Evidence map›Paper›PMID 27716430›Full record

ArticleArthritis research & therapy2016

A specific anti-citrullinated protein antibody profile identifies a group of rheumatoid arthritis patients with a toll-like receptor 4-mediated disease.

Eric Hatterer, Limin Shang, Pierre Simonet, Suzanne Herren, Bruno Daubeuf, Stéphanie Teixeira, James Reilly, Greg Elson, Robert Nelson, Cem Gabay and 6 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Correlation between double-stranded DNA and rheumatoid arthritis.Central-European journal of immunology · 2026
    Article
  3. Review
  4. The Challenges of Local Intra-Articular Therapy.Medicina (Kaunas, Lithuania) · 2024
    Review
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  10. Article
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  15. Article
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  17. Article
  18. S100 proteins in rheumatic diseases.Nature reviews. Rheumatology · 2018
    Review
  19. Article
  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

16 authors at 3 institutions in 2 countries.

Eric Hatterer, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland. ehatterer@novimmune.com.
Limin Shang, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Pierre Simonet, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Suzanne Herren, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Bruno Daubeuf, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Stéphanie Teixeira, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
James ReillyUniversity School of Medicine, Institute of infection, immunity and inflammation, 120 University Place, Glasgow, UK.
Greg Elson, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Robert Nelson, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Cem GabayGeneva University Hospital, 26 avenue Beau-Sejour, 1211, Geneva, Switzerland.
Jeremy SokoloveStanford University, 1000 Welch Rd Suite 203, Palo Alto, CA, USA.
Iain B McInnesUniversity School of Medicine, Institute of infection, immunity and inflammation, 120 University Place, Glasgow, UK.
Marie Kosco-Vilbois, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Walter Ferlin, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Emmanuel Monnet, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Cristina De Min, NovImmune SA, 14 chemin des Aulx, 1228, Plan les Ouates, Switzerland.
Light Chain Bioscience (Switzerland) · CHHôpital Beau-Séjour · CHStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased expression of toll-like receptor 4 (TLR4) and its endogenous ligands, is characteristic of rheumatoid arthritis (RA) synovitis. In this study, we evaluated how these TLR4 ligands may drive pathogenic processes and whether the fine profiling of anti-citrullinated protein antibodies (ACPA) based on their target specificity might provide a simple means to predict therapeutic benefit when neutralizing TLR4 in this disease.

methodsThe capacity of RA synovial fluids (RASF) to stimulate cytokine production in monocytes from patients with RA was analyzed by ELISA. The presence of TLR4 activators in RASF was determined by measuring the levels of ACPA, ACPA subtypes with reactivity to specific citrullinated peptides and other TLR4 ligands. Neutralization of TLR4 signaling was investigated using NI-0101, a therapeutic antibody that targets TLR4.

resultsRASF exhibited a heterogeneous capacity to induce production of proinflammatory cytokines by monocytes isolated from patients with RA. Such cytokine responses were significantly modified by TLR4 blockade achieved using NI-0101. The analysis of the content of RASF and matched sera demonstrated that ACPA fine specificities in patient samples predict cellular response to anti-TLR4 exposure in vitro.

conclusionTLR4 represents a possible therapeutic target in RA. Our study demonstrates that TLR4 inhibition in an ex vivo model of RA pathogenesis can significantly modulate cytokine release and does so in specific subgroups of RA patient-derived samples. It also suggests that ACPA fine profiling has the potential to identify RA patients with a predominantly TLR4-driven pathotype that could be used to predict preferential response to TLR4 antagonism.

Indexed as

AgedAntibodies, Monoclonal, HumanizedArthritis, RheumatoidAutoantibodiesAutoantigensCytokinesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedPeptides, CyclicSynovial FluidToll-Like Receptor 4Antibodies, Monoclonal, HumanizedAutoantibodiesAutoantigenscyclic citrullinated peptideCytokinesNI-0101Peptides, CyclicTLR4 protein, humanToll-Like Receptor 4ACPACytokinesMonoclonal antibodyRheumatoid arthritisSynovial gluidToll-like receptor 4

Identifiers

PMID27716430
PMCPMC5053084
OpenAlexW2527894900

What OpenQuestion holds

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LicenceCC BY
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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.