Evidence map›Paper›PMID 36806647›Full record

ArticleJournal of the American Academy of Dermatology2023

The blood proteomic signature of prurigo nodularis reveals distinct inflammatory and neuropathic endotypes: A cluster analysis.

Varsha Parthasarathy, Karen Cravero, Lillian Xu, Junwen Deng, Zhe Sun, Sarah M Engle, Jonathan T Sims, Angela J Okragly, Shawn G Kwatra

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.6field-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

10 citing papers in PubMed, 16 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

9 authors at 2 institutions in 1 country.

Varsha ParthasarathyDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Karen CraveroDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Lillian XuDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Junwen DengDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Zhe SunEli Lilly and Company, Indianapolis, Indiana.
Sarah M EngleEli Lilly and Company, Indianapolis, Indiana.
Jonathan T SimsEli Lilly and Company, Indianapolis, Indiana.
Angela J OkraglyEli Lilly and Company, Indianapolis, Indiana.
Shawn G KwatraDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address: skwatra1@jhmi.edu.
Johns Hopkins University · USEli Lilly (United States) · US

Funding

Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

backgroundPrurigo nodularis (PN) is an extremely pruritic, chronic inflammatory skin disease. Little is known about systemic inflammation in PN.

objectiveTo characterize plasma inflammatory biomarkers in patients with PN and investigate the presence of disease endotypes.

methodsIn this cross-sectional study, Olink proteomic analysis was performed on plasma samples from patients with PN (n = 29) and healthy controls (n = 18).

resultsPatients with PN had increased levels of 8 circulating biomarkers compared to controls, including tumor necrosis factor, C-X-C Motif Chemokine Ligand 9, interleukin-12B, and tumor necrosis factor receptor superfamily member 9 (P < .05). Two PN clusters were identified in cluster 1 (n = 13) and cluster 2 (n = 16). Cluster 2 had higher levels of 25 inflammatory markers than cluster 1. Cluster 1 had a greater percentage of patients with a history of myelopathy and spinal disc disease compared with cluster 2 (69% vs 25%, P = .03). Patients in cluster 2 were more likely to have a history of atopy (38% in cluster 2 vs 8% in cluster 1, P = .09). LIMITATIONS: Small sample size precludes robust subgroup analyses.

conclusionThis study provides evidence of neuroimmune-biased endotypes in PN and can aid clinicians in managing patients with PN that are nonresponsive to traditional therapies.

Indexed as

NeurodermatitisPrurigoCluster AnalysisCross-Sectional StudiesHumansProteomicsPruritusclusteringendotypesitchmultiplexOlinkproteomicprurigo nodularispruritus

Identifiers

PMID36806647
PMCPMC11212685
OpenAlexW4320921343

What OpenQuestion holds

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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.