Evidence map›Paper›PMID 33106894›Full record

Observational studyRheumatology international2021

Inflammatory milieu of muscle biopsies in juvenile dermatomyositis.

Erdal Sag, Gulsev Kale, Goknur Haliloglu, Yelda Bilginer, Zuhal Akcoren, Diclehan Orhan, Safak Gucer, Haluk Topaloglu, Seza Ozen, Beril Talim

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Recent research on myositis-specific autoantibodies in juvenile dermatomyositis.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Review
  15. 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

10 authors.

Erdal SagDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Ankara, Turkey. sag.erdal@gmail.com.ORCID http://orcid.org/0000-0002-6542-2656
Gulsev KalePediatric Pathology Unit, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Goknur HalilogluDivision of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Yelda BilginerDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Zuhal AkcorenPediatric Pathology Unit, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Diclehan OrhanPediatric Pathology Unit, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Safak GucerPediatric Pathology Unit, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Haluk TopalogluDivision of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Seza OzenDivision of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University, Ankara, Turkey.
Beril TalimPediatric Pathology Unit, Department of Pediatrics, Hacettepe University, Ankara, Turkey.

Funding

Hacettepe University Scientific Research Projects Coordination Unit 014 D04 101 012-575
6 · The paper itself

Abstract

Juvenile dermatomyositis (JDM) is an inflammatory myopathy which causes severe morbidity and high mortality if untreated. In this study, we aimed to define the T-helper cell profile in the muscle biopsies of JDM patients. Muscle biopsies of twenty-six patients (50% female) were included in the study. Immunohistochemical expression of CD3, CD20, CD138, CD68, IL-17, Foxp3, IFN-ɣ, IFN-alpha and IL-4 was studied and muscle biopsies were scored using the JDM muscle biopsy scoring tool. Inflammatory cells were in small clusters in perimysium and perivascular area or scattered throughout the endomysium in most biopsies; however in 2 biopsies, lymphoid follicle-like big clusters were observed, and in one, there was a very dense and diffuse inflammatory infiltration nearly destroying all the muscle architecture. Seventy-three per cent of the biopsies had T cells, 88% had B cells, 57% had plasma cells, and all had macrophages. As for T-helper cell subtypes, 80% of the biopsies were Th1 positive, 92% Th17 positive and 30% Treg positive. No IL-4 positive inflammatory cell was detected, and only 2 biopsies showed IFN-alpha positivity. The mean JDM biopsy score was 17.6, meaning moderate to severe muscular involvement. Visual analogue score of the pathologist was strongly correlated with histopathological features. B cells, macrophages, plasma cells and T cells constitute the inflammatory milieu of the JDM muscle biopsies. As for T cells, JDM is a disease mainly related with Th1 and Th17 T-helper cell subtypes and to some extend Treg. Th2 cells are not involved in the pathogenesis.

Indexed as

AdolescentBiopsyB-LymphocytesChildChild, PreschoolDermatomyositisFemaleHumansInfantMaleQuadriceps MuscleRetrospective StudiesT-Lymphocytes, Helper-InducerB cellsInflammatory cellsJDMMuscle biopsyT cells

Identifiers

What OpenQuestion holds

Textmetadata
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.