Evidence map›Paper›PMID 29370834›Full record

ArticleArthritis research & therapy2018

Highly selective inhibition of Bruton's tyrosine kinase attenuates skin and brain disease in murine lupus.

Samantha A Chalmers, Jing Wen, Jessica Doerner, Ariel Stock, Carla M Cuda, Hadijat M Makinde, Harris Perlman, Todd Bosanac, Deborah Webb, Gerald Nabozny and 4 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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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

14 authors at 3 institutions in 1 country.

Samantha A ChalmersDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
Jing WenDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
Jessica DoernerDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
Ariel StockDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
Carla M CudaDivision of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Hadijat M MakindeDivision of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Harris PerlmanDivision of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Todd BosanacSmall Molecule Discovery Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Deborah WebbImmunology and Respiratory Disease Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Gerald NaboznyImmunology and Respiratory Disease Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Jay S FineImmunology and Respiratory Disease Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Elliott KleinImmunology and Respiratory Disease Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Meera RamanujamImmunology and Respiratory Disease Research, Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA.
Chaim PuttermanDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA. chaim.putterman@einstein.yu.edu.ORCID 0000-0002-3204-6068
Boehringer Ingelheim (United States) · USAlbert Einstein College of Medicine · USNorthwestern University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007288 · NIGMS · YESHIVA UNIVERSITY · PI AKABAS, MYLES H. · 1985 to 2022
$35.6M
DEVELOPMENTAL RENAL AND ELECTROLYTE PHYSIOLOGYT32DK007110 · NIDDK · YESHIVA UNIVERSITY · PI KASKEL, FREDERICK JEFFREY, MELAMED, MICHAL L · 1986 to 2021
$5.6M
POSTDOCTORAL RHEUMATOLOGY TRAININGT32AR007611 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PERLMAN, HARRIS R · 2001 to 2022
$4.4M
Macrophage Modulation of Lung FibrosisR01HL134375 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PERLMAN, HARRIS R · 2017 to 2020
$2.9M
Caspase 8: A Novel Suppressor of Dendritic Cell-Mediated AutoimmunityK01AR064313 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CUDA, CARLA M · 2013 to 2017
$597k
Boehringer Ingelheim N/ANHLBI NIH HHS R01 HL134375NIAMS NIH HHS K01 AR064313NIAMS NIH HHS T32 AR007611NIDDK NIH HHS T32 DK007110NIGMS NIH HHS T32 GM007288
6 · The paper itself

Abstract

backgroundSystemic lupus erythematosus (SLE) is a systemic autoimmune disease that affects different end organs, including skin and brain. We and others have previously shown the importance of macrophages in the pathogenesis of cutaneous and neuropsychiatric lupus. Additionally, autoantibodies produced by autoreactive B cells are thought to play a role in both the skin and central nervous system pathologies associated with SLE.

methodsWe used a novel inhibitor of Bruton's tyrosine kinase (BTK), BI-BTK-1, to target both macrophage and B cell function in the MRL-lpr/lpr murine model of SLE, and examined the effect of treatment on skin and brain disease.

resultsWe found that treatment with BI-BTK-1 significantly attenuated the lupus associated cutaneous and neuropsychiatric disease phenotypes in MRL/lpr mice. Specifically, BI-BTK-1 treated mice had fewer macroscopic and microscopic skin lesions, reduced cutaneous cellular infiltration, and diminished inflammatory cytokine expression compared to control mice. BTK inhibition also significantly improved cognitive function, and decreased accumulation of T cells, B cells, and macrophages within the central nervous system, specifically the choroid plexus.

conclusionsDirected therapies may improve the response rate in lupus-driven target organ involvement, and decrease the dangerous side effects associated with global immunosuppression. Overall, our results suggest that inhibition of BTK may be a promising therapeutic option for cutaneous and neuropsychiatric disease associated with SLE.

Indexed as

Agammaglobulinaemia Tyrosine KinaseAnimalsAutoantibodiesB-LymphocytesBrain DiseasesCognitionCytokinesDisease Models, AnimalEnzyme InhibitorsFemaleGene ExpressionHumansLupus Erythematosus, SystemicMacrophagesMice, Inbred MRL lprSkin DiseasesAgammaglobulinaemia Tyrosine KinaseAutoantibodiesCytokinesEnzyme InhibitorsBruton’s tyrosine kinase (BTK)Cutaneous lupus erythematosus (CLE)Neuropsychiatric lupus (NPSLE)Systemic lupus erythematous (SLE)

Identifiers

PMID29370834
PMCPMC5785891
OpenAlexW2790933581

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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.