Evidence map›Paper›PMID 40593526›Full record

ArticleNature communications2025

Type 1 interferon signature and allograft inflammatory factor-1 contribute to refractoriness to TNF inhibition in ankylosing spondylitis.

Woogil Song, Eunyoung Emily Lee, Seongwan Park, Baekgyu Choi, Min-Gang Kim, Seo Yoon Ban, Se Rim Choi, Jeong Yeon Kim, Seon Uk Kim, Jong-Il Kim and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

15 authors.

Woogil Song *Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea.ORCID http://orcid.org/0009-0004-6217-5022
Eunyoung Emily Lee *Division of Rheumatology, Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, 01812, Republic of Korea.ORCID http://orcid.org/0000-0002-1575-9007
Seongwan Park *Department of Biological Sciences, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea.ORCID http://orcid.org/0000-0001-9612-0020
Baekgyu ChoiDepartment of Biological Sciences, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea.
Min-Gang KimDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
Seo Yoon BanDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
Se Rim ChoiHanyang University Institute for Rheumatology Research and Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, 04763, Republic of Korea.
Jeong Yeon KimDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
Seon Uk KimDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
Jong-Il KimDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.ORCID http://orcid.org/0000-0002-7240-3744
Eui-Cheol ShinGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea.ORCID http://orcid.org/0000-0002-6308-9503
Inkyung JungDepartment of Biological Sciences, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea. ijung@kaist.ac.kr.ORCID http://orcid.org/0000-0002-5885-2754
Jeong Seok LeeGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea. chemami@kaist.ac.kr.ORCID http://orcid.org/0000-0001-8261-7044
Eun Young LeeDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea. elee@snu.ac.kr.ORCID http://orcid.org/0000-0001-6975-8627
Single-Cell Atlas of Immune Diseases Consortium

Funding

National Research Foundation of Korea (NRF) 2022M3A9D3016848National Research Foundation of Korea (NRF) MSIT 800-20240195National Research Foundation of Korea (NRF) RS-2023-000279801National Research Foundation of Korea (NRF) RS-2024-00356421
6 · The paper itself

Abstract

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis that primarily affects the enthesis and may culminate in bony ankylosis of the spine. Despite TNF inhibitor (TNFi) being foundational in managing active inflammation, 30-40% of patients with AS remain non-responsive. Through longitudinal and multi-omics profiling of peripheral blood mononuclear cells from TNFi-receiving patients with AS, here we reveal that elevated type I IFN signatures at baseline are associated with poor TNFi response, leading to a paradoxical enhancement of IFN signatures and Th17 responses following TNFi therapy. Among type I IFN-related genes, we identify and validate AIF-1 as a predictive biomarker reflecting the inherent IFN signature that differentiates responders from non-responders. AIF-1 also contributes to an inflammatory cycle by increasing IFNα receptor expression and Th17 responses. In summary, our findings advocate for a personalized approach to managing AS by considering individual variations in AIF-1 levels and IFN signatures.

Indexed as

Calcium-Binding ProteinsDNA-Binding ProteinsInterferon Type IMicrofilament ProteinsSpondylitis, AnkylosingTumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsAdultBiomarkersFemaleHumansLeukocytes, MononuclearMaleMiddle AgedAIF1 protein, humanBiomarkersCalcium-Binding ProteinsDNA-Binding ProteinsInterferon Type IMicrofilament ProteinsTumor Necrosis Factor-alphaTumor Necrosis Factor Inhibitors

Identifiers

PMID40593526
PMCPMC12214652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.