Evidence map›Paper›PMID 42465525›Full record

ReviewHemaSphere2026

Autoimmunity and peginterferon therapy for polycythemia vera.

Etienne Rivière, Alexandre Guy, Olivier Mansier, Clémence Mediavilla, Jean-Jacques Kiladjian, Chloé James, Patrick Blanco, Estibaliz Lazaro, Jean-François Viallard

Abstract readReview
In one paragraph

Review in HemaSphere, 2026. 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
–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

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

9 authors.

Etienne RivièreDepartment of Internal Medicine and Infectious Diseases, Haut-Leveque Hospital University Hospital of Bordeaux Pessac France.ORCID https://orcid.org/0000-0003-0254-3394
Alexandre GuyINSERM U1034 University of Bordeaux Pessac France.
Olivier MansierINSERM U1034 University of Bordeaux Pessac France.
Clémence MediavillaDepartment of Clinical Hematology and Cellular Therapy Bordeaux University Hospital Bordeaux France.
Jean-Jacques KiladjianClinical Investigations Center, Inserm CIC-1427, APHP Saint-Louis Hospital Université Paris Cité Paris France.
Chloé JamesINSERM U1034 University of Bordeaux Pessac France.
Patrick BlancoUMR/CNRS 5164, Immunoconcept, CNRS University of Bordeaux Bordeaux France.
Estibaliz LazaroDepartment of Internal Medicine and Infectious Diseases, Haut-Leveque Hospital University Hospital of Bordeaux Pessac France.
Jean-François ViallardDepartment of Internal Medicine and Infectious Diseases, Haut-Leveque Hospital University Hospital of Bordeaux Pessac France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peginterferon‑α is useful to treat myeloproliferative neoplasms (MPNs) but can precipitate broad autoimmunity. By promoting beta-cell, thyroid, and systemic immune injury, it can lead to Type 1 diabetes, autoimmune thyroiditis, systemic lupus erythematosus, or Sjögren's syndrome. Onset typically occurs within the first months but may be delayed until after treatment cessation. Type 1 diabetes is usually irreversible and requires lifelong therapy, whereas thyroiditis and lupus more often improve after interferon withdrawal, though autoantibodies frequently persist. In this narrative review, we provide an overview of how peginterferon can induce autoimmunity in genetically susceptible individuals with pre-existing subclinical autoimmunity. Pre-treatment risk assessment, including personal/family history of autoimmune disease and consideration of baseline thyroid function and anti-GAD antibodies in high-risk patients, may identify those at elevated risk for irreversible complications, particularly Type 1 diabetes. Targeted clinical and laboratory monitoring throughout therapy and for 12-24 months post-cessation can enable early detection and appropriate intervention.

Identifiers

PMID42465525
PMCPMC13373941

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.