Evidence map›Paper›PMID 36951252›Full record

ArticleArthritis care & research2023

Antivinculin Antibodies in Systemic Sclerosis: Associations With Slow Gastric Transit and Extraintestinal Clinical Phenotype.

María Herrán, Brittany L Adler, Jamie Perin, Walter Morales, Mark Pimentel, Zsuzsanna H McMahan

Open access · bronzeAbstract read
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Article in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 13 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

6 authors at 3 institutions in 3 countries.

María HerránUniversidad del Rosario, Bogota, Colombia.
Brittany L AdlerJohns Hopkins University, Baltimore, Maryland.
Jamie PerinJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Walter MoralesCedars-Sinai Medical Center, Los Angeles, California.
Mark PimentelCedars-Sinai Medical Center, Los Angeles, California.
Zsuzsanna H McMahanJohns Hopkins University, Baltimore, Maryland.ORCID 0000-0001-6461-8940
Johns Hopkins University · USCedars-Sinai Medical Center · USUniversidad del Rosario · CO

Funding

Interrogating the pathophysiological mechanisms of constipation in patients with systemic sclerosisR01AR081382 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Jiande Chen, Zsuzsanna Hortobagyi McMahan · 2023 to 2026
$2.4M
Scleroderma and Gastrointestinal Disease: Insights into Clinical Phenotypes and Disease PathogenesisK23AR071473 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI MCMAHAN, ZSUZSANNA HORTOBAGYI · 2018 to 2022
$808k
NIAMS NIH HHS K23 AR071473NIAMS NIH HHS R01 AR081382
6 · The paper itself

Abstract

objectiveThe gastrointestinal (GI) tract is commonly affected in systemic sclerosis (SSc). A positive association between antivinculin antibody levels and GI symptom severity is reported in SSc. We sought to examine whether antivinculin antibodies associate with measures of GI dysmotility and extraintestinal clinical phenotype in SSc.

methodsA total of 88 well-characterized patients with SSc and GI disease were assayed for antivinculin antibodies by enzyme-linked immunosorbent assay. Whole-gut scintigraphy, GI symptom scores, and clinical features of SSc were compared between patients with and without antibodies.

resultsTwenty of 88 (23%) patients had antivinculin antibodies, which were more prevalent in patients with slow gastric transit (35% versus 22%). In the univariate analyses, patients who were positive for antivinculin antibodies were more likely to have limited cutaneous disease (odds ratio [OR] 9.60 [95% confidence interval (95% CI) 1.19, 77.23]) and thyroid disease (OR 4.09 [95% CI 1.27, 13.21]). Such patients were also less likely to have lung involvement based on a Medsger Severity Score of ≥2 (OR 0.25 [95% CI 0.07, 0.92]). Higher levels of antivinculin autoantibodies were associated with less gastric emptying (β coefficient -3.41 [95% CI -6.72, -0.09]). The association between antivinculin antibodies and each of these clinical features remained significant in the multivariable model. In particular, the presence of antivinculin antibodies (β coefficient -6.20 [95% CI -12.33, -0.063]) and higher levels of antivinculin antibodies (β coefficient -3.64 [95% CI -7.05, -0.23]) were each significantly associated with slower gastric transit.

conclusionAntivinculin antibodies associate with slower gastric transit in SSc and may provide insight into GI complications of SSc.

Indexed as

Gastrointestinal DiseasesScleroderma, SystemicAutoantibodiesEnzyme-Linked Immunosorbent AssayHumansPhenotypeAutoantibodies

Identifiers

PMID36951252
PMCPMC10517080
OpenAlexW4360599956

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Registered trials

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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.