Evidence map›Paper›PMID 32398023›Full record

ArticlePediatric rheumatology online journal2020

Type 1 interferonopathy presenting as juvenile idiopathic arthritis with interstitial lung disease: report of a new phenotype.

S L N Clarke, L Robertson, G I Rice, L Seabra, T N Hilliard, Y J Crow, A V Ramanan

Open access · goldAbstract readCase Reports
In one paragraph

Article in Pediatric rheumatology online journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.4field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Genetic Familial Interstitial Lung Disease.Clinics in chest medicine · 2025
    Review
  5. Article
  6. [Research progress on the cGAS-STING signaling pathway in immune-mediated inflammatory diseases in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. STING-Mediated Lung Inflammation and Beyond.Journal of clinical immunology · 2021
    Review
  20. 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

7 authors at 6 institutions in 2 countries.

S L N ClarkeDepartment of Paediatric Rheumatology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, BS2 8BJ, UK.
L RobertsonDepartment of Rheumatology, Derriford Hospital, Plymouth, UK.
G I RiceDivision of Evolution and Genomic Sciences, School of Biological Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
L SeabraParis Descartes University, Sorbonne-Paris-Cité, Laboratory of Neurogenetics & Neuroinflammation Institut Imagine, Hôpital Necker Enfants Malades, Paris, France.
T N HilliardDepartment of Paediatric Respiratory Medicine, Bristol Royal Hospital for Children, Bristol, UK.
Y J CrowParis Descartes University, Sorbonne-Paris-Cité, Laboratory of Neurogenetics & Neuroinflammation Institut Imagine, Hôpital Necker Enfants Malades, Paris, France.
A V RamananDepartment of Paediatric Rheumatology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, BS2 8BJ, UK. avramanan@hotmail.com.
University of Bristol · GBBristol Royal Hospital for Children · GBDerriford Hospital · GBHôpital Necker-Enfants Malades · FRSorbonne Paris Cité · FRUniversity of Manchester · GB

Funding

Agence Nationale de la Recherche ANR-10-IAHU-01H2020 European Research Council GA 309449Wellcome Trust 203918/Z/16/Z)
6 · The paper itself

Abstract

backgroundSTING-associated vasculopathy with onset in infancy (SAVI) is a type 1 interferonopathy manifesting as a pulmonary and vascular syndrome resulting from gain-of-function mutations in TMEM173, the gene encoding STING. Familial reports in the literature are sparse. CASE PRESENTATION: We report a case series of SAVI in a three generation kindred, with a phenotype of interstitial lung disease (ILD) and rheumatoid factor positive polyarticular juvenile idiopathic arthritis (JIA). Current and historical medical records were reviewed for clinical and laboratory information. Whole blood from cases 1 and 2, plus stored appendicectomy tissue from case 3, underwent DNA sequencing of the TMEM173 gene. Peripheral blood RNA was obtained from cases 1 and 2 for functional assessment of the TMEM173 mutation. DNA sequencing identified the same heterozygous TMEM173 mutation (c.463G > A; p.Val155Met) in all three cases, consistent with a diagnosis of the autosomal dominant condition SAVI. Functional assessment of this mutation identified a prominent interferon signature which was confirmed on repeat testing.

conclusionsSAVI presented in this family as ILD with early onset juvenile rheumatoid arthritis. This condition should be considered in all rheumatoid arthritis patients with early-onset ILD and in all JIA patients with ILD.

Indexed as

AdolescentArthritis, JuvenileAzetidinesFamilyFemaleGlucocorticoidsHereditary Autoinflammatory DiseasesHeterozygoteHumansImmunoglobulins, IntravenousImmunologic FactorsInfantInfant, NewbornInterferon Type IJanus Kinase InhibitorsLung Diseases, InterstitialAzetidinesbaricitinibGlucocorticoidsImmunoglobulins, IntravenousImmunologic FactorsInterferon Type IJanus Kinase InhibitorsMembrane ProteinsPurinesPyrazolesSTING1 protein, humanSTING ProteinSulfonamidesAutoinflammatoryInterferonInterstitial lung diseaseJuvenile rheumatoid arthritisSAVI

Identifiers

PMID32398023
PMCPMC7218611
OpenAlexW3026627352

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.