Evidence map›Paper›PMID 40998523›Full record

ArticleRMD open2025

Patients with systemic lupus erythematosus (SLE) have an increased bisphenol A methylation score linked to SLE risk genes and selected clinical subphenotypes.

Holme Vestin, Nina Oparina, Maija-Leena Eloranta, Martina Frodlund, Iva Gunnarsson, Christopher Sjöwall, Elisabet Svenungsson, Lars Rönnblom, Juliana Imgenberg-Kreuz, Dag Leonard

Abstract read
In one paragraph

Article in RMD open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

10 authors.

Holme Vestin *Uppsala University Department of Medical Sciences, Uppsala, Sweden.ORCID 0009-0005-6622-8897
Nina Oparina *Uppsala University Department of Medical Sciences, Uppsala, Sweden.
Maija-Leena ElorantaUppsala University Department of Medical Sciences, Uppsala, Sweden.
Martina FrodlundLinkoping University Department of Biomedical and Clinical Sciences, Linköping, Sweden.
Iva GunnarssonDivision of Rheumatology, Karolinska Institute, Stockholm, Sweden.
Christopher SjöwallLinkoping University Department of Biomedical and Clinical Sciences, Linköping, Sweden.ORCID 0000-0003-0900-2048
Elisabet SvenungssonDivision of Rheumatology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-3396-3244
Lars RönnblomUppsala University Department of Medical Sciences, Uppsala, Sweden.ORCID 0000-0001-9403-6503
Juliana Imgenberg-Kreuz *Uppsala University Department of Medical Sciences, Uppsala, Sweden.ORCID 0000-0002-7230-8990
Dag Leonard *Uppsala University Department of Medical Sciences, Uppsala, Sweden dag.leonard@medsci.uu.se.ORCID 0000-0002-6275-7282

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBisphenol A (BPA), a xenoestrogen that can alter DNA methylation status, has been implicated in the pathogenesis of systemic lupus erythematosus (SLE). This study aimed to investigate whether methylation changes at BPA-sensitive 5'-C-phosphate-G-3' (CpG) sites are associated with SLE and clinical subphenotypes.

methodsA discovery cohort (n=747) and a replication cohort (n=388) including Swedish patients with SLE and healthy controls were investigated using the Illumina HM450k bead chip. BPA-sensitive CpG sites were selected if differentially methylated in ≥2 of 7 BPA exposure studies and supported by cell line data. A BPA

resultsPatients with SLE had significantly higher BPA

conclusionsOur findings reveal a novel association between BPA exposure and DNA methylation changes in SLE, with potential implications for the regulation of immune-related gene expression.

Indexed as

Bisphenol A CompoundsDNA MethylationEstrogens, Non-SteroidalLupus Erythematosus, SystemicAdultCase-Control StudiesCpG IslandsEpigenesis, GeneticFemaleHumansMaleMiddle AgedTranscriptomebisphenol ABisphenol A CompoundsEstrogens, Non-SteroidalAutoimmunityInflammationLupus Erythematosus, SystemicPolymorphism, Genetic

Identifiers

PMID40998523
PMCPMC12481292

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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.