Evidence map›Paper›PMID 34905301›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2022

Identification of Similarities Between Skin Lesions in Patients With Antisynthetase Syndrome and Skin Lesions in Patients With Dermatomyositis by Highly Multiplexed Imaging Mass Cytometry.

Jay Patel, Adarsh Ravishankar, Spandana Maddukuri, Thomas Vazquez, Madison Grinnell, Victoria P Werth

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 18 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

6 authors at 1 institution in 1 country.

Jay PatelCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4737-8740
Adarsh RavishankarCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-5541-1427
Spandana MaddukuriCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-8219-4202
Thomas VazquezCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-1721-5617
Madison GrinnellCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-3183-5185
Victoria P WerthCorporal Michael J. Crescenz Veterans Affairs Medical Center and University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-3030-5369
Philadelphia VA Medical Center · US

Funding

Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
A nonpsychoactive cannabinoid receptor-2 agonist to treat itch and inflammation in dermatomyositisR01AR076766 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WERTH, VICTORIA P · 2020 to 2023
$1.7M
NIAMS NIH HHS P30 AR069589NIAMS NIH HHS R01 AR076766
6 · The paper itself

Abstract

objectiveAntisynthetase syndrome (ASyS) and dermatomyositis (DM) are autoimmune disorders that overlap clinically. Given the presence of DM-like skin lesions in ASyS patients, there is debate about whether ASyS is a distinct disease or a subclassification of DM. Recent studies identified differences in type I interferon (IFN) expression between ASyS and DM muscle and finger eruptions. This study was undertaken to elucidate similarities and differences in the pathogenesis of cutaneous disease in ASyS and DM at the single-cell level.

methodsFive ASyS patients and 7 DM patients were recruited from a prospectively collected database of well-characterized DM patients. ASyS patients were clinically confirmed as having ASyS according to the Connors et al criteria and the Solomon et al criteria and the presence of aminoacyl-transfer RNA synthetase antibodies. Immunophenotyping was conducted using immunofluorescence (IF) and imaging mass cytometry (IMC).

resultsIF staining for MxA and IFNβ expression revealed up-regulation of type I IFN in ASyS and DM samples compared to healthy control samples (P < 0.05). IMC showed similar numbers of macrophages, T cells, B cells, and dendritic cells in ASyS and DM samples, with no differences in counts (P > 0.05), but an increase in myeloid dendritic cell percentage in DM samples (P < 0.05). Key type I IFN, cytokine, and JAK/STAT pathways were similarly expressed in both ASyS and DM (P > 0.05). At the single-cell level, macrophages positive for phosphorylated stimulator of IFN genes in ASyS samples expressed increased levels of tumor necrosis factor, interluekin-17 (IL-17), and IFNβ (P < 0.001).

conclusionIMC is a powerful tool that identifies a role for the type I IFN system in DM-like skin lesions in ASyS and DM with some differences at the cellular level, but overall significant overlap, supporting similar therapeutic decision making.

Indexed as

DermatomyositisInterferon Type IMyositisHumansImage CytometryInterferon-betaInterferon-betaInterferon Type I

Identifiers

PMID34905301
PMCPMC9194682
OpenAlexW4200588853

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.