Evidence map›Paper›PMID 28281453›Full record

ArticleClinical and experimental rheumatology

IgA antibodies to myeloperoxidase in patients with eosinophilic granulomatosis with polyangiitis (Churg-Strauss).

Esha Oommen, Amber Hummel, Lisa Allmannsberger, David Cuthbertson, Simon Carette, Christian Pagnoux, Gary S Hoffman, Dieter E Jenne, Nader A Khalidi, Curry L Koening and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical and experimental rheumatology. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. 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

20 authors.

Esha OommenSection of Rheumatology, Boston University School of Medicine, Boston, MA; and Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Amber HummelDivision of Pulmonology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Lisa AllmannsbergerHelmholtz Zentrum Muenchen, Munich, Germany.
David CuthbertsonDepartment of Biostatistics, University of South Florida, FL, USA.
Simon CaretteDivision of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada.
Christian PagnouxDivision of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada.
Gary S HoffmanCenter for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, USA.
Dieter E JenneHelmholtz Zentrum Muenchen, Munich, Germany.
Nader A KhalidiDivision of Rheumatology, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
Curry L KoeningDivision of Rheumatology, University of Utah, Salt Lake City, UT, USA.
Carol A LangfordCenter for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, USA.
Carol A McAlearDivision of Rheumatology and Clinical Immunology, University of Pennsylvania, Philadelphia, PA, USA.
Larry MorelandDivision of Rheumatology, University of Pittsburgh, Pittsburgh, PA, USA.
Philip SeoDivision of Rheumatology, Johns Hopkins University, Baltimore, MD, USA.
Antoine SreihDivision of Rheumatology and Clinical Immunology, University of Pennsylvania, Philadelphia, PA, USA.
Steven R YtterbergDivision of Rheumatology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Peter A MerkelDivision of Rheumatology and Clinical Immunology, University of Pennsylvania, Philadelphia, PA, USA.
Ulrich SpecksDivision of Pulmonology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Paul A MonachSection of Rheumatology, Boston University School of Medicine; and Rheumatology Section, VA Boston Healthcare System, Boston, MA, USA. pmonach@bu.edu.
Vasculitis Clinical Research Consortium

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
NCATS NIH HHS UL1 TR000439NCRR NIH HHS U54 RR019497NIAMS NIH HHS U54 AR057319
6 · The paper itself

Abstract

objectivesTo determine the prevalence of anti-myeloperoxidase (MPO) antibodies of IgA (IgA anti-MPO) isotype in patients with eosinophilic granulomatosis with polyangiitis (EGPA), and the association of the IgA antibodies with IgG anti-MPO and with disease activity.

methodsSerum samples from patients with EGPA followed in a multicenter longitudinal cohort were tested by ELISA for the presence of IgA anti-MPO and IgG anti-MPO antibodies. Sera from 87 healthy controls were used to define a positive test. Sera from 168 patients with EGPA (298 samples) were tested. Frequencies of positive testing for IgA anti-MPO were compared between patients with active EGPA, patients in remission, and controls.

resultsIgA anti-MPO was detected in 10 of 168 (6%) patients with EGPA (11 of 298 serum samples) compared to 1 of 87 (1%) healthy controls (p=0.10). All 11 samples testing positive for IgA anti-MPO also tested positive for IgG anti-MPO. Ninety samples tested positive for IgG anti-MPO but negative for IgA. Samples taken during active EGPA were positive for IgA anti-MPO in 6/72 cases (8%), compared to 5/226 (2%) during remission (p=0.03). Among samples taken during moderate or high disease activity, 5/41 were positive (12%, p=0.01 compared to remission).

conclusionsAlthough IgA anti-MPO antibodies are detectable in some patients with EGPA and may be detectable more frequently during active disease, their presence seems unlikely to provide information beyond what is obtained from conventional IgG anti-MPO.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, Antineutrophil CytoplasmicBiomarkersCanadaCase-Control StudiesChurg-Strauss SyndromeEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin AImmunoglobulin GImmunosuppressive AgentsMaleAntibodies, Antineutrophil CytoplasmicBiomarkersImmunoglobulin AImmunoglobulin GImmunosuppressive AgentsPeroxidase

Identifiers

PMID28281453
PMCPMC5514423

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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.