Evidence map›Paper›PMID 37733447›Full record

ArticleJCI insight2023

The XIST lncRNA is a sex-specific reservoir of TLR7 ligands in SLE.

Jonathan D Crawford, Hong Wang, Daniela Trejo-Zambrano, Raffaello Cimbro, C Conover Talbot, Mekha A Thomas, Ashley M Curran, Alexander A Girgis, John T Schroeder, Andrea Fava and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
7.7field-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

43 citing papers in PubMed, 47 citations in OpenAlex.

  1. Sex-dependent mechanisms in rheumatic diseases.Nature reviews. Rheumatology · 2026
    Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Science advances · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Decidual CD4 Effector Memory and Resident Memory T Cells Respond to Cord Blood Allo-Antigens.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Mechanisms of sex differences in acute and long COVID sequelae in mice.bioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Harnessing mRNA-lipid nanoparticles as innovative therapies for autoimmune diseases.Molecular therapy. Methods & clinical development · 2025
    Review
  20. Sex Bias in Autoimmunity: New Findings and New Opportunities.JID innovations : skin science from molecules to population health · 2025
    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

15 authors at 1 institution in 2 countries.

Jonathan D CrawfordDivision of Rheumatology, Department of Medicine.
Hong WangDivision of Rheumatology, Department of Medicine.
Daniela Trejo-ZambranoDivision of Rheumatology, Department of Medicine.
Raffaello CimbroDivision of Rheumatology, Department of Medicine.
C Conover TalbotThe Single Cell and Transcriptomics Core, Institute for Basic Biomedical Sciences; and.
Mekha A ThomasDivision of Rheumatology, Department of Medicine.
Ashley M CurranDivision of Rheumatology, Department of Medicine.
Alexander A GirgisDivision of Rheumatology, Department of Medicine.
John T SchroederDivision of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andrea FavaDivision of Rheumatology, Department of Medicine.
Daniel W GoldmanDivision of Rheumatology, Department of Medicine.
Michelle PetriDivision of Rheumatology, Department of Medicine.
Antony RosenDivision of Rheumatology, Department of Medicine.
Brendan AntiochosDivision of Rheumatology, Department of Medicine.
Erika DarrahDivision of Rheumatology, Department of Medicine.
Johns Hopkins University · US

Funding

Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
Sample Processing and Immunoassay Research CoreP30AR070254 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Antony Rosen · 2016 to 2026
$8.9M
Hopkins Lupus CohortR01AR069572 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2016 to 2020
$3.4M
Galectins in Modulating Immune Responsiveness of IgE-bearing CellsR01AI141486 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SCHROEDER, JOHN T. · 2019 to 2024
$2.6M
The Retroelement LINE1 and the DNA Sensor IF16 in Sjogren's SyndromeK08AR077100 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI ANTIOCHOS, BRENDAN · 2021 to 2025
$794k
The Immunopathogenic role of XIST in Sjogren's SyndromeR21DE028391 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI DARRAH, ERIKA · 2020 to 2021
$450k
NIAID NIH HHS R01 AI141486NIAMS NIH HHS K08 AR077100NIAMS NIH HHS P30 AR070254NIAMS NIH HHS R01 AR069572NIDCR NIH HHS R21 DE028391NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with a dramatic sex bias, affecting 9 times more women than men. Activation of Toll-like receptor 7 (TLR7) by self-RNA is a central pathogenic process leading to aberrant production of type I interferon (IFN) in SLE, but the specific RNA molecules that serve as TLR7 ligands have not been defined. By leveraging gene expression data and the known sequence specificity of TLR7, we identified the female-specific X-inactive specific transcript (XIST) long noncoding RNA as a uniquely rich source of TLR7 ligands in SLE. XIST RNA stimulated IFN-α production by plasmacytoid DCs in a TLR7-dependent manner, and deletion of XIST diminished the ability of whole cellular RNA to activate TLR7. XIST levels were elevated in blood leukocytes from women with SLE compared with controls, correlated positively with disease activity and the IFN signature, and were enriched in extracellular vesicles released from dying cells in vitro. Importantly, XIST was not IFN inducible, suggesting that XIST is a driver, rather than a consequence, of IFN in SLE. Overall, our work elucidated a role for XIST RNA as a female sex-specific danger signal underlying the sex bias in SLE.

Indexed as

Interferon Type ILupus Erythematosus, SystemicRNA, Long NoncodingFemaleGene ExpressionHumansLigandsMaleToll-Like Receptor 7Interferon Type ILigandsRNA, Long NoncodingTLR7 protein, humanToll-Like Receptor 7Autoimmune diseasesAutoimmunityImmunologyInnate immunityLupus

Identifiers

PMID37733447
PMCPMC10634230
OpenAlexW4386935598

What OpenQuestion holds

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LicenceCC BY
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.