Evidence map›Paper›PMID 26746423›Full record

ArticleArthritis research & therapy2016

Improved monitoring of clinical response in Systemic Lupus Erythematosus by longitudinal trend in soluble vascular cell adhesion molecule-1.

Myles J Lewis, Simon Vyse, Adrian M Shields, Lu Zou, Munther Khamashta, Patrick A Gordon, Costantino Pitzalis, Timothy J Vyse, David P D'Cruz

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-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

12 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. TRIM27 contributes to glomerular endothelial cell injury in lupus nephritis by mediating the FoxO1 signaling pathway.Laboratory investigation; a journal of technical methods and pathology · 2021
    Article
  4. Article
  5. Article
  6. Review
  7. Autoimmune Disease-Associated Hypertension.Current hypertension reports · 2019
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

9 authors at 4 institutions in 1 country.

Myles J LewisCentre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. myles.lewis@qmul.ac.uk.
Simon VyseCentre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. s.vyse@qmul.ac.uk.
Adrian M ShieldsDepartment of Medical and Molecular Genetics, King's College London, London, SE1 9RT, UK. adrianshields@doctors.org.uk.
Lu ZouCentre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. lu.zou@qmul.ac.uk.
Munther KhamashtaLupus Research Laboratory, The Rayne Institute, King's College London, St Thomas' Hospital, London, SE1 7EH, UK. munther.khamashta@kcl.ac.uk.
Patrick A GordonRheumatology Department, King's College Hospital, London, SE5 9RS, UK. patrick.gordon2@nhs.net.
Costantino PitzalisCentre for Experimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. c.pitzalis@qmul.ac.uk.
Timothy J VyseDepartment of Medical and Molecular Genetics, King's College London, London, SE1 9RT, UK. tim.vyse@kcl.ac.uk.
David P D'CruzLupus Research Laboratory, The Rayne Institute, King's College London, St Thomas' Hospital, London, SE1 7EH, UK. david.d'cruz@kcl.ac.uk.
King's College London · GBQueen Mary University of London · GBWilliam Harvey Research Institute · GBKing's College Hospital · GB

Funding

Versus Arthritis 19631
6 · The paper itself

Abstract

backgroundTo determine whether optimal use of serial measurements of serum levels of soluble cell adhesion molecules (CAM) can improve monitoring of disease activity in SLE.

methodsSerum levels of soluble CAM and conventional SLE biomarkers were measured in serial samples (n = 80) from 21 SLE patients during and after flare and correlated in longitudinal analysis with disease activity determined by ECLAM score. Blood samples from a second cohort of 34 SLE patients were subject to flow cytometry to correlate serum biomarkers with B cell subsets.

resultsBy adjusting for the baseline level (at the first visit), delta soluble vascular cell adhesion molecule-1 (sVCAM-1) showed stronger correlation with changes in ECLAM score and improved sensitivity and specificity for identifying SLE responders versus non-responders compared to conventional SLE biomarkers including anti-dsDNA antibody titre and complement C3. Multiple regression analysis identified delta sVCAM-1 as the best marker of SLE clinical response. sVCAM-1 levels were significantly correlated with CD95(+)CD27(+) activated memory B cells, CD95(+) plasmablasts and circulating plasma cell numbers in SLE patients.

conclusionSubtracting a baseline level of sVCAM-1 for each individual substantially improved its utility as a biomarker. Delta sVCAM-1 was superior to conventional SLE biomarkers for monitoring changes in disease activity. This suggests that serial monitoring of serum sVCAM-1 trends should be considered in SLE patients to document responses to treatment. We hypothesise that the correlation between activated B cell subsets and circulating plasma cell numbers with soluble VCAM-1 serum levels in SLE may relate to the important role of VCAM-1 in B lymphocyte survival and maturation in bone marrow and secondary lymphoid tissues.

Indexed as

AdultBiomarkersCohort StudiesFemaleHumansLongitudinal StudiesLupus Erythematosus, SystemicMaleMiddle AgedMonitoring, PhysiologicTreatment OutcomeVascular Cell Adhesion Molecule-1BiomarkersVascular Cell Adhesion Molecule-1

Identifiers

PMID26746423
PMCPMC4718032
OpenAlexW2229765378

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.