Evidence map›Paper›PMID 33273662›Full record

ArticleScientific reports2020

Accumulation of antinuclear associated antibodies in circulating immune complexes is more prominent in SLE patients from Sudan than Sweden.

Sahwa Elbagir, Azita Sohrabian, Amir I Elshafie, Elnour M Elagib, Nasr Eldeen A Mohammed, Musa A M Nur, Elisabet Svenungsson, Iva Gunnarsson, Johan Rönnelid

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

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

  1. Association ofFrontiers in immunology · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Lupus, DNA Methylation, and Air Pollution: A Malicious Triad.International journal of environmental research and public health · 2022
    Review
  6. 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

9 authors at 4 institutions in 2 countries.

Sahwa ElbagirDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory C5, 751 85, Uppsala, Sweden. sahwa.elbagir@igp.uu.se.
Azita SohrabianDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory C5, 751 85, Uppsala, Sweden.
Amir I ElshafieDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory C5, 751 85, Uppsala, Sweden.
Elnour M ElagibRheumatology Unit, Military Hospital, Omdurman, Sudan.
Nasr Eldeen A MohammedFaculty of Medical Laboratory Sciences, Al Neelain University, Khartoum, Sudan.
Musa A M NurRheumatology Unit, Alribat University Hospital, Khartoum, Sudan.
Elisabet SvenungssonDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Iva GunnarssonDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Johan RönnelidDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory C5, 751 85, Uppsala, Sweden.
Uppsala University · SEAl-Neelain University · SDKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of anti-nuclear autoantibody (ANA) specificities in immune complexes (IC) formation has been studied to a limited extent in SLE, and not at all in African SLE patients. We compared ANA in IC from Sudanese and Swedish SLE patients. We included 93 Sudanese and 332 Swedish SLE patients fulfilling the 1982 ACR criteria. IC were captured using C1q-coated beads. ANA specificities were quantified in sera and IC. Results were related to modified SLEDAI. Whereas serum levels of anti-Sm, anti-dsDNA and anti-ribosomal P were higher in Swedish patients, IC levels of most ANA specificities were higher among Sudanese patients. This difference was especially prominent for anti-chromatin antibodies, which remained after adjustment for age, disease duration and treatment. Total levels of C1q-binding IC correlated with levels of specific ANA in IC, with highest correlations for anti-chromatin antibodies among Sudanese patients. Whereas occurrence of anti- SSA/Ro60, anti-histone and anti-U1RNP in both serum and IC associated with high SLEDAI score, anti-dsDNA in IC but not in serum associated with high SLEDAI. ANA, especially antibodies targeting chromatin, accumulate more in IC from Sudanese SLE patients. If the autoantibody fraction forming IC is pathogenically important, this might explain the generally described severe SLE in black populations.

Indexed as

AdultAntibodies, AntinuclearBlack PeopleFemaleHumansLupus Erythematosus, SystemicMaleMiddle AgedSudanSwedenAntibodies, Antinuclear

Identifiers

PMID33273662
PMCPMC7712658
OpenAlexW3082130312

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.