Evidence map›Paper›PMID 27009542›Full record

ReviewNature reviews. Rheumatology2016

DNA-damaging autoantibodies and cancer: the lupus butterfly theory.

Philip W Noble, Sasha Bernatsky, Ann E Clarke, David A Isenberg, Rosalind Ramsey-Goldman, James E Hansen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Diet and Systemic Lupus Erythematosus (SLE): From Supplementation to Intervention.International journal of environmental research and public health · 2022
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Cancer in connective tissue disease.Frontiers in immunology · 2025
    Review
  9. Targeting GαBasic research in cardiology · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. 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

6 authors at 5 institutions in 3 countries.

Philip W NobleDepartment of Therapeutic Radiology, Yale School of Medicine, 15 York Street, New Haven, Connecticut 06520, USA.
Sasha BernatskyDepartment of Medicine, Divisions of Rheumatology and Clinical Epidemiology, McGill University, 687 Avenue des Pins Quest, Montreal, Quebec H3A 1A1, Canada.
Ann E ClarkeDivision of Rheumatology, Department of Medicine, Cumming School of Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta T2N 1N4, Canada.
David A IsenbergCentre for Rheumatology, Department of Medicine, Rayne Building, 5 University Street, University College London, London WC1E 6JF, UK.
Rosalind Ramsey-GoldmanDivision of Rheumatology, Department of Medicine, Northwestern University Feinberg School of Medicine, 240 East Huron Street, Chicago, Illinois 60611, USA.
James E HansenDepartment of Therapeutic Radiology, Yale School of Medicine, 15 York Street, New Haven, Connecticut 06520, USA.
McGill University · CANorthwestern University · USUniversity College London · GBUniversity of Calgary · CAYale Cancer Center · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Physical Activity Changes & Thersholds: Quality of Life and Outcomes in Knee OAP60AR064464 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHARMA, LEENA · 2013 to 2017
$4.5M
Cancer Risk: Advancing knowledge in systemic rheumatic diseaseR03CA173822 · NCI · MCGILL UNIVERSITY HEALTH CTR RES INST · PI BERNATSKY, SASHA RUTH, CLARKE, ANN ELAINE · 2013 to 2014
$138k
NCATS NIH HHS UL1 TR000142NCI NIH HHS R03 CA173822NIAMS NIH HHS P60 AR064464
6 · The paper itself

Abstract

Autoantibodies reactive against host DNA are detectable in the circulation of most people with systemic lupus erythematosus (SLE). The long-held view that antibodies cannot penetrate live cells has been disproved. A subset of lupus autoantibodies penetrate cells, translocate to nuclei, and inhibit DNA repair or directly damages DNA. The result of these effects depends on the microenvironment and genetic traits of the cell. Some DNA-damaging antibodies alone have little impact on normal cells, but in the presence of other conditions, such as pre-existing DNA-repair defects, can become highly toxic. These findings raise new questions about autoimmunity and DNA damage, and reveal opportunities for new targeted therapies against malignancies particularly vulnerable to DNA damage. In this Perspectives article, we review the known associations between SLE, DNA damage and cancer, and propose a theory for the effects of DNA-damaging autoantibodies on SLE pathophysiology and cancer risk.

Indexed as

Antibodies, AntinuclearAutoantibodiesAutoimmunityBiomarkersDNA DamageHumansLupus Erythematosus, SystemicNeoplasmsAntibodies, AntinuclearAutoantibodiesBiomarkers

Identifiers

PMID27009542
OpenAlexW2307755391

What OpenQuestion holds

Textmetadata
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.