Evidence map›Paper›PMID 33318574›Full record

Trial reportScientific reports2020

Serum metabolites as biomarkers in systemic sclerosis-associated interstitial lung disease.

C Meier, K Freiburghaus, C Bovet, J Schniering, Y Allanore, O Distler, C Nakas, B Maurer

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Multi-omics to study chronic respiratory diseases and viral infections.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  6. Altered Metabolism in Idiopathic Pulmonary Fibrosis.Journal of cellular physiology · 2025
    Review
  7. Review
  8. Article
  9. Metabolomics in systemic sclerosis.Rheumatology international · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Observational
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 3 institutions in 3 countries.

C MeierDepartment of Rheumatology, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland.
K FreiburghausUniversity Institute of Clinical Chemistry, Bern University Hospital, University of Bern, Bern, Switzerland.
C BovetUniversity Institute of Clinical Chemistry, Bern University Hospital, University of Bern, Bern, Switzerland.
J SchnieringDepartment of Rheumatology, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland.
Y AllanoreDepartment of Rheumatology A, Descartes University, APHP, Cochin Hospital, Paris, France.
O DistlerDepartment of Rheumatology, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland.
C NakasUniversity Institute of Clinical Chemistry, Bern University Hospital, University of Bern, Bern, Switzerland.
B MaurerDepartment of Rheumatology, Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland. Britta.maurer@usz.ch.
University Hospital of Zurich · CHUniversity of Bern · CHDélégation Paris 5 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic sclerosis (SSc) is a severe multi-organ disease with interstitial lung disease (ILD) being the major cause of death. While targeted therapies are emerging, biomarkers for sub-stratifying patients based on individual profiles are lacking. Herein, we investigated how levels of serum metabolites correlated with different stages of SSc and SSc-ILD. Serum samples of patients with SSc without ILD, stable and progressive SSc-ILD as well as of healthy controls (HC) were analysed using liquid targeted tandem mass spectrometry. The best discriminating profile consisted of 4 amino acids (AA) and 3 purine metabolites. L-tyrosine, L-tryptophan, and 1-methyl-adenosine distinguished HC from SSc patients. L-leucine, L-isoleucine, xanthosine, and adenosine monophosphate differentiated between progressing and stable SSc-ILD. In SSc-ILD, both, L-leucine and xanthosine negatively correlated with changes in FVC% predicted. Additionally, xanthosine was negatively correlated with changes in DLco% predicted and positively with the prognostic GAP index. Validation of L-leucine and L-isoleucine by an enzymatic assay confirmed both the sub-stratification of SSc-ILD patients and correlation with lung function and prognosis score. Serum metabolites may have potential as biomarkers for discriminating SSc patients based on the presence and severity of ILD. Confirmation in larger cohorts will be needed to appreciate their value for routine clinical care.

Indexed as

AgedBiomarkersFemaleHumansLung Diseases, InterstitialMaleMiddle AgedScleroderma, SystemicBiomarkers

Identifiers

PMID33318574
PMCPMC7736572
OpenAlexW3110788013

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.