Evidence map›Paper›PMID 38588434›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

Autoimmunity against melanoma differentiation-associated gene 5 induces interstitial lung disease mimicking dermatomyositis in mice.

Yuki Ichimura, Risa Konishi, Miwako Shobo, Ryota Tanaka, Noriko Kubota, Hisako Kayama, Kiyoshi Takeda, Toshifumi Nomura, Manabu Fujimoto, Naoko Okiyama

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
9.3field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Tripartite motif containing 21 autoimmunity primes CD8Arthritis research & therapy · 2026
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  9. Review
  10. Effectiveness and safety of tofacitinibThe European respiratory journal · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Yuki IchimuraDepartment of Dermatology, Graduate School of Medicine and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.ORCID 0000-0003-0375-2243
Risa KonishiDepartment of Dermatology, Graduate School of Medicine and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.ORCID 0000-0003-3681-2441
Miwako ShoboDepartment of Dermatology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.ORCID 0009-0009-1771-8004
Ryota TanakaDepartment of Dermatology, Graduate School of Medicine and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.ORCID 0000-0002-7887-8126
Noriko KubotaDepartment of Dermatology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.
Hisako KayamaDivision of Bioscience, Institute for Advanced Co-Creation Studies, Osaka University, Osaka 565-0871, Japan.ORCID 0000-0001-5676-8228
Kiyoshi TakedaDepartment of Microbiology and Immunology, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.
Toshifumi NomuraDepartment of Dermatology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Japan.
Manabu FujimotoDepartment of Dermatology, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan.ORCID 0000-0002-3062-4872
Naoko OkiyamaDepartment of Dermatology, Graduate School of Medicine and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.ORCID 0000-0002-5398-0773
Tokyo Medical and Dental University · JPThe University of Osaka · JPUniversity of Tsukuba · JP

Funding

MEXT | Japan Society for the Promotion of Science (JSPS) 18K08263MEXT | Japan Society for the Promotion of Science (JSPS) 22H03092
6 · The paper itself

Abstract

Anti-melanoma differentiation-associated gene 5 (MDA5) antibody-positive dermatomyositis (DM) is characterized by amyopathic DM with interstitial lung disease (ILD). Patients with anti-MDA5 antibody-associated ILD frequently develop rapidly progression and present high mortality rate in the acute phase. Here, we established a murine model of ILD mediated by autoimmunity against MDA5. Mice immunized with recombinant murine MDA5 whole protein, accompanied with complete Freund's adjuvant once a week for four times, developed MDA5-reactive T cells and anti-MDA5 antibodies. After acute lung injury induced by intranasal administration of polyinosinic-polycytidylic acid [poly (I:C)] mimicking viral infection, the MDA5-immunized mice developed fibrotic ILD representing prolonged respiratory inflammation accompanied by fibrotic changes 2 wk after poly (I:C)-administration, while the control mice had quickly and completely recovered from the respiratory inflammation. Treatment with anti-CD4 depleting antibody, but not anti-CD8 depleting antibody, suppressed the severity of MDA5-induced fibrotic ILD. Upregulation of interleukin (IL)-6 mRNA, which was temporarily observed in poly (I:C)-treated mice, was prolonged in MDA5-immunized mice. Treatment with anti-IL-6 receptor antibody ameliorated the MDA5-induced fibrotic ILD. These results suggested that autoimmunity against MDA5 exacerbates toll-like receptor 3-mediated acute lung injury, and prolongs inflammation resulting in the development of fibrotic ILD. IL-6 may play a key role initiating ILD in this model.

Indexed as

Acute Lung InjuryDermatomyositisLung Diseases, InterstitialMelanomaAnimalsAutoantibodiesAutoimmunityDisease ProgressionHumansInflammationInterferon-Induced Helicase, IFIH1Interleukin-6MicePrognosisRetrospective StudiesAutoantibodiesInterferon-Induced Helicase, IFIH1Interleukin-6autoimmunitydermatomyositisinterleukin-6interstitial lung diseasemelanoma differentiation–associated gene 5

Identifiers

PMID38588434
PMCPMC11032490
OpenAlexW4394581640

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.