Evidence map›Paper›PMID 33933845›Full record

Observational studyInternational immunopharmacology2021

Associations of serum cytokines and chemokines with the risk of incident cancer in a prospective rheumatoid arthritis cohort.

Bryant R England, Megan Campany, Harlan Sayles, Punyasha Roul, Yangyuna Yang, Apar Kishor Ganti, Jeremy Sokolove, William H Robinson, Andreas M Reimold, Gail S Kerr and 5 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International immunopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
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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

15 authors at 7 institutions in 1 country.

Bryant R EnglandVA Nebraska-Western Iowa Healthcare System, Omaha, NE, USA; Division of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: Bryant.england@unmc.edu.
Megan CampanyDivision of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Harlan SaylesDivision of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Punyasha RoulDivision of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Yangyuna YangDivision of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Apar Kishor GantiVA Nebraska-Western Iowa Healthcare System, Omaha, NE, USA; Division of Oncology-Hematology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Jeremy SokoloveDivision of Immunology and Rheumatology, Stanford University, Stanford, CA, and the Department of Veterans Affairs, Palo Alto, CA, USA; GlaxoSmithKline, Collegeville, PA, USA(1).
William H RobinsonDivision of Immunology and Rheumatology, Stanford University, Stanford, CA, and the Department of Veterans Affairs, Palo Alto, CA, USA.
Andreas M ReimoldDallas VA and University of Texas Southwestern Medical Center, Dallas, TX, USA.
Gail S KerrWashington D.C. VA, Howard University, and Georgetown University, Washington D.C., USA.
Grant W CannonSalt Lake City VA & University of Utah, Salt Lake City, UT, USA.
Brian C SauerSalt Lake City VA & University of Utah, Salt Lake City, UT, USA.
Joshua F BakerCorporal Michael J. Crescenz VA Medical Center & University of Pennsylvania, Philadelphia, PA, USA.
Geoffrey M ThieleVA Nebraska-Western Iowa Healthcare System, Omaha, NE, USA; Division of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Ted R MikulsVA Nebraska-Western Iowa Healthcare System, Omaha, NE, USA; Division of Rheumatology & Immunology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
University of Nebraska Medical Center · USStanford University · USUniversity of Utah · USDallas VA Medical Center · USHoward University · USPhiladelphia VA Medical Center · USVA Nebraska Western Iowa Health Care System · US

Funding

UNMC/EPPLEY CANCER CENTER SUPPORT GRANTP30CA036727 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Amy M Overby · 1985 to 2026
$55.0M
Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI GUDA, CHITTIBABU · 2016 to 2025
$42.8M
UNMC Summer Undergraduate Alcohol Research ProgramR25AA020818 · NIAAA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Kristina L Bailey · 2012 to 2026
$931k
Pathogenic Role of Malondialdehyde-Acetaldehyde Adducts in Rheumatoid ArthritisI01BX004660 · VA · OMAHA VA MEDICAL CENTER · PI MIKULS, TED RICHARD · 2020 to 2023
–
Improving the Management of Rheumatoid Arthritis-Associated Lung Disease in Veterans Using Real-World DataIK2CX002203 · VA · OMAHA VA MEDICAL CENTER · PI Bryant R England · 2021 to 2026
–
Role of MUC5AC in promoting CNS metastasis in Non-Small Cell Lung CancerI01BX004676 · VA · OMAHA VA MEDICAL CENTER · PI GANTI, APAR KISHOR · 2020 to 2023
–
Adipokines as Biomarkers of Cachexia and High-Risk Rheumatoid ArthritisI01CX001703 · VA · PHILADELPHIA VA MEDICAL CENTER · PI BAKER, JOSHUA F. · 2019 to 2023
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BLRD VA I01 BX004660BLRD VA I01 BX004676CSRD VA I01 CX001703CSRD VA IK2 CX002203NCI NIH HHS P30 CA036727NIAAA NIH HHS R25 AA020818NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

objectivesWe aimed to assess whether serum cytokine/chemokine concentrations predict incident cancer in RA patients.

methodsData from cancer-free enrollees in the Veterans Affairs Rheumatoid Arthritis (VARA) Registry were linked to a national VA oncology database and the National Death Index (NDI) to identify incident cancers. Seventeen serum cytokines/chemokines were measured from enrollment serum and an overall weighted cytokine/chemokine score (CK score) was calculated. Associations of cytokines/chemokines with all-site, lung, and lymphoproliferative cancers were assessed in Cox regression models accounting for relevant covariates including age, sex, RA disease activity, and smoking.

resultsIn 1216 patients, 146 incident cancers (42 lung and 23 lymphoproliferative cancers) occurred over 10,072 patient-years of follow-up with a median time of 4.6 years from enrollment (cytokine/chemokine measurement) to cancer incidence. In fully adjusted models, CK score was associated with a higher risk of all-site (aHR 1.32, 95% CI 1.01-1.71, p < 0.001), lung (aHR 1.81, 1.40-2.34, p = 0.001), and lung/lymphoproliferative (aHR 1.54 [1.35-1.75], p < 0.001) cancer. The highest quartile of CK score was associated with a higher risk of all-site (aHR 1.91, 0.96-3.81, p = 0.07; p-trend = 0.005), lung (aHR 8.18, 1.63-41.23, p = 0.01; p-trend < 0.001), and lung/lymphoproliferative (aHR 4.56 [1.84-11.31], p = 0.001; p-trend < 0.001) cancer. Thirteen of 17 individual analytes were associated with incident cancer risk.

conclusionElevated cytokine/chemokine concentrations are predictive of future cancer in RA patients, particularly lung and lymphoproliferative cancers. These results suggest that the measurement of circulating cytokines/chemokines could be informative in cancer risk stratification and could provide insight into future cancer prevention strategies in RA, and possibly individuals without RA.

Indexed as

AgedAntirheumatic AgentsArthritis, RheumatoidCytokinesFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedNeoplasmsProspective StudiesRegistriesRisk AssessmentRisk FactorsUnited StatesAntirheumatic AgentsCytokinesBiomarkersCancerChemokinesCytokinesLung cancerRheumatoid arthritis

Identifiers

PMID33933845
PMCPMC8324526
OpenAlexW3158326860

What OpenQuestion holds

Textmetadata
LicenceTDM
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.