Evidence map›Paper›PMID 40457438›Full record

ArticleJournal of translational medicine2025

IL-6R blockade combined with immunosuppressants alleviates adult-onset Still's disease through immune remodeling: a mass cytometry study.

Ruru Guo, Ting Zhang, Yixuan Li, Xuesong Liu, Xinyu Meng, Lei Tong, Xiaoxiang Chen, Xianting Ding, Liangjing Lu

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. 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. 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

9 authors.

Ruru Guo *Department of Rheumatology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China. loisen@163.com.ORCID 0000-0003-0066-9153
Ting Zhang *State Key Laboratory of Oncogenes and Related Genes, Institute for Personalized Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University, 1954 Huashan Road, Shanghai, 200030, People's Republic of China.
Yixuan Li *Department of Rheumatology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China.
Xuesong Liu *Department of Ultrasound, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 160 Pujian Rd, Shanghai, 200001, China.
Xinyu MengDepartment of Rheumatology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China.
Lei TongState Key Laboratory of Oncogenes and Related Genes, Institute for Personalized Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University, 1954 Huashan Road, Shanghai, 200030, People's Republic of China.
Xiaoxiang ChenDepartment of Rheumatology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China. xiaoxiang0721@126.com.
Xianting DingState Key Laboratory of Oncogenes and Related Genes, Institute for Personalized Medicine, School of Biomedical Engineering, Shanghai Jiao Tong University, 1954 Huashan Road, Shanghai, 200030, People's Republic of China. dingxianting@sjtu.edu.cn.
Liangjing LuDepartment of Rheumatology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 145 Middle Shandong Rd, Shanghai, 200001, China. lu_liangjing@163.com.

Funding

Fundamental Research Funds for the Central Universities YG2023ZD09National Natural Science Foundation of China 81373209National Natural Science Foundation of China 82001707Ren Ji Program RJTJ24-MS-020Shanghai Sailing Program 20YF1425700Shanghai Sailing Program 22YF1424000
6 · The paper itself

Abstract

backgroundEarly administration of IL-6R blockade is effective in adult-onset Still's disease (AOSD), but the underlying immune alterations during combined immunotherapy remain unclear.

methodsWe employed high-dimensional single-cell mass cytometry and an unbiased bioinformatics pipeline to characterize the immune landscape in treatment-naïve AOSD patients, stable AOSD patients after 24 weeks of IL-6R blockade plus methotrexate and prednisone, and matched healthy controls. Cytokine profiling was conducted using a high-throughput cytometric bead array, and potential regulatory networks were identified using the PerformanceAnalytics package. Validation was performed via flow cytometry and mRNA sequencing.

resultsWe identified 22 peripheral immune cell populations and characterized their composition and phenotypic markers. Treatment-naïve AOSD patients exhibited significant depletion of CD4

conclusionsCombined IL-6R blockade effectively modulates immune dysregulation in refractory AOSD, reversing key pathological immune alterations and highlighting its therapeutic potential.

Indexed as

Flow CytometryImmunosuppressive AgentsReceptors, Interleukin-6Still's Disease, Adult-OnsetAdultCytokinesFemaleHumansMaleMiddle AgedRNA, MessengerCytokinesImmunosuppressive AgentsReceptors, Interleukin-6RNA, MessengerAdult-onset Still’s diseaseMass cytometryTocilizumab

Identifiers

PMID40457438
PMCPMC12128522

What Socratic 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 Socratic graph.