Evidence map›Paper›PMID 29858547›Full record

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

Skin Gene Expression Is Prognostic for the Trajectory of Skin Disease in Patients With Diffuse Cutaneous Systemic Sclerosis.

Giuseppina Stifano, Thierry Sornasse, Lisa M Rice, Leo Na, Haiyin Chen-Harris, Dinesh Khanna, Angelika Jahreis, Yuqing Zhang, Jeff Siegel, Robert Lafyatis

Open access · bronzeAbstract 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 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 61 citations in OpenAlex.

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  3. Human germline biallelic loss-of-functionJournal of human immunity · 2026
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  12. Biomarkers in Systemic Sclerosis: An Overview.Current issues in molecular biology · 2023
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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

10 authors at 3 institutions in 1 country.

Giuseppina StifanoBoston University School of Medicine, Boston, Massachusetts.
Thierry SornasseGenentech, San Francisco, California.
Lisa M RiceBoston University School of Medicine, Boston, Massachusetts.
Leo NaBoston University School of Medicine, Boston, Massachusetts.
Haiyin Chen-HarrisGenentech, San Francisco, California.
Dinesh KhannaUniversity of Michigan Scleroderma Program, Ann Arbor.
Angelika JahreisGenentech, San Francisco, California.
Yuqing ZhangBoston University School of Medicine, Boston, Massachusetts.
Jeff SiegelGenentech, San Francisco, California.
Robert LafyatisUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Boston University · USScleroderma Foundation · USUniversity of Pittsburgh Medical Center · US

Funding

Translational studies for identifying and targeting novel pathways in systemic sclerosis pathogenesisP50AR060780 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MALLAMPALLI, RAMA K · 2011 to 2021
$14.9M
Boston University Clinical and Translational Science Award (CTSA) Program UL1UL1TR000157 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2012 to 2013
$7.9M
Rheumatic Diseases Research Core CentersP30AR061271 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAFYATIS, ROBERT A., SIMMS, ROBERT W · 2011 to 2015
$3.1M
Innate immunity in dermal fibrosis and systemic sclerosisR01AR051089 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LAFYATIS, ROBERT A. · 2005 to 2015
$2.8M
NCATS NIH HHS UL1 TR000157NIAMS NIH HHS P30 AR061271NIAMS NIH HHS P50 AR060780NIAMS NIH HHS R01 AR051089
6 · The paper itself

Abstract

objectiveAt present, there are no clinical or laboratory measures that accurately forecast the progression of skin fibrosis and organ involvement in patients with systemic sclerosis (SSc). The goal of this study was to identify skin biomarkers that could be prognostic for the progression of skin fibrosis in patients with early diffuse cutaneous SSc (dcSSc).

methodsWe analyzed clinical data and gene expression in skin biopsy samples from 38 placebo-treated patients, part of the Roche Safety and Efficacy of Subcutaneous Tocilizumab in Adults with Systemic Sclerosis (FASSCINATE) phase II study of tocilizumab in SSc. RNA samples were analyzed using nCounter. A trajectory model based on a modified Rodnan skin thickness score was used to describe 3 skin disease trajectories over time. We examined the association of skin gene expression with skin score trajectory groups, by chi-square test. Logistic regression was used to examine the prognostic power of each gene identified.

resultsWe found that placebo-treated patients with high expression of messenger RNA for CD14, SERPINE1, IL13RA1, CTGF, and OSMR at baseline were more likely to have progressive skin score trajectories. We also found that those genes were prognostic for the risk of skin progression and that IL13RA1, OSMR, and SERPINE1 performed the best.

conclusionSkin gene expression of biomarkers associated with macrophages (CD14, IL13RA1) and transforming growth factor β activation (SERPINE1, CTGF, OSMR) are prognostic for progressive skin disease in patients with dcSSc. These biomarkers may provide guidance in decision-making about which patients should be considered for aggressive therapies and/or for clinical trials.

Indexed as

Gene ExpressionAdultAgedAntibodies, Monoclonal, HumanizedClinical Trials, Phase II as TopicConnective Tissue Growth FactorDisease ProgressionDouble-Blind MethodFemaleFibrosisGenetic MarkersHumansInterleukin-13 Receptor alpha1 SubunitLipopolysaccharide ReceptorsMacrophagesMaleAntibodies, Monoclonal, HumanizedCCN2 protein, humanConnective Tissue Growth FactorGenetic MarkersIL13RA1 protein, humanInterleukin-13 Receptor alpha1 SubunitLipopolysaccharide ReceptorsOncostatin M Receptor beta SubunitOSMR protein, humanPlasminogen Activator Inhibitor 1RNA, MessengerSERPINE1 protein, humantocilizumab

Identifiers

PMID29858547
PMCPMC6731768
OpenAlexW2807240358

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.