Evidence map›Paper›PMID 31565241›Full record

Observational studyRMD open2019

Antibodies against citrullinated peptides are associated with clinical and radiological outcomes in patients with early rheumatoid arthritis: a prospective longitudinal inception cohort study.

Antonia Boman, Mikael Brink, Anders Lundquist, Monica Hansson, Linda Mathsson-Alm, Johan Rönnelid, Ewa Berglin, Rikard Holmdahl, Karl Skriner, Guy Serre and 2 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in RMD open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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  9. T-Cell Specificity Influences Disease Heterogeneity in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2021
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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

12 authors.

Antonia BomanDepartment of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden.
Mikael BrinkDepartment of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden.
Anders LundquistDepartment of Statistics, Umeå University, Umeå, Sweden.
Monica HanssonDepartment of Rheumatology, Karolinska Institutet, Stockholm, Sweden.
Linda Mathsson-AlmDepartment of Immunonogy, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Johan RönnelidDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-1186-3226
Ewa BerglinDepartment of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden.
Rikard HolmdahlMedical Inflammation Research, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-4969-2576
Karl SkrinerCharité Universitätsmedizin Berlin Campus Charite Mitte, Berlin, Germany.
Guy SerreEpithelial Differentation and Rheumatoid Autoimmunity Unit, UMRS, University of Toulouse, Toulouse, France.
Lars KlareskogDepartment of Rheumatology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-9601-6186
Solbritt Rantapää-DahlqvistDepartment of Public Health and Clinical Medicine/Rheumatology, Umeå University, Umeå, Sweden.ORCID 0000-0001-8259-3863

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Anticitrullinated peptide antibody (ACPA) responses for 22 citrullinated peptides in patients with early rheumatoid arthritis (RA) were analysed and related to radiological and clinical outcome during the first 2 years in a prospective inception cohort. Methods: The ACPA reactivities were assessed in 1022 patients with early RA (symptoms <12 months) using the custom-made microarray chip (Thermo Fisher Scientific, Uppsala, Sweden) in a prospective longitudinal study of observational assessments of Disease Activity Score (DAS28 and its components) and radiology during the first 24 months, accounting for the treatment. Results: Frequency of ACPA reactivities varied between 13.3% and 63.1%. Of the anticyclic citrullinated peptide-2 (anti-CCP2) antibody-negative patients, ACPA reactivities were positive in 32.6%. Smoking, human leucocyte antigen-shared epitope (HLA-SE), anti-CCP2/rheumatoid factor, protein tyrosine phosphatase non-receptor type 22 (1858C/T) and DAS28 were significantly associated with number of ACPA reactivities. The ACPA reactivities modified differently the development of DAS28 over 24 months (identified using trajectories). Anti-Filaggrin307-324, anti-hnRNP (Peptide)-Z1 and anti-F4-CIT-R antibodies anticipated lower DAS28 values (p<0.01-0.05), while positivity for anti-Fibrinogen(Fib)β62-78(74), and anti-Fibα563-583 predicted higher DAS28 (p<0.01 both). Interaction between anti-Fibß36-52, anti-Pept-5 and anti-Bla-26 antibodies, respectively, and DAS28 during 24 months decreased significantly the DAS28 values (p<0.01-0.05). Corticosteroids and biologicals were related to DAS28-area under the curve and Larsen score 24 months. Anti-vimentin2-17 antibodies remained significantly associated with Larsen score at baseline and 24 months, respectively, and radiological progression, besides biologicals at 24 months adjusted for sex and age. Conclusions: Several ACPA reactivities modified significantly the DAS28 development during the first 24 months and were significantly associated with Larsen score at baseline, 24 months and radiological progression.

Indexed as

Adrenal Cortex HormonesAdultAgedAnti-Citrullinated Protein AntibodiesAntirheumatic AgentsArthritis, RheumatoidAutoantibodiesBiological FactorsCohort StudiesDisease ProgressionEpitopesFemaleHLA AntigensHumansMaleMiddle AgedAdrenal Cortex HormonesAnti-Citrullinated Protein AntibodiesAntirheumatic AgentsAutoantibodiesBiological FactorsEpitopesHLA AntigensProtein Tyrosine Phosphatase, Non-Receptor Type 22Rheumatoid Factor28-joint disease activity score (DAS28)anti-citrullinated protein/peptide antibodies (ACPA)Early rheumatoid arthritisLarsen scoremultiplex antibody analyses

Identifiers

PMID31565241
PMCPMC6744074

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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.