Evidence map›Paper›PMID 38509241›Full record

ArticleClinical rheumatology2024

A retrospective cohort study of Epstein-Barr virus infection status and systemic lupus erythematosus.

Mengjie Chen, Jianxin Tu, Mingyu Huang, Yongjun Cheng, Li Sun

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Article in Clinical rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

5 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

5 authors at 2 institutions in 1 country.

Mengjie ChenDepartment of Rheumatology, The First People's Hospital of Wenling, Zhejiang, China.
Jianxin TuDepartment of Rheumatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Mingyu HuangThe First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yongjun ChengDepartment of Rheumatology, The First People's Hospital of Wenling, Zhejiang, China.
Li SunDepartment of Rheumatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. grassandsun@126.com.ORCID http://orcid.org/0009-0004-1866-3731
Wenzhou Medical University · CNThe First People's Hospital of Wenling · CN

Funding

Wenling Social Development Science and Technology Program No. 2023S00052
6 · The paper itself

Abstract

objectivesSystemic lupus erythematosus (SLE) and the Epstein-Barr virus (EBV) are very closely related. This study estimated the impact of EBV infection status on clinical manifestations and disease remission in patients with SLE.

methodA retrospective study was performed using electronic health records of patients with SLE. The SLE disease activity index (SLEDAI-2 K) was used to assess disease activity. VCAIgM or EAIgM positive or EBVDNA copies ≥ 50 IU/mL were defined as lytic infection group, EBNA-IgG or VCAIgG-positive and who were negative for both VCAIgM and EAIgM with EBVDNA copies < 50 IU/mL were defined as the latent infection group. The endpoint (disease remission) was defined as a decrease in SLEDAI-2 K score of ≥ 1 grade or ≥ 4 points from baseline. The association between EBV infection status and disease remission was assessed using propensity score weighting and multivariable Cox regression models.

resultsThere were 75 patients with SLE in the EBV lytic infection group and 142 patients in the latent infection group. The SLEDAI-2 K score was higher in the lytic infection group (10.00 (6.25, 16.00) vs. 8.00 (5.00, 10.00), Z = 3.96, P < 0.001). There was a significant difference in the effect of EBV lytic infection on disease remission compared to latent infection (HR 0.30, 95% CI 0.19-0.49, P < 0.001).

conclusionsPatients with SLE with lytic EBV infection have higher disease activity and take longer to achieve remission. Our study furthers our understanding of the relationship between SLE and EBV infection and may inform better treatment practices in the future.

Indexed as

Epstein-Barr Virus InfectionsLatent InfectionLupus Erythematosus, SystemicAntibodies, ViralHerpesvirus 4, HumanHumansRetrospective StudiesAntibodies, ViralEpstein-Barr virusSLEDAI-2 KSystemic lupus erythematosusTherapy

Identifiers

PMID38509241
OpenAlexW4392982540

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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.