Evidence map›Paper›PMID 37598261›Full record

ArticleEye (London, England)2024

Characterization of autoimmune eye disease in association with Down's syndrome.

Amr M Zaki, Sirichai Pasadhika, Jerry C Huang, Akshay S Thomas, Bryn M Burkholder, Lyndell L Lim, Stephanie M Llop, Eric B Suhler, Grazyna Adamus, James T Rosenbaum

Open access · greenAbstract read
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Down syndrome and autoimmune eye disease.Eye (London, England) · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Amr M ZakiCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Sirichai PasadhikaLegacy Devers Eye Institute, Portland, OR, USA.
Jerry C HuangDepartment of Ophthalmology, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Akshay S ThomasTennessee Retina, Nashville, TN, USA.
Bryn M BurkholderWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lyndell L LimCentre for Eye Research Australia, University of Melbourne, Parkville, VIC, Australia.ORCID 0000-0003-2491-685X
Stephanie M LlopBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Eric B SuhlerCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
Grazyna AdamusCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
James T RosenbaumCasey Eye Institute, Oregon Health & Science University, Portland, OR, USA. rosenbaumjames04@gmail.com.
Oregon Health & Science University · USLegacy Health · USJohns Hopkins University · USKeelung Chang Gung Memorial Hospital · TWTennessee Retina · USThe University of Melbourne · AUUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmunity and deficiency of the transcription factor autoimmune regulator protein (AIRE) are known associations with Down syndrome (DS). Lack of AIRE abrogates thymic tolerance. The autoimmune eye disease associated with DS has not been characterized. We identified a series of subjects with DS (n = 8) and uveitis. In three consecutive subjects, we tested the hypothesis that autoimmunity to retinal antigens might be a contributing factor. SUBJECTS/

methodsThis was a multicentred, retrospective case series. Deidentified clinical data of subjects with both DS and uveitis were collected via questionnaire by uveitis-trained ophthalmologists. Anti-retinal autoantibodies (AAbs) were detected using an Autoimmune Retinopathy Panel tested in the OHSU Ocular Immunology Laboratory.

resultsWe characterized eight subjects (mean age 29 [range, 19-37] years). The mean age of detected uveitis onset was 23.5 [range, 11-33] years. All eight subjects had bilateral uveitis (p < 0.001 based on comparison to published university referral patterns), with anterior and intermediate uveitis found in six and five subjects respectively. Each of three subjects tested for anti-retinal AAbs was positive. Detected AAbs included anti-carbonic anhydrase II, anti-enolase, anti-arrestin, and anti-aldolase. DISCUSSION: A partial deficiency in the AIRE on chromosome 21 has been described in DS. The similarities in the uveitis presentations within this patient group, the known autoimmune disease predisposition in DS, the recognized association of DS and AIRE deficiency, the reported detection of anti-retinal antibodies in patients with DS in general, and the presence of anti-retinal AAbs in three subjects in our series supports a causal association between DS and autoimmune eye disease.

Indexed as

Autoimmune DiseasesDown SyndromeRetinal DiseasesUveitisAdolescentAdultAutoantibodiesChildHumansRetrospective StudiesYoung AdultAutoantibodies

Identifiers

PMID37598261
PMCPMC10810817
OpenAlexW4385999355

What OpenQuestion holds

Textmetadata
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.