Evidence map›Paper›PMID 39270208›Full record

ArticleACR open rheumatology2024

Association of Combined Autoreactivity to Sm/RNP Common Motif and U1 RNP With Mixed Connective Tissue Disease and Systemic Lupus Erythematosus.

Ruoning Ni, Aleksander Lenert, Petar Lenert

Abstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Ruoning NiThe University of Iowa, Iowa City.ORCID https://orcid.org/0000-0002-6463-4796
Aleksander LenertThe University of Iowa, Iowa City.
Petar LenertThe University of Iowa, Iowa City.

Funding

Investigating Disease Activity, Bone Damage and Interleukin-1 Genes in Adult SAPHO Syndrome and Chronic Nonbacterial OsteomyelitisK23AR082966 · NIAMS · UNIVERSITY OF IOWA · PI Aleksander Lenert · 2023 to 2026
$670k
CLC NIH HHS 1K23AR082966-01Kelting FoundationNIAMS NIH HHS K23 AR082966
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the clinical features in patients with suspected connective tissue disease who tested positive for anti-Sm/RNP common motif antibody with or without associated anti-RNP antibody.

methodsThe titers of anti-Sm/RNP and anti-RNP antibodies were measured by the multiplex solid-phase bioassays (Bio-Rad). Clinical manifestations were compared among the three subgroups (RNP only, Sm/RNP only, and double positive for RNP and Sm/RNP). Patients were further evaluated for the diagnosis of mixed connective tissue disease (MCTD) and/or systemic lupus erythematosus (SLE) using accepted classification criteria.

resultsA total of 133 patients were included in this study. The rates of inflammatory arthritis and Raynaud phenomenon were significantly higher in patients testing positive for both anti-RNP and anti-Sm/RNP antibodies compared to anti-RNP only or anti-Sm/RNP only (69.1% vs 28.8% vs 25.0%, P < 0.0001 for arthritis and 59.5% vs 23.3% vs 37.5%, P = 0.0005 for Raynaud phenomenon). Area under the curve (AUC) values were 0.68 (95% confidence interval [CI] 0.59-0.77, P < 0.0001) for anti-Sm/RNP titers and 0.65 (95% CI 0.55-0.74, P = 0.0039) for anti-RNP titers with inflammatory arthritis. AUC values were 0.67 (95% CI 0.58-0.77, P = 0.0002) for anti-Sm/RNP titers and 0.59 (95% CI 0.49-0.69, P = 0.0352) for anti-RNP titers with Raynaud phenomenon. The odds ratios for the diagnosis of MCTD and SLE were significantly higher in patients with double positivity compared to those testing solely positive for anti-RNP antibody.

conclusionAnti-Sm/RNP common motif autoreactivity when combined with anti-RNP antibody positivity identifies those patients who are closely related with certain clinical manifestations and who are associated with well-defined connective tissue disease such as MCTD or SLE.

Identifiers

PMID39270208
PMCPMC11638137

What Socratic holds

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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 Socratic graph.