Evidence map›Paper›PMID 30874247›Full record

ArticleArchives of rheumatology2018

Effects of Tocilizumab Therapy on Serum Interleukin-33 and Interleukin-6 Levels in Patients With Rheumatoid Arthritis.

In Ah Choi, Sang Jin Lee, Won Park, Sung Hwan Park, Seung-Cheol Shim, Han Joo Baek, Dae-Hyun Yoo, Hyun Ah Kim, Soo Kon Lee, Yun Jong Lee and 5 more

Abstract read
In one paragraph

Article in Archives of rheumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. IL-33/IL-31 Axis in Immune-Mediated and Allergic Diseases.International journal of molecular sciences · 2019
    Pooled it
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  8. IL-6 Receptor Blockade by Tocilizumab Has Anti-absence and Anti-epileptogenic Effects in the WAG/Rij Rat Model of Absence Epilepsy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
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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

15 authors.

In Ah ChoiDepartment of Internal Medicine, Chungbuk National University Hospital, Cheongju, South Korea.
Sang Jin LeeDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Medical Research Institute, Seoul National University, Seoul, South Korea.
Won ParkDepartment of Internal Medicine, Inha University Hospital, Incheon, South Korea.
Sung Hwan ParkDepartment of Internal Medicine, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, South Korea.
Seung-Cheol ShimDepartment of Internal Medicine, Chungnam National University Hospital, Daejeon, South Korea.
Han Joo BaekDepartment of Internal Medicine, Gachon University Gil Medical Center, Incheon, South Korea.
Dae-Hyun YooDepartment of Internal Medicine, Hanyang University Medical Center, Seoul, South Korea.
Hyun Ah KimDepartment of Internal Medicine, Hallym University Medical Center, Anyang, South Korea.
Soo Kon LeeDepartment of Internal Medicine, CHA Bundang Medical Center, Seongnam, South Korea.
Yun Jong LeeDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Young Eun ParkDepartment of Internal Medicine, Pusan National University Hospital, Busan, South Korea.
Hoon-Suk ChaDepartment of Internal Medicine, Sam Sung Medical Center, Seoul, Seoul, South Korea.
Eun Young LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Eun Bong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Yeong Wook SongDepartment of Molecular Medicine and Biopharmaceutical Sciences, Graduate School of Convergence Science and Technology, and College of Medicine, Medical Research Institute, Seoul National University, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to examine the effects of tocilizumab therapy on serum levels of interleukin (IL)-33 and IL-6 in rheumatoid arthritis (RA) patients. PATIENTS AND

methodsInterleukin-33 and IL-6 levels in serum samples from 83 RA patients (10 males, 73 females; mean age 51.9 years; range, 26 to 77 years) and 12 healthy controls (2 males, 10 females; mean age 52.2 years; range, 39 to 62 years) were compared by cross-sectional, case control analysis. Of the RA patients, 40 received 24 weeks of tocilizumab therapy and were assigned to the prospective cohort. These 40 patients were then divided into two subgroups as responders and non-responders according to the American College of Rheumatology (ACR) 20. The remaining 43 RA patients did not receive tocilizumab therapy. Serum cytokine levels were analyzed at baseline and after 24 weeks of tocilizumab therapy in these patients.

resultsInterleukin-33 and IL-6 concentrations were significantly higher in RA patients than in healthy controls (p<0.001 for both). Serum IL-33 levels in RA patients showed a significant correlation with rheumatoid factor titer (r=0.660, p<0.001), and IL-6 levels showed a significant correlation with high-sensitivity C-reactive protein levels (Spearman's rank correlation coefficient=0.482, p<0.001). Serum IL-33 levels decreased significantly after 24 weeks of tocilizumab therapy (p<0.001); this was particularly marked in ACR20 responders (p<0.001). However, the decrease in non-responders was not significant (p=0.066). Changes in serum IL-6 levels after 24 weeks of tocilizumab therapy were not significant in either ACR20 responders or non-responders.

conclusionSerum IL-33 levels in RA patients receiving tocilizumab therapy decreased significantly, particularly in ACR20 responders. Thus, IL-33 may be a useful marker for monitoring responses to tocilizumab therapy.

Indexed as

Arthritisinterleukin-33interleukin-6rheumatoidtocilizumab

Identifiers

PMID30874247
PMCPMC6409174

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.