Evidence map›Paper›PMID 32404914›Full record

ArticleScientific reports2020

Synovial tissue transcriptomes of long-standing rheumatoid arthritis are dominated by activated macrophages that reflect microbial stimulation.

Biljana Smiljanovic, Andreas Grützkau, Till Sörensen, Joachim R Grün, Thomas Vogl, Marc Bonin, Pascal Schendel, Bruno Stuhlmüller, Anne Claussnitzer, Sandra Hermann and 6 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 29 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

16 authors at 3 institutions in 1 country.

Biljana SmiljanovicDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Andreas GrützkauDeutsches Rheuma-Forschungszentrum Berlin (DRFZ), a Leibniz Institute, Berlin, Germany.
Till SörensenDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Joachim R GrünDeutsches Rheuma-Forschungszentrum Berlin (DRFZ), a Leibniz Institute, Berlin, Germany.
Thomas VoglInstitute of Immunology, Westfälische Wilhelms-Universität Münster, Münster, Germany.
Marc BoninDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Pascal SchendelDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Bruno StuhlmüllerDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Anne ClaussnitzerDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Sandra HermannDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Sarah OhrndorfDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Karlfried AupperleDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Marina BackhausDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Andreas RadbruchDeutsches Rheuma-Forschungszentrum Berlin (DRFZ), a Leibniz Institute, Berlin, Germany.
Gerd R BurmesterDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.
Thomas HäuplDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany. thomas.haeupl@charite.de.
Charité - Universitätsmedizin Berlin · DEGerman Rheumatism Research Centre · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in microbiome research suggest involvement in chronic inflammatory diseases such as rheumatoid arthritis (RA). Searching for initial trigger(s) in RA, we compared transcriptome profiles of highly inflamed RA synovial tissue (RA-ST) and osteoarthritis (OA)-ST with 182 selected reference transcriptomes of defined cell types and their activation by exogenous (microbial) and endogenous inflammatory stimuli. Screening for dominant changes in RA-ST demonstrated activation of monocytes/macrophages with gene-patterns induced by bacterial and fungal triggers. Gene-patterns of activated B- or T-cells in RA-ST reflected a response to activated monocytes/macrophages rather than inducing their activation. In contrast, OA-ST was dominated by gene-patterns of non-activated macrophages and fibroblasts. The difference between RA and OA was more prominent in transcripts of secreted proteins and was confirmed by protein quantification in synovial fluid (SF) and serum. In total, 24 proteins of activated cells were confirmed in RA-SF compared to OA-SF and some like CXCL13, CCL18, S100A8/A9, sCD14, LBP reflected this increase even in RA serum. Consequently, pathogen-like response patterns in RA suggest that direct microbial influences exist. This challenges the current concept of autoimmunity and immunosuppressive treatment and advocates new diagnostic and therapeutic strategies that consider microbial persistence as important trigger(s) in the etiopathogenesis of RA.

Indexed as

Gene Expression ProfilingTranscriptomeAdaptive ImmunityArthritis, RheumatoidBiomarkersDisease SusceptibilityHost-Pathogen InteractionsHumansImmunity, InnateInflammation MediatorsMacrophage ActivationMacrophagesMonocytesOrgan SpecificitySeverity of Illness IndexSynovial MembraneBiomarkersInflammation Mediators

Identifiers

PMID32404914
PMCPMC7220941
OpenAlexW3024581556

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.