Evidence map›Paper›PMID 31209475›Full record

ArticleRheumatology (Oxford, England)2019

Evidence for enhanced Bruton's tyrosine kinase activity in transitional and naïve B cells of patients with granulomatosis with polyangiitis.

Anouk von Borstel, Wayel H Abdulahad, Jan Stephan Sanders, Jasper Rip, Stefan F H Neys, Rudi W Hendriks, Coen A Stegeman, Peter Heeringa, Abraham Rutgers, Odilia B J Corneth

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. B Lineage Cells in ANCA-Associated Vasculitis.International journal of molecular sciences · 2021
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. ANCA-Associated Vasculitis: An Update.Journal of clinical medicine · 2021
    Review
  15. Review
  16. 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

10 authors at 2 institutions in 1 country.

Anouk von BorstelDepartment of Internal Medicine, Division of Nephrology, The Netherlands.
Wayel H AbdulahadDepartment of Rheumatology and Clinical Immunology, The Netherlands.
Jan Stephan SandersDepartment of Internal Medicine, Division of Nephrology, The Netherlands.
Jasper RipDepartment of Pulmonary Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Stefan F H NeysDepartment of Pulmonary Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Rudi W HendriksDepartment of Pulmonary Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Coen A StegemanDepartment of Internal Medicine, Division of Nephrology, The Netherlands.
Peter HeeringaDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Abraham RutgersDepartment of Rheumatology and Clinical Immunology, The Netherlands.
Odilia B J CornethDepartment of Pulmonary Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Erasmus MC · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine Bruton's tyrosine kinase (BTK) protein and phosphorylation levels in B cell subsets of granulomatosis with polyangiitis (GPA) patients and to investigate the effect of BTK blockade on in vitro B cell cytokine production, subset distribution and (auto)antibody production.

methodsBTK protein and phosphorylation levels were determined by flow cytometry in peripheral blood B cells of 29 untreated GPA patients [9 active and 20 remission GPA patients (10 ANCA- and 10 ANCA+)], 9 age- and sex-matched healthy controls (HCs) and 9 untreated active RA patients. The effect of BTK blockade on in vitro B cell cytokine production, subset distribution and (auto)antibody production was determined in the same donors in peripheral blood mononuclear cell cultures.

resultsBTK protein levels were significantly increased in transitional and naïve B cells of active GPA and RA patients compared with remission GPA patients and HCs. Both B cell subsets of active patients were more sensitive to B cell receptor stimulation, as BTK and phospholipase Cγ2 phosphorylation were increased in these patients. In vitro BTK blockade had profound effects on B cell cytokine production, plasma cell formation and (auto)antibody production in both GPA patients and HCs. Interestingly, the effect of BTK blockade was less pronounced in active GPA patients, possibly due to increased activation of B cells.

conclusionWe show that BTK protein and phosphorylation levels are most profoundly increased in newly emerging B cells of active GPA patients compared with remission patients. BTK blockade greatly inhibits in vitro B cell effector functions in GPA patients and HCs. These promising data identify BTK as an interesting novel therapeutic target in the treatment of GPA.

Indexed as

Immunity, CellularAdultAgedAutoantibodiesBiomarkersB-LymphocytesCells, CulturedCytokinesDisease ProgressionEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryGranulomatosis with PolyangiitisHumansMaleMiddle AgedAutoantibodiesBiomarkersCytokinesB cellsBruton’s tyrosine kinaseBTK blockervasculitis

Identifiers

PMID31209475
PMCPMC6880857
OpenAlexW2951423814

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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.