Evidence map›Paper›PMID 37786243›Full record

ArticleACR open rheumatology2023

Type 1 Interferon-Stimulated Gene Expression and Disease Activity in Pediatric Rheumatic Diseases: No Composite Scores Needed?

Christina Weiden, Melanie Saers, Tobias Schwarz, Tanja Hinze, Helmut Wittkowski, Christoph Kessel, Katja Masjosthusmann, Michael Mohr, Georg Evers, Sandra Oesingmann-Weirich and 2 more

Open access · goldAbstract read
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Article in ACR open rheumatology, 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
2.9field-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, 10 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

12 authors at 1 institution in 2 countries.

Christina WeidenUniversity Hospital Muenster, Muenster, Germany.
Melanie SaersUniversity Hospital Muenster, Muenster, Germany.
Tobias SchwarzSt. Josef-Stift, Sendenhorst, Germany.
Tanja HinzeUniversity Hospital Muenster, Muenster, Germany.ORCID https://orcid.org/0000-0003-4775-9957
Helmut WittkowskiUniversity Hospital Muenster, Muenster, Germany.
Christoph KesselUniversity Hospital Muenster, Muenster, Germany.ORCID https://orcid.org/0000-0002-0638-2949
Katja MasjosthusmannUniversity Hospital Muenster, Muenster, Germany.
Michael MohrUniversity Hospital Muenster, Muenster, Germany.
Georg EversUniversity Hospital Muenster, Muenster, Germany.
Sandra Oesingmann-WeirichUniversity Hospital Muenster, Muenster, Germany.
Dirk FoellUniversity Hospital Muenster, Muenster, Germany.ORCID https://orcid.org/0000-0002-1946-3916
Claas H HinzeUniversity Hospital Muenster, Muenster, Germany.ORCID https://orcid.org/0000-0001-9247-4729
Voestalpine (Brazil) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRheumatic diseases are characterized by different patterns of immune overactivation. This study investigated the correlation of whole blood type 1 interferon (IFN) stimulated gene (ISG), IL18, and CXCL9 expression with clinical disease activity in pediatric rheumatic diseases and assessed the required number of ISGs to be included in a composite type 1 IFN score.

methodsWhole blood-derived RNA and clinical data were collected from 171 mostly pediatric patients with connective tissue diseases (CTDs), systemic autoinflammatory diseases (SAIDs), monogenic interferonopathies (IFNPs) and other inflammatory diseases, and from 38 controls. The expression of six previously established ISGs, IL18, and CXCL9 was assessed by real-time polymerase chain reaction (471 samples). Individual and composite gene expression was assessed, and correlation and threshold analyses were performed.

resultsCorrelation between ISG expression and clinical disease activity was strongest in CTD, especially in juvenile dermatomyositis (JDM) and IFNP, and modest in patients with SAID. Threshold ISG expression levels for the detection of at least mild clinical disease activity were substantially higher in patients with systemic lupus erythematosus compared with JDM. The correlation of expression levels of limited sets of ISGs and even individual ISGs with clinical disease activity were not inferior to a composite score of six ISGs.

conclusionIn a real-world cohort, individual ISG expression levels robustly reflected clinical disease activity in CTD and IFNP, especially in JDM, which would simplify such analyses in clinical routine and be more cost-effective. Threshold levels varied across diseases, potentially reflecting different mechanisms of type 1 IFN overactivation.

Identifiers

PMID37786243
PMCPMC10716800
OpenAlexW4387296915

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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.