Evidence map›Paper›PMID 32998980›Full record

ArticleRMD open2020

Response to abatacept is associated with the inhibition of proteasome β1i expression in T cells of patients with rheumatoid arthritis.

Khetam Ghannam, Lorena Martinez Gamboa, Claudia Kedor, Lydia Spengler, Ulrike Kuckelkorn, Thomas Häupl, Gerd Burmester, Eugen Feist

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Khetam Ghannam *Department of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany khetam.ghannam@charite.de.ORCID 0000-0002-0082-8911
Lorena Martinez GamboaDepartment of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.
Claudia KedorDepartment of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.
Lydia SpenglerDepartment of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.
Ulrike KuckelkornInstitute of Biochemistry, Charite University Hospital Berlin, Berlin, Germany.
Thomas HäuplDepartment of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.
Gerd BurmesterDepartment of Rheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.ORCID 0000-0001-7518-1131
Eugen FeistHelios Fachklinik Vogelsang-Gommern GmbH, Vogelsang-Gommern, Germany.
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAbatacept is a biological disease-modifying antirheumatic drug (DMARD) used for the treatment of rheumatoid arthritis (RA) and modulates the costimulatory signal by cluster of differentiation (CD)28:CD80/CD86 interaction required for T cell activation. Since CD28-mediated signalling regulates many T cell functions including cytokine production of, for example, interferons (IFNs), it is of interest to clarify, whether response to abatacept has an effect on the IFN inducible immunoproteasome, as a central regulator of the immune response.

methodsEffects of abatacept on the proteasome were investigated in 39 patients with RA over a period of 24 weeks. Using real-time PCR, transcript levels of constitutive and corresponding immunoproteasome catalytic subunits were investigated at baseline (T0), week 16 (T16) and week 24 (T24) in sorted blood cells. Proteasomal activity and induction of apoptosis after proteasome inhibition were also evaluated.

resultsAbatacept achieved remission or low disease activity in 55% of patients at T16 and in 70% of patients at T24. By two-way analysis of variance (ANOVA), a significant reduction of proteasome immunosubunit β1i was shown only in CD4+ and CD8+ T cells of sustained responders at both T16 and T24. One-way ANOVA analysis for each response group confirmed the results and showed a significant reduction at T24 in CD4+ and CD8+ T cells of the same group. Abatacept did not influence chymotrypsin-like activity of proteasome and had no effect on induction of apoptosis under exposure to a proteasome inhibitor in vitro.

conclusionThe reduction of proteasome immunosubunit β1i in T cells of patients with RA with sustained response to abatacept suggests association of the immunoproteasome of T cells with RA disease activity.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAbataceptHumansProteasome Endopeptidase ComplexT-LymphocytesAbataceptAntirheumatic AgentsProteasome Endopeptidase ComplexAbataceptArthritisRheumatoidT-Lymphocyte subsets

Identifiers

PMID32998980
PMCPMC7547540
OpenAlexW3091515074

What OpenQuestion holds

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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.