Evidence map›Paper›PMID 28941496›Full record

ArticleThe journal of investigative dermatology. Symposium proceedings2017

Quinacrine Suppresses Tumor Necrosis Factor-α and IFN-α in Dermatomyositis and Cutaneous Lupus Erythematosus.

Paul Alves, Muhammad M Bashir, Maria Wysocka, Majid Zeidi, Rui Feng, Victoria P Werth

Open access · greenAbstract read
In one paragraph

Article in The journal of investigative dermatology. Symposium proceedings, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  17. Effect ofFrontiers in immunology · 2019
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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 2 institutions in 1 country.

Paul AlvesCorporal Michael J. Crescenz Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA; Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Muhammad M BashirCorporal Michael J. Crescenz Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA; Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Maria WysockaDepartment of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Majid ZeidiCorporal Michael J. Crescenz Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA; Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rui FengDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Victoria P WerthCorporal Michael J. Crescenz Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA; Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: werth@mail.med.upenn.edu.
Philadelphia VA Medical Center · USUniversity of Pennsylvania · US

Funding

PATIENT-ORIENTED RESEARCH IN SKIN AUTOMMUNE DISEASEK24AR002207 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WERTH, VICTORIA P · 2001 to 2012
$1.3M
Treatment of Dermatomyositis with Ajulemic Acid, a Non-Psychoactive CannabinoidR21AR066286 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WERTH, VICTORIA P · 2014 to 2016
$387k
The role of TNF-Alpha in cutaneous integrityI01BX000706 · VA · PHILADELPHIA VA MEDICAL CENTER · PI WERTH, VICTORIA P · 2013 to 2016
–
BLRD VA I01 BX000706NIAMS NIH HHS K24 AR002207NIAMS NIH HHS R21 AR066286
6 · The paper itself

Abstract

Antimalarials are used to treat dermatomyositis (DM) and cutaneous lupus erythematosus (CLE). Although hydroxychloroquine (HCQ) is frequently used, addition of quinacrine (QC) has shown additional clinical effects when combined with HCQ. To quantify the effects of HCQ versus QC in suppressing secretion of tumor necrosis factor-α (TNF-α) and IFN-α from the peripheral blood mononuclear cells of DM and CLE patients, lipopolysaccharide-stimulated and control peripheral blood mononuclear cells from DM and CLE patients and control subjects were analyzed for the effect of HCQ and QC on TNF-α and IFN-α production using ELISA testing. Flow cytometry showed the effects of these therapies on intracellular TNF-α in myeloid dendritic cells and monocytes of DM patients and control subjects. QC significantly suppressed TNF-α relative to HCQ from unstimulated and lipopolysaccharide-stimulated peripheral blood mononuclear cells of DM and CLE patients (P < 0.0001). It suppressed IFN-α as significantly as HCQ from cytosine phosphodiester guanine-stimulated peripheral blood mononuclear cells of DM and CLE patients (P < 0.0001). Flow cytometry showed that QC significantly suppressed intracellular expression of TNF-α from the lipopolysaccharide-stimulated myeloid dendritic cells and monocytes of DM patients (P-values ≤ 0.0008). In conclusion, QC likely has a different mechanism of action than HCQ, given the broader inhibition of proinflammatory cytokines, including both TNF-α and IFN-α.

Indexed as

AntimalarialsCells, CulturedDendritic CellsDermatomyositisDrug InteractionsHumansHydroxychloroquineInterferon-alphaLeukocytes, MononuclearLipopolysaccharidesLupus Erythematosus, CutaneousMonocytesQuinacrineTumor Necrosis Factor-alphaAntimalarialsHydroxychloroquineInterferon-alphaLipopolysaccharidesQuinacrineTumor Necrosis Factor-alpha

Identifiers

PMID28941496
PMCPMC5645024
OpenAlexW2755602678

What OpenQuestion holds

Textmetadata
LicenceTDM
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.