Evidence map›Paper›PMID 34659263›Full record

ArticleFrontiers in immunology2021

Clinical Experience of Proteasome Inhibitor Bortezomib Regarding Efficacy and Safety in Severe Systemic Lupus Erythematosus: A Nationwide Study.

Tomas Walhelm, Iva Gunnarsson, Rebecca Heijke, Dag Leonard, Estelle Trysberg, Per Eriksson, Christopher Sjöwall

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
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.

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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Potential new targets for rheumatic diseases.EULAR rheumatology open · 2026
    Review
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  6. Article
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  8. Article
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  13. The roles of the ubiquitin-proteasome system in renal disease.International journal of medical sciences · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. B Cell Tolerance and Targeted Therapies in SLE.Journal of clinical medicine · 2023
    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 1 country.

Tomas WalhelmDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden.
Iva GunnarssonDepartment of Medicine Solna, Division of Rheumatology, Karolinska Institute, and Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Rebecca HeijkeDepartment of Internal Medicine, Jönköping, Sweden.
Dag LeonardDepartment of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Estelle TrysbergDepartment of Rheumatology and Inflammation Research, University of Gothenburg, Göteborg, Sweden.
Per ErikssonDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden.
Christopher SjöwallDepartment of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden.
Linköping University · SEKarolinska University Hospital · SEUniversity of Gothenburg · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As treatment options in advanced systematic lupus erythematosus (SLE) are limited, there is an urgent need for new and effective therapeutic alternatives for selected cases with severe disease. Bortezomib (BTZ) is a specific, reversible, inhibitor of the 20S subunit of the proteasome. Herein, we report clinical experience regarding efficacy and safety from all patients receiving BTZ as therapy for SLE in Sweden during the years 2014-2020. 8 females and 4 males were included with a mean disease duration at BTZ initiation of 8.8 years (range 0.7-20 years). Renal involvement was the main target for BTZ. Reduction of global disease activity was recorded by decreasing SLEDAI-2K scores over time and remained significantly reduced at the 6-month (p=0.007) and the 12-month (p=0.008) follow-up visits. From BTZ initiation, complement protein 3 (C3) levels increased significantly after the 2

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedAntibodies, AntinuclearBortezomibChildDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsLupus Erythematosus, SystemicLupus NephritisMaleMiddle AgedProteasome InhibitorsAdrenal Cortex HormonesAntibodies, AntinuclearBortezomibImmunosuppressive AgentsProteasome Inhibitorsadverse (side) effectsantinuclear antibodiesbortezomib (BTZ)clinical efficacy analysisLupus nephritis (LN)observational studysystemic lupus - erythematosus

Identifiers

PMID34659263
PMCPMC8517506
OpenAlexW3204486592

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.