Evidence map›Paper›PMID 30593436›Full record

ArticleEBioMedicine2019

B cell alterations during BAFF inhibition with belimumab in SLE.

Daniel Ramsköld, Ioannis Parodis, Tadepally Lakshmikanth, Natalie Sippl, Mohsen Khademi, Yang Chen, Agneta Zickert, Jaromír Mikeš, Adnane Achour, Khaled Amara and 4 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 2 pooled it
4.4field-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

97 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

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37 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

14 authors at 1 institution in 1 country.

Daniel RamsköldDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Ioannis ParodisDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Tadepally LakshmikanthDepartment of Medicine, Science for Life Laboratory, Karolinska Institutet, 171 65 Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Natalie SipplDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Mohsen KhademiDepartment of Clinical Neuroscience, Karolinska Institutet, Department of Neurology, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Yang ChenDepartment of Medicine, Science for Life Laboratory, Karolinska Institutet, 171 65 Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Agneta ZickertDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Jaromír MikešDepartment of Medicine, Science for Life Laboratory, Karolinska Institutet, 171 65 Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Adnane AchourDepartment of Medicine, Science for Life Laboratory, Karolinska Institutet, 171 65 Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Khaled AmaraDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Fredrik PiehlDepartment of Clinical Neuroscience, Karolinska Institutet, Department of Neurology, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Petter BrodinDepartment of Medicine, Science for Life Laboratory, Karolinska Institutet, 171 65 Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska University Hospital, 171 76 Stockholm, Sweden; Department of Neonatology, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Iva GunnarssonDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Vivianne MalmströmDepartment of Medicine, Rheumatology Unit, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden. Electronic address: vivianne.malmstrom@ki.se.
Karolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic lupus erythematosus (SLE) is a systemic autoimmune disease, which exhibits multiple B cell abnormalities including expanded populations of memory B cells and elevated levels of autoantibodies. Belimumab is a monoclonal antibody targeting the B cell cytokine BAFF (a.k.a. BLyS), approved for the treatment of SLE.

methodsIn this prospective cohort study, B cells from peripheral blood of 23 SLE patients initiating belimumab treatment and followed longitudinally for up to three years, were assessed using mass cytometry.

findingsB cells decreased during the study period, with a rapid decrease of both naïve and CD11c

interpretationOur results suggest that evaluation of B cell counts might prove useful prior to initiation of belimumab treatment and that early treatment evaluation and discontinuation might underestimate delayed clinical improvements resultant of late B cell changes.

Indexed as

AdultAntibodies, Monoclonal, HumanizedB-Cell Activating FactorBiomarkersB-LymphocytesB-Lymphocyte SubsetsFemaleHumansImmunosuppressive AgentsLupus Erythematosus, SystemicLymphocyte CountMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizedB-Cell Activating FactorbelimumabBiomarkersImmunosuppressive AgentsTNFSF13B protein, humanBiologicsBLySCyTOFMass cytometrySystemic lupus erythematosus

Identifiers

PMID30593436
PMCPMC6412067
OpenAlexW2905627013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.