Evidence map›Paper›PMID 36882218›Full record

SynthesisRMD open2023

Association between type I interferon pathway activation and clinical outcomes in rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider.

Javier Rodríguez-Carrio, Agata Burska, P G Conaghan, Willem A Dik, Robert Biesen, Maija-Leena Eloranta, Giulio Cavalli, Marianne Visser, Dimitrios T Boumpas, George Bertsias and 7 more

Open access · goldFull text readSystematic Review
In one paragraph

Synthesis in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Guideline
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  9. Development of a noninvasive device and method for measuring immune parameters in skin disease.JID innovations : skin science from molecules to population health · 2026
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  15. Observational
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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

17 authors at 12 institutions in 13 countries.

Javier Rodríguez-Carrio *Area of Immunology, University of Oviedo, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Asturias, Spain.ORCID 0000-0002-0011-5102
Agata Burska *Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UK.
P G ConaghanLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UK.ORCID 0000-0002-3478-5665
Willem A DikLaboratory Medical Immunology, department of Immunology, Erasmus MC University Medical Center Rotterdam, The Netherlands.
Robert BiesenDepartment of Rheumatology, Charité University Medicine Berlin, Berlin, Germany.ORCID 0000-0002-0434-7832
Maija-Leena ElorantaDepartment of Medical Sciences, Rheumatology, Uppsala University, Uppsala, Sweden.
Giulio CavalliUnit of Immunology, Rheumatology, Allergy and Rare Diseases, Vita-Salute San Raffaele University, Milan, Italy.
Marianne VisserEULAR, PARE Patient Research Partners, Amsterdam, The Netherlands.
Dimitrios T BoumpasDepartment of Internal Medicine, University of Crete, Medical School, Heraklion, Greece.ORCID 0000-0002-9812-4671
George BertsiasDepartment of Rheumatology-Clinical Immunology, University of Crete, Medical School, Heraklion, Greece.
Marie Wahren-HerleniusKarolinska Institutet, Division of Rheumatology, Stockholm, Sweden.ORCID 0000-0002-0915-7245
Jan RehwinkelMedical Research Council Human Immunology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, Radcliffe Department of Medicine, University of Oxford, UK.
Marie-Louise FrémondUniversité de Paris Cité, Hôpital Necker-Enfants Malades, Immuno-Hématologie et Rhumatologie pédiatriques, Paris, France.
Mary K CrowHospital for Special Surgery, Weill Cornell Medical College, Mary Kirkland Center for Lupus Research, New York, USA.
Lars RonnblomDepartment of Medical Sciences, Rheumatology, Uppsala University, Uppsala, Sweden.
Ed Vital *Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UK.
Marjan Versnel *Department of Immunology, Erasmus MC University Medical Center Rotterdam, The Netherlands m.versnel@erasmusmc.nl.
University of Leeds · GBErasmus MC · NLUniversity of Crete · GRUppsala University · SECharité - Universitätsmedizin Berlin · DEEuropean League Against Rheumatism · CHHôpital Necker-Enfants Malades · FRHospital for Special Surgery · USKarolinska Institutet · SEUniversidad de Oviedo · ESUniversity of Oxford · GBVita-Salute San Raffaele University · IT

Funding

Department of HealthMedical Research Council MC_UU_00008/8
6 · The paper itself

Abstract

backgroundType I interferons (IFN-I) contribute to a broad range of rheumatic and musculoskeletal diseases (RMDs). Compelling evidence suggests that the measurement of IFN-I pathway activation may have clinical value. Although several IFN-I pathway assays have been proposed, the exact clinical applications are unclear. We summarise the evidence on the potential clinical utility of assays measuring IFN-I pathway activation.

methodsA systematic literature review was conducted across three databases to evaluate the use of IFN-I assays in diagnosis and monitor disease activity, prognosis, response to treatment and responsiveness to change in several RMDs.

resultsOf 366 screened, 276 studies were selected that reported the use of assays reflecting IFN-I pathway activation for disease diagnosis (n=188), assessment of disease activity (n=122), prognosis (n=20), response to treatment (n=23) and assay responsiveness (n=59). Immunoassays, quantitative PCR (qPCR) and microarrays were reported most frequently, while systemic lupus erythematosus (SLE), rheumatoid arthritis, myositis, systemic sclerosis and primary Sjögren's syndrome were the most studied RMDs. The literature demonstrated significant heterogeneity in techniques, analytical conditions, risk of bias and application in diseases. Inadequate study designs and technical heterogeneity were the main limitations. IFN-I pathway activation was associated with disease activity and flare occurrence in SLE, but their incremental value was uncertain. IFN-I pathway activation may predict response to IFN-I targeting therapies and may predict response to different treatments.

conclusionsEvidence indicates potential clinical value of assays measuring IFN-I pathway activation in several RMDs, but assay harmonisation and clinical validation are urged. This review informs the EULAR points to consider for the measurement and reporting of IFN-I pathway assays.

Indexed as

Interferon Type ILupus Erythematosus, SystemicMusculoskeletal DiseasesMyositisHumansMuscular DiseasesInterferon Type Iarthritis, rheumatoidautoimmunitycytokinesimmune system diseaseslupus erythematosus, systemic

Identifiers

PMID36882218
PMCPMC10008483
OpenAlexW4323356830

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read42
identifiers read1
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.