Evidence map›Paper›PMID 42334960›Full record

SynthesisRheumatology (Oxford, England)2026

Predictors of rapidly progressive interstitial lung disease in anti-MDA5 dermatomyositis: a meta-analysis.

Ting Liu, Xiaojian Ji, Yujie Wei, Yi Zhong, Jian Zhu, Chi Wang, Mianyang Li

Abstract readMeta-Analysis
In one paragraph

Synthesis in Rheumatology (Oxford, England), 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

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

7 authors.

Ting LiuDepartment of Clinical Laboratory Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Xiaojian JiDepartment of Rheumatology and Immunology, First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.
Yujie WeiDepartment of Clinical Laboratory Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Yi ZhongDepartment of Clinical Laboratory Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Jian ZhuDepartment of Rheumatology and Immunology, First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-6244-9917
Chi WangDepartment of Clinical Laboratory Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-2848-644X
Mianyang LiDepartment of Clinical Laboratory Medicine, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnti-MDA5 antibody-positive DM (MDA5+DM) is frequently complicated by rapidly progressive interstitial lung disease (RP-ILD). The current study aims to identify predictors for the development of RP-ILD in MDA5+DM, thereby providing an objective basis for early intervention strategies.

methodsWe searched the PubMed, Embase, Web of Science and Cochrane Library databases and extracted studies published before December 2024. Two reviewers extracted data and assessed risk of bias. Population characteristics, clinical features and laboratory indicators were systematically summarized. For the overall main effects, results were presented as standardized mean differences (SMDs), odds ratios (ORs) and corresponding 95% CIs.

resultsTwenty-seven cohorts with 2579 patients were included in this meta-analysis. The results demonstrated that clinical characteristics predictive of RP-ILD risk factors included advanced age, male sex, fever, skin ulcers and arthritis. Specifically, the RP-ILD group exhibited significantly elevated levels of laboratory parameters including CRP, lactate dehydrogenase (LDH), aspartate aminotransferase (AST), ferritin, ESR, leukocytes, Krebs von den Lungen-6 (KL-6), alanine aminotransferase (ALT), cartilage glycoprotein 39, positive anti-Ro52 antibodies and high-titre anti-MDA5 antibodies. Conversely, the RP-ILD group demonstrated significantly reduced levels of lymphocytes, albumin, PaO2/FiO2 ratio and CD3+CD4+ T cell count.

conclusionThis meta-analysis identified multiple clinical and laboratory parameters as significant predictors of RP-ILD progression in MDA5+DM patients. High-quality prospective studies are essential to validate these associations and identify additional biomarkers for the early prediction of RP-ILD onset in MDA5+DM patients, which will facilitate timely therapeutic interventions aimed at reducing mortality.

Indexed as

AutoantibodiesDermatomyositisInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialBiomarkersDisease ProgressionHumansMaleRisk FactorsAutoantibodiesBiomarkersIFIH1 protein, humanInterferon-Induced Helicase, IFIH1anti-MDA5 antibody-positive DMbiomarkersmeta-analysispredictionrapidly progressive interstitial lung disease

Identifiers

PMID42334960
PMCPMC13335645

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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.