Evidence map›Paper›PMID 31791398›Full record

ArticleArthritis research & therapy2019

Interferon score is increased in incomplete systemic lupus erythematosus and correlates with myxovirus-resistance protein A in blood and skin.

Wietske M Lambers, Karina de Leeuw, Berber Doornbos-van der Meer, Gilles F H Diercks, Hendrika Bootsma, Johanna Westra

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 56 citations in OpenAlex.

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  20. Interferons in Systemic Lupus Erythematosus.Rheumatic diseases clinics of North America · 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

6 authors at 1 institution in 1 country.

Wietske M LambersDepartment of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, AA21, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. w.m.lambers@umcg.nl.ORCID 0000-0002-2026-5191
Karina de LeeuwDepartment of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, AA21, Hanzeplein 1, 9700 RB, Groningen, the Netherlands.
Berber Doornbos-van der MeerDepartment of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, AA21, Hanzeplein 1, 9700 RB, Groningen, the Netherlands.
Gilles F H DiercksDepartment of Pathology and Medical Biology, University of Groningen, University Medical Centre Groningen, Groningen, the Netherlands.
Hendrika BootsmaDepartment of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, AA21, Hanzeplein 1, 9700 RB, Groningen, the Netherlands.
Johanna WestraDepartment of Rheumatology and Clinical Immunology, University of Groningen, University Medical Centre Groningen, AA21, Hanzeplein 1, 9700 RB, Groningen, the Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients with incomplete systemic lupus erythematosus (iSLE) have lupus features, but do not meet classification criteria for SLE. Type I interferons (IFN) are important early mediators in SLE, and IFN upregulation in incomplete SLE may be associated with progression to SLE. Since many patients present with skin symptoms, the aim of this study is to investigate IFN type I expression and IFN-related mediators in the blood and skin of iSLE patients.

methodsTwenty-nine iSLE patients (ANA titer ≥ 1:80, symptoms < 5 years, ≥ 1 objectified clinical criterion), 39 SLE patients with quiescent disease (fulfilling ACR or SLICC criteria, SLEDAI ≤4), and 22 healthy controls were included. IFN signature was measured in whole blood, based on 12 IFN-related genes, using RT-PCR, and IFN-score was calculated. IFN-related mediators myxovirus-resistance protein A (MxA), IFN-γ-induced protein 10 (IP-10), and monocyte chemoattractant protein (MCP-1) were measured using ELISA. IFN type I expression in the unaffected skin was analyzed by immunostaining with MxA.

resultsIFN-score was increased in 50% of iSLE patients and 46% of SLE patients and correlated positively with the number of autoantibodies, anti-SSA titer, ESR, and IgG and negatively with C4 in iSLE. Levels of MxA correlated strongly with IFN-score (r = 0.78, p < 0.0001). Furthermore, MxA expression was found in 29% of unaffected skin biopsies of iSLE and 31% of SLE patients and also correlated with IFN-score (r = 0.54, p < 0.0001).

conclusionsIFN-score was increased in half of the iSLE patients, and given the correlation with complement and autoantibody diversity, this suggests a higher risk for disease progression. MxA in the blood and unaffected skin correlated strongly with the IFN-score and is possibly an easily applicable marker for IFN upregulation.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesChemokine CCL2Chemokine CXCL10Disease ProgressionFemaleGene ExpressionHumansInterferon Type ILupus Erythematosus, SystemicMaleMiddle AgedMyxovirus Resistance ProteinsSkinAutoantibodiesCCL2 protein, humanChemokine CCL2Chemokine CXCL10CXCL10 protein, humanInterferon Type IMX1 protein, humanMyxovirus Resistance ProteinsBiomarkerInterferon signatureMyxovirus resistance protein ASystemic lupus erythematosus

Identifiers

PMID31791398
PMCPMC6889676
OpenAlexW2992618985

What OpenQuestion holds

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LicenceCC BY
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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.