Evidence map›Paper›PMID 33249645›Full record

ArticleJournal of clinical laboratory analysis2021

Anti-citrullinated protein antibodies are associated with neutrophil extracellular trap formation in rheumatoid arthritis.

Siyu Wu, Wanchan Peng, Xianghui Liang, Wei Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Frontier research on mechanisms of bone destruction in rheumatoid arthritis.Frontiers in cell and developmental biology · 2026
    Review
  6. NETs: a new target for autoimmune disease.Frontiers in immunology · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Neutrophils in Inflammatory Bone Diseases.Current osteoporosis reports · 2024
    Review
  14. Role of IFN-α in Rheumatoid Arthritis.Current rheumatology reports · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Review
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  20. Article
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

4 authors at 1 institution in 1 country.

Siyu WuDepartment of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0002-9704-4557
Wanchan PengDepartment of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0001-5289-8818
Xianghui LiangDepartment of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.
Wei WangDepartment of Clinical Laboratory, Xiangya Hospital, Central South University, Changsha, China.
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe evaluated the associations of anti-citrullinated protein antibodies (ACPAs) and serological and cytological levels of neutrophil extracellular trap (NET) formation in rheumatoid arthritis (RA) patients.

methodsSerum levels of myeloperoxidase-DNA and elastase-DNA complexes (NET remnants) were examined in 51 patients with RA and 40 healthy controls using a modified enzyme-linked immunosorbent assay. Neutrophils were isolated by density gradient centrifugation. IgG antibodies were purified by affinity chromatography. NET formation in RA and control neutrophils was assessed by microscopy in vitro. NETs were purified and co-incubated with fibroblast-like synoviocyte (FLS) cells. Interleukin (IL)-6 and IL-8 mRNA expression and protein levels in FLS cells were determined by real-time polymerase chain reaction and enzyme-linked immunosorbent assay, respectively.

resultsIn RA patients, NET remnants in the peripheral circulation were higher in extremely high ACPA titers when compared to in moderate ACPA titers. And IgG antibodies containing ACPA can stimulate neutrophils to form NETs in a concentration-dependent manner. Furthermore, significantly higher expression of the pro-inflammatory cytokines IL-6 and IL-8 is detected after FLS cells interacted with NETs which derived from neutrophils stimulated with ACPA-containing IgG antibodies.

conclusionsAnti-citrullinated protein antibodies may enhance NET formation and contribute to inflammation development in RA by stimulating NET formation, such as by subsequent activation of FLS cells by NETs.

Indexed as

AgedAnti-Citrullinated Protein AntibodiesArthritis, RheumatoidCase-Control StudiesFemaleHumansImmunoglobulin GInterleukin-6Interleukin-8MaleMiddle AgedNeutrophilsSynoviocytesTumor Necrosis Factor-alphaAnti-Citrullinated Protein AntibodiesCXCL8 protein, humanIL6 protein, humanImmunoglobulin GInterleukin-6Interleukin-8Tumor Necrosis Factor-alphaanti-citrullinated protein antibodiesinflammationneutrophil extracellular trapsrheumatoid arthritis

Identifiers

PMID33249645
PMCPMC7957993
OpenAlexW3109218832

What OpenQuestion holds

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Registered trials

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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.