Evidence map›Paper›PMID 40571884›Full record

ArticleClinical rheumatology2025

Long-term clinical prognosis of anti-aminoacyl-tRNA synthetase antibodies and interstitial lung disease.

Koichi Yamaguchi, Daniel I Sullivan, Singh Khushboo, Didem Saygin, Silvia Martinez Laverde, Siamak Moghadam-Kia, Dana P Ascherman, Chester V Oddis, Rohit Aggarwal

Abstract read
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In one paragraph

Article in Clinical rheumatology, 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

9 authors.

Koichi YamaguchiDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0002-8428-2046
Daniel I SullivanDorothy P. and Richard P. Simmons Center for Interstitial Lung Disease, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-5277-521X
Singh KhushbooDepartment of Internal Medicine, University of Pittsburgh Medical Center McKeesport, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-7346-7141
Didem SayginDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-1675-597X
Silvia Martinez LaverdeDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Siamak Moghadam-KiaDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-0994-1590
Dana P AschermanDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-1387-0860
Chester V OddisDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-9529-3111
Rohit AggarwalDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. aggarwalr@upmc.edu.ORCID http://orcid.org/0000-0001-7531-8038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnti-aminoacyl tRNA synthetase (anti-ARS) antibody is the most common myositis-specific antibody subtype. Anti-ARS antibody-positive myositis is often complicated by interstitial lung disease (ILD), but the clinical progression of anti-ARS antibody-positive ILD (ARS-ILD) remains unclear.

methodA prospectively collected, single center longitudinal myositis database was used to retrospectively investigate 131 patients with ARS-ILD based on subtypes of anti-ARS antibodies (Jo-1, PL-7, PL-12, EJ, OJ, and KS). We investigated the occurrence and associated risk factors for pulmonary events, including lung transplantation and pulmonary death, as well as overall mortality at both 5 and 10 years.

resultsThis cohort included those with myositis (n = 97), anti-synthetase syndrome without myositis (n = 17), and other connective tissue diseases (n = 17). In a 5-year period, the overall mortality rate and incidence of pulmonary events were both 15%. Across a 10-year timespan, the overall mortality rate increased to 28%, with pulmonary events observed in 24% of cases. A multivariate analysis during the 5-year follow-up, identified poor prognostic factors for overall mortality included dysphagia, dry eyes, usual interstitial pneumonia (UIP) pattern, and the presence of anti-PL-7 antibody. In the 10-year follow-up, dysphagia, diffusing capacity for carbon monoxide (DLCO)%, and anti-PL-7 antibody were associated with increased mortality. Risk factors for pulmonary events at 5 years were DLCO% and UIP pattern, while at 10 years, dysphagia and DLCO% were significant poor prognosis factors.

conclusionsAnti-PL-7 antibodies, dysphagia, UIP pattern, and decreased DLCO% predicted poor outcomes in ARS-ILD, indicating the importance of comprehensive risk assessment. Key Points • In patients with ARS-ILD, anti-PL-7 antibodies are associated with risk of all-cause mortality, and evaluation of antibody subtypes in prognosis is important. • The UIP pattern affected prognosis and pulmonary events within the first 5 years. • Dysphagia is the strongest predictor of all-cause mortality and pulmonary events, and management strategies in patients with ARS-ILD are important.

Indexed as

Amino Acyl-tRNA SynthetasesAutoantibodiesLung Diseases, InterstitialMyositisAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsAmino Acyl-tRNA SynthetasesAutoantibodiesAnti-ARS AntibodiesAnti-PL-7 AntibodyDysphagiaInterstitial Lung Diseases

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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.