Evidence map›Paper›PMID 33668697›Full record

ReviewAntibodies (Basel, Switzerland)2021

Antinuclear Autoantibodies in Health: Autoimmunity Is Not a Synonym of Autoimmune Disease.

Irina A Pashnina, Irina M Krivolapova, Tamara V Fedotkina, Varvara A Ryabkova, Margarita V Chereshneva, Leonid P Churilov, Valeriy A Chereshnev

Open access · goldAbstract readReview
In one paragraph

Review in Antibodies (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Autoimmunity and hernia mesh: fact or fiction?Hernia : the journal of hernias and abdominal wall surgery · 2023
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Immunological Disorders: Gradations and the Current Approach in Laboratory Diagnostics.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Clinical features and visual prognosis of very late-onset neuromyelitis optica spectrum disorder-related optic neuritis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  13. Article
  14. Calprotectin: two sides of the same coin.Rheumatology (Oxford, England) · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors at 3 institutions in 1 country.

Irina A PashninaRegional Children's Clinical Hospital, Yekaterinburg 620149, Russia.
Irina M KrivolapovaRegional Children's Clinical Hospital, Yekaterinburg 620149, Russia.
Tamara V FedotkinaLaboratory of the Mosaics of Autoimmunity, Saint Petersburg State University, Saint Petersburg 199034, Russia.
Varvara A RyabkovaLaboratory of the Mosaics of Autoimmunity, Saint Petersburg State University, Saint Petersburg 199034, Russia.ORCID 0000-0001-6973-9901
Margarita V ChereshnevaInstitute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences, Yekaterinburg 620049, Russia.
Leonid P ChurilovLaboratory of the Mosaics of Autoimmunity, Saint Petersburg State University, Saint Petersburg 199034, Russia.ORCID 0000-0001-6359-0026
Valeriy A ChereshnevInstitute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences, Yekaterinburg 620049, Russia.
Institute of Immunology and Physiology · RUSt Petersburg University · RURegional Children's Clinical Hospital No. 1 · RU

Funding

the Government of the Russian Federation 14.W03.31.0009
6 · The paper itself

Abstract

The incidence of autoimmune diseases is increasing. Antinuclear antibody (ANA) testing is a critical tool for their diagnosis. However, ANA prevalence in healthy persons has increased over the last decades, especially among young people. ANA in health occurs in low concentrations, with a prevalence up to 50% in some populations, which demands a cutoff revision. This review deals with the origin and probable physiological or compensatory function of ANA in health, according to the concept of immunological clearance, theory of autoimmune regulation of cell functions, and the concept of functional autoantibodies. Considering ANA titers ≤1:320 as a serological marker of autoimmune diseases seems inappropriate. The role of anti-DFS70/LEDGFp75 autoantibodies is highlighted as a possible anti-risk biomarker for autoimmune rheumatic disorders. ANA prevalence in health is different in various regions due to several underlying causes discussed in the review, all influencing additive combinations according to the concept of the mosaic of autoimmunity. Not only are titers, but also HEp-2 IFA) staining patterns, such as AC-2, important. Accepting autoantibodies as a kind of bioregulator, not only the upper, but also the lower borders of their normal range should be determined; not only their excess, but also a lack of them or "autoimmunodeficiency" could be the reason for disorders.

Indexed as

antinuclear antibodiesantinuclear factorautoimmune diseasesfunctional autoantibodiesnatural autoantibodiesphysiological autoimmunity

Identifiers

PMID33668697
PMCPMC8006153
OpenAlexW3130849732

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.