Evidence map›Paper›PMID 38460182›Full record

ArticleRheumatology (Oxford, England)2025

Anti-histone and anti-nucleosome rather than anti-dsDNA antibodies associate with IFN-induced biomarkers in Sudanese and Swedish SLE patients.

Sahwa Elbagir, NasrEldeen A Mohammed, Vilija Oke, Anders Larsson, Jan Nilsson, Amir Elshafie, Elnour M Elagib, Musa A M Nur, Iva Gunnarsson, Elisabet Svenungsson and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. 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
1.9field-weighted citation impact, top 16% 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, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Systemic Sclerosis in Kazakh Patients: A Preliminary Case-Control Immunogenetic Profiling Study.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Article
  4. Article
  5. Review
  6. Transcriptome-based characterization of 3'2'-cGAMP signaling mediated immune responses.Computational and structural biotechnology journal · 2024
    Article
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

11 authors at 6 institutions in 4 countries.

Sahwa ElbagirDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-2515-7066
NasrEldeen A MohammedFaculty of Medical Laboratory Sciences, Al Neelain University, Khartoum, Sudan.
Vilija OkeDivision of Rheumatology, Department of Medicine Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Anders LarssonDepartment of Medical Sciences, Section of Clinical Chemistry, Uppsala University, Uppsala, Sweden.
Jan NilssonDepartment of Experimental Medical Science, Lund University, Lund, Sweden.ORCID 0000-0002-9752-7479
Amir ElshafieDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Elnour M ElagibRheumatology Unit, Military Hospital, Omdurman, Sudan.
Musa A M NurRheumatology Unit, Alribat University Hospital, Khartoum, Sudan.
Iva GunnarssonDivision of Rheumatology, Department of Medicine Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Elisabet SvenungssonDivision of Rheumatology, Department of Medicine Solna, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0003-3396-3244
Johan RönnelidDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-1186-3226
Uppsala University · SEKarolinska University Hospital · SEAlMughtaribeen University · SDAl-Neelain University · SDLund University · SEMilitary Hospital · PK

Funding

Agnes and Mac Rudberg FoundationIngegerd Johansson Donation SLS-713911King Gustav Vth 80-year foundation FAI-2019-0577Signe and Reinhold Sund's Foundation for Rheumatological ResearchStockholm County CouncilSwedish Heart-Lung Foundation 20170257Swedish Research Council 2019-01632Swedish Rheumatism Association R-932093Swedish Society of MedicineUppsala County Council
6 · The paper itself

Abstract

objectivesIn SLE, anti-dsDNA can co-occur with autoantibodies against other chromatin components, like histones and nucleosomes. These antibodies induce type-1 interferon production, a hallmark of SLE. We measured ANA sub-specificities and investigated their associations to inflammatory biomarkers including interferon-regulated chemokines.

methodsWe included 93 Sudanese and 480 Swedish SLE patients and matched controls (N = 104 + 192). Autoantibodies targeting ANA sub-specificities: dsDNA, Sm, Sm/U1RNPcomplex, U1RNP, SSA/Ro52, SSA/Ro60, SSB/La, ribosomal P, PCNA and histones were quantified in all subjects, anti-nucleosome only in the Swedish patients, with a bead-based multiplex immunoassay. Levels of 72 plasma biomarkers were determined with the Proximity Extension Assay technique or ELISA.

resultsAmong Sudanese patients, the investigated antibodies were significantly associated with 9/72 biomarkers. Anti-histone antibodies showed the strongest positive correlations with MCP-3 and S100A12 as well as with interferon I-inducible factors MCP-1 and CXCL10. Anti-dsDNA antibodies were associated with CXCL10 and S100A12, but in multivariate analyses, unlike anti-histone, associations lost significance.Among Swedish patients, MCP-1, CXCL10, and SA100A12 also demonstrated stronger associations to anti-histone and anti-nucleosome antibodies, compared with anti-dsDNA and other ANA sub-specificities. In multiple regression models, anti-histone/nucleosome retained the strongest associations. When excluding anti-histone or anti-nucleosome positive patients, the associations between MCP-1/CXCL10 and anti-dsDNA were lost. In contrast, when excluding anti-dsDNA positive patients, associations with anti-histone and anti-nucleosome remained significant.

conclusionIn two cohorts of different ethnical origins, autoantibodies targeting chromatin correlate stronger with IFN-induced inflammatory biomarkers than anti-dsDNA or other ANA sub-specificities. Our results suggest that anti-histone/nucleosome autoantibodies may be the main drivers of type-1 interferon activity in SLE.

Indexed as

Antibodies, AntinuclearHistonesLupus Erythematosus, SystemicNucleosomesAdultAutoantibodiesBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedSudanSwedenYoung AdultAntibodies, AntinuclearAutoantibodiesBiomarkersHistonesNucleosomesAfricaanti-chromatin antibodiesanti-dsDNAinterferonproteome analysisSLE

Identifiers

PMID38460182
PMCPMC11879337
OpenAlexW4392618822

What OpenQuestion holds

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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.