Evidence map›Paper›PMID 30638826›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2019

Systemic levels of anti-PAD4 autoantibodies correlate with airway obstruction in cystic fibrosis.

Ruchi Yadav, Dae-Goon Yoo, J Michelle Kahlenberg, S Louis Bridges, Oluwadamilola Oni, Hanwen Huang, Arlene Stecenko, Balázs Rada

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

28 citing papers in PubMed, 36 citations in OpenAlex.

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  10. A crucial role of neutrophil extracellular traps in pulmonary infectious diseases.Chinese medical journal pulmonary and critical care medicine · 2024
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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

8 authors at 4 institutions in 1 country.

Ruchi YadavDepartment of Infectious Diseases, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA.
Dae-Goon YooDepartment of Infectious Diseases, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA.
J Michelle KahlenbergDivision of Rheumatology, University of Michigan, School of Medicine, Ann Arbor, MI, USA.
S Louis BridgesDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, School of Medicine, Birmingham, AL, USA.
Oluwadamilola OniDepartment of Infectious Diseases, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA.
Hanwen HuangDepartment of Epidemiology & Biostatistics, College of Public Health, The University of Georgia, Athens, GA, USA.
Arlene StecenkoDivision of Pulmonology, Allergy/Immunology, Cystic Fibrosis and Sleep, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Balázs RadaDepartment of Infectious Diseases, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA. Electronic address: radab@uga.edu.
University of Georgia · USEmory University · USUniversity of Alabama at Birmingham · USUniversity of Michigan · US

Funding

Characterization of Interferon Kappa as a Novel Target in Cutaneous LupusR01AR071384 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joanne Michelle Kahlenberg · 2017 to 2026
$3.6M
The Role of Innate Immunity in Systemic and Cutaneous LupusK08AR063668 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KAHLENBERG, JOANNE MICHELLE · 2013 to 2017
$736k
Anti-NET autoantibodies in cystic fibrosisR21AI130504 · NIAID · UNIVERSITY OF GEORGIA · PI RADA, BALAZS · 2017 to 2018
$413k
NIAID NIH HHS R21 AI130504NIAMS NIH HHS K08 AR063668NIAMS NIH HHS R01 AR071384
6 · The paper itself

Abstract

Cystic fibrosis (CF) airway disease is characterized by the long-term presence of neutrophil granulocytes. Formation of neutrophil extracellular traps (NETs) and/or autoantibodies directed against extracellular components of NETs are possible contributors to neutrophil-mediated lung damage in CF. The goal of this study was to measure their levels in CF adults compared to healthy controls and subjects with rheumatologic diseases known to develop NET-related autoantibodies and pathologies, rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Sera were analyzed from the following number of subjects: 37 CF, 23 healthy controls (HC), 20 RA, and 21 SLE. CF had elevated serum myeloperoxidase (MPO) concentrations (347.5±56.1 ng/ml, mean+/-S.E.M., p = .0132) compared to HC (144.5±14.6 ng/ml) but not of neutrophil elastase (NE) complexed with alpha-1-antitrypsin, cell-free DNA or NE-DNA complexes. The peptidylarginine deiminase 4 (PAD4) enzyme is required for NET formation and associated DNA release in neutrophils. Serum levels of anti-PAD4 antibodies (Ab) were elevated in CF (p = .0147) compared to HC and showed an inverse correlation with a measure of lung function, FEV1% predicted (r = -0.5020, p = .015), as did MPO levels (r = -0.4801, p = .0026). Anti-PAD4 Ab levels in CF sera associated with lung infection by P. aeruginosa, but not that by S. aureus, age, sex, CF-related diabetes or the presence of musculoskeletal pain. Serum levels of anti-citrullinated protein Abs (ACPAs) and anti-nucleosome Abs were not elevated in CF compared to HC (p = .7498, p = .0678). In summary, adult CF subjects develop an autoimmune response against NET components that correlates with worsening lung disease.

Indexed as

Airway ObstructionCystic FibrosisAdultAutoantibodiesCell-Free Nucleic AcidsCorrelation of DataExtracellular TrapsFemaleHumansLeukocyte ElastaseMaleNeutrophilsProtein-Arginine Deiminase Type 4Pseudomonas aeruginosaRespiratory Function TestsAutoantibodiesCell-Free Nucleic AcidsLeukocyte ElastasePADI4 protein, humanProtein-Arginine Deiminase Type 4AutoantibodyCystic fibrosisLung disease, autoimmunityNeutrophil extracellular trapsNeutrophilsPAD4

Identifiers

PMID30638826
PMCPMC6620172
OpenAlexW2908879778

What OpenQuestion holds

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Registered trials

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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.