Evidence map›Paper›PMID 39557489›Full record

ArticleRMD open2024

Arthritis progressors have a decreased frequency of circulating autoreactive T cells during the at-risk phase of rheumatoid arthritis.

Sara Turcinov, Ravi Kumar Sharma, Charlotte De Vries, Alexandra Cîrciumaru, Christina Gerstner, Linda Mathsson-Alm, Bruno Raposo, Anatoly Dubnovitsky, Lars Rönnblom, William W Kwok and 3 more

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 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. Review
  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

13 authors.

Sara TurcinovDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden sara.turcinov@ki.se.ORCID 0000-0002-7476-1019
Ravi Kumar SharmaDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-2658-0002
Charlotte De VriesDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.
Alexandra CîrciumaruDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0009-0005-0009-7345
Christina GerstnerDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0009-0003-4342-4241
Linda Mathsson-AlmThermo Fischer Scientific, Uppsala, Sweden.
Bruno RaposoDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0000-0003-3918-4882
Anatoly DubnovitskyDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-5350-4531
Lars RönnblomDepartment of Medical Sciences, Rheumatology, Uppsala University, Uppsala, Sweden.
William W KwokBenaroya Research Institute at Virginia Mason, Seattle, Washington, USA.
Karine CheminDivision of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0000-0002-2597-7809
Vivianne Malmström *Division of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.ORCID 0000-0001-9251-8082
Aase Hensvold *Division of Rheumatology, Department of Medicine Solna, Center for Molecular Medicine, Karolinska Institutet, Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to combine deep T cell phenotyping with assessment of citrulline-reactive CD4+T cells in the pre-rheumatoid arthritis (RA) phase.

methods20 anti-CCP2 positive individuals (

resultsThe baseline CD4+T cell phenotype was similar between individuals who progressed to arthritis (ie, in the pre-RA phase) and the non-progressors, when studying markers associated with Th1, Th17, T-peripheral and T-regulatory cells as well as with T-cell activation. Citrulline-reactive CD4+T cells were present in both groups but at significantly lower frequency in the progressor group. CD4+T cells specific for citrullinated tenascin-C were the most frequently observed among the progressors, and their frequencies diminished during follow-up that is, closer to arthritis onset. Notably, PD-1 and CD95 expression on the memory cit-tenascin-C-specific T cells in this group indicated repeated antigen exposure.

conclusionsOur data lend support to citrullinated tenascin-C as an interesting T cell antigen in RA. Moreover, lower frequency of circulating citrulline-specific cells in arthritis progressing individuals suggest an initiated homing of these cells to the joints and/or their associated lymph nodes in the pre-RA phase and a possible window of opportunity for therapeutic preventive interventions.

Indexed as

Arthritis, RheumatoidDisease ProgressionAdultAgedAnti-Citrullinated Protein AntibodiesAutoantibodiesAutoantigensBiomarkersCD4-Positive T-LymphocytesCitrullineFemaleHLA-DRB1 ChainsHumansImmunophenotypingMaleMiddle AgedAnti-Citrullinated Protein AntibodiesAutoantibodiesAutoantigensBiomarkersCitrullineHLA-DRB1 ChainsTenascinAnti-Citrullinated Protein AntibodiesArthritisT Cells

Identifiers

PMID39557489
PMCPMC11574433

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LicenceCC BY
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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.