Evidence map›Paper›PMID 32994999›Full record

ArticleClinical & translational immunology2020

Lupus IgG deposition causes arthritis but inhibits bone destruction through competitive occupation of FcγRI and reduced RANKL signalling.

Wei Qiao, Huimin Ding, Yuyue Zuo, Lijuan Jiang, Jiayuan Zhou, Xiaoxiao Han, Likai Yu, Rong Du, Christian M Hedrich, Guo-Min Deng

Open access · goldAbstract read
In one paragraph

Article in Clinical & translational immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 4 institutions in 2 countries.

Wei QiaoDepartment of Clinical Laboratory The fourth affiliated hospital of Nanjing Medical University Nanjing China.
Huimin DingDepartment of Orthopedics BenQ Medical Center The affiliated BenQ Hospital of Nanjing Medical University Nanjing China.
Yuyue ZuoDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Lijuan JiangDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Jiayuan ZhouDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Xiaoxiao HanDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Likai YuDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Rong DuDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Christian M HedrichDepartment of Women's & Children's Health, Institute of Translational Medicine University of Liverpool Liverpool UK.
Guo-Min DengDepartment of Rheumatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China.
Wuhan Union Hospital · CNNanjing Medical University · CNSecond Affiliated Hospital of Nanjing Medical University · CNUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBone destruction is a remarkable feature of inflammatory arthritis. It remains unknown why arthritis associated with the systemic autoimmune/inflammatory condition systemic lupus erythematosus (SLE) does not result in erosion and destruction. We aimed to determine the role of autoantibody in the pathogenesis of non-erosive arthritis in SLE.

methodsWe analysed medical record of SLE patients, investigated whether autoantibody induces arthritis lacking bone destruction in animal models and determined whether SLE autoantibody inhibits osteoclastogenesis induced by RANKL

resultsWe found that arthritis lacking bone erosions is common in SLE patients and lupus-prone mice. Intraarticular injection of lupus serum or IgG induces immune complex deposition and arthritis, but does not result in bone destruction. Deposition of IgG, monocytes/macrophages and TNF-α is all required for the development of arthritis. Lupus serum or IgG inhibits RANKL-induced differentiation of monocytes into osteoclast in a dose-dependent manner. FcγR acts as co-receptors for RANKL and is involved in osteoclastogenesis. Deficiency of FcγRII or FcγRIII does not affect osteoclastogenesis in the presence of SLE IgG. However, lupus IgG competes for FcγRI binding with RANKL, thereby reducing osteoclastogenesis.

conclusionObservations from this study demonstrate that IgG from SLE patients can induce arthritis and inhibits RANKL-induced osteoclastogenesis through competitive occupation of FcγRI on monocytes/macrophages. This study improves the understanding of the pathophysiology of SLE-associated arthritis and offers a protective mechanism (FcγRI inhibition) that may be targeted in other forms of autoimmune/inflammatory arthritis, such as RA, to prevent or limit bone erosion and inflammatory bone loss.

Indexed as

arthritisbone destructionFcγ receptorIgGosteoclastogenesissystemic lupus erythematosus

Identifiers

PMID32994999
PMCPMC7507387
OpenAlexW3088134152

What OpenQuestion holds

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LicenceCC BY
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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.