Evidence map›Paper›PMID 26669911›Full record

ArticleThe Journal of rheumatology2016

Anti-carbamylated Protein Antibody Levels Correlate with Anti-Sa (Citrullinated Vimentin) Antibody Levels in Rheumatoid Arthritis.

Gregory J Challener, Jonathan D Jones, Adam J Pelzek, B JoNell Hamilton, Gilles Boire, Artur José de Brum-Fernandes, Ariel Masetto, Nathalie Carrier, Henri A Ménard, Gregg J Silverman and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00512239 (Early Prediction of Patient-related and Radiological Outcomes in Patients With Recent-onset Inflammatory Polyarthritis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.6field-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.

NCT00512239 recruitingnot on this map

Early Prediction of Patient-related and Radiological Outcomes in Patients With Recent-onset Inflammatory Polyarthritis (EPA) Using Established and Novel Independent Predictors

Typeobservational_patient_registrySponsorGilles BoireRan1998 to 2035Enrolled1,000ConditionsRheumatoid Arthritis, Inflammatory Arthritis
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  14. Genetic and environmental risk factors for rheumatoid arthritis.Best practice & research. Clinical rheumatology · 2017
    Review
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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

11 authors at 4 institutions in 2 countries.

Gregory J Challener *Geisel School of Medicine at Dartmouth College.
Jonathan D Jones *Geisel School of Medicine at Dartmouth College.
Adam J PelzekNew University, School of Medicine, Departments of Medicine and Pathology.
B JoNell HamiltonGeisel School of Medicine at Dartmouth College.
Gilles BoireCentre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke.
Artur José de Brum-FernandesCentre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke.
Ariel MasettoCentre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke.
Nathalie CarrierCentre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke.
Henri A MénardResearch Institute of the McGill University Health Center.
Gregg J SilvermanNew University, School of Medicine, Departments of Medicine and Pathology.
William F C RigbyGeisel School of Medicine at Dartmouth College.
Dartmouth College · USUniversité de Sherbrooke · CACentre Hospitalier Universitaire de Sherbrooke · CAMcGill University Health Centre · CA

Funding

Training Program in Immunology and Inflammation.T32AI100853 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Susan Ruth Schwab · 2012 to 2026
$4.5M
Novel Biomarkers in Rheumatoid ArthritisR21AR061643 · NIAMS · DARTMOUTH COLLEGE · PI RIGBY, WILLIAM FREDERICK CARSON · 2012 to 2013
$392k
Canadian Institutes of Health Research MOP-110959NIAID NIH HHS T32 AI100853NIAMS NIH HHS R21 AR-061643NIAMS NIH HHS R21 AR061643
6 · The paper itself

Abstract

objectiveThe presence of anticitrullinated protein antibodies (ACPA) in rheumatoid arthritis (RA) indicates a breach in immune tolerance. Recent studies indicate that this breach extends to homocitrullination of lysines with the formation of anti-carbamylated protein (anti-CarP) antibodies. We analyzed the clinical and serologic relationships of anti-CarP in 2 RA cohorts.

methodsCirculating levels of immunoglobulin G anti-CarP antibodies were determined by ELISA in established (Dartmouth-Hitchcock Medical Center) and early (Sherbrooke University Hospital Center) cohorts and evaluated for anticyclic citrullinated peptide antibodies (anti-CCP), specific ACPA, and rheumatoid factor (RF) levels using the Student t test and correlation analysis.

resultsWe identified elevated anti-CarP antibodies titers in 47.0% of seropositive patients (Dartmouth, n = 164), with relationships to anti-CCP (p < 0.0001) and IgM-RF (p = 0.001). Similarly, 38.2% of seropositive patients from the Sherbrooke cohort (n = 171) had elevated anti-CarP antibodies; titers correlated to anti-CCP (p = 0.01) but not IgM-RF (p = 0.09). A strong correlation with anti-Sa was observed: 47.9% anti-Sa+ patients were anti-CarP antibodies+ versus only 25.4% anti-Sa- in the Sherbrooke cohort (p = 0.0002), and 62.6% anti-Sa+ patients versus 26.9% anti-Sa- were anti-CarP antibodies+ in Dartmouth (p < 0.0001). We found a more variable response for reactivity to citrullinated fibrinogen or to citrullinated peptides from fibrinogen and α enolase.

conclusionIn 2 North American RA cohorts, we observed a high prevalence of anti-CarP antibody positivity. We also describe a surprising and unexpected association of anti-CarP with anti-Sa antibodies that could not be explained by cross-reactivity. Further, considerable heterogeneity exists between anti-CarP reactivity and other citrullinated peptide reactivity, raising the question of how the pathogenesis of antibody responses for carbamylated proteins and citrullinated proteins may be linked in vivo.

Indexed as

AdultAgedAged, 80 and overArthritis, RheumatoidAutoantibodiesFemaleHumansMaleMiddle AgedPeptides, CyclicVimentinYoung AdultAutoantibodiescyclic citrullinated peptidePeptides, CyclicVimentinAUTOANTIBODIESCYCLIC CITRULLINATED PEPTIDERHEUMATOID ARTHRITISVIMENTIN

Identifiers

PMID26669911
PMCPMC4737983
OpenAlexW2197470653

What OpenQuestion holds

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Registered trials

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.