Evidence map›Paper›PMID 29593104›Full record

ArticleScience translational medicine2018

Commensal orthologs of the human autoantigen Ro60 as triggers of autoimmunity in lupus.

Teri M Greiling, Carina Dehner, Xinguo Chen, Kevin Hughes, Alonso J Iñiguez, Marco Boccitto, Daniel Zegarra Ruiz, Stephen C Renfroe, Silvio M Vieira, William E Ruff and 10 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02394964 (The Human Microbiome in Immune-Mediated Diseases), which is not on this map. Cited by 183 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 6 pooled it
27.1field-weighted citation impact, top 1% 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.

NCT02394964 completednot on this map

The Human Microbiome in Immune-Mediated Diseases

TypeobservationalSponsorYale UniversityRan2014 to 2023Enrolled75ConditionsAutoimmuneArmsSample Collection
3 · Its place in the literature

Who cites it

183 citing papers in PubMed, 6 syntheses or guidelines pooled it, 307 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. Pooled it
  6. Pooled it
  7. Article
  8. Sex-dependent mechanisms in rheumatic diseases.Nature reviews. Rheumatology · 2026
    Review
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  12. Article
  13. Defective B cell tolerance in SLE lymph nodes underpins VHmedRxiv : the preprint server for health sciences · 2026
    Article
  14. Article
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  16. Article
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  20. Frontiers in immunology · 2026
    Article

123 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Teri M GreilingDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0002-0028-8986
Carina DehnerDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-5214-4813
Xinguo ChenDepartment of Medicine, Integrated Cardio Metabolic Centre (ICMC), Heart and Vascular Theme, Karolinska Institute, Stockholm SE-171 77, Sweden.ORCID 0000-0001-8836-6960
Kevin HughesDepartment of Medicine, Integrated Cardio Metabolic Centre (ICMC), Heart and Vascular Theme, Karolinska Institute, Stockholm SE-171 77, Sweden.ORCID 0000-0002-2489-3603
Alonso J IñiguezDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0002-4869-3278
Marco BoccittoDepartment of Medicine, Integrated Cardio Metabolic Centre (ICMC), Heart and Vascular Theme, Karolinska Institute, Stockholm SE-171 77, Sweden.ORCID 0000-0002-5722-9186
Daniel Zegarra RuizDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0003-0752-7238
Stephen C RenfroeDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0003-0865-3308
Silvio M VieiraDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-8036-4223
William E RuffDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-5828-6425
Soyeong SimDepartment of Medicine, Integrated Cardio Metabolic Centre (ICMC), Heart and Vascular Theme, Karolinska Institute, Stockholm SE-171 77, Sweden.ORCID 0000-0003-3832-4062
Christina KriegelDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.
Julia GlanternikDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-9004-8558
Xindi ChenDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-6028-6993
Michael GirardiDepartment of Dermatology, Yale University School of Medicine, New Haven, CT 06510, USA.
Patrick DegnanDepartment of Microbial Pathogenesis and Yale Microbial Sciences Institute, Yale University School of Medicine, New Haven, CT 06510, USA.
Karen H CostenbaderDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-8972-9388
Andrew L GoodmanDepartment of Microbial Pathogenesis and Yale Microbial Sciences Institute, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-7599-3471
Sandra L WolinDepartment of Cell Biology, Yale University School of Medicine, New Haven, CT 06510, USA. martin.kriegel@yale.edu sandra.wolin@nih.gov.ORCID 0000-0001-6730-0399
Martin A KriegelDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA. martin.kriegel@yale.edu sandra.wolin@nih.gov.ORCID 0000-0002-7371-0391
Yale University · USBrigham and Women's Hospital · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Skill Development for Diverse Scientific Careers: A New Course Predoctoral Program in Cellular and Molecular BiologyT32GM007223 · NIGMS · YALE UNIVERSITY · PI BASERGA, SUSAN J · 1985 to 2019
$31.0M
Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
INTERDISCIPLINARY IMMUNOLOGY TRAINING PROGRAMT32AI007019 · NIAID · YALE UNIVERSITY · PI Carrie L. Lucas, David G. Schatz · 1985 to 2026
$14.4M
Training in Investigative DermatologyT32AR007016 · NIAMS · YALE UNIVERSITY · PI KEITH A CHOATE, MICHAEL GIRARDI · 1986 to 2026
$7.8M
Yale Rheumatic Diseases Research Core CenterP30AR053495 · NIAMS · YALE UNIVERSITY · PI CRAFT, JOSEPH EDGAR · 2007 to 2017
$7.0M
RNA quality control and environmental stressR01GM073863 · NIGMS · YALE UNIVERSITY · PI TSCHUDI, CHRISTIAN · 2005 to 2017
$3.6M
Research Training in Pediatric Infectious DiseasesT32AI007210 · NIAID · YALE UNIVERSITY · PI MURRAY, THOMAS SCOT, SHAPIRO, EUGENE DAVID · 1986 to 2023
$2.6M
Human Gut Commensal Cross-reactivity in Antiphospholipid SyndromeR01AI118855 · NIAID · YALE UNIVERSITY · PI KRIEGEL, MARTIN A., MEFFRE, ERIC · 2015 to 2019
$2.1M
Yale Postbaccalaureate Research Education ProgramR25GM104553 · NIGMS · YALE UNIVERSITY · PI BENNETT, ANTON M, NEARON, MICHELLE · 2014 to 2017
$1.3M
Role of Gender-associated Microbiota in Organ-specific AutoimmunityK08AI095318 · NIAID · YALE UNIVERSITY · PI KRIEGEL, MARTIN A. · 2011 to 2015
$682k
Roles of Ro60 RNPs in UV Stress and Cutaneous AutoimmunityF32ES026227 · NIEHS · YALE UNIVERSITY · PI BOCCITTO, MARCO E · 2015 to 2017
$122k
NCRR NIH HHS UL1 RR024139NIAID NIH HHS K08 AI095318NIAID NIH HHS R01 AI118855NIAID NIH HHS T32 AI007019NIAID NIH HHS T32 AI007210NIAMS NIH HHS P30 AR053495NIAMS NIH HHS T32 AR007016NIDDK NIH HHS P30 DK079310NIEHS NIH HHS F32 ES026227NIGMS NIH HHS R01 GM073863NIGMS NIH HHS R25 GM104553NIGMS NIH HHS T32 GM007223
6 · The paper itself

Abstract

The earliest autoantibodies in lupus are directed against the RNA binding autoantigen Ro60, but the triggers against this evolutionarily conserved antigen remain elusive. We identified Ro60 orthologs in a subset of human skin, oral, and gut commensal bacterial species and confirmed the presence of these orthologs in patients with lupus and healthy controls. Thus, we hypothesized that commensal Ro60 orthologs may trigger autoimmunity via cross-reactivity in genetically susceptible individuals. Sera from human anti-Ro60-positive lupus patients immunoprecipitated commensal Ro60 ribonucleoproteins. Human Ro60 autoantigen-specific CD4 memory T cell clones from lupus patients were activated by skin and mucosal Ro60-containing bacteria, supporting T cell cross-reactivity in humans. Further, germ-free mice spontaneously initiated anti-human Ro60 T and B cell responses and developed glomerular immune complex deposits after monocolonization with a Ro60 ortholog-containing gut commensal, linking anti-Ro60 commensal responses in vivo with the production of human Ro60 autoantibodies and signs of autoimmunity. Together, these data support that colonization with autoantigen ortholog-producing commensal species may initiate and sustain chronic autoimmunity in genetically predisposed individuals. The concept of commensal ortholog cross-reactivity may apply more broadly to autoimmune diseases and lead to novel treatment approaches aimed at defined commensal species.

Indexed as

AnimalsAutoantigensAutoimmunityCell ProliferationFemaleHumansLupus NephritisMaleMiceRibonucleoproteinsSS-A AntigenT-LymphocytesAutoantigensRibonucleoproteinsSS-A Antigen

Identifiers

PMID29593104
PMCPMC5918293
OpenAlexW2795075269

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Registered trials

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.