Evidence map›Paper›PMID 36373433›Full record

ArticleACR open rheumatology2023

Anti-Valosin-Containing Protein (VCP/p97) Autoantibodies in Inclusion Body Myositis and Other Inflammatory Myopathies.

Adam Amlani, May Y Choi, Katherine A Buhler, Marie Hudson, Mark Tarnopolsky, Lauren Brady, Heinrike Schmeling, Mark G Swain, Cory Stingl, Ann Reed and 1 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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

11 authors at 4 institutions in 2 countries.

Adam AmlaniCumming School of Medicine, University of Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-4911-4925
May Y ChoiCumming School of Medicine, University of Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-3760-2737
Katherine A BuhlerCumming School of Medicine, University of Calgary, Alberta, Canada.
Marie HudsonJewish General Hospital and McGill University, Montreal, Quebec, Canada.
Mark TarnopolskyMcMaster University Medical Center, Hamilton, Ontario, Canada.
Lauren BradyMcMaster University Medical Center, Hamilton, Ontario, Canada.
Heinrike SchmelingCumming School of Medicine, University of Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0001-8142-8946
Mark G SwainCumming School of Medicine, University of Calgary, Alberta, Canada.
Cory StinglDuke University School of Medicine, Durham, North Carolina.
Ann ReedDuke University School of Medicine, Durham, North Carolina.ORCID https://orcid.org/0000-0002-4521-7647
Marvin J FritzlerCumming School of Medicine, University of Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-1652-6608
University of Calgary · CADuke University · USMcMaster University Medical Centre · CAJewish General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe rationale for this study was based on reports that valosin-containing protein (VCP) mutations are found in hereditary inclusion body myositis (IBM) and VCP was detected in rimmed vacuoles of sporadic IBM (sIBM) muscle biopsies. Autoantibodies to VCP have not been reported in sIBM or other inflammatory myopathies (IIMs). The aim of this study was to determine the frequency and clinical significance of anti-VCP antibodies in sIBM and other IIMs.

methodsSera were collected from 73 patients with sIBM and 383 comparators or controls, including patients with IIM (n = 69), those with juvenile dermatomyositis (JDM) (n = 67), those with juvenile idiopathic arthritis (JIA) (n = 47), those with primary biliary cholangitis (PBC) (n = 105), controls that were age matched to patients with sIBM (similarly aged controls [SACs]) (n = 63), and healthy controls (HCs) (n = 32). Immunoglobulin G antibodies to VCP were detected by addressable laser bead immunoassay using a full-length recombinant human protein.

resultsAmong patients with sIBM, 26.0% (19/73) were positive for anti-VCP. The frequency in disease controls was 15.0% (48/320). Among SACs, the frequency was 1.6% (1/63), and in HCs 0% (0/32). Frequencies were 17.5% (11/63) for IIM, 25.7% (27/105) for PBC, 3.0% (2/67) for JDM, and 17.0% (8/47) for JIA. The sensitivity, specificity, positive predictive value, and negative predictive value of anti-VCP for sIBM were 26.0%, 87.2%, 28.4%, and 85.9%, respectively. Of patients with sIBM, 15.1% (11/73) were positive for both anti-VCP and anti-cytosolic 5'-nucleotidase 1A (NT5c1A). Eleven percent of patients (8/73) were positive for anti-VCP, but negative for anti-NT5c1A.

conclusionAnti-VCP has low sensitivity and moderate specificity for sIBM but may help fill the seronegative gap in sIBM. Further studies are needed to determine whether anti-VCP is a biomarker for a clinical phenotype that may have clinical value.

Identifiers

PMID36373433
PMCPMC9837394
OpenAlexW4308957814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.