Evidence map›Paper›PMID 36124688›Full record

ArticleClinical and experimental immunology2022

Tofacitinib treatment modulates the levels of several inflammation-related plasma proteins in rheumatoid arthritis and baseline levels of soluble biomarkers associate with the treatment response.

Atte Valli, Krista Kuuliala, Anniina Virtanen, Antti Kuuliala, Maaria Palmroth, Ritva Peltomaa, Krista-Liisa Vidqvist, Marjatta Leirisalo-Repo, Olli Silvennoinen, Pia Isomäki

Open access · hybridAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 21 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

10 authors at 3 institutions in 1 country.

Atte ValliMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0003-2596-452X
Krista KuulialaDepartment of Bacteriology and Immunology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Anniina VirtanenMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Antti KuulialaDepartment of Bacteriology and Immunology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Maaria PalmrothMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Ritva PeltomaaInflammation Center, Department of Rheumatology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Krista-Liisa VidqvistCentre for Rheumatic Diseases, Tampere University Hospital, Tampere, Finland.
Marjatta Leirisalo-RepoDepartment of Bacteriology and Immunology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-1568-9045
Olli SilvennoinenMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Pia IsomäkiMolecular Immunology Group, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
University of Helsinki · FITampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The data on the effects of tofacitinib on soluble proteins in patients with rheumatoid arthritis (RA) is currently very limited. We analyzed how tofacitinib treatment and thus inhibition of the Janus kinase-signal transducer and activation of transcription pathway affects the in vivo levels of inflammation-related plasma proteins in RA patients. In this study, 16 patients with active RA [28-joint disease activity score (DAS28) >3.2] despite treatment with conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) started tofacitinib treatment 5 mg twice daily. Levels of 92 inflammation-related plasma proteins were determined by proximity extension assay at baseline and at 3 months. Tofacitinib treatment for 3 months, in csDMARD background, decreased the mean DAS28 from 4.4 to 2.6 (P < 0.001). Marked (>20%) and statistically significant (P < 0.05) changes were found in the levels of 21 proteins, 18 of which decreased and 3 increased. Of these proteins, 17 are directly involved in inflammatory responses or in the cellular response to cytokines. The highest (>50%) decrease was observed for interleukin-6 (IL-6), C-X-C motif chemokine ligand 1, matrix metalloproteinase-1, and AXIN1. Higher baseline levels of IL-6 and lower levels of C-C motif chemokine 11 and Delta and Notch-like epidermal growth factor-related receptors were associated with DAS28 improvement. Our results indicate that tofacitinib downregulates several proinflammatory plasma proteins that may contribute to the clinical efficacy of tofacitinib. In addition, soluble biomarkers may predict the treatment response to tofacitinib.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidProtein Kinase InhibitorsBiomarkersBlood ProteinsChemokinesHumansInflammationInterleukin-6PiperidinesPyrimidinesPyrrolesTreatment OutcomeAntirheumatic AgentsBiomarkersBlood ProteinsChemokinesInterleukin-6PiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinib

Identifiers

PMID36124688
PMCPMC9750823
OpenAlexW4296483091

What OpenQuestion holds

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LicenceCC BY
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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.