Evidence map›Paper›PMID 34830268›Full record

ReviewInternational journal of molecular sciences2021

The Genetic, Environmental, and Immunopathological Complexity of Autoantibody-Negative Rheumatoid Arthritis.

Ludovico De Stefano, Bernardo D'Onofrio, Antonio Manzo, Carlomaurizio Montecucco, Serena Bugatti

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-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

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

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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

5 authors at 1 institution in 1 country.

Ludovico De StefanoDivision of Rheumatology, IRCCS Policlinico San Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.
Bernardo D'OnofrioDivision of Rheumatology, IRCCS Policlinico San Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.
Antonio ManzoDivision of Rheumatology, IRCCS Policlinico San Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.
Carlomaurizio MontecuccoDivision of Rheumatology, IRCCS Policlinico San Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.
Serena BugattiDivision of Rheumatology, IRCCS Policlinico San Matteo Foundation, Viale Golgi 19, 27100 Pavia, Italy.ORCID 0000-0002-5396-7077
University of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Differences in clinical presentation, response to treatment, and long-term outcomes between autoantibody-positive and -negative rheumatoid arthritis (RA) highlight the need for a better comprehension of the immunopathogenic events underlying the two disease subtypes. Whilst the drivers and perpetuators of autoimmunity in autoantibody-positive RA have started to be disclosed, autoantibody-negative RA remains puzzling, also due its wide phenotypic heterogeneity and its possible misdiagnosis. Genetic susceptibility appears to mostly rely on class I HLA genes and a number of yet unidentified non-HLA loci. On the background of such variable genetic predisposition, multiple exogeneous, endogenous, and stochastic factors, some of which are not shared with autoantibody-positive RA, contribute to the onset of the inflammatory cascade. In a proportion of the patients, the immunopathology of synovitis, at least in the initial stages, appears largely myeloid driven, with abundant production of proinflammatory cytokines and only minor involvement of cells of the adaptive immune system. Better understanding of the complexity of autoantibody-negative RA is still needed in order to open new avenues for targeted intervention and improve clinical outcomes.

Indexed as

AutoimmunityEnvironmentAnimalsAnti-Citrullinated Protein AntibodiesArthritis, RheumatoidFemaleGenetic Predisposition to DiseaseHLA-B AntigensHLA-DRB1 ChainsHumansLife StyleMaleRheumatoid FactorSynovitisAnti-Citrullinated Protein AntibodiesHLA-B AntigensHLA-DRB1 ChainsRheumatoid Factoranti-citrullinated protein antibodiespathogenesisrheumatoid arthritisrheumatoid factorseronegative

Identifiers

PMID34830268
PMCPMC8618508
OpenAlexW3211611691

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.