Evidence map›Paper›PMID 32917833›Full record

ArticleRMD open2020

Association between number and type of different ACPA fine specificities with lung abnormalities in early, untreated rheumatoid arthritis.

Vijay Joshua, Aase Haj Hensvold, Gudrun Reynisdottir, Monica Hansson, Martin Cornillet, Leonor Nogueira, Guy Serre, Sven Nyren, Reza Karimi, Anders Eklund and 4 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  4. Rheumatoid Lung Disease.Mediterranean journal of rheumatology · 2025
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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

14 authors at 3 institutions in 2 countries.

Vijay JoshuaRheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-2606-8180
Aase Haj HensvoldRheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Gudrun ReynisdottirRheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Monica HanssonRheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Martin CornilletUnité Différenciation Épithéliale et Autoimmunité Rhumatoïde, Unité Mixte de Recherche 1056, INSERM - Université de Toulouse, Toulouse, France.
Leonor NogueiraUnité Différenciation Épithéliale et Autoimmunité Rhumatoïde, Unité Mixte de Recherche 1056, INSERM - Université de Toulouse, Toulouse, France.
Guy SerreUnité Différenciation Épithéliale et Autoimmunité Rhumatoïde, Unité Mixte de Recherche 1056, INSERM - Université de Toulouse, Toulouse, France.
Sven NyrenDepartment of Radiology, Karolinska University Hospital, Stockholm, Sweden.
Reza KarimiDivision of Respiratory Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Anders EklundDivision of Respiratory Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Magnus SköldDivision of Respiratory Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Johan GrunewaldDivision of Respiratory Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Katerina Chatzidionysiou *Rheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-2669-1247
Anca Catrina *Rheumatology Unit, Department of Medicine, Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden anca.catrina@ki.se.
Karolinska University Hospital · SEKarolinska Institutet · SEInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA)-associated anticitrullinated protein/peptide antibodies (ACPA) might originate at mucosal sites such as the lungs. We aimed to examine the relationship between the ACPA repertoire and lung abnormalities on high-resolution CT (HRCT) in patients with earlyuntreated RA.

methods106 patients with newly diagnosed untreated RA were examined with HRCT of the lungs. Blood samples were analysed for presence of rheumatoid factor (RF) and ACPA using either a CCP2 detection kit or an immunochip containing 10 different citrullinated peptides. Association between HRCT findings and the antibody repertoire was assessed by logistic regression analysis.

resultsThe number (%) of patients with HRCT abnormalities was 58 (54.7%) for parenchymal abnormalities and 68 (64.2%) for airway abnormalities. CCP2 IgG, RF IgA and antibodies against citrullinated fibrinogen were associated with the presence of parenchymal lung abnormalities. Interestingly, a high number of ACPA fine specificities gave a high risk of having parenchymal lung abnormalities at the time of RA diagnosis. No significant signals were identified between ACPA specificities and risk for airway abnormalities.

conclusionsThe presence of RF and ACPAs (especially against citrullinated fibrinogen peptides) as well as high number of ACPAs fine specificities are associated with parenchymal lung abnormalities in patients with early, untreated RA. This provides further support for an important pathogenic link between the lung and systemic autoimmunity, contributing to RA development.

Indexed as

Disease SusceptibilityAdultAgedAnti-Citrullinated Protein AntibodiesArthritis, RheumatoidAutoantibodiesFemaleHumansLung DiseasesMaleMiddle AgedOdds RatioRheumatoid FactorSeverity of Illness IndexSpirometryTomography, X-Ray ComputedAnti-Citrullinated Protein AntibodiesAutoantibodiesRheumatoid FactorAnti-Citrullinated Protein AntibodiesArthritisAutoantibodiesRheumatoid

Identifiers

PMID32917833
PMCPMC7520701
OpenAlexW3086446383

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.