Evidence map›Paper›PMID 36801811›Full record

ArticleAnnals of the rheumatic diseases2023

Transcriptomic profiling reveals distinct subsets of immune checkpoint inhibitor induced myositis.

Iago Pinal-Fernandez, Angela Quintana, Jose Cesar Milisenda, Maria Casal-Dominguez, Sandra Muñoz-Braceras, Assia Derfoul, Jiram Torres-Ruiz, Katherine Pak, Stefania Dell'Orso, Faiza Naz and 20 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07249060 (Interferon Signature in Cancer Patients Treated With Anti-CTLA-4 and Anti-PD-1/PD-L1 Therapies), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% 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.

NCT07249060 recruitingnot on this mapstarted 2024, after this paper: background citation

Interferon Signature in Cancer Patients Treated With Anti-CTLA-4 and Anti-PD-1/PD-L1 Therapies: A Multicenter, Prospective, Observational Cohort Study Comparing Cancer Patients and Non-Cancer Patients With Systemic Autoimmune Diseases

Typeobservational_patient_registrySponsorHospital Universitario ArabaRan2024 to 2026Enrolled300ConditionsImmune-Related Adverse Events, Lupus Erythematosus, Systemic, Sjogren Syndrome, Systemic Sclerosis (SSc)ArmsImmune Checkpoint Inhibitors
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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  14. Neuromuscular complications associated with cancer immunotherapy.Journal of the National Cancer Center · 2025
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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

30 authors at 8 institutions in 4 countries.

Iago Pinal-Fernandez *Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA andrew.mammen@nih.gov iago.pinalfernandez@nih.gov.ORCID 0000-0001-6338-9218
Angela Quintana *Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.ORCID 0000-0002-6470-0802
Jose Cesar Milisenda *Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Maria Casal-Dominguez *Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Sandra Muñoz-BracerasMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Assia DerfoulMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Jiram Torres-RuizMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Katherine PakMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Stefania Dell'OrsoMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Faiza NazMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Gustavo Gutierrez-CruzMuscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA.
Margherita MiloneDivision of Neuromuscular Medicine, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Shahar ShellyDepartment of Neurology, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel, Haifa, Israel.
Yaiza Duque-JaimezMuscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Catalunya, Spain.
Ester Tobias-BarajaMuscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Catalunya, Spain.
Ana Matas-GarciaMuscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Catalunya, Spain.
Gloria GarrabouMuscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Catalunya, Spain.
Joan PadrosaCIBERER, IDIBAPS and University of Barcelona, Barcelona, Catalunya, Spain.
Javier RosMedical Oncology, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain.
Ernesto Trallero-AraguásRheumatology Department, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain.
Brian WalittNational Institute of Neurological Diseases and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Lisa Christopher-StineDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Thomas E LloydDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Chen ZhaoThoracic and Gastrointestinal Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Shannon SwiftThoracic and Gastrointestinal Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Arun RajanThoracic and Gastrointestinal Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Josep Maria Grau-JunyentMuscle Research Unit, Internal Medicine Service, Hospital Clinic, Barcelona, Catalunya, Spain.
Albert Selva-O'CallaghanSystemic Autoimmune Disease Unit, Vall d'Hebron Research Institute, Barcelona, Catalunya, Spain.ORCID 0000-0003-2823-9761
Teerin Liewluck *Division of Neuromuscular Medicine, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Andrew Lee Mammen *Muscle Disease Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland, USA andrew.mammen@nih.gov iago.pinalfernandez@nih.gov.ORCID 0000-0003-3732-3252
National Institute of Arthritis and Musculoskeletal and Skin Diseases · USJohns Hopkins University · USConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESNational Institutes of Health · USMayo Clinic · USVall d'Hebron Hospital Universitari · ESTechnion – Israel Institute of Technology · ILUniversitat Autònoma de Barcelona · ES

Funding

Muscle Disease UnitZIAAR041203 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI MAMMEN, ANDREW · 2015 to 2025
$19.7M
Post-Viral SyndromesZIANS003157 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2016 to 2025
$13.5M
High Throughput Next Generation Sequencing: supports genomics and epigenomics research in muscle, skin, bone and autoimmune diseases.ZICAR041207 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI DELL'ORSO, STEFANIA · 2016 to 2025
$12.3M
Pilot Study of Avelumab in Thymic Epithelial TumorsZIABC011900 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI RAJAN, ARUN · 2019 to 2025
$2.9M
Intramural NIH HHS Z99 AR999999Intramural NIH HHS ZIA AR041203
6 · The paper itself

Abstract

objectivesInflammatory myopathy or myositis is a heterogeneous family of immune-mediated diseases including dermatomyositis (DM), antisynthetase syndrome (AS), immune-mediated necrotising myopathy (IMNM) and inclusion body myositis (IBM). Immune checkpoint inhibitors (ICIs) can also cause myositis (ICI-myositis). This study was designed to define gene expression patterns in muscle biopsies from patients with ICI-myositis.

methodsBulk RNA sequencing was performed on 200 muscle biopsies (35 ICI-myositis, 44 DM, 18 AS, 54 IMNM, 16 IBM and 33 normal muscle biopsies) and single nuclei RNA sequencing was performed on 22 muscle biopsies (seven ICI-myositis, four DM, three AS, six IMNM and two IBM).

resultsUnsupervised clustering defined three distinct transcriptomic subsets of ICI-myositis: ICI-DM, ICI-MYO1 and ICI-MYO2. ICI-DM included patients with DM and anti-TIF1γ autoantibodies who, like DM patients, overexpressed type 1 interferon-inducible genes. ICI-MYO1 patients had highly inflammatory muscle biopsies and included all patients that developed coexisting myocarditis. ICI-MYO2 was composed of patients with predominant necrotising pathology and low levels of muscle inflammation. The type 2 interferon pathway was activated both in ICI-DM and ICI-MYO1. Unlike the other types of myositis, all three subsets of ICI-myositis patients overexpressed genes involved in the IL6 pathway.

conclusionsWe identified three distinct types of ICI-myositis based on transcriptomic analyses. The IL6 pathway was overexpressed in all groups, the type I interferon pathway activation was specific for ICI-DM, the type 2 IFN pathway was overexpressed in both ICI-DM and ICI-MYO1 and only ICI-MYO1 patients developed myocarditis.

Indexed as

Autoimmune DiseasesDermatomyositisMyocarditisMyositisMyositis, Inclusion BodyHumansImmune Checkpoint InhibitorsInterferonsInterleukin-6Muscle, SkeletalTranscriptomeImmune Checkpoint InhibitorsInterferonsInterleukin-6autoimmune diseasesdermatomyositispolymyositis

Identifiers

PMID36801811
PMCPMC10545139
OpenAlexW4321200666

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Registered trials

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.