Evidence map›Paper›PMID 27475749›Full record

ArticleArthritis research & therapy2016

Association between Staphylococcus aureus nasal carriage and disease phenotype in patients affected by systemic lupus erythematosus.

Fabrizio Conti, Fulvia Ceccarelli, Giancarlo Iaiani, Carlo Perricone, Alessandra Giordano, Luigino Amori, Francesca Miranda, Laura Massaro, Viviana Antonella Pacucci, Simona Truglia and 7 more

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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  14. Review
  15. Autoimmunity: A New Focus on Nasal Polyps.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Phenol-Soluble Modulins FromFrontiers in cellular and infection microbiology · 2022
    Article
  20. Frontiers in cellular and infection microbiology · 2021
    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

17 authors at 2 institutions in 1 country.

Fabrizio ContiLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Fulvia CeccarelliLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Giancarlo IaianiDAI Malattie Infettive e Tropicali, Azienda Policlinico Umberto I, Rome, Italy.
Carlo PerriconeLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Alessandra GiordanoSanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.
Luigino AmoriSanità Pubblica e Malattie Infettive, Sapienza Università di Roma, Rome, Italy.
Francesca MirandaLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Laura MassaroLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Viviana Antonella PacucciLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Simona TrugliaLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Gabriella GirelliUOC Immunoematologia e Medicina Trasfusionale, Azienda Policlinico Umberto I, Rome, Italy.
Azis FakeriUOC Immunoematologia e Medicina Trasfusionale, Azienda Policlinico Umberto I, Rome, Italy.
Gloria TalianiDipartimento Medicina Clinica, Sapienza Università di Roma, Rome, Italy.
Chiara TemperoniDipartimento Medicina Clinica, Sapienza Università di Roma, Rome, Italy.
Francesca Romana SpinelliLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Cristiano AlessandriLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy. cristiano.alessandri@uniroma1.it.
Guido ValesiniLupus Clinic, Dipartimento di Medicina Interna e Specialità Medica, Sapienza Università di Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Sapienza University of Rome · ITPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaphylococcus aureus (SA) is a commensal bacterium representing one of the most important components of the skin microbiome, mostly isolated in the anterior nares. A higher rate of SA nasal colonization in patients affected by Wegener's granulomatosis and rheumatoid arthritis compared with healthy subjects (HS) has been described. No studies focusing on systemic lupus erythematosus (SLE) are available. We aimed at analyzing the prevalence of SA nasal carriers in an SLE cohort and evaluating correlation between nasal colonization and clinical, laboratory and therapeutic features.

methodsWe enrolled 84 patients with SLE (number of male/female patients 6/78; mean age 41.3 ± 12.2 years, mean disease duration 142.1 ± 103.8 months) and 154 HS blood donors. Patients with SLE underwent a physical examination and the clinical/laboratory data were collected. All the patients with SLE and the HS received a nasal swab for SA isolation and identification.

resultsSA nasal colonization prevalence was 21.4 % in patients with SLE and 28.6 % in HS (P not significant). We analyzed patients with SLE according to the presence (n = 18, SA-positive SLE) or the absence (n = 66, SA-negative SLE) of nasal colonization. Renal involvement was significantly more frequent in SA-positive SLE (11.6 % vs 3.0 %; P = 0.0009). Moreover, the presence of anti-dsDNA, anti-Sm, anti-SSA, anti-SSB, anti-RNP antibodies was significantly higher in SA-positive SLE (P < 0.0001, P = 0.01, P = 0.008, P = 0.03, P = 0.03, respectively).

conclusionSA colonization is a relatively frequent condition in patients with SLE, with a frequency similar to HS. The presence of SA seems associated with a peculiar SLE phenotype characterized by renal manifestations and autoantibody positivity, confirming the role of the microbiome in disease phenotype.

Indexed as

Staphylococcus aureusAdultAutoantibodiesFemaleHumansLupus Erythematosus, SystemicMaleMiddle AgedNasal MucosaPhenotypeAutoantibodiesMicrobiomeStaphylococcus aureusSystemic lupus erythematosus

Identifiers

PMID27475749
PMCPMC4967505
OpenAlexW2493309863

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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.