Evidence map›Paper›PMID 38497141›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2024

Myeloablation Followed by Hematopoietic Stem Cell Transplantation and Long-Term Normalization of Systemic Sclerosis Molecular Signatures.

Nancy Wareing, Xuan Wang, Lynette Keyes-Elstein, Ellen A Goldmuntz, Marka A Lyons, Peter McSweeney, Daniel E Furst, Richard A Nash, Leslie J Crofford, Beverly Welch and 4 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

14 authors at 8 institutions in 1 country.

Nancy WareingUTHealth Houston McGovern Medical School, Houston, Texas.ORCID https://orcid.org/0000-0001-5149-3966
Xuan WangBaylor Institute for Immunology Research, Dallas, Texas.
Lynette Keyes-ElsteinRho Inc., Durham, North Carolina.
Ellen A GoldmuntzNational Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland.
Marka A LyonsUTHealth Houston McGovern Medical School, Houston, Texas.
Peter McSweeneyColorado Blood Cancer Institute, Denver.
Daniel E FurstUniversity of California Los Angeles, and University of Washington, Seattle.ORCID https://orcid.org/0000-0001-7857-2373
Richard A NashColorado Blood Cancer Institute, Denver.
Leslie J CroffordVanderbilt University, Nashville, Tennessee.
Beverly WelchNational Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland.
Ashley PinckneyRho Inc., Durham, North Carolina.
Maureen D MayesUTHealth Houston McGovern Medical School, Houston, Texas.ORCID https://orcid.org/0000-0001-5070-2535
Keith M SullivanDuke University, Durham, North Carolina.ORCID https://orcid.org/0000-0002-1379-9216
Shervin AssassiUTHealth Houston McGovern Medical School, Houston, Texas.ORCID https://orcid.org/0000-0002-8059-9978
The University of Texas Health Science Center · USColorado Blood Cancer Institute · USNational Institute of Allergy and Infectious Diseases · USRho (United States) · USBaylor Institute for Rehabilitation · USDuke University · USUniversity of California, Los Angeles · USVanderbilt University · US

Funding

STEM CELL TRANSPLANTATION FOR TX OF AUTOIMMUNE DISEASES-N01AI5419N01AI005419 · NIAID · DUKE UNIVERSITY · PI SULLIVAN, KEITH M · 2000 to 2006
$6.2M
CFlm25 mediated alternative polyadenylation regulates fibrosis in systemic sclerosisR01AR073284 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ASSASSI, SHERVIN, MILLS, TINGTING WENG · 2019 to 2023
$1.7M
Role of Interferon Regulatory Factor 7 in Systemic Sclerosis PathogenesisR56AR078211 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ASSASSI, SHERVIN, WU, MINGHUA · 2021 to 2021
$346k
Department of Defense W81XWH-22-1-0162Karen Brown Scleroderma FoundationNational Institute of Allergy and Infectious DiseasesNIAID NIH HHS HHSN272201100025CNIAID NIH HHS N01 AI005419NIAMS NIH HHS R01 AR073284NIAMS NIH HHS R56 AR078211NIH HHS HHSN 272201100025CNIH HHS N01-AI-05419NIH HHS R01-AR-073284NIH HHS R56-AR-078211The Scleroderma: Cyclophosphamide or Transplantation (SCOT)
6 · The paper itself

Abstract

objectiveIn the randomized Scleroderma: Cyclophosphamide or Transplantation (SCOT) trial, myeloablation, followed by hematopoietic stem cell transplantation (HSCT), led to the normalization of systemic sclerosis (SSc) peripheral blood cell (PBC) gene expression signature at the 26-month visit. Herein, we examined long-term molecular changes ensuing 54 months after randomization for individuals receiving an HSCT or 12 months of intravenous cyclophosphamide (CYC).

methodsGlobal PBC transcript studies were performed in study participants at pretreatment baseline and at 38 months and 54 months after randomization, as well as in healthy controls using Illumina HT-12 arrays.

resultsThirty (HSCT = 19 and CYC = 11) participants had 38-month samples available, and 26 (HSCT = 16 and CYC = 11) had 54-month samples available. In the paired comparison to baseline, a significant down-regulation of interferon modules and an up-regulation of cytotoxic/natural killer module were observed at the 38-month and 54-month visits in the HSCT arm, indicating a long-term normalization of baseline SSc gene expression signature. No differentially expressed modules were detected in the CYC arm. In comparison to samples from healthy controls, 38-month visit samples in the HSCT arm showed an up-regulation of B cell and plasmablast modules and a down-regulation of myeloid and inflammation modules. Importantly, 54-month HSCT samples did not show any differentially expressed modules compared to healthy control samples, suggesting completion of immune reconstitution. Participants in the CYC arm continued to show an SSc transcript signature in comparison to controls at both time points.

conclusionParalleling the observed clinical benefit, HSCT leads to durable long-term normalization of the molecular signature in SSc, with completion of immune resetting to 54 months after HSCT.

Indexed as

Gene Expression ProfilingHematopoietic Stem Cell TransplantationMyeloablative AgonistsScleroderma, SystemicAdultCombined Modality TherapyCyclophosphamideDown-RegulationFemaleHumansImmunosuppressive AgentsMaleMiddle AgedTranscriptomeTransplantation ConditioningCyclophosphamideImmunosuppressive AgentsMyeloablative Agonists

Identifiers

PMID38497141
PMCPMC11288782
OpenAlexW4392918268

What OpenQuestion holds

Textmetadata
LicenceTDM
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.