Evidence map›Paper›PMID 33993221›Full record

ArticleRheumatology (Oxford, England)2022

Pulmonary fibrosis in relation to genetic loci in an inception cohort of patients with early rheumatoid arthritis from northern Sweden.

Elias Jönsson, Lotta Ljung, Eva Norrman, Eva Freyhult, Lisbeth Ärlestig, Johanna Dahlqvist, Solbritt Rantapää-Dahlqvist

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. RMD open · 2022
    Pooled it
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  15. The Lung in Rheumatoid Arthritis-Friend or Enemy?International journal of molecular sciences · 2024
    Review
  16. Article
  17. Etiology and Pathogenesis of Rheumatoid Arthritis-Interstitial Lung Disease.International journal of molecular sciences · 2023
    Review
  18. Review
  19. Association of aRMD open · 2023
    Article
  20. 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

7 authors at 3 institutions in 1 country.

Elias JönssonDepartment of Public Health and Medicine/Rheumatology, Umeå University, Umeå.
Lotta LjungDepartment of Public Health and Medicine/Rheumatology, Umeå University, Umeå.ORCID 0000-0001-8999-0925
Eva NorrmanDepartment of Public Health and Medicine/Rheumatology, Umeå University, Umeå.
Eva FreyhultDepartment of Medical Sciences, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory.ORCID 0000-0003-0226-1047
Lisbeth ÄrlestigDepartment of Public Health and Medicine/Rheumatology, Umeå University, Umeå.ORCID 0000-0003-3965-9403
Johanna DahlqvistDepartment of Medical Biochemistry and Microbiology, and Medical Sciences, Uppsala, University, Uppsala, Sweden.ORCID 0000-0002-6283-644X
Solbritt Rantapää-DahlqvistDepartment of Public Health and Medicine/Rheumatology, Umeå University, Umeå.ORCID 0000-0001-8259-3863
Umeå University · SEScience for Life Laboratory · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPulmonary manifestations in RA are common comorbidities. Interstitial lung disease (ILD), both idiopathic and in RA, has been associated with several genetic variants. We assessed pulmonary fibrosis (PF) in an inception cohort of RA patients in relation to genetic variants and disease-related factors.

methodsA total of 1466 early RA patients were consecutively included and followed prospectively from the index date until death or 31 December 2016. Clinical and laboratory data and treatment were continuously registered according to the Swedish Rheumatology Quality Register. DNA was available from 1184 patients and 571 151 genome-wide single-nucleotide polymorphisms (SNPs) were analysed. Thirteen identified genetic variants were extracted. At follow-up, the patients answered a questionnaire regarding disease progression and lung involvement that was validated by reviewing medical records and analysing radiological examinations.

resultsThe prevalence of PF was 5.6% and the annualized incidence rate was 5.0/1000 (95% CI 3.80, 6.54). Four SNPs were associated with PF in RA: rs35705950 [MUC5B; OR 2.5 (95% CI 1.5, 4.0), adjusted P-value = 0.00016, q-value = 0.0021]; rs111521887 [TOLLIP; OR 1.9 (95% CI 1.3, 2.8), adjusted P-value = 0.0014, q-value = 0.0092]; rs2609255 [FAM13A; OR 1.7 (95% CI 1.1, 2.5), adjusted P-value = 0.013, q-value = 0.055] and rs2736100 [TERT; OR 1.5 (95% CI 1.0, 2.2), adjusted P-value = 0.046, q-value = 0.15]. Older age and RF positivity were associated with increased risk, while MTX treatment was associated with a lower risk of PF.

conclusionsDevelopment of PF in an inception cohort of RA patients was associated with 4 of 12 ILD risk genes. RA-related factors except for age at diagnosis and RF positivity were of limited importance in PF development.

Indexed as

Age FactorsArthritis, RheumatoidCohort StudiesFemaleFollow-Up StudiesGTPase-Activating ProteinsHumansIntracellular Signaling Peptides and ProteinsMaleMiddle AgedMucin-5BPolymorphism, Single NucleotidePulmonary FibrosisRheumatoid FactorSwedenTelomeraseFAM13A protein, humanGTPase-Activating ProteinsIntracellular Signaling Peptides and ProteinsMUC5B protein, humanMucin-5BRheumatoid FactorTelomeraseTERT protein, humanTOLLIP protein, humanpulmonary fibrosisrheumatoid arthritisrs111521887 (TOLLIP)rs2609255 (FAM13A)rs2736100 (TERT)rs35705950 (MUC5B)

Identifiers

PMID33993221
PMCPMC8889303
OpenAlexW3161245500

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.