Evidence map›Paper›PMID 31540528›Full record

ArticleInternational journal of molecular sciences2019

Effects of Tocilizumab, an Anti-Interleukin-6 Receptor Antibody, on Serum Lipid and Adipokine Levels in Patients with Rheumatoid Arthritis.

Elinoar Hoffman, Michal A Rahat, Joy Feld, Muna Elias, Itzhak Rosner, Lisa Kaly, Idit Lavie, Tal Gazitt, Devy Zisman

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.3field-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.

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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  13. Observational
  14. Clinical Value ofJournal of personalized medicine · 2022
    Article
  15. Article
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  19. Article
  20. Adiponectin Deregulation in Systemic Autoimmune Rheumatic Diseases.International journal of molecular sciences · 2021
    Review
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

9 authors at 2 institutions in 1 country.

Elinoar HoffmanRheumatology Unit, Carmel Medical Center, Haifa 3436212, Israel. elinoard@gmail.com.
Michal A RahatThe Immunotherapy Laboratory, Carmel Medical Center, Haifa 3436212, Israel. mrahat@netvision.net.il.
Joy FeldRheumatology Unit, Carmel Medical Center, Haifa 3436212, Israel. joyfeld@gmail.com.
Muna EliasRheumatology Unit, Carmel Medical Center, Haifa 3436212, Israel. MUNAEL@clalit.org.il.
Itzhak RosnerThe Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa 3109601, Israel. itzhak.rosner@b-zion.org.il.
Lisa KalyRheumatology Unit, Bnai Zion Medical Center, Haifa, 3339419, Israel. lisakaly@yahoo.fr.
Idit LavieThe Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa 3109601, Israel. lavi_idit@clalit.org.il.
Tal GazittRheumatology Unit, Carmel Medical Center, Haifa 3436212, Israel. tgazitt@gmail.com.
Devy ZismanRheumatology Unit, Carmel Medical Center, Haifa 3436212, Israel. devyzisman@gmail.com.ORCID 0000-0003-0523-2292
Carmel Medical Center · ILBnai Zion Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with rheumatoid arthritis (RA) are at increased risk of cardiovascular disease. Dyslipidemia is a known adverse effect of tocilizumab (TCZ), an anti-interleukin-6 receptor antibody used in RA treatment. We aimed to assess the effect of TCZ on lipid profile and adipokine levels in RA patients. Height, weight, disease activity scores, lipid profile and atherogenic indices (AI), leptin, adiponectin, resistin, interleukin-6, and high-sensitivity C-reactive protein (CRP) were measured before and four months after initiation of TCZ in 40 RA patients and 40 healthy controls. Following TCZ treatment, total cholesterol, high density lipoprotein (HDL), and triglycerides were significantly elevated, but no significant changes in weight, body mass index (BMI), low density lipoprotein (LDL), and AI were observed. Compared with controls, significantly higher adiponectin levels were measured in the RA group at baseline. Following TCZ treatment, resistin levels and the leptin-to-adiponectin ratio increased, adiponectin levels decreased, and leptin levels remained unchanged. No correlation was found between the change in adipokine serum levels and changes in the disease activity indices, nor the lipid profile. In conclusion, the changes observed suggest a protective role for TCZ on the metabolic and cardiovascular burden associated with RA, but does not provide a mechanistic explanation for this phenomenon.

Indexed as

AdipokinesAgedAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidFemaleHumansLipidsMaleMiddle AgedReceptors, Interleukin-6AdipokinesAntibodies, Monoclonal, HumanizedAntirheumatic AgentsIL6R protein, humanLipidsReceptors, Interleukin-6tocilizumabadipokinesadiponectinleptinlipidsresistinrheumatoid arthritistocilizumab

Identifiers

PMID31540528
PMCPMC6770905
OpenAlexW2974101258

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.