Evidence map›Paper›PMID 42201232›Full record

ArticleAdvances in respiratory medicine2026

Inflammatory Biomarkers and Outcome Heterogeneity in Anti-MDA5 Antibody-Associated Interstitial Lung Disease: A Single-Center Consecutive Cohort Study.

Akina Nigi, Keisuke Iwamoto, Hidetoshi Itani, Shigeto Kondou, Yuki Okunishi, Takahiro Ohnishi

Abstract read
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Article in Advances in respiratory medicine, 2026. 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

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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

6 authors.

Akina NigiDepartment of Respiratory Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.ORCID 0000-0001-9167-5836
Keisuke IwamotoDepartment of Respiratory Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.
Hidetoshi ItaniDepartment of Respiratory Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.
Shigeto KondouDepartment of Respiratory Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.
Yuki OkunishiDepartment of Rheumatology Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.ORCID 0009-0009-5258-6254
Takahiro OhnishiDepartment of Rheumatology Medicine, Japanese Red Cross Ise Hospital, 471-2 Funae, Ise 516-8512, Mie, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-melanoma differentiation-associated gene 5 (anti-MDA5) antibody-positive interstitial lung disease (ILD) is associated with high mortality. While inflammatory markers have been linked to poor outcomes, clinical heterogeneity remains evident, as some patients survive despite marked hyperinflammation.

methodsWe retrospectively analyzed consecutive patients with anti-MDA5 antibody-positive ILD treated at our institution between May 2017 and November 2025. In-hospital mortality was assessed in relation to clinical characteristics and laboratory markers, including peak anti-MDA5 antibody titers, ferritin, C-reactive protein (CRP), lactate dehydrogenase (LDH), and KL-6. Analyses were exploratory and hypothesis-generating. Continuous variables were compared using Mann-Whitney U tests, and categorical variables using Fisher's exact test. Principal component analysis (PCA) and receiver operating characteristic (ROC) analyses were performed for descriptive purposes.

resultsSeventeen patients were included (10 survivors and 7 non-survivors). Peak ferritin, C-reactive protein (CRP), and lactate dehydrogenase (LDH) levels were significantly higher in non-survivors, whereas peak anti-MDA5 antibody titers showed a non-significant trend toward higher values in non-survivors (

conclusionsInflammatory biomarkers, particularly LDH, CRP, and ferritin, were associated with in-hospital mortality in anti-MDA5 antibody-associated ILD. However, persistent overlap between survivors and non-survivors suggests that single-biomarker assessment is insufficient for precise prognostication. These findings should be interpreted as hypothesis-generating and require validation in larger multicenter cohorts.

Indexed as

AutoantibodiesInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialAgedBiomarkersCohort StudiesC-Reactive ProteinFemaleFerritinsHospital MortalityHumansL-Lactate DehydrogenaseMaleMiddle AgedRetrospective StudiesAutoantibodiesBiomarkersC-Reactive ProteinFerritinsIFIH1 protein, humanInterferon-Induced Helicase, IFIH1L-Lactate Dehydrogenaseanti-MDA5 antibodybiomarkersC-reactive proteindermatomyositisferritininterstitial lung diseaselactate dehydrogenasemortality

Identifiers

PMID42201232
PMCPMC13214490

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