Evidence map›Paper›PMID 36987655›Full record

ReviewAnnals of the rheumatic diseases2023

EULAR study group on 'MHC-I-opathy': identifying disease-overarching mechanisms across disciplines and borders.

Jonas Jw Kuiper, Jörg C Prinz, Efstratios Stratikos, Piotr Kuśnierczyk, Akiko Arakawa, Sebastian Springer, Dillon Mintoff, Ivan Padjen, Russka Shumnalieva, Seçil Vural and 31 more

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of the rheumatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
17.7field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Behçet's Disease: A Comprehensive Review on the Role ofInternational journal of molecular sciences · 2023
    Pooled it
  3. Skewed MHC Class I Peptide Presentation in Psoriatic Arthritis.International journal of molecular sciences · 2026
    Article
  4. Observational
  5. Article
  6. Management of Severe Behçet's Disease.Current rheumatology reports · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. The Immunopathogenesis of uveitis.Frontiers in medicine · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

41 authors at 20 institutions in 18 countries.

Jonas Jw KuiperDepartment of Ophthalmology, Center for Translational Immunology, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-5370-6395
Jörg C PrinzUniversity Hospital, department of Dermatology and Allergy, Ludwig Maximilians University Munich, Munchen, Germany.
Efstratios StratikosLaboratory of Biochemistry, Department of Chemistry, National and Kapodistrian University of Athens, Athens, Greece.
Piotr KuśnierczykLaboratory of Immunogenetics and Tissue Immunology, Institute of Immunology and Experimental Therapy Ludwik Hirszfeld Polish Academy of Sciences, Wroclaw, Poland.
Akiko ArakawaUniversity Hospital, department of Dermatology and Allergy, Ludwig Maximilians University Munich, Munchen, Germany.
Sebastian SpringerSchool of Science, Constructor University Bremen gGmbH, Bremen, Germany.
Dillon MintoffDepartment of Dermatology, Mater Dei Hospital, Msida, Malta.ORCID 0000-0003-3705-0119
Ivan PadjenDivision of Clinical Immunology and Rheumatology, University Hospital Centre Zagreb Department of Internal Medicine, Zagreb, Croatia.
Russka ShumnalievaClinic of Rheumatology, Department of Rheumatology, Medical University of Sofia, Sofia, Bulgaria.
Seçil VuralSchool of Medicine, Department of Dermatology, Koç University, Istanbul, Turkey.
Ina KötterClinic for Rheumatology and Immunology, Bad Bramdsted Hospital, Bad Bramstedt, Germany.
Marleen G van de SandeUniversity of Amsterdam, Department of Rheumatology & Clinical Immunology and Department of Experimental Immunology, Amsterdam Institute for Infection & Immunity, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Ayşe BoyvatDepartment of Dermatology, Ankara University Faculty of Medicine, Ankara, Turkey.
Joke H de BoerDepartment of Ophthalmology, Center for Translational Immunology, University Medical Centre Utrecht, Utrecht, The Netherlands.
George BertsiasDepartment of Rheumatology and Clinical Immunology, University of Crete School of Medicine, Iraklio, Greece.
Niek de VriesUniversity of Amsterdam, Department of Rheumatology & Clinical Immunology and Department of Experimental Immunology, Amsterdam Institute for Infection & Immunity, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Charlotte Lm KrieckaertAmsterdam Rheumatology and immunology Center (ARC)| Reade, Amsterdam, The Netherlands.ORCID 0000-0001-6591-7838
Inês LealDepartment of Ophthalmology, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal.
Nataša Vidovič ValentinčičUniversity Eye Clinic, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Ilknur Tugal-TutkunDepartment of Ophthalmology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Hanane El Khaldi AhanachDepartement of Ophthalmology, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Félicie CostantinoService de Rheumatology, Hospital Ambroise-Pare, Boulogne-Billancourt, France.
Simon GlatignyInfection & Inflammation, UMR 1173, Inserm, UVSQ/Université Paris Saclay, Montigny-le-Bretonneux, France.
Danijela Mrazovac ZimakDepartment of Ophthalmology, University Hospital Centre Zagreb, Zagreb, Croatia.
Fabian LötscherDepartment of Rheumatology and Immunology, Inselspital University Hospital Bern, University of Bern, Bern, Switzerland.
Floor G KerstensAmsterdam Rheumatology and immunology Center (ARC)| Reade, Amsterdam, The Netherlands.
Marija BakulaDivision of Clinical Immunology and Rheumatology, University Hospital Centre Zagreb Department of Internal Medicine, Zagreb, Croatia.
Elsa Viera SousaRheumatology Research Unit Molecular João Lobo Antunes, University of Lisbon Medical Faculty, Lisboa, Portugal.ORCID 0000-0002-7170-8802
Peter BöhmPatientpartner, German League against Rheumatism, Bonn, Germany.
Kees BosmanPatientpartner, Nationale Vereniging ReumaZorg, Nijmegen, The Netherlands.
Tony J KennaTranslational Research Institute, Queensland University of Technology, Brisbane, Queensland, Australia.
Simon J PowisSchool of Medicine, University of St Andrews School of Medicine, St Andrews, UK.
Maxime BrebanService de Rheumatology, Hospital Ambroise-Pare, Boulogne-Billancourt, France.ORCID 0000-0002-6932-9395
Ahmet GulDivision of Rheumatology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
John BowesCentre for Genetics and Genomics Versus Arthritis, Centre for Musculoskeletal Research, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Center, The University of Manchester, Manchester, UK.ORCID 0000-0003-4659-031X
Rik Ju LoriesDepartment of Rheumatology, KU Leuven University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-5986-3092
Johannes NowatzkyDepartment of Medicine, Division of Rheumatology, NYU Langone Behçet's Disease Program, NYU Langone Ocular Rheumatology Program, New York University Grossman School of Medicine, New York University, New York, New York, USA.
Gerrit Jan WolbinkAmsterdam Rheumatology and immunology Center (ARC)| Reade, Amsterdam, The Netherlands.
Dennis G McGonagleLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Franktien TurkstraAmsterdam Rheumatology and immunology Center (ARC)| Reade, Amsterdam, The Netherlands f.turkstra@reade.nl.ORCID 0000-0002-8055-9036
EULAR studygroup MHC-I-opathies
Inserm · FRReade · NLUniversity Hospital Centre Zagreb · HRAmsterdam University Medical Centers · NLENT and Allergy · USUniversity Medical Center Utrecht · NLUniversity of Lisbon · PTAnkara University · TRCenter for Rheumatology · USConstructor University · DEDeutsche Rheuma-Liga · DEImmungenetics (Germany) · DEIstanbul University · TRKoç University · TRKU Leuven · BEMedical University of Sofia · BGNational and Kapodistrian University of Athens · GRNew York University · USOLVG · NLSanquin · NL

Funding

Unraveling the role of HLA-B51/ERAP1 in Behcet's eye diseaseR01EY031383 · NEI · STANFORD UNIVERSITY · PI NOWATZKY, JOHANNES · 2021 to 2025
$2.1M
Modulation of immunodominance in HLA class I associated uveitidesR01EY033495 · NEI · STANFORD UNIVERSITY · PI NOWATZKY, JOHANNES · 2022 to 2025
$1.8M
NEI NIH HHS R01 EY031383NEI NIH HHS R01 EY033495
6 · The paper itself

Abstract

The 'MHC-I (major histocompatibility complex class I)-opathy' concept describes a family of inflammatory conditions with overlapping clinical manifestations and a strong genetic link to the MHC-I antigen presentation pathway. Classical MHC-I-opathies such as spondyloarthritis, Behçet's disease, psoriasis and birdshot uveitis are widely recognised for their strong association with certain MHC-I alleles and gene variants of the antigen processing aminopeptidases ERAP1 and ERAP2 that implicates altered MHC-I peptide presentation to CD8+T cells in the pathogenesis. Progress in understanding the cause and treatment of these disorders is hampered by patient phenotypic heterogeneity and lack of systematic investigation of the MHC-I pathway.Here, we discuss new insights into the biology of MHC-I-opathies that strongly advocate for disease-overarching and integrated molecular and clinical investigation to decipher underlying disease mechanisms. Because this requires transformative multidisciplinary collaboration, we introduce the EULAR study group on MHC-I-opathies to unite clinical expertise in rheumatology, dermatology and ophthalmology, with fundamental and translational researchers from multiple disciplines such as immunology, genomics and proteomics, alongside patient partners. We prioritise standardisation of disease phenotypes and scientific nomenclature and propose interdisciplinary genetic and translational studies to exploit emerging therapeutic strategies to understand MHC-I-mediated disease mechanisms. These collaborative efforts are required to address outstanding questions in the etiopathogenesis of MHC-I-opathies towards improving patient treatment and prognostication.

Indexed as

Behcet SyndromeSpondylarthritisUveitisAminopeptidasesGenetic Predisposition to DiseaseHistocompatibility Antigens Class IHumansMinor Histocompatibility AntigensAminopeptidasesERAP1 protein, humanERAP2 protein, humanHistocompatibility Antigens Class IMinor Histocompatibility AntigensArthritis, PsoriaticBehcet SyndromeImmune System DiseasesSpondylitis, Ankylosing

Identifiers

PMID36987655
PMCPMC10313995
OpenAlexW4361018439

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.