Evidence map›Paper›PMID 36812865›Full record

ArticleSeminars in arthritis and rheumatism2023

Serum antibodies to periodontal pathogens prior to rheumatoid arthritis diagnosis: A case-control study.

Joyce A Lee, Ted R Mikuls, Kevin D Deane, Harlan R Sayles, Geoffrey M Thiele, Jess D Edison, Brandie D Wagner, Marie L Feser, Laura K Moss, Lindsay B Kelmenson and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. RMD open · 2025
    Article
  3. Review
  4. Article
  5. Review
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

12 authors at 6 institutions in 1 country.

Joyce A LeeDepartment of Surgical Specialties, Division of Periodontics, College of Dentistry, University of Nebraska Medical Center, Lincoln, NE, USA.
Ted R MikulsDepartment of Internal Medicine, Division of Rheumatology, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA; Medicine, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Kevin D DeaneDepartment of Internal Medicine, Division of Rheumatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Harlan R SaylesDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE USA.
Geoffrey M ThieleDepartment of Internal Medicine, Division of Rheumatology, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA; Medicine, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Jess D EdisonDepartment of Internal Medicine, Rheumatology Service, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Brandie D WagnerDepartment of Biostatistics and Informatics, School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Marie L FeserDepartment of Internal Medicine, Division of Rheumatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Laura K MossDepartment of Internal Medicine, Division of Rheumatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Lindsay B KelmensonDepartment of Internal Medicine, Division of Rheumatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
William H RobinsonGeriatrics Research Education and Clinical Center, Veterans Affairs Palo Alto Healthcare System and Division of Immunology/Rheumatology, Stanford University School of Medicine, Palo Alto, CA, USA.
Jeffrey B PayneDepartment of Surgical Specialties, Division of Periodontics, College of Dentistry, University of Nebraska Medical Center, Lincoln, NE, USA; Department of Internal Medicine, Division of Rheumatology, College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: jbpayne@unmc.edu.
University of Colorado Anschutz Medical Campus · USNebraska Medical Center · USUniversity of Nebraska Medical Center · USColorado School of Public Health · USVA Palo Alto Health Care System · USWalter Reed National Military Medical Center · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI GUDA, CHITTIBABU · 2016 to 2025
$42.8M
Core 2 - Mucosal Immunobiology Core (MIC)P30AR079369 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Vernon Michael Holers · 2021 to 2026
$4.7M
Pathogenic Role of Malondialdehyde-Acetaldehyde Adducts in Rheumatoid ArthritisI01BX004660 · VA · OMAHA VA MEDICAL CENTER · PI MIKULS, TED RICHARD · 2020 to 2023
–
BLRD VA I01 BX004660BLRD VA IK6 BX004600NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR002535NIAMS NIH HHS P30 AR079369NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

objectives1) To quantify the association between anti-Porphyromonas gingivalis serum antibody concentrations and the risk of developing rheumatoid arthritis (RA), and 2) to quantify the associations among RA cases between anti-P. gingivalis serum antibody concentrations and RA-specific autoantibodies. Additional anti-bacterial antibodies evaluated included anti-Fusobacterium nucleatum and anti-Prevotella intermedia.

methodsSerum samples were acquired pre- and post- RA diagnosis from the U.S. Department of Defense Serum Repository (n = 214 cases, 210 matched controls). Using separate mixed-models, the timing of elevations of anti-P. gingivalis, anti-P. intermedia, and anti-F. nucleatum antibody concentrations relative to RA diagnosis were compared in RA cases versus controls. Associations were determined between serum anti-CCP2, ACPA fine specificities (vimentin, histone, and alpha-enolase), and IgA, IgG, and IgM RF in pre-RA diagnosis samples and anti-bacterial antibodies using mixed-effects linear regression models.

resultsNo compelling evidence of case-control divergence in serum anti-P. gingivalis, anti-F. nucleatum, and anti-P. intermedia was observed. Among RA cases, including all pre-diagnosis serum samples, anti-P. intermedia was significantly positively associated with anti-CCP2, ACPA fine specificities targeting vimentin, histone, alpha-enolase, and IgA RF (p<0.001), IgG RF (p = 0.049), and IgM RF (p = 0.004), while anti-P. gingivalis and anti-F. nucleatum were not.

conclusionsNo longitudinal elevations of anti-bacterial serum antibody concentrations were observed in RA patients prior to RA diagnosis compared to controls. However, anti-P. intermedia displayed significant associations with RA autoantibody concentrations prior to RA diagnosis, suggesting a potential role of this organism in progression towards clinically-detectable RA.

Indexed as

Arthritis, RheumatoidHistonesAntibodies, BacterialAutoantibodiesCase-Control StudiesHumansImmunoglobulin AImmunoglobulin GImmunoglobulin MPhosphopyruvate HydrataseRheumatoid FactorVimentinAntibodies, BacterialAutoantibodiesHistonesImmunoglobulin AImmunoglobulin GImmunoglobulin MPhosphopyruvate HydrataseRheumatoid FactorVimentinACPAPeriodontitisPorphyromonas gingivalisPrevotella intermediaRheumatoid arthritisRheumatoid factor

Identifiers

PMID36812865
PMCPMC10243205
OpenAlexW4319869854

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.