Evidence map›Paper›PMID 29287303›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2018

High Levels of DEK Autoantibodies in Sera of Patients With Polyarticular Juvenile Idiopathic Arthritis and With Early Disease Flares Following Cessation of Anti-Tumor Necrosis Factor Therapy.

Nirit Mor-Vaknin, Miguel Rivas, Maureen Legendre, Smriti Mohan, Ye Yuanfan, Theresa Mau, Anne Johnson, Bin Huang, Lili Zhao, Yukiko Kimura and 17 more

Open access · hybridAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. All hands on DEK.The Journal of clinical investigation · 2019
    Article
  10. 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

27 authors at 15 institutions in 1 country.

Nirit Mor-VakninUniversity of Michigan, Ann Arbor.
Miguel RivasUniversity of Michigan, Ann Arbor.ORCID 0000-0001-6878-8090
Maureen LegendreUniversity of Michigan, Ann Arbor.
Smriti MohanUniversity of Michigan, Ann Arbor.
Ye YuanfanUniversity of Michigan, Ann Arbor.
Theresa MauUniversity of Michigan, Ann Arbor.
Anne JohnsonCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Bin HuangCincinnati Children's Hospital Medical Center and University of Cincinnati School of Medicine, Cincinnati, Ohio.
Lili ZhaoUniversity of Michigan, Ann Arbor.
Yukiko KimuraJoseph M. Sanzari Children's Hospital, Hackensack University Medical Center, Hackensack, New Jersey.
Steven J SpaldingThe Cleveland Clinic, Cleveland, Ohio.
Paula W MorrisUniversity of Arkansas for Medical Science, Little Rock.
Beth S GottliebCohen Children's Medical Center, Northwell Health, Hofstra Norwell School of Medicine, Hempstead, New York.
Karen OnelJoseph M. Sanzari Children's Hospital, Hackensack University Medical Center, Hackensack, New Jersey.
Judyann C OlsonMedical College of Wisconsin, Milwaukee.
Barbara S EdelheitConnecticut Children's Medical Center, Hartford.
Michael ShishovPhoenix Children's Hospital, Phoenix, Arizona.
Lawrence K JungChildren's National Medical Center, Washington, DC.
Elaine A CassidyChildren's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Sampath PrahaladEmory University School of Medicine, Atlanta, Georgia.
Murray H PassoMedical University of South Carolina, Charleston.
Timothy BeukelmanUniversity of Alabama at Birmingham.
Jay MehtaChildren's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, New York.
Edward H GianniniCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Barbara S AdamsUniversity of Michigan, Ann Arbor.
Daniel J LovellCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
David M MarkovitzUniversity of Michigan, Ann Arbor.
University of Michigan · USCincinnati Children's Hospital Medical Center · USHackensack University Medical Center · USAlbert Einstein College of Medicine · USChildren's Hospital of Pittsburgh · USChildren's National · USCleveland Clinic · USConnecticut Children's Medical Center · USEmory University · USMedical College of Wisconsin · USMedical University of South Carolina · USNorthwell Health · USPhoenix Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Arkansas for Medical Sciences · US

Funding

PHARMACOGENOMICS OF JUVENILE RHEUMATOID ARTHRITISP60AR047784 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI GROM, ALEXEI A · 2001 to 2012
$10.5M
RESEARCH TRAINING IN EXPERIMENTAL IMMUNOPATHOLOGYT32AI007413 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Bethany B. Moore · 1993 to 2026
$9.8M
TRAINING OF ARTHRITIS RESEARCH SCIENTISTST32AR007080 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 1986 to 2026
$6.3M
DEK Regulation of Hematopoietic Stem Cell Renewal, Fate, and HematopoiesisR01DK109188 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI BROXMEYER, HAL E., MARKOVITZ, DAVID MICHAEL · 2016 to 2019
$2.0M
CXC Chemokines and HIV PathogenesisR01AI062248 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARKOVITZ, DAVID MICHAEL · 2005 to 2009
$1.6M
DEK and TNF inhibitors in juvenile arthritisR01AI087128 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARKOVITZ, DAVID MICHAEL · 2009 to 2012
$1.5M
The Role of DEK in the Development of ArthritisK01AR055620 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOR-VAKNIN, NIRIT · 2009 to 2013
$541k
The Role of DEK in the Development of ArthritisR03AR056748 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOR-VAKNIN, NIRIT · 2009 to 2011
$206k
NIAID NIH HHS R01 AI062248NIAID NIH HHS R01 AI087128NIAID NIH HHS T32 AI007413NIAMS NIH HHS K01 AR055620NIAMS NIH HHS P60 AR047784NIAMS NIH HHS R03 AR056748NIAMS NIH HHS T32 AR007080NIDDK NIH HHS R01 DK109188
6 · The paper itself

Abstract

objectiveThe nuclear oncoprotein DEK is an autoantigen associated with juvenile idiopathic arthritis (JIA), especially the oligoarticular subtype. DEK is a secreted chemotactic factor. Abundant levels of DEK and DEK autoantibodies are found in inflamed synovium in JIA. We undertook this study to further characterize the nature of DEK autoantibodies in screening serum samples from 2 different cohorts that consisted mostly of patients with JIA.

methodsDEK autoantibody levels were analyzed in sera from 33 JIA patients, 13 patients with other inflammatory conditions, and 11 healthy controls, as well as in 89 serum samples from JIA patients receiving anti-tumor necrosis factor (anti-TNF) therapy. Recombinant His-tagged full-length DEK protein (1-375 amino acids [aa]) and the 187-375-aa and 1-350-aa His-tagged DEK fragments made in a baculovirus system were used for enzyme-linked immunosorbent assay (ELISA) and immunoblotting. The C-terminal 25-aa fragment of DEK was expressed in a glutathione S-transferase-tagged vector. ELISA results were calculated as area under the curve by the trapezoidal rule.

resultsDEK autoantibody levels were significantly higher in patients with polyarticular JIA than in those with oligoarticular JIA, and were higher in patients with polyarticular JIA who had more active disease after cessation of anti-TNF therapy. Immunoblotting against the C-terminal 25-aa fragment of DEK confirmed that this section of the DEK molecule is the most immunogenic domain.

conclusionDEK autoantibody levels are higher in patients with polyarticular JIA than in those with oligoarticular JIA, and higher in patients who have disease flares after cessation of anti-TNF therapy. The C-terminal 25-aa fragment is the most immunogenic portion of DEK. These findings are significant with respect to the nature of DEK autoantibodies, their contribution to JIA pathogenesis, and their implications for JIA management.

Indexed as

AdolescentAntirheumatic AgentsArthritis, JuvenileAutoantibodiesCase-Control StudiesChildChromosomal Proteins, Non-HistoneFemaleHumansMaleOncogene ProteinsPoly-ADP-Ribose Binding ProteinsSymptom Flare UpTumor Necrosis Factor-alphaWithholding TreatmentAntirheumatic AgentsAutoantibodiesChromosomal Proteins, Non-HistoneDEK protein, humanOncogene ProteinsPoly-ADP-Ribose Binding ProteinsTumor Necrosis Factor-alpha

Identifiers

PMID29287303
PMCPMC5876119
OpenAlexW2796526746

What OpenQuestion holds

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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.