Evidence map›Paper›PMID 31540934›Full record

ArticleAnnals of the rheumatic diseases2019

Immunome perturbation is present in patients with juvenile idiopathic arthritis who are in remission and will relapse upon anti-TNFα withdrawal.

Jing Yao Leong, Phyllis Chen, Joo Guan Yeo, Fauziah Ally, Camillus Chua, Sharifah Nur Hazirah, Su Li Poh, Lu Pan, Liyun Lai, Elene Seck Choon Lee and 5 more

Open access · hybridAbstract read
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. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Juvenile idiopathic arthritis.Nature reviews. Disease primers · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. 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

15 authors at 4 institutions in 2 countries.

Jing Yao LeongTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore leong.jing.yao@singhealth.com.sg.ORCID 0000-0002-8651-9801
Phyllis ChenTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Joo Guan YeoTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Fauziah AllyTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Camillus ChuaTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Sharifah Nur HazirahTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Su Li PohTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Lu PanTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Liyun LaiTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Elene Seck Choon LeeDivision of Medicine, KK Women's and Children's Hospital, Singapore, Singapore.
Loshinidevi D/O Thana BathiTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Thaschawee ArkachaisriTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Daniel LovellDivision of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Salvatore AlbaniTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore Health Service, Singapore, Singapore.
Pediatric Rheumatology Collaborative Study Group
SingHealth Duke-NUS Academic Medical Centre · SGCincinnati Children's Hospital Medical Center · USKK Women's and Children's Hospital · SGSingHealth · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBiologics treatment with antitumour necrosis factor alpha (TNFα) is efficacious in patients with juvenile idiopathic arthritis (JIA). Despite displaying clinical inactivity during treatment, many patients will flare on cessation of therapy. The inability to definitively discriminate patients who will relapse or continue to remain in remission after therapy withdrawal is currently a major unmet medical need. CD4 T cells have been implicated in active disease, yet how they contribute to disease persistence despite treatment is unknown.

methodsWe interrogated the circulatory reservoir of CD4

resultsAn inflammatory memory subset of CD3

conclusionsA unique discriminatory immunomic and transcriptomic signature is associated with relapse patients and may explain how relapse occurs.

Indexed as

Immunity, CellularWithholding TreatmentAdolescentArthritis, JuvenileBiological ProductsCD4-Positive T-LymphocytesChildFemaleFollow-Up StudiesHumansMaleRecurrenceRemission InductionTumor Necrosis Factor-alphaBiological ProductsTumor Necrosis Factor-alphaanti-TNFɑJuvenile idiopathic arthritis (JIA)mass cytometry (CyToF)relapse and therapy withdrawal

Identifiers

PMID31540934
PMCPMC6900250
OpenAlexW2974842857

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.