Evidence map›Paper›PMID 33799480›Full record

ArticleCells2021

ACPA Status Correlates with Differential Immune Profile in Patients with Rheumatoid Arthritis.

Achilleas Floudas, Mary Canavan, Trudy McGarry, Ronan Mullan, Sunil Nagpal, Douglas J Veale, Ursula Fearon

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05422313 (Assessment of Galectin-9 in Rheumatoid Arthritis and Its Correlation With Disease Activity), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.8field-weighted citation impact, top 4% 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.

NCT05422313 unknown statusnot on this mapstarted 2022, after this paper: background citation

Assessment of Galectin-9 in Rheumatoid Arthritis and Its Correlation With Disease Activity

TypeobservationalSponsorAssiut UniversityRan2022 to 2023Enrolled86ConditionsRheumatoid Arthritis
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 35 citations in OpenAlex.

  1. [Mechanism of Qingluo Tongbi Formula for regulating immune-bone erosion in rheumatoid arthritis].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Trial
  2. Article
  3. JAK/STAT inhibition reprograms T cell activation and metabolism in inflammatory arthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Role of ceRNA network in inflammatory cells of rheumatoid arthritis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  18. Review
  19. Article
  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 4 institutions in 2 countries.

Achilleas FloudasMolecular Rheumatology, Trinity Biomedical Sciences Institute, TCD, D02 R590 Dublin, Ireland.ORCID 0000-0003-1690-5595
Mary CanavanMolecular Rheumatology, Trinity Biomedical Sciences Institute, TCD, D02 R590 Dublin, Ireland.
Trudy McGarryMolecular Rheumatology, Trinity Biomedical Sciences Institute, TCD, D02 R590 Dublin, Ireland.
Ronan MullanDepartment of Rheumatology, Tallaght University Hospital, D24 NR04 Dublin, Ireland.
Sunil NagpalJanssen Research & Development, Immunology, Spring House, PA 19477, USA.
Douglas J VealeEULAR Centre of Excellence, Centre for Arthritis and Rheumatic Diseases, St Vincent's University Hospital, UCD, D04 N2E0 Dublin, Ireland.
Ursula FearonMolecular Rheumatology, Trinity Biomedical Sciences Institute, TCD, D02 R590 Dublin, Ireland.
Trinity College Dublin · IEJanssen (United States) · USSt. Vincent's University Hospital · IETallaght University Hospital · IE

Funding

Arthritis IrelandCentre for Arthritis and Rheumatic Diseases CARD-2019-01Health Research Board ILP-POR-2017-047
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a progressive erosive autoimmune disease that affects 1% of the world population. Anti-citrullinated protein autoantibodies (ACPA) are routinely used for the diagnosis of RA, however 20-30% of patients are ACPA negative. ACPA status is a delineator of RA disease endotypes with similar clinical manifestation but potentially different pathophysiology. Profiling of key peripheral blood and synovial tissue immune populations including B cells, T follicular helper (Tfh) cells and CD4 T cell proinflammatory cytokine responses could elucidate the underlying immunological mechanisms involved and inform a treat to target approach for both ACPA-positive and ACPA-negative RA. Detailed high dimensionality flow cytometric analysis with supervised and unsupervised algorithm analysis revealed unique RA patient peripheral blood B cell and Tfh cell profiles. Synovial tissue single cell analysis of B cell subpopulation distribution was similar between ACPA- and ACPA+ RA patients, highlighting a key role for specific B cell subsets in both disease endotypes. Interestingly, synovial tissue single cell analysis of CD4 T cell proinflammatory cytokine production was markedly different between ACPA- and APCA+ RA patients. RNAseq analysis of RA patient synovial tissue highlighted disease endotype specific gene signatures. ACPA status associates with unique immune profile signatures that reinforce the need for a treat to target approach for both endotypes of RA.

Indexed as

Arachidonic AcidsArthritis, RheumatoidGenomicsHumansArachidonic AcidsarachidonylcyclopropylamideACPAB cellsRAsynovial tissueT cells

Identifiers

PMID33799480
PMCPMC8000255
OpenAlexW3136075725

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.