Evidence map›Paper›PMID 29988398›Full record

ArticleFrontiers in immunology2018

CD19

Christopher J M Piper, Meredyth G Ll Wilkinson, Claire T Deakin, Georg W Otto, Stefanie Dowle, Chantal L Duurland, Stuart Adams, Emiliano Marasco, Elizabeth C Rosser, Anna Radziszewska and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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  13. Transitional and CD21BMC rheumatology · 2025
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3 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

18 authors at 4 institutions in 2 countries.

Christopher J M PiperCentre for Rheumatology, University College London, London, United Kingdom.
Meredyth G Ll WilkinsonCentre for Rheumatology, University College London, London, United Kingdom.
Claire T DeakinCentre for Adolescent Rheumatology, Arthritis Research UK, University College London Hospital and Great Ormond Street Hospital, London, United Kingdom.
Georg W OttoNIHR Great Ormond Street Hospital Biomedical Research Centre, London, United Kingdom.
Stefanie DowleNIHR Great Ormond Street Hospital Biomedical Research Centre, London, United Kingdom.
Chantal L DuurlandInfection, Inflammation and Rheumatology Section, University College London, Great Ormond Street Institute of Child Health, London, United Kingdom.
Stuart AdamsHaematology, Specialist Integrated Haematological Malignancy Diagnostic Service (SIHMDS), Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Emiliano MarascoB Cell Physiopathology Unit, Immunology Research Area, Ospedale Pediatrico Bambino Gesù IRCSS, Rome, Italy.
Elizabeth C RosserInfection, Inflammation and Rheumatology Section, University College London, Great Ormond Street Institute of Child Health, London, United Kingdom.
Anna RadziszewskaCentre for Rheumatology, University College London, London, United Kingdom.
Rita CarsettiB Cell Physiopathology Unit, Immunology Research Area, Ospedale Pediatrico Bambino Gesù IRCSS, Rome, Italy.
Yiannis IoannouCentre for Rheumatology, University College London, London, United Kingdom.
Philip L BealesNIHR Great Ormond Street Hospital Biomedical Research Centre, London, United Kingdom.
Daniel KelbermanNIHR Great Ormond Street Hospital Biomedical Research Centre, London, United Kingdom.
David A IsenbergCentre for Rheumatology, University College London, London, United Kingdom.
Claudia MauriCentre for Rheumatology, University College London, London, United Kingdom.
Kiran NistalaCentre for Rheumatology, University College London, London, United Kingdom.
Lucy R WedderburnCentre for Adolescent Rheumatology, Arthritis Research UK, University College London Hospital and Great Ormond Street Hospital, London, United Kingdom.
University College London · GBGreat Ormond Street Hospital · GBBambino Gesù Children's Hospital · ITGreat Ormond Street Hospital for Children NHS Foundation Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Juvenile dermatomyositis (JDM) is a rare form of childhood autoimmune myositis that presents with proximal muscle weakness and skin rash. B cells are strongly implicated in the pathogenesis of the disease, but the underlying mechanisms are unknown. Therefore, the main objective of our study was to investigate mechanisms driving B cell lymphocytosis and define pathological features of B cells in JDM patients. Patients were recruited through the UK JDM Cohort and Biomarker study. Peripheral blood B cell subpopulations were immunophenotyped by flow cytometry. The results identified that immature transitional B cells were significantly expanded in active JDM, actively dividing, and correlated positively with disease activity. Protein and RNAseq analysis revealed high interferon alpha (IFNα) and TLR7-pathway signatures pre-treatment. Stimulation of B cells through TLR7/8 promoted both IL-10 and IL-6 production in controls but failed to induce IL-10 in JDM patient cells. Interrogation of the CD40-CD40L pathway (known to induce B cell IL-10 and IL-6) revealed similar expression of IL-10 and IL-6 in B cells cultured with CD40L from both JDM patients and controls. In conclusion, JDM patients with active disease have a significantly expanded immature transitional B cell population which correlated with the type I IFN signature. Activation through TLR7 and IFNα may drive the expansion of immature transitional B cells in JDM and skew the cells toward a pro-inflammatory phenotype.

Indexed as

B cellsimmature transitional B cellsinterferon alphainterleukin-10juvenile dermatomyositistoll-like receptor 7

Identifiers

PMID29988398
PMCPMC6024011
OpenAlexW2805931400

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.