Evidence map›Paper›PMID 32933919›Full record

ArticleAnnals of the rheumatic diseases2020

Machine learning predicts stem cell transplant response in severe scleroderma.

Jennifer M Franks, Viktor Martyanov, Yue Wang, Tammara A Wood, Ashley Pinckney, Leslie J Crofford, Lynette Keyes-Elstein, Daniel E Furst, Ellen Goldmuntz, Maureen D Mayes and 4 more

Open access · hybridAbstract 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. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.9field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Current Concepts on the Pathogenesis of Systemic Sclerosis.Clinical reviews in allergy & immunology · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Insights Into Systemic Sclerosis from Gene Expression Profiling.Current treatment options in rheumatology · 2021
    Article
  16. Article
  17. Hematopoietic stem cell transplantation in systemic sclerosis: Yes!! BUT. . .Journal of scleroderma and related disorders · 2021
    Article
  18. Article
  19. Review
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 7 institutions in 1 country.

Jennifer M Franks *Molecular and Systems Biology, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.ORCID 0000-0003-2400-5431
Viktor Martyanov *Molecular and Systems Biology, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.
Yue WangMolecular and Systems Biology, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.
Tammara A WoodMolecular and Systems Biology, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.
Ashley PinckneyRho Federal Systems Division, Chapel Hill, North Carolina, USA.
Leslie J CroffordDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Lynette Keyes-ElsteinRho Federal Systems Division, Chapel Hill, North Carolina, USA.
Daniel E FurstDepartment of Medicine, Division of Rheumatology, University of California at Los Angeles, Los Angeles, California, USA.
Ellen GoldmuntzNIAID/NIH, Bethesda, Maryland, USA.
Maureen D MayesRheumatology and Clinical Immunogenetics, The University of Texas Health Science Center Houston Medical School, Houston, Texas, USA.
Peter McSweeneyRocky Mountain Blood and Marrow Transplant Program, Colorado Blood Cancer Institute, Denver, Colorado, USA.
Richard A NashRocky Mountain Blood and Marrow Transplant Program, Colorado Blood Cancer Institute, Denver, Colorado, USA.
Keith M SullivanDuke University Medical Center, Durham, North Carolina, United States.ORCID 0000-0002-1379-9216
Michael L WhitfieldMolecular and Systems Biology, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA michael.l.whitfield@dartmouth.edu.
Dartmouth College · USColorado Blood Cancer Institute · USRho (United States) · USDuke Medical Center · USThe University of Texas Health Science Center at Houston · USUniversity of California, Los Angeles · USVanderbilt University Medical Center · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
Translational studies for identifying and targeting novel pathways in systemic sclerosis pathogenesisP50AR060780 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROJAS, MAURICIO · 2011 to 2021
$14.9M
STEM CELL TRANSPLANTATION FOR TX OF AUTOIMMUNE DISEASES-N01AI5419N01AI005419 · NIAID · DUKE UNIVERSITY · PI SULLIVAN, KEITH M · 2000 to 2006
$6.2M
Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
NIAID NIH HHS HHSN272200900057CNIAID NIH HHS HHSN272201100025CNIAID NIH HHS N01 AI005419NIAID NIH HHS N01 AI025481NIAID NIH HHS UM2 AI117870NIAMS NIH HHS P50 AR060780NLM NIH HHS T32 LM012204Wellcome Trust
6 · The paper itself

Abstract

objectiveThe Scleroderma: Cyclophosphamide or Transplantation (SCOT) trial demonstrated clinical benefit of haematopoietic stem cell transplant (HSCT) compared with cyclophosphamide (CYC). We mapped PBC (peripheral blood cell) samples from the SCOT clinical trial to scleroderma intrinsic subsets and tested the hypothesis that they predict long-term response to HSCT.

methodsWe analysed gene expression from PBCs of SCOT participants to identify differential treatment response. PBC gene expression data were generated from 63 SCOT participants at baseline and follow-up timepoints. Participants who completed treatment protocol were stratified by intrinsic gene expression subsets at baseline, evaluated for event-free survival (EFS) and analysed for differentially expressed genes (DEGs).

resultsParticipants from the fibroproliferative subset on HSCT experienced significant improvement in EFS compared with fibroproliferative participants on CYC (p=0.0091). In contrast, EFS did not significantly differ between CYC and HSCT arms for the participants from the normal-like subset (p=0.77) or the inflammatory subset (p=0.1). At each timepoint, we observed considerably more DEGs in HSCT arm compared with CYC arm with HSCT arm showing significant changes in immune response pathways.

conclusionsParticipants from the fibroproliferative subset showed the most significant long-term benefit from HSCT compared with CYC. This study suggests that intrinsic subset stratification of patients may be used to identify patients with SSc who receive significant benefit from HSCT.

Indexed as

Machine LearningAdultCyclophosphamideFemaleGene Expression ProfilingHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsMaleMiddle AgedScleroderma, DiffuseTranscriptomeTreatment OutcomeCyclophosphamideImmunosuppressive Agentscyclophosphamidesystemic sclerosistreatment

Identifiers

PMID32933919
PMCPMC8582621
OpenAlexW3086889393

What OpenQuestion holds

Textmetadata
LicenceTDM
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.