Evidence map›Paper›PMID 39090751›Full record

ArticlePediatric rheumatology online journal2024

Peripheral blood regulatory T cells and disease activity, quality of life, and outcomes in children with juvenile idiopathic arthritis.

Neus Quilis, Pablo Mesa-Del-Castillo Bermejo, Paula Boix, Oriol Juanola, Pilar Bernabeu, Rubén Francés, Mariano Andrés

Abstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

7 authors.

Neus QuilisRheumatology Unit, Hospital Universitario Vinalopó, Servicio de Reumatología, C/ Tonico Sansano Mora 14. ZIP: 03293, Elche, Alicante, Spain. naquilis@vinaloposalud.com.ORCID http://orcid.org/0000-0001-7509-7212
Pablo Mesa-Del-Castillo BermejoPaediatric Rheumatology Department, Virgen de la Arrixaca Clinical University Hospital, Murcia, Spain.
Paula BoixAlicante Institute for Health and Biomedical Research (ISABIAL), Dr Balmis General University Hospital, Alicante, Spain.
Oriol JuanolaAlicante Institute for Health and Biomedical Research (ISABIAL), Dr Balmis General University Hospital, Alicante, Spain.
Pilar BernabeuAlicante Institute for Health and Biomedical Research (ISABIAL), Dr Balmis General University Hospital, Alicante, Spain.
Rubén FrancésAlicante Institute for Health and Biomedical Research (ISABIAL), Dr Balmis General University Hospital, Alicante, Spain.
Mariano AndrésAlicante Institute for Health and Biomedical Research (ISABIAL), Dr Balmis General University Hospital, Alicante, Spain.

Funding

ISABIAL VIII Convocatoria de Ayudas para el Apoyo y Fomento de la Investigación de ISABIAL, EXP.2021-0443Sociedad Valenciana Reumatologia Beca de Investigación de la Fundación Valenciana de Reumatología, 2019
6 · The paper itself

Abstract

objectivesTo measure regulatory T cell (Treg) levels in the peripheral blood of children with juvenile idiopathic arthritis (JIA) and analyse the association of this measure with disease activity, quality of life, adjustment of treatment, and hospitalisation.

methodsWe conducted a two-phase study (cross-sectional and prospective), including consecutive children with a JIA diagnosis according to ILAR criteria. Our independent variables were Tregs, Th1, Th2, and cytokines in peripheral blood, and our dependent variables in the cross-sectional phase were arthritis category, JIA activity, and patient-reported outcomes. To test associations, we used Spearman's correlation coefficient and the Mann-Whitney U test. In the prospective phase, we explored the probability of treatment adjustment and hospitalisation for JIA during follow-up according to Tregs levels at baseline, using Cox proportional regression.

resultsOur sample included 87 participants (median age 11 years, 63.2% girls). Tregs were not associated with most variables of interest. However, we found that higher Tregs concentration was associated with lower erythrocyte sedimentation rate (ESR) and better subjective disease status and course, while higher IL-10 and TGF-β levels were associated with lower ESR, less pain, and better subjective disease status We found no association between Tregs and treatment adjustments or hospitalisation.

conclusionsHigher baseline Treg levels in the peripheral blood of children with JIA may be associated with reduced disease activity and better quality of life, though were not informative on the inflammatory progression on the follow-up.

Indexed as

Arthritis, JuvenileQuality of LifeT-Lymphocytes, RegulatoryAdolescentBlood SedimentationChildChild, PreschoolCross-Sectional StudiesFemaleHospitalizationHumansMaleProspective StudiesSeverity of Illness IndexJuvenile idiopathic arthritisPatient-reported outcomesT regulatory cells

Identifiers

PMID39090751
PMCPMC11293029

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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.