Evidence map›Paper›PMID 33851422›Full record

ReviewEuropean journal of clinical investigation2021

Immunopathophysiology and clinical impact of uveitis in inflammatory rheumatic diseases: An update.

Elvis Hysa, Carlo Alberto Cutolo, Emanuele Gotelli, Greta Pacini, Carlotta Schenone, Elke O Kreps, Vanessa Smith, Maurizio Cutolo

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% of its field
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  9. Methyltransferase-like 3-mediated RNA NFrontiers in immunology · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Recurrent uveitis in a patient with CREST syndrome: a case report.Annals of medicine and surgery (2012) · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Review
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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

8 authors at 3 institutions in 2 countries.

Elvis HysaLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, Italy - IRCCS Rheumatology Unit, San Martino Polyclinic, University of Genoa, Genoa, Italy.ORCID https://orcid.org/0000-0002-6970-0983
Carlo Alberto CutoloOphthalmology Clinic DiNOGMI, IRCCS Ophthalmology Unit San Martino Polyclinic, University of Genoa, Genoa, Italy.
Emanuele GotelliLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, Italy - IRCCS Rheumatology Unit, San Martino Polyclinic, University of Genoa, Genoa, Italy.
Greta PaciniLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, Italy - IRCCS Rheumatology Unit, San Martino Polyclinic, University of Genoa, Genoa, Italy.
Carlotta SchenoneLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, Italy - IRCCS Rheumatology Unit, San Martino Polyclinic, University of Genoa, Genoa, Italy.
Elke O KrepsDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
Vanessa SmithDepartment of Internal Medicine, Department of Rheumatology, Ghent. University Hospital, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0001-6271-7945
Maurizio CutoloLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, Italy - IRCCS Rheumatology Unit, San Martino Polyclinic, University of Genoa, Genoa, Italy.
University of Genoa · ITGhent University Hospital · BEOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUveitis is one of the most frequent ophthalmologic manifestations in rheumatology. Uveal inflammation can underlie a systemic inflammatory rheumatic disease (SIRD) in approximately 30% of cases with a significant burden on the quality of life since it represents a cause of blindness in up to 20% of cases in Western countries.

methodsIn this review, we provide a comprehensive overview of the pathophysiology of uveitis associated with SIRDs. According to our literature survey on the epidemiology of uveitis among SIRDs, spondyloarthritides, Behçet's disease and sarcoidosis get the major impact.

resultsIn Behçet's uveitis, the key players are highly polarized Th1 and Th17 lymphocytes, natural killer T cells and γδ T cells. All contribute to a great destructive inflammatory environment with the most serious visual damage resulting from the involvement of the posterior segment of the eye. In contrast, spondyloarthritides-related uveitis derives from a complex interaction between genetic background and extra-ocular inflammatory mediators originating from enthesitis, arthritis, psoriatic lesions and microbiome pro-inflammatory alterations. In such conditions, the immune infiltration of CD4+ T cells, Th17 and natural killer cells along with pro-inflammatory cytokines, TNF-α among all, leads to intraocular inflammation. Lastly, granuloma formation represents the primary hallmark lesion in sarcoid uveitis. This suggests a profound link between the innate system that mainly recruits activated macrophages and adaptive system involving by Th1, Th17 and Th17.1 cells.

conclusionsAwareness among rheumatologists of a potential severe ocular involvement generates new insights into targeted therapeutic approaches and personalized treatments for each patient.

Indexed as

AnimalsBehcet SyndromeCytokinesDisease Models, AnimalHumansRheumatic DiseasesSarcoidosisSpondylarthropathiesT-LymphocytesUveitisCytokinesautoimmune rheumatic diseasesbehçet's diseaseconnective tissue diseasessarcoidosisspondyloarthritisuveitis

Identifiers

PMID33851422
PMCPMC8365741
OpenAlexW3153142432

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.