Evidence map›Paper›PMID 39306344›Full record

ArticleRMD open2024

Autoantibodies, cutaneous subset and immunosuppressants contribute to the cancer risk in systemic sclerosis.

Antonio Tonutti, Francesca Motta, Natasa Isailovic, Angela Ceribelli, Rita Ragusa, Emanuele Nappi, Stefanos Bonovas, Carlo Selmi, Maria De Santis

Abstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Cancer in connective tissue disease.Frontiers in immunology · 2025
    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

9 authors.

Antonio TonuttiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID 0009-0000-9534-6853
Francesca MottaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Natasa IsailovicRheumatology and Clinical Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0002-9819-8822
Angela CeribelliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Rita RagusaRheumatology and Clinical Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Emanuele NappiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Stefanos BonovasDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID 0000-0001-6102-6579
Carlo SelmiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID 0000-0002-0323-0376
Maria De SantisDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy maria.de_santis@hunimed.eu.ORCID 0000-0002-3196-1336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSystemic sclerosis (SSc) is associated with an increased risk of cancer. We aimed to assess the prevalence of cancer in our cohort and to explore possible associations with clinical, immunological and treatment characteristics.

methodsOur retrospective monocentric cohort study of patients with SSc recorded prevalent and incident cases of malignancy, including those diagnosed within 3 years of the SSc onset (defined as cancer-associated scleroderma) and sought associations with the clinical characteristics and the serum autoantibody profiling performed using RNA and protein immunoprecipitation, Western-blot, immunoblot and ELISA at the time of SSc diagnosis, prior to any specific treatment.

resultsAmong 290 patients with SSc, the overall prevalence of cancer was 20%, with 8% of cases being cancer-associated scleroderma. Both conditions were more frequent in elderly patients and in patients with positive anti-Ro52 or anti-U3-RNP. Cancer-associated scleroderma was significantly more prevalent among patients negative for both anti-centromere (ACA) and anti-topoisomerase-1 (TOPO1) antibodies, especially in the case of diffuse SSc. Immunosuppressants were not significantly associated with cancer. Patients triple negative for ACA, TOPO1 and anti-RNA polymerase III antibodies had a significantly higher risk of breast cancer.

conclusionsCancer surveillance should be particularly careful in patients with diffuse SSc, increased age at disease onset and without classical SSc-related autoantibodies.

Indexed as

Immunosuppression TherapyNeoplasmsScleroderma, SystemicAdultAgedAutoantibodiesFemaleHumansMaleMiddle AgedMycophenolic AcidPrevalenceRetrospective StudiesAutoantibodiesMycophenolic AcidAutoimmunityConnective Tissue DiseasesPrevalenceRisk FactorsScleroderma, Systemic

Identifiers

PMID39306344
PMCPMC11418480

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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.