Evidence map›Paper›PMID 32546599›Full record

ArticleAnnals of the rheumatic diseases2020

Machine learning algorithms reveal unique gene expression profiles in muscle biopsies from patients with different types of myositis.

Iago Pinal-Fernandez, Maria Casal-Dominguez, Assia Derfoul, Katherine Pak, Frederick W Miller, Jose César Milisenda, Josep Maria Grau-Junyent, Albert Selva-O'Callaghan, Carme Carrion-Ribas, Julie J Paik and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05738824 (Natural History of Inflammatory Muscle Diseases), which is not on this map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
11.2field-weighted citation impact, top 1% 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.

NCT05738824 recruitingnot on this mapstarted 2023, after this paper: background citation

Natural History of Inflammatory Muscle Diseases

TypeobservationalSponsorNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)Ran2023 to 2032Enrolled500ConditionsInflammation In Skeletal Muscle
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
  2. Defining anti-synthetase syndrome: a systematic literature review.Clinical and experimental rheumatology · 2022
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Proceedings of the 2Mediterranean journal of rheumatology · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. A neuromuscular clinician's primer on machine learning.Journal of neuromuscular diseases · 2026
    Review
  20. Article

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Iago Pinal-FernandezMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Insititutes of Health, Bethesda, Maryland, USA.
Maria Casal-DominguezMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Insititutes of Health, Bethesda, Maryland, USA.
Assia DerfoulMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Insititutes of Health, Bethesda, Maryland, USA.
Katherine PakMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Insititutes of Health, Bethesda, Maryland, USA.
Frederick W MillerEnivironmental Autoimmunity Group, National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0003-2831-9593
Jose César MilisendaInternal Medicine, Hospital Clinic de Barcelona, Barcelona, Catalunya, Spain.
Josep Maria Grau-JunyentInternal Medicine, Hospital Clinic de Barcelona, Barcelona, Catalunya, Spain.
Albert Selva-O'CallaghanInternal Medicine, Vall d'Hebron General Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.ORCID 0000-0003-2823-9761
Carme Carrion-RibasFaculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain.
Julie J PaikDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jemima AlbaydaDivision of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lisa Christopher-StineDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Thomas E LloydDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrea M CorseDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrew L MammenMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Insititutes of Health, Bethesda, Maryland, USA andrew.mammen@nih.gov.ORCID 0000-0003-3732-3252
Johns Hopkins University · USHospital Clínic de Barcelona · ESNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Institutes of Health · USUniversitat Oberta de Catalunya · ESUniversitat Autònoma de Barcelona · ES

Funding

Environmental/genetic Risk Factors and Pathogenesis of Autoimmune DiseaseZIAES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$34.6M
Muscle Disease UnitZIAAR041203 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI MAMMEN, ANDREW · 2015 to 2025
$19.7M
Pathogenesis And Genetic/environmental Risk Factors ForZ01ES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MILLER, FREDERICK · 2002 to 2008
$2.7M
Intramural NIH HHS Z01 ES101074
6 · The paper itself

Abstract

objectivesMyositis is a heterogeneous family of diseases that includes dermatomyositis (DM), antisynthetase syndrome (AS), immune-mediated necrotising myopathy (IMNM), inclusion body myositis (IBM), polymyositis and overlap myositis. Additional subtypes of myositis can be defined by the presence of myositis-specific autoantibodies (MSAs). The purpose of this study was to define unique gene expression profiles in muscle biopsies from patients with MSA-positive DM, AS and IMNM as well as IBM.

methodsRNA-seq was performed on muscle biopsies from 119 myositis patients with IBM or defined MSAs and 20 controls. Machine learning algorithms were trained on transcriptomic data and recursive feature elimination was used to determine which genes were most useful for classifying muscle biopsies into each type and MSA-defined subtype of myositis.

resultsThe support vector machine learning algorithm classified the muscle biopsies with >90% accuracy. Recursive feature elimination identified genes that are most useful to the machine learning algorithm and that are only overexpressed in one type of myositis. For example, CAMK1G (calcium/calmodulin-dependent protein kinase IG), EGR4 (early growth response protein 4) and CXCL8 (interleukin 8) are highly expressed in AS but not in DM or other types of myositis. Using the same computational approach, we also identified genes that are uniquely overexpressed in different MSA-defined subtypes. These included apolipoprotein A4 (APOA4), which is only expressed in anti-3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) myopathy, and MADCAM1 (mucosal vascular addressin cell adhesion molecule 1), which is only expressed in anti-Mi2-positive DM.

conclusionsUnique gene expression profiles in muscle biopsies from patients with MSA-defined subtypes of myositis and IBM suggest that different pathological mechanisms underly muscle damage in each of these diseases.

Indexed as

AdultAnimalsApolipoproteins AAutoimmune DiseasesBiopsyCalcium-Calmodulin-Dependent Protein Kinase Type 1Cell Adhesion MoleculesCell Culture TechniquesDermatomyositisEarly Growth Response Transcription FactorsFemaleHumansHydroxymethylglutaryl CoA ReductasesInterleukin-8Machine LearningMaleapolipoprotein A-IVApolipoproteins ACalcium-Calmodulin-Dependent Protein Kinase Type 1CAMK1G protein, humanCell Adhesion MoleculesCXCL8 protein, humanEarly Growth Response Transcription FactorsEGR4 protein, humanHMGCR protein, humanHydroxymethylglutaryl CoA ReductasesInterleukin-8MADCAM1 protein, humanMucoproteinsautoantibodiesautoimmune diseasesautoimmunitydermatomyositispolymyositis

Identifiers

PMID32546599
PMCPMC10461844
OpenAlexW3035505485

What OpenQuestion holds

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Registered trials

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.