Evidence map›Paper›PMID 33957797›Full record

ArticleLupus2021

Anti-beta 2 glycoprotein I IgA in the SLICC classification criteria dataset.

Marwa Elkhalifa, Ana-Maria Orbai, Laurence S Magder, Michelle Petri, Graciela S Alarcón, Caroline Gordon, Joan Merrill, Paul R Fortin, Ian N Bruce, David Isenberg and 31 more

Open access · greenAbstract read
In one paragraph

Article in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. 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

41 authors at 20 institutions in 11 countries.

Marwa ElkhalifaDepartment of Medicine, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0000-0001-7838-6650
Ana-Maria OrbaiJohns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-8644-8567
Laurence S MagderDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
Michelle PetriJohns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-1441-5373
Graciela S AlarcónDepartment of Medicine, Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0001-5190-9175
Caroline GordonInstitute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Joan MerrillDepartment of Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA.
Paul R FortinDivision of Rheumatology, CHU de Québec - Université Laval, Quebec City, Canada.
Ian N BruceArthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Faculty of Biology, Medicine and Health, The University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester University Hospital NHS Foundation Trust, Manchester Academic Health Science Center, Manchester, UK.
David IsenbergCentre for Rheumatology Research, University College, London, UK.ORCID https://orcid.org/0000-0001-9514-2455
Daniel WallaceCedars-Sinai/David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Ola NivedDepartment of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0003-0628-9143
Rosalind Ramsey-GoldmanNorthwestern University and Feinberg School of Medicine, Chicago, IL, USA.
Sang-Cheol BaeDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.ORCID https://orcid.org/0000-0003-4658-1093
John G HanlyDivision of Rheumatology, Department of Medicine and Department of Pathology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Jorge Sanchez-GuerreroCentre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, Ontario, Canada.
Ann E ClarkeDivision of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Cynthia AranowFeinstein Institute for Medical Research, Manhasset, NY, USA.
Susan ManziAutoimmunity Institute, Allegheny Health Network, Pittsburgh, PA, USA.
Murray UrowitzCentre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-7506-9166
Dafna D GladmanCentre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, Ontario, Canada.
Ken KalunianUCSD School of Medicine, La Jolla, CA, USA.
Victoria P WerthDivision of Dermatology, Hospital of the University of Pennsylvania and the Veteran's Administration Medical Center, Philadelphia, PA, USA.
Asad ZomaLanarkshire Centre for Rheumatology, Hairmyres Hospital, Scotland, UK.
Sasha BernatskyDivision of Rheumatology, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Munther KhamashtaLupus Research Unit, The Rayne Institute, St Thomas' Hospital, King's College London School of Medicine, London, UK.
SØren JacobsenCopenhagen Lupus and Vasculitis Clinic, Centre for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jill P BuyonDivision of Rheumatology, Department of Medicine, New York University School of Medicine, New York, NY, USA.
Mary Anne DooleyDivision of Rheumatology and Immunology, Department of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Ronald van VollenhovenAmsterdam University Medical Centres, University of Amsterdam, Amsterdam, Netherlands.
Ellen GinzlerDepartment of Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Thomas StollDepartment of Rheumatology, Kantonsspital, Schaffhausen, Switzerland.
Christine PeschkenDepartment of Medicine and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Joseph L JorizzoDepartment of Dermatology, Weill Cornell Medicine, New York, NY, USA.
Jeffery P CallenDepartment of Medicine, University of Louisville School of Medicine, Louisville, KY, USA.
Sam LimDivision of Rheumatology, Emory University School of Medicine, Atlanta, GA, USA.
Murat InancDivision of Rheumatology, Department of Internal Medicine, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Diane L KamenDivision of Rheumatology, Medical University of South Carolina, Charleston, SC, USA.
Anisur RahmanCentre for Rheumatology Research, University College, London, UK.
Kristjan SteinssonDepartment of Rheumatology, Center for Rheumatology Research Fossvogur Landspitali University Hospital, Reyjkavik, Iceland.
Andrew G FranksDivision of Rheumatology, Department of Medicine and The Department of Dermatology, New York University School of Medicine, New York, NY, USA.
Johns Hopkins University · USUniversity of Toronto · CABritish Society for Rheumatology · GBNew York University · USAllegheny Health Network · USAmsterdam University Medical Centers · NLCedars-Sinai Medical Center · USCopenhagen University Hospital · DKCornell University · USDalhousie University · CAEmory University · USFeinstein Institute for Medical Research · USHairmyres Hospital · GBHanyang University Seoul Hospital · KRHospital of the University of Pennsylvania · USIstanbul University · TRLund University · SEMcGill University Health Centre · CAMedical University of South Carolina · USNational University Hospital of Iceland · IS

Funding

Lupus CohortR01AR043727 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 1997 to 2015
$8.2M
Hopkins Lupus CohortR01AR069572 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2016 to 2020
$3.4M
NIAMS NIH HHS R01 AR043727NIAMS NIH HHS R01 AR069572
6 · The paper itself

Abstract

objectiveAnti-beta 2 glycoprotein I IgA is a common isotype of anti-beta 2 glycoprotein I in SLE. Anti-beta 2 glycoprotein I was not included in the American College of Rheumatology (ACR) SLE classification criteria, but was included in the Systemic Lupus International Collaborating Clinics (SLICC) criteria. We aimed to evaluate the prevalence of anti-beta 2-glycoprotein I IgA in SLE versus other rheumatic diseases. In addition, we examined the association between anti-beta 2 glycoprotein I IgA and disease manifestations in SLE.

methodsThe dataset consisted of 1384 patients, 657 with a consensus physician diagnosis of SLE and 727 controls with other rheumatic diseases. Anti-beta 2 glycoprotein I isotypes were measured by ELISA. Patients with a consensus diagnosis of SLE were compared to controls with respect to presence of anti-beta 2 glycoprotein I. Among patients with SLE, we assessed the association between anti-beta 2 glycoprotein I IgA and clinical manifestations.

resultsThe prevalence of anti-beta 2 glycoprotein I IgA was 14% in SLE patients and 7% in rheumatic disease controls (odds ratio, OR 2.3, 95% CI: 1.6, 3.3). It was more common in SLE patients who were younger patients and of African descent (p = 0.019). Eleven percent of SLE patients had anti-beta 2 glycoprotein I IgA alone (no anti-beta 2 glycoprotein I IgG or IgM). There was a significant association between anti-beta 2 glycoprotein I IgA and anti-dsDNA (p = 0.001) and the other antiphospholipid antibodies (p = 0.0004). There was no significant correlation of anti-beta 2 glycoprotein I IgA with any of the other ACR or SLICC clinical criteria for SLE. Those with anti-beta 2 glycoprotein I IgA tended to have a history of thrombosis (12% vs 6%, p = 0.071), but the difference was not statistically significant.

conclusionWe found the anti-beta 2 glycoprotein I IgA isotype to be more common in patients with SLE and in particular, with African descent. It could occur alone without other isotypes.

Indexed as

Lupus Erythematosus, SystemicAntibodies, AntiphospholipidAutoantibodiesbeta 2-Glycoprotein IHumansImmunoglobulin ARheumatic DiseasesAntibodies, AntiphospholipidAutoantibodiesbeta 2-Glycoprotein IImmunoglobulin Aanti-beta 2 glycoprotein IgAantiphospholipid antibodiesclassification criteriaSystemic lupus erythematosus

Identifiers

PMID33957797
PMCPMC10140618
OpenAlexW3159486180

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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.