Evidence map›Paper›PMID 35233860›Full record

ArticleJournal of internal medicine2022

The clinical and molecular cardiometabolic fingerprint of an exploratory psoriatic arthritis cohort is associated with the disease activity and differentially modulated by methotrexate and apremilast.

Ivan Arias de la Rosa, Maria Dolores López-Montilla, Cristobal Román-Rodríguez, Carlos Pérez-Sánchez, Ignacio Gómez-García, Clementina López-Medina, Maria Lourdes Ladehesa-Pineda, Maria Del Carmen Ábalos-Aguilera, Desiree Ruiz, Alejandra Maria Patiño-Trives and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.1field-weighted citation impact, top 5% 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, 25 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

19 authors at 3 institutions in 1 country.

Ivan Arias de la RosaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Maria Dolores López-MontillaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Cristobal Román-RodríguezMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Carlos Pérez-SánchezMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Ignacio Gómez-GarcíaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Clementina López-MedinaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Maria Lourdes Ladehesa-PinedaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Maria Del Carmen Ábalos-AguileraMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Desiree RuizMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Alejandra Maria Patiño-TrivesMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Maria Luque-TévarMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Isabel Añón-OñateRheumatology Department, University Hospital of Jaen, Jaen, Spain.
Maria Jose Pérez-GalánRheumatology Department, University Hospital of Jaen, Jaen, Spain.
Rocio Guzmán-RuizMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Maria M MalagónMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Chary López-PedreraMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.ORCID 0000-0003-2067-4603
Alejandro Escudero-ContrerasMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Eduardo Collantes-EstévezMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.
Nuria BarbarrojaMaimonides Institute for Research in Biomedicine of Cordoba (IMIBIC)/Reina Sofia Hospital, University of Cordoba, Cordoba, Spain.ORCID 0000-0002-0962-6072
Instituto Maimónides de Investigación Biomédica de Córdoba · ESComplejo Hospitalario de Jaén · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives(1) To evaluate clinical and molecular cardiovascular disease (CVD) signs and their relationship with psoriatic arthritis (PsA) features and (2) to identify a clinical patient profile susceptible to benefit from methotrexate (MTX) and/or apremilast regarding CVD risk.

methodsThis cross-sectional study included 100 patients with PsA and 100 age-matched healthy donors. In addition, an exploratory cohort of 45 biologically naïve patients treated for 6 months with apremilast, MTX or combined therapy according to routine clinical practice was recruited. Extensive clinical and metabolic profiles were obtained. Ninety-nine surrogate CVD-related molecules were analysed in plasma and peripheral blood mononuclear cells (PBMCs). Hard cluster analysis was performed to identify the clinical and molecular phenotypes. Mechanistic studies were performed on adipocytes.

resultsCardiometabolic comorbidities were associated with disease activity and long-term inflammatory status. Thirty-five CVD-related proteins were altered in the plasma and PBMCs of PsA patients and were associated with the key clinical features of the disease. Plasma levels of some of the CVD-related molecules might distinguish insulin-resistant patients (MMP-3, CD163, FABP-4), high disease activity (GAL-3 and FABP-4) and poor therapy outcomes (CD-163, LTBR and CNTN-1). Hard cluster analysis identified two phenotypes of patients according to the rates of cardiometabolic comorbidities with distinctive clinical and molecular responses to each treatment.

conclusions(1) Novel CVD-related proteins associated with clinical features could be emerging therapeutic targets in the context of PsA and (2) the pleiotropic action of apremilast could make it an excellent choice for the management of PsA patients with high CVD risk, targeting metabolic alterations and CVD-related molecules.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticCardiovascular DiseasesCross-Sectional StudiesHumansLeukocytes, MononuclearMethotrexateThalidomideAntirheumatic AgentsapremilastMethotrexateThalidomideapremilastcardiometabolic profilecardiovascular riskinsulin resistancemethotrexateobesity and disease activitypsoriatic arthritis

Identifiers

PMID35233860
PMCPMC9310593
OpenAlexW4214837428

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.