Evidence map›Paper›PMID 32087013›Full record

ArticleRheumatology (Oxford, England)2020

Serum CA72-4 is specifically elevated in gout patients and predicts flares.

Xueshan Bai, Mingshu Sun, Yuwei He, Ruhua Liu, Lingling Cui, Can Wang, Fang Wan, Ming Wang, Xinde Li, Hailong Li and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Xueshan BaiDepartment of Endocrinology and Metabology, The Affiliated Hospital of Qingdao University.
Mingshu SunDepartment of Rheumatology & Clinical Immunology, the Affiliated Hospital of Qingdao University.
Yuwei HeDepartment of Endocrinology and Metabology, The Affiliated Hospital of Qingdao University.
Ruhua LiuDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University.
Lingling CuiShandong Provincial Key Laboratory of Metabolic Diseases, The Affiliated Hospital of Qingdao University, Qingdao, China.
Can WangShandong Provincial Key Laboratory of Metabolic Diseases, The Affiliated Hospital of Qingdao University, Qingdao, China.
Fang WanDepartment of Mathematics and Statistics, Lancaster University, Lancaster, UK.
Ming WangDepartment of Endocrinology and Metabology, The Affiliated Hospital of Qingdao University.
Xinde LiShandong Provincial Key Laboratory of Metabolic Diseases, The Affiliated Hospital of Qingdao University, Qingdao, China.
Hailong LiInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Xinjiang WuInstitute of Metabolic Diseases, Qingdao University, Qingdao, China.
Changgui LiDepartment of Endocrinology and Metabology, The Affiliated Hospital of Qingdao University.
Qingdao University · CNAffiliated Hospital of Qingdao University · CNLancaster University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSerum CA72-4 levels are elevated in some gout patients but this has not been comprehensively described. The present study profiled serum CA72-4 expression in gout patients and verified the hypothesis that CA72-4 is a predictor of future flares in a prospective gout cohort.

methodsTo profile CA72-4 expression, a cross-sectional study was conducted in subjects with gouty arthritis, asymptomatic hyperuricaemia, four major arthritis types (OA, RA, SpA, septic arthritis) and healthy controls. A prospective gout cohort study was initiated to test the value of CA72-4 for predicting gout flares. During a 6-month follow-up, gout flares, CA72-4 levels and other gout-related clinical variables were observed at 1, 3 and 6 months.

resultsCA72-4 was highly expressed in patients with gouty arthritis [median (interquartile range) 4.55 (1.56, 32.64) U/ml] compared with hyperuricaemia patients [1.47 (0.87, 3.29) U/ml], healthy subjects [1.59 (0.99, 3.39) U/ml] and other arthritis patients [septic arthritis, 1.38 (0.99, 2.66) U/ml; RA, 1.58 (0.95, 3.37) U/ml; SpA, 1.56 (0.98, 2.85) U/ml; OA, 1.54 (0.94, 3.34) U/ml; P < 0.001, respectively]. Gout patients with frequent flares (twice or more in the last year) had higher CA72-4 levels than patients with fewer flares (fewer than twice in the last year). High CA72-4 level (>6.9 U/ml) was the strongest predictor of gout flares (hazard ratio = 3.889). Prophylactic colchicine was effective, especially for patients with high CA72-4 levels (P = 0.014).

conclusionCA72-4 levels were upregulated in gout patients who experienced frequent flares and CA72-4 was a useful biomarker to predict future flares.

Indexed as

Symptom Flare UpAntigens, Tumor-Associated, CarbohydrateArthritis, GoutyArthritis, InfectiousArthritis, RheumatoidBiomarkersCross-Sectional StudiesFemaleGoutHumansHyperuricemiaMaleMiddle AgedOsteoarthritisProspective StudiesSpondylarthritisAntigens, Tumor-Associated, CarbohydrateBiomarkersCA-72-4 antigenbiomarkerCA72-4flaregout

Identifiers

PMID32087013
PMCPMC7516098
OpenAlexW3007567955

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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.