Evidence map›Paper›PMID 33163184›Full record

ArticleClinical & translational immunology2020

Tocilizumab monotherapy uncovered the role of the CCL22/17-CCR4

Ryota Sakai, Minako Ito, Keiko Yoshimoto, Shunsuke Chikuma, Takahiko Kurasawa, Tsuneo Kondo, Katsuya Suzuki, Tsutomu Takeuchi, Koichi Amano, Akihiko Yoshimura

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. IL-6 and diabetic kidney disease.Frontiers in immunology · 2024
    Review
  3. Targeting inerleukin-6 for renoprotection.Frontiers in immunology · 2024
    Review
  4. Review
  5. Regulatory T Cells in Autoimmune Vasculitis.Frontiers in immunology · 2022
    Review
  6. Article
  7. Novel Therapies for ANCA-associated Vasculitis.Current rheumatology reports · 2021
    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 at 2 institutions in 1 country.

Ryota SakaiDepartment of Microbiology and Immunology Keio University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-0785-495X
Minako ItoDepartment of Microbiology and Immunology Keio University School of Medicine Tokyo Japan.
Keiko YoshimotoDivision of Rheumatology Department of Internal Medicine Keio University School of Medicine Tokyo Japan.
Shunsuke ChikumaDepartment of Microbiology and Immunology Keio University School of Medicine Tokyo Japan.
Takahiko KurasawaDepartment of Rheumatology and Clinical Immunology Saitama Medical Center Saitama Medical University Kawagoe Japan.
Tsuneo KondoDepartment of Rheumatology and Clinical Immunology Saitama Medical Center Saitama Medical University Kawagoe Japan.
Katsuya SuzukiDivision of Rheumatology Department of Internal Medicine Keio University School of Medicine Tokyo Japan.
Tsutomu TakeuchiDivision of Rheumatology Department of Internal Medicine Keio University School of Medicine Tokyo Japan.
Koichi AmanoDepartment of Rheumatology and Clinical Immunology Saitama Medical Center Saitama Medical University Kawagoe Japan.
Akihiko YoshimuraDepartment of Microbiology and Immunology Keio University School of Medicine Tokyo Japan.
Keio University · JPSocial Insurance Saitama Chuo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTocilizumab (TCZ) is a humanised anti-interleukin (IL)-6 receptor (IL-6R) monoclonal antibody that is a promising agent to treat various autoimmune diseases. However, the mechanism of TCZ efficacy is unclear. This study aims to elucidate the relationship between Tregs and IL-6R blockade in autoimmunity-mediated renal disease based on a TCZ-treated cohort of patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) and in an experimental model of crescentic glomerulonephritis (cGN).

methodsWe examined multiple serum levels of cytokines and chemokines and peripheral blood mononuclear cells in patients with AAV who received TCZ monotherapy and achieved drug-free remission. Moreover, we investigated the mechanistic role of IL-6R blockade in accelerated cGN model to analyse the local sites of inflammation.

resultsSerum chemokines CCL22 and CCL17, in addition to the CCR4

conclusionsThis study revealed a new mechanism whereby effector Tregs migrate into the inflammatory kidney

Indexed as

ANCA‐associated vasculitisCCL22/17–CCR4 axiscrescentic glomerulonephritisIL‐6M2‐like type macrophagestocilizumabTregs

Identifiers

PMID33163184
PMCPMC7596393
OpenAlexW3095779488

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.