNF39 were specific to patients with SLE with a history of malar rash. Hypomethylation of the cytoskeleton-related gene RHOJ was specific to patients with SLE with a history of discoid rash. In addition, discoid rash-specific hypomethylated DMRs were found in genes involved in antigen-processing and presentation such as TAP1 and PSMB8. Network analyses showed that DMRs in patients with SLE with but not without a history of cutaneous manifestations are associated with TAP-dependent processing and major histocompatibility-class I antigen cross-presentation (p=3.66×10(-18) in malar rash, and 3.67×10(-13) in discoid rash).

conclusionsWe characterised DNA methylation changes in naïve CD4+ T cells specific to malar rash and discoid rash in patients with SLE. These data suggest unique epigenetic susceptibility loci that predispose to or are associated with the development of cutaneous manifestations in SLE.

Indexed as

Autoimmune DiseasesGene PolymorphismSystemic Lupus Erythematosus

Identifiers

PMID26405558
PMCPMC4577980
OpenAlexW2263546781

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.