Evidence map›Paper›PMID 29720240›Full record

ArticleArthritis research & therapy2018

Integrative analysis reveals CD38 as a therapeutic target for plasma cell-rich pre-disease and established rheumatoid arthritis and systemic lupus erythematosus.

Suzanne Cole, Alice Walsh, Xuefeng Yin, Mihir D Wechalekar, Malcolm D Smith, Susanna M Proudman, Douglas J Veale, Ursula Fearon, Costantino Pitzalis, Frances Humby and 10 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 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
9.5field-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.

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

67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 128 citations in OpenAlex.

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  13. Failure of early B cell tolerance and possible BCR signaling dysregulation underlie NF155-mediated autoimmune nodopathies.Proceedings of the National Academy of Sciences of the United States of America · 2026
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7 more citing papers are in PubMed but not listed here.

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 at 7 institutions in 4 countries.

Suzanne ColeImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Alice WalshImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Xuefeng YinImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Mihir D WechalekarRheumatology Unit, Repatriation General Hospital and Flinders University, Adelaide, Australia.
Malcolm D SmithRheumatology Unit, Repatriation General Hospital and Flinders University, Adelaide, Australia.
Susanna M ProudmanRheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia and Discipline of Medicine, University of Adelaide, Adelaide, Australia.
Douglas J VealeCenter for Arthritis and Rheuamatic Diseases, St. Vincent's University Hospital, University College Dublin, Elm Park, Dublin 4, Ireland.
Ursula FearonMolecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Trinity College London, Dublin 24, Ireland.
Costantino PitzalisQueen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.
Frances HumbyQueen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.
Michele BombardieriQueen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.
Amy AxelOncology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Homer AdamsOncology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Christopher ChiuOncology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Michael SharpOncology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
John AlvarezOncology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Ian AndersonImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Loui MadakamutilImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA.
Sunil NagpalImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA. snagpal2@its.jnj.com.
Yanxia GuoImmunology, Janssen Research, 1400 McKean Road, Spring House, PA, 19477, USA. yguo49@its.jnj.com.
Janssen (United States) · USQueen Mary University of London · GBFlinders University · AURepatriation General Hospital · AURoyal Adelaide Hospital · AUSt. Vincent's University Hospital · IETrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlasmablasts and plasma cells play a key role in many autoimmune diseases, such as rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). This study was undertaken to evaluate the potential of targeting CD38 as a plasma cell/plasmablast depletion mechanism by daratumumab in the treatment of patients with RA and SLE.

methodsRNA-sequencing analysis of synovial biopsies from various stages of RA disease progression, flow cytometry analysis of peripheral blood mononuclear cells (PBMC) from patients with RA or SLE and healthy donors, immunohistochemistry assessment (IHC) of synovial biopsies from patients with early RA, and ex vivo immune cell depletion assays using daratumumab (an anti-CD38 monoclonal antibody) were used to assess CD38 as a therapeutic target.

resultsWe demonstrated that the plasma cell/plasmablast-related genes CD38, XBP1, IRF4, PRDM1, IGJ and TNFSF13B are significantly up-regulated in synovial biopsies from patients with arthralgia, undifferentiated arthritis (UA), early RA and established RA as compared to healthy controls and control patients with osteoarthritis. In addition, the highest CD38 expression was observed on plasma cells and plasmablasts compared to natural killer (NK) cells, classical dendritic cells (DCs), plasmacytoid DCs (pDCs) and T cells, in blood from healthy controls and patients with SLE and RA. Furthermore, IHC showed CD38 staining in the same region as CD3 and CD138 staining in synovial tissue biopsies from patients with early RA. Most importantly, our data show for the first time that daratumumab effectively depletes plasma cells/plasmablasts in PBMC from patients with SLE and RA in a dose-dependent manner ex vivo.

conclusionThese results indicate that CD38 may be a potential target for RA disease interception and daratumumab should be evaluated clinically for the treatment of both RA and SLE.

Indexed as

ADP-ribosyl Cyclase 1AdultAgedAntirheumatic AgentsArthritis, RheumatoidCells, CulturedFemaleGene Expression ProfilingHumansLeukocytes, MononuclearLupus Erythematosus, SystemicMaleMiddle AgedPlasma CellsSynovial MembraneADP-ribosyl Cyclase 1Antirheumatic AgentsCD38DaratumumabPlasma cellRheumatoid arthritisSystemic lupus erythematosus

Identifiers

PMID29720240
PMCPMC5932888
OpenAlexW2805848201

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.