Evidence map›Paper›PMID 29987550›Full record

ArticleInflammopharmacology2018

Efficacy analysis of hydroxychloroquine therapy in systemic lupus erythematosus: a study on disease activity and immunological biomarkers.

Seyed Mostafa Monzavi, Aida Alirezaei, Zhaleh Shariati-Sarabi, Jalil Tavakol Afshari, Mahmoud Mahmoudi, Banafsheh Dormanesh, Faezeh Jahandoost, Ali Reza Khoshdel, Ali Etemad Rezaie

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In one paragraph

Article in Inflammopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  11. Review
  12. Autophagy and Skin Diseases.Frontiers in pharmacology · 2022
    Review
  13. Hydroxychloroquine in systemic lupus erythematosus: overview of current knowledge.Therapeutic advances in musculoskeletal disease · 2022
    Review
  14. Article
  15. Article
  16. Review
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  18. 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

9 authors at 3 institutions in 2 countries.

Seyed Mostafa MonzaviRheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Aida AlirezaeiRheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. aidaalirezaee@gmail.com.
Zhaleh Shariati-SarabiRheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. shariatij@mums.ac.ir.ORCID http://orcid.org/0000-0002-9804-4559
Jalil Tavakol AfshariImmunology Research Center, Buali Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahmoud MahmoudiImmunology Research Center, Buali Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
Banafsheh DormaneshAJA University of Medical Sciences, Tehran, Iran.
Faezeh JahandoostRheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali Reza KhoshdelAJA University of Medical Sciences, Tehran, Iran.
Ali Etemad RezaieRosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Mashhad University of Medical Sciences · IRAja University of Medical Sciences · IRRosalind Franklin University of Medicine and Science · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydroxychloroquine (HCQ) is a widely prescribed medication to patients with systemic lupus erythematosus (SLE), with potential anti-inflammatory effects. This study was performed to investigate the efficacy of HCQ therapy by serial assessment of disease activity and serum levels of proinflammatory cytokines in SLE patients.

methodsIn this prospective cohort study, 41 newly diagnosed SLE patients receiving 400 mg HCQ per day were included. Patients requiring statins and immunosuppressive drugs except prednisolone at doses lower than 10 mg/day were excluded. Outcome measures were assessed before commencement of HCQ therapy (baseline visit) as well as in two follow-up visits (1 and 2 months after beginning the HCQ therapy). Serum samples of 41 age-matched healthy donors were used as controls.

resultsMedian levels of IL-1β (p < 0.001), IL-6 (p = 0.001), and TNF-α (p < 0.001) were significantly higher, whereas, median CH50 level was significantly lower (p < 0.001) in SLE patients compared with controls. Two-month treatment with HCQ resulted in significant decrease in SLEDAI-2K (p < 0.001), anti-dsDNA (p < 0.001), IL-1β (p = 0.003), IL-6 (p < 0.001) and TNF-α (p < 0.001) and a significant increase in CH50 levels (p = 0.012). The reductions in SLEDAI-2K and serum levels of IL-1β and TNF-α were significantly greater in the first month compared with the reductions in the second month.

conclusionHCQ therapy is effective on clinical improvement of SLE patients through interfering with inflammatory signaling pathways, reducing anti-DNA autoantibodies and normalizing the complement activity.

Indexed as

AdultAntibodies, AntinuclearAntirheumatic AgentsBiomarkersCase-Control StudiesCohort StudiesCytokinesFemaleFollow-Up StudiesHumansHydroxychloroquineInterleukin-1betaLupus Erythematosus, SystemicProspective StudiesTreatment OutcomeTumor Necrosis Factor-alphaAntibodies, AntinuclearAntirheumatic AgentsBiomarkersCytokinesHydroxychloroquineInterleukin-1betaTumor Necrosis Factor-alphaComplement system proteinsCytokinesHydroxychloroquineSystemic lupus erythematosusTreatment outcome

Identifiers

PMID29987550
OpenAlexW2864987623

What OpenQuestion holds

Textmetadata
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.