Evidence map›Paper›PMID 40584769›Full record

ArticleJournal of rheumatic diseases2025

Change of autoantibody levels in established rheumatoid arthritis patients treated by biological disease-modifying anti-rheumatic drugs -the AIRTIGHT study.

Shohei Anno, Kentaro Inui, Masahiro Tada, Yuko Sugioka, Tadashi Okano, Kenji Mamoto, Tatsuya Koike

Abstract read
In one paragraph

Article in Journal of rheumatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shohei AnnoDepartments of Orthopaedic Surgery, Yodogawa Christian Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0002-7439-0721
Kentaro InuiDepartments of Orthopaedic Surgery, Osaka Metropolitan University Medical School, Osaka, Japan.ORCID https://orcid.org/0000-0002-8747-7279
Masahiro TadaDepartments of Orthopaedic Surgery, Osaka City General Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0003-3161-3929
Yuko SugiokaCenter for Senile Degenerative Disorders (CSDD), Osaka Metropolitan University Medical School, Osaka, Japan.ORCID https://orcid.org/0009-0007-7497-8967
Tadashi OkanoCenter for Senile Degenerative Disorders (CSDD), Osaka Metropolitan University Medical School, Osaka, Japan.ORCID https://orcid.org/0000-0002-8849-9824
Kenji MamotoDepartments of Orthopaedic Surgery, Osaka Metropolitan University Medical School, Osaka, Japan.ORCID https://orcid.org/0000-0002-7541-3745
Tatsuya KoikeSearch Institute for Bone and Arthritis Disease (SINBAD), Shirahama Foundation for Health and Welfare, Wakayama, Japan.ORCID https://orcid.org/0000-0002-1522-8740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Previous studies reported that abatacept (ABT) decreased autoantibodies in early rheumatoid arthritis (RA) patients. We investigated the impact of ABT, and other biological disease-modifying anti-rheumatic drugs (bDMARDs) on autoantibody levels in established RA patients. Methods: This prospective observational study included 50 RA patients treated with ABT and 115 RA patients treated with non-ABT bDMARDs. Serum levels of anticitrullinated peptide antibodies (ACPA), immunoglobulin (Ig) M-rheumatoid factor (IgM-RF), IgG-RF, and anti-agalactosyl IgG antibody (anti-Gal (0) IgG) were measured at baseline and after 48 weeks of treatment. Results: After propensity score matching, 25 patients with ABT and 25 patients with non-ABT were finally analyzed. Disease activity score in 28 joints using C-reactive protein significantly decreased in both ABT group (4.5 to 3.3, p<0.01) and non-ABT group (4.4 to 2.5, p<0.01) after 48 weeks treatment. In ABT group, median titers at baseline and 48 weeks were 62.7 and 57.8 U/mL for ACPA (p=0.22), 35.0 and 39.0 IU/mL for IgM-RF (p=0.21), 0.5 and 0.5 IU/mL for IgG-RF (p=0.19), and 50.4 and 53.5 AU/mL for anti-Gal (0) IgG (p=0.22), respectively. Changes of all autoantibody titer were not significant in ABT group. Non-ABT group showed significant decreases in ACPA (baseline 143.0 to 57.8 U/mL at week 48, p=0.03), IgM-RF (50.0 to 37.0 IU/mL, p<0.01), and anti-Gal (0) IgG (93.2 to 61.8 AU/mL, p<0.01) except IgG-RF (0.6 to 0.5 IU/mL, p=0.22). Conclusion: Autoantibody-lowering effect of ABT was not strong in established RA patients in our study.

Indexed as

AbataceptBiological productsRheumatoid arthritisSerologic test

Identifiers

PMID40584769
PMCPMC12202280

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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.