Evidence map›Paper›PMID 26860519›Full record

Observational studyArthritis research & therapy2016

The assessment of serum-mediated phagocytosis of necrotic material by polymorphonuclear leukocytes to diagnose and predict the clinical features of systemic lupus erythematosus: an observational longitudinal study.

Michele Compagno, Birgitta Gullstrand, Søren Jacobsen, Gro Ø Eilertsen, Jan Åke Nilsson, Christian Lood, Andreas Jönsen, Lennart Truedsson, Gunnar Sturfelt, Anders A Bengtsson

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

10 authors at 2 institutions in 2 countries.

Michele CompagnoDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. michele.compagno@med.lu.se.
Birgitta GullstrandDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. birgitta.gullstrand@med.lu.se.
Søren JacobsenDepartment of Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. soeren.jacobsen.01@regionh.dk.
Gro Ø EilertsenDepartment of Clinical Medicine, Bone and Joint Research Group, Faculty of Health Science, University of Tromsø, Tromsø, Norway. gro.eilertsen@uit.no.
Jan Åke NilssonDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. jan-ake.nilsson@med.lu.se.
Christian LoodDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. loodc@u.washington.edu.
Andreas JönsenDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. andreas.jonsen@med.lu.se.
Lennart TruedssonDepartment of Laboratory Medicine, Section of Microbiology, Immunology and Glycobiology, Lund University, Lund, Sweden. lennart.truedsson@med.lu.se.
Gunnar SturfeltDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. gunnar.sturfelt@med.lu.se.
Anders A BengtssonDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden. anders.bengtsson@med.lu.se.
Lund University · SERigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum-mediated phagocytosis of antibody- and complement-opsonized necrotic cell material (NCM) by polymorphonuclear leukocytes can be quantified by using a flow cytometry-based assay. The phagocytosis of necrotic cell material (PNC) assay parallels the well-known lupus erythematosus cell test. In this study, we aimed to investigate the diagnostic accuracy of the assay and the relationship with clinical manifestations and disease activity in systemic lupus erythematosus (SLE).

methodsThe diagnostic accuracy for SLE diagnosis of the PNC assay was studied by cross-sectional assessment of blood samples from 148 healthy control subjects and a multicenter rheumatic group (MRG) of 529 patients with different rheumatic symptoms. A cohort of 69 patients with an established SLE diagnosis (SLE cohort) underwent longitudinal clinical and laboratory follow-up for analysis of the temporal relationships between PNC positivity and specific clinical manifestations.

resultsIn 35 of 529 MRG patients, 13 of whom had SLE, the PNC assay result was positive. Combined positivity of the PNC assay and anti-double-stranded DNA antibodies increased specificity and positive predictive value for SLE diagnosis to 0.99 and 0.67, respectively. In the longitudinal study, 42 of 69 SLE cohort patients had positive results in the PNC assay at least once. PNC assay positivity was associated with current hematological manifestations and could predict mucocutaneous manifestations. When combined with hypocomplementemia, PNC positivity preceded increased Systemic Lupus Erythematosus Disease Activity Index 2000 score, glomerulonephritis, and alopecia.

conclusionsSerum-mediated PNC by polymorphonuclear leukocytes is commonly but not exclusively seen in patients with SLE. The PNC assay may be used in follow-up of patients with SLE and, especially in combination with other routinely assessed laboratory tests, may help to predict flares and different clinical manifestations, including glomerulonephritis. Our results encourage further development of the PNC assay as a complementary laboratory tool in management of patients with SLE.

Indexed as

AdolescentAdultAgedBiomarkersCohort StudiesCross-Sectional StudiesFemaleFollow-Up StudiesHumansLongitudinal StudiesLupus Erythematosus, SystemicMaleMiddle AgedNecrosisNeutrophilsPhagocytosisBiomarkers

Identifiers

PMID26860519
PMCPMC4748567
OpenAlexW2261285938

What OpenQuestion holds

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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.