Evidence map›Paper›PMID 35789569›Full record

ArticleJournal of translational autoimmunity2022

Association of anti-SARS-COV-2 vaccine with increased incidence of myositis-related anti-RNA-synthetases auto-antibodies.

Laura García-Bravo, Myriam Calle-Rubio, Miguel Fernández-Arquero, Kauzar Mohamed Mohamed, Teresa Guerra-Galán, María Guzmán-Fulgencio, Antonia Rodríguez de la Peña, Cristina Cañizares, Bárbara López, Cristina Vadillo and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. An overview of HLA variants in COVID-19 vaccine-induced autoimmunity.International journal of molecular epidemiology and genetics · 2025
    Review
  5. [Analysis of clinical features of ruccrent interstitial lung disease in patients with anti-EJ positive antisynthetase syndrome].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
  6. Article
  7. Review
  8. Article
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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

15 authors at 1 institution in 1 country.

Laura García-BravoDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Myriam Calle-RubioPneumology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Miguel Fernández-ArqueroDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Kauzar Mohamed MohamedDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Teresa Guerra-GalánDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
María Guzmán-FulgencioDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Antonia Rodríguez de la PeñaDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Cristina CañizaresDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Bárbara LópezDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Cristina VadilloRheumatology, Hospital Clínico San Carlos, Madrid, Spain.
Jorge Matías-GuiuNeurology, Hospital Clínico San Carlos, Madrid, Spain.
Asunción Nieto BarberoPneumology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
José Luis Álvarez-Sala WaltherPneumology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Silvia Sánchez-RamónDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Juliana Ochoa-GrullónDepartment of Clinical Immunology and IdSSC, Hospital Clínico San Carlos, Madrid, Spain.
Hospital Clínico San Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: SARS-CoV-2 is a RNA virus that associates with heterogeneous clinical manifestations and complications. Auto-antibodies are identified in approximately 50% of hospitalized COVID-19 patients. Objectives: To determine the global incidence of myositis-related auto-antibodies (non Jo1-RNA synthetases: anti-PL7, anti-PL12, anti-EJ, anti-OJ and RNA-sensor: anti-MDA5) in our laboratory during COVID-19 pandemics, and to describe the clinical and laboratory features of these patients. Study design: A retrospective study was performed from 2015 to 2021 in a cohort of 444 patients with suspected inflammatory myopathy. The incidence of positive results for the MSA was expressed as absolute value per year for the reference population. Immunoblot analysis, indirect immunofluorescence and HLA typing of 36 patients with positivity for MSAs were collected and analyzed. Results: We observed MSA positive in 28 patients in 2020 and 36 patients in 2021, representing a mean increase of 6-fold respect to previous years since 2015 (range, 0 to 19). In 2020, the most common antibody detected was anti-MDA5 (68%). In contrast, in 2021 the most common antibodies were anti-PL7 and/or anti-PL12 (69%). All patients in 2021 with positive anti-synthetases were fully vaccinated, 4 had previous documented infection, with median time from vaccine to MSA positivity of 5 months. Eight out of 36 patients (22%) reported clinical onset after SARS-CoV-2 vaccination and 6 out of 36 (17%) presented clinical and/or radiological worsening after SARS-CoV-2 vaccination. All patients presented with a known human leukocyte antigen (HLA)-DRB1* allele associated with ASS. The most prevalent alleles identified were DRB1*03:01, DRB1*04, DRB1*11:01, corresponding to 70% (16/23) of our cohort. Conclusions: Our preliminary data show an increased incidence of anti-synthetase antibodies during COVID-19 pandemic and SARS-CoV-2 vaccination associated to HLA DRB1* risk allele. Differential profiles of MSA specificities were observed: mainly against RNA-sensors in 2020 and against RNA-synthetases in 2021. Further studies are needed to support the association between SARS-CoV-2 infection and/or vaccination and the occurrence of this autoimmune syndrome.

Indexed as

COVID19Interstitial lung diseaseMyositisMyositis specific antibodiesSARS-CoV-2 vaccines

Identifiers

PMID35789569
PMCPMC9242685
OpenAlexW4285147234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.