Evidence map›Paper›PMID 31391177›Full record

ArticleAnnals of the rheumatic diseases2019

Myeloablation followed by autologous stem cell transplantation normalises systemic sclerosis molecular signatures.

Shervin Assassi, Xuan Wang, Guocai Chen, Ellen Goldmuntz, Lynette Keyes-Elstein, Jun Ying, Paul K Wallace, Jacob Turner, W Jim Zheng, Virginia Pascual and 11 more

2 registry-linked trialsOpen access · greenAbstract readComparative Study
In one paragraph

Article in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
6.0field-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.

NCT00114530 phase2 / phase3completednot on this map

A Randomized, Open-Label, Phase II Multicenter Study of High-Dose Immunosuppressive Therapy Using Total Body Irradiation, Cyclophosphamide, ATGAM, and Autologous Transplantation With Auto-CD34+HPC Versus Intravenous Pulse Cyclophosphamide for the Treatment of Severe Systemic Sclerosis (SCSSc-01)

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2005 to 2016Enrolled75ConditionsScleroderma, Systemic, Sclerosis, Autoimmune DiseaseArmsmHSCT, cyclophosphamide
NCT04630782 unknown statusnot on this mapstarted 2020, after this paper: background citation

Precision Medicine in Systemic Sclerosis Gastrointestinal Disease: Evaluating Imaging and Stool Biomarkers for Differentiating Disease Stages and Treatment Responses

TypeobservationalSponsorSingapore General HospitalRan2020 to 2023Enrolled70ConditionsSystemic Sclerosis, SclerodermaArmsPET-MRI scan
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  10. Stem cell therapy in systemic sclerosis.Clinical rheumatology · 2025
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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

21 authors at 13 institutions in 1 country.

Shervin AssassiRheumatology, University of Texas Health Science Center at Houston, Houston, Texas, USA shervin.assassi@uth.tmc.edu.ORCID 0000-0002-8059-9978
Xuan WangBiostatistics, Baylor Institute for Immunology Research, Dallas, Texas, USA.
Guocai ChenSchool of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Ellen GoldmuntzAllergy, Immunology, and Transplantation, NIH/NIAID, Bethesda, Maryland, USA.
Lynette Keyes-ElsteinInfectious and autoimmune diseases, Rho, Chapel Hill, North Carolina, USA.
Jun YingRheumatology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Paul K WallaceFlow and Image Cytometry, Roswell Park Cancer Institute, Buffalo, New York, USA.
Jacob TurnerMathematics and Statistics, Stephen F Austin State University, Nacogdoches, Texas, USA.
W Jim ZhengSchool of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Virginia PascualPediatrics, Weill Cornell Medical College, New York, New York, USA.
John VargaRheumatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Monique E HinchcliffRheumatology, Yale University, New Haven, Connecticut, USA.
Chiara BellocchiRheumatology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Peter McSweeneyRocky Mountain Blood and Marrow Transplant Program, Colorado Blood Cancer Institute, Denver, Colorado, USA.
Daniel E FurstRheumatology, University of California Los Angeles, Los Angeles, California, USA.
Richard A NashRocky Mountain Blood and Marrow Transplant Program, Colorado Blood Cancer Institute, Denver, Colorado, USA.
Leslie J CroffordRheumatology, Vanderbilt University, Nashville, Tennessee, USA.
Beverly WelchAllergy, Immunology, and Transplantation, NIH/NIAID, Bethesda, Maryland, USA.
Ashley PinckneyRho Federal Systems Division, Chapel Hill, North Carolina, USA.
Maureen D MayesRheumatology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Keith M SullivanHematologic Malignancy and Cellular Therapy, Duke University, Durham, North Carolina, USA.
The University of Texas Health Science Center at Houston · USColorado Blood Cancer Institute · USNational Institutes of Health · USRho (United States) · USBaylor University · USCornell University · USDuke University · USNorthwestern University · USRoswell Park Comprehensive Cancer Center · USStephen F. Austin State University · USUniversity of California, Los Angeles · USVanderbilt University · USYale University · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
STEM CELL TRANSPLANTATION FOR TX OF AUTOIMMUNE DISEASES-N01AI5419N01AI005419 · NIAID · DUKE UNIVERSITY · PI SULLIVAN, KEITH M · 2000 to 2006
$6.2M
Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
Rheumatic Diseases Research Core CentersP30AR061271 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BHAWAN, JAG · 2011 to 2015
$3.1M
CFlm25 mediated alternative polyadenylation regulates fibrosis in systemic sclerosisR01AR073284 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ASSASSI, SHERVIN, MILLS, TINGTING WENG · 2019 to 2023
$1.7M
NCATS NIH HHS KL2 TR003168NCATS NIH HHS UL1 TR000371NCATS NIH HHS UL1 TR003167NIAID NIH HHS HHSN272201100025CNIAID NIH HHS N01 AI005419NIAID NIH HHS UM2 AI117870NIAMS NIH HHS P30 AR061271NIAMS NIH HHS R01 AR073284
6 · The paper itself

Abstract

objectiveIn the randomised scleroderma: Cyclophosphamide Or Transplantation (SCOT trial) (NCT00114530), myeloablation, followed by haematopoietic stem cell transplantation (HSCT), led to improved clinical outcomes compared with monthly cyclophosphamide (CYC) treatment in systemic sclerosis (SSc). Herein, the study aimed to determine global molecular changes at the whole blood transcript and serum protein levels ensuing from HSCT in comparison to intravenous monthly CYC in 62 participants enrolled in the SCOT study.

methodsGlobal transcript studies were performed at pretreatment baseline, 8 months and 26 months postrandomisation using Illumina HT-12 arrays. Levels of 102 proteins were measured in the concomitantly collected serum samples.

resultsAt the baseline visit, interferon (IFN) and neutrophil transcript modules were upregulated and the cytotoxic/NK module was downregulated in SSc compared with unaffected controls. A paired comparison of the 26 months to the baseline samples revealed a significant decrease of the IFN and neutrophil modules and an increase in the cytotoxic/NK module in the HSCT arm while there was no significant change in the CYC control arm. Also, a composite score of correlating serum proteins with IFN and neutrophil transcript modules, as well as a multilevel analysis showed significant changes in SSc molecular signatures after HSCT while similar changes were not observed in the CYC arm. Lastly, a decline in the IFN and neutrophil modules was associated with an improvement in pulmonary forced vital capacity and an increase in the cytotoxic/NK module correlated with improvement in skin score.

conclusionHSCT contrary to conventional treatment leads to a significant 'correction' in disease-related molecular signatures.

Indexed as

TranscriptomeAdultCyclophosphamideDown-RegulationFemaleHematopoietic Stem Cell TransplantationHumansInterferonsMaleMiddle AgedMultilevel AnalysisMyeloablative AgonistsNeutrophilsRandomized Controlled Trials as TopicScleroderma, SystemicTransplantation, AutologousCyclophosphamideInterferonsMyeloablative Agonistscyclophosphamidehematopoietic stem cell transplantationinterferon signatureneutrophilsystemic sclerosis

Identifiers

PMID31391177
PMCPMC7167108
OpenAlexW2965774664

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.