Evidence map›Paper›PMID 32265916›Full record

ArticleFrontiers in immunology2020

Heightened Levels of Antimicrobial Response Factors in Patients With Rheumatoid Arthritis.

Prathapan Ayyappan, Robert Z Harms, Jennifer A Seifert, Elizabeth A Bemis, Marie L Feser, Kevin D Deane, M Kristen Demoruelle, Ted R Mikuls, V Michael Holers, Nora E Sarvetnick

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Journal of oral microbiology · 2026
    Review
  2. Microbial threads in the tapestry of rheumatoid arthritis.The Journal of clinical investigation · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Frontiers in immunology · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Characterization of serum biomarkers and antibody responses againstFrontiers in cellular and infection microbiology · 2022
    Article
  15. Article
  16. Review
  17. Article
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

10 authors at 3 institutions in 1 country.

Prathapan AyyappanDepartment of Surgery-Transplant, University of Nebraska Medical Center, Omaha, NE, United States.
Robert Z HarmsDepartment of Surgery-Transplant, University of Nebraska Medical Center, Omaha, NE, United States.
Jennifer A SeifertDivision of Rheumatology, University of Colorado-Denver, Aurora, CO, United States.
Elizabeth A BemisDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Marie L FeserDivision of Rheumatology, University of Colorado-Denver, Aurora, CO, United States.
Kevin D DeaneDivision of Rheumatology, University of Colorado-Denver, Aurora, CO, United States.
M Kristen DemoruelleDivision of Rheumatology, University of Colorado-Denver, Aurora, CO, United States.
Ted R MikulsDivision of Rheumatology, University of Nebraska Medical Center, Omaha, NE, United States.
V Michael HolersDivision of Rheumatology, University of Colorado-Denver, Aurora, CO, United States.
Nora E SarvetnickDepartment of Surgery-Transplant, University of Nebraska Medical Center, Omaha, NE, United States.
University of Colorado Denver · USUniversity of Nebraska Medical Center · USColorado School of Public Health · US

Funding

Prevention Center U01: Early Targets for Antigen-Specific Tolerance Induction in Preclinical Rheumatoid ArthritisU01AI101981 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2012 to 2021
$6.2M
RA-Related Autoantibodies in Healthy FDR of RA PatientsR01AR051394 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI NORRIS, JILL M · 2005 to 2011
$3.0M
Uncovering pathogenic anti-bacterial defense mechanisms to identify novel targets for prevention of T1DU01AI130841 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARVETNICK, NORA E · 2017 to 2021
$3.0M
Cytokine receptor populations in human autoimmune diabetesU01AI102012 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARVETNICK, NORA E · 2012 to 2016
$2.7M
NIAID NIH HHS U01 AI101981NIAID NIH HHS U01 AI102012NIAID NIH HHS U01 AI130841NIAMS NIH HHS R01 AR051394
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic progressive autoimmune disease leading to considerable disability over time. The disease can be characterized by the presence of multiple autoantibodies in the serum and synovial fluid. Microbial dysbiosis is proposed to play a role in the pathogenesis of RA. Increased systemic bacterial exposure leads to elevated levels of antimicrobial response factors (ARFs) in the circulation. In the present study, we tested whether RA patients have increased levels of ARFs by analyzing the levels of multiple ARFs in serum from RA patients and healthy age and sex-matched controls. The levels of soluble CD14 (sCD14), lysozyme, and CXCL16 were significantly elevated in RA patients compared to healthy controls. Lipopolysaccharide binding protein (LBP) levels remained unchanged in RA patients compared to healthy controls. A positive correlation of LBP with rheumatoid factor (RF) was also found in RA subjects. Interestingly, the levels of anti-endotoxin core antibodies (EndoCAb) IgM, total IgM, EndoCAb IgA, and total IgA were significantly elevated in RA patients compared to healthy controls. No significant changes in the levels of EndoCAb IgG and total IgG were observed in RA patients compared to healthy controls. Furthermore, lysozyme and CXCL16 levels were positively correlated with disease severity among RA subjects. Increases in the levels of several ARFs and their correlations with clinical indices suggest systemic microbial exposure in the RA cohort. Modulation of microbial exposure may play an important role in disease pathogenesis in individuals with RA.

Indexed as

Acute-Phase ProteinsAdultAgedAntibodies, BacterialAntibody SpecificityArthritis, RheumatoidCarrier ProteinsCase-Control StudiesChemokine CXCL16DysbiosisEndotoxinsFemaleHumansLipopolysaccharide-Binding ProteinLipopolysaccharide ReceptorsMaleAcute-Phase ProteinsAntibodies, BacterialCarrier ProteinsCD14 protein, humanChemokine CXCL16CXCL16 protein, humanEndotoxinsLipopolysaccharide-Binding ProteinLipopolysaccharide ReceptorsMembrane GlycoproteinsMuramidaseantimicrobial proteinsCXCL16EndoCAbslysozymerheumatoid arthritissCD14

Identifiers

PMID32265916
PMCPMC7100537
OpenAlexW3012261076

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.