Evidence map›Paper›PMID 39489688›Full record

ArticleArthritis care & research2025

Transcriptional Profiling of Tofacitinib Treatment in Juvenile Idiopathic Arthritis: Implications for Treatment Response Prediction.

Esraa Eloseily, Alex Pickering, Sanjeev Dhakal, Nicolino Ruperto, Hermine I Brunner, Alexei A Grom, Sherry Thornton, Pediatric Rheumatology Collaborative Study Group and the Paediatric Rheumatology International Trials Organisation

Abstract read
In one paragraph

Article in Arthritis care & research, 2025. 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
–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

1 citing paper in PubMed.

  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

8 authors.

Esraa EloseilyUniversity of Texas Southwestern Medical Center, Dallas, and Assiut University Faculty of Medicine, Assiut, Egypt.ORCID https://orcid.org/0000-0002-4770-7383
Alex PickeringHarvard Medical School, Cambridge, Massachusetts.
Sanjeev DhakalCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Nicolino RupertoUniversità Milano Bicocca and IRCCS Fondazione San Gerardo dei Tintori/Paediatric Rheumatology International Trials Organisation, Monza, Italy.ORCID https://orcid.org/0000-0001-8407-7782
Hermine I BrunnerCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.ORCID https://orcid.org/0000-0001-9478-2987
Alexei A GromCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Sherry ThorntonCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Pediatric Rheumatology Collaborative Study Group and the Paediatric Rheumatology International Trials Organisation

Funding

Tissue Repository CoreP30AR070549 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI Leah Claire Kottyan · 2016 to 2026
$7.7M
Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2019 to 2023
$3.4M
Cincinnati Children's Hospital Medical Center Pediatric Musculoskeletal & Rheumatology Innovation Core center (PORTICO)Dr. Ralph and Marian Falk Medical Research TrustNIAMS NIH HHS P30 AR070549NIAMS NIH HHS P30 AR076316NIH HHS 5P30AR076316NIH HHS P30 AR070549Systemic JIA foundation
6 · The paper itself

Abstract

objectiveTo assess changes in gene expression following tofacitinib treatment and investigate transcription patterns as potential predictors of treatment response in patients with active juvenile idiopathic arthritis (JIA).

methodsWhole-blood samples were collected from patients with JIA at baseline and after 18 weeks of open-label tofacitinib treatment. Patients who achieved a JIA-American College of Rheumatology (ACR) response of 70% or above at week 18 were classified as treatment responders (TRs), whereas those with at most a JIA-ACR30 were classified as poor responders (PRs). Differential gene expression and gene ontology overrepresentation analyses were performed to compare RNA expression between week 18 and baseline samples, as well as between PR and TR samples at baseline.

resultsSamples from 67 patients at baseline and 60 patients at week 18 were analyzed. After 18 weeks of tofacitinib treatment across all patients with JIA, 883 genes showed significant differential expression (week 18 to baseline). The most strongly down-regulated genes were overrepresented within interleukin-7 (IL-7) and type I and type II interferon pathways, whereas up-regulated genes were enriched in ontologies related to neuronal cell processes and cell signaling. Comparing PRs and TRs at baseline, 663 genes showed differential expression. Up-regulated genes were overrepresented within ontologies including activation of MAPK activity (P = 9.40 × 10

conclusionTofacitinib treatment in JIA down-regulated genes in interferon and IL-7 signaling pathways regardless of effectiveness. Furthermore, baseline up-regulation of MAPK signaling may predict poor response to tofacitinib treatment in JIA.

Indexed as

Arthritis, JuvenileGene Expression ProfilingPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolesTranscriptomeAdolescentChildChild, PreschoolFemaleHumansJanus Kinase InhibitorsMaleTreatment OutcomeJanus Kinase InhibitorsPiperidinesProtein Kinase InhibitorsPyrimidinesPyrrolestofacitinib

Identifiers

PMID39489688
PMCPMC12208191

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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.