Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider

Objectives To systematically review the literature for assay methods that aim to evaluate type I interferon (IFN-I) pathway activation and to harmonise-related terminology.Methods Three databases were searched for reports of IFN-I and rheumatic musculoskeletal diseases. Information about the perform...

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Main Authors: Mary K Crow, Lars Rönnblom, Dimitrios T Boumpas, Robert Biesen, George Bertsias, Marie-Louise Frémond, Marie Wahren-Herlenius, Giulio Cavalli, PG Conaghan, Maija-Leena Eloranta, Javier Rodríguez-Carrio, Marianne Visser, Agata Burska, Willem A Dik, Ed Vital, Jan Rehwinkel, Marjan Versnel
Format: Article
Language:English
Published: BMJ Publishing Group 2023-03-01
Series:RMD Open
Online Access:https://rmdopen.bmj.com/content/9/1/e002876.full
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author Mary K Crow
Lars Rönnblom
Dimitrios T Boumpas
Robert Biesen
George Bertsias
Marie-Louise Frémond
Marie Wahren-Herlenius
Giulio Cavalli
PG Conaghan
Maija-Leena Eloranta
Javier Rodríguez-Carrio
Marianne Visser
Agata Burska
Willem A Dik
Ed Vital
Jan Rehwinkel
Marjan Versnel
author_facet Mary K Crow
Lars Rönnblom
Dimitrios T Boumpas
Robert Biesen
George Bertsias
Marie-Louise Frémond
Marie Wahren-Herlenius
Giulio Cavalli
PG Conaghan
Maija-Leena Eloranta
Javier Rodríguez-Carrio
Marianne Visser
Agata Burska
Willem A Dik
Ed Vital
Jan Rehwinkel
Marjan Versnel
author_sort Mary K Crow
collection DOAJ
description Objectives To systematically review the literature for assay methods that aim to evaluate type I interferon (IFN-I) pathway activation and to harmonise-related terminology.Methods Three databases were searched for reports of IFN-I and rheumatic musculoskeletal diseases. Information about the performance metrics of assays measuring IFN-I and measures of truth were extracted and summarised. A EULAR task force panel assessed feasibility and developed consensus terminology.Results Of 10 037 abstracts, 276 fulfilled eligibility criteria for data extraction. Some reported more than one technique to measure IFN-I pathway activation. Hence, 276 papers generated data on 412 methods. IFN-I pathway activation was measured using: qPCR (n=121), immunoassays (n=101), microarray (n=69), reporter cell assay (n=38), DNA methylation (n=14), flow cytometry (n=14), cytopathic effect assay (n=11), RNA sequencing (n=9), plaque reduction assay (n=8), Nanostring (n=5), bisulphite sequencing (n=3). Principles of each assay are summarised for content validity. Concurrent validity (correlation with other IFN assays) was presented for n=150/412 assays. Reliability data were variable and provided for 13 assays. Gene expression and immunoassays were considered most feasible. Consensus terminology to define different aspects of IFN-I research and practice was produced.Conclusions Diverse methods have been reported as IFN-I assays and these differ in what elements or aspects of IFN-I pathway activation they measure and how. No ‘gold standard’ represents the entirety of the IFN pathway, some may not be specific for IFN-I. Data on reliability or comparing assays were limited, and feasibility is a challenge for many assays. Consensus terminology should improve consistency of reporting.
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spelling doaj.art-acf1dfeb0fa4419ca571c1658790fe652023-03-03T22:30:08ZengBMJ Publishing GroupRMD Open2056-59332023-03-019110.1136/rmdopen-2022-002876Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to considerMary K Crow0Lars Rönnblom1Dimitrios T Boumpas2Robert Biesen3George Bertsias4Marie-Louise Frémond5Marie Wahren-Herlenius6Giulio Cavalli7PG Conaghan8Maija-Leena Eloranta9Javier Rodríguez-Carrio10Marianne Visser11Agata Burska12Willem A Dik13Ed Vital14Jan Rehwinkel15Marjan Versnel16Hospital for Special Surgery, Weill Cornell Medical College, Mary Kirkland Center for Lupus Research, New York, USAUppsala University, Department of Medical Sciences, Rheumatology, Uppsala, SwedenUniversity of Crete, Medical School, Department of Rheumatology-Clinical Immunology, Heraklion, GreeceCharité University Medicine Berlin, Department of Rheumatology, Berlin, GermanyUniversity of Crete, Medical School, Department of Rheumatology-Clinical Immunology, Heraklion, GreeceUniversité de Paris Cité, Hôpital Necker-Enfants Malades, Immuno-Hématologie et Rhumatologie pédiatriques, Paris, FranceKarolinska Institutet, Division of Rheumatology, Stockholm, SwedenUnit of Immunology, Rheumatology, Allergy and Rare Diseases, Vita-Salute San Raffaele University, Milan, ItalyLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UKUppsala University, Department of Medical Sciences, Rheumatology, Uppsala, SwedenUniversity of Oviedo, Area of Immunology, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, SpainUniversity of Crete, Medical School, Department of Internal Medicine, Heraklion, GreeceLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UKErasmus MC, University Medical Center Rotterdam, Laboratory Medical Immunology, Department of Immunology, Rotterdam, Netherlands Immunology, Rotterdam, The NetherlandsLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds & NIHR Leeds Biomedical Research Centre, Leeds, UKMedical Research Council Human Immunology Unit, Medical Research Council Weatherall Institute of Molecular Medicine, Radcliffe Department of Medicine, University of Oxford, UKErasmus MC, Department of Immunology, Rotterdam, The NetherlandsObjectives To systematically review the literature for assay methods that aim to evaluate type I interferon (IFN-I) pathway activation and to harmonise-related terminology.Methods Three databases were searched for reports of IFN-I and rheumatic musculoskeletal diseases. Information about the performance metrics of assays measuring IFN-I and measures of truth were extracted and summarised. A EULAR task force panel assessed feasibility and developed consensus terminology.Results Of 10 037 abstracts, 276 fulfilled eligibility criteria for data extraction. Some reported more than one technique to measure IFN-I pathway activation. Hence, 276 papers generated data on 412 methods. IFN-I pathway activation was measured using: qPCR (n=121), immunoassays (n=101), microarray (n=69), reporter cell assay (n=38), DNA methylation (n=14), flow cytometry (n=14), cytopathic effect assay (n=11), RNA sequencing (n=9), plaque reduction assay (n=8), Nanostring (n=5), bisulphite sequencing (n=3). Principles of each assay are summarised for content validity. Concurrent validity (correlation with other IFN assays) was presented for n=150/412 assays. Reliability data were variable and provided for 13 assays. Gene expression and immunoassays were considered most feasible. Consensus terminology to define different aspects of IFN-I research and practice was produced.Conclusions Diverse methods have been reported as IFN-I assays and these differ in what elements or aspects of IFN-I pathway activation they measure and how. No ‘gold standard’ represents the entirety of the IFN pathway, some may not be specific for IFN-I. Data on reliability or comparing assays were limited, and feasibility is a challenge for many assays. Consensus terminology should improve consistency of reporting.https://rmdopen.bmj.com/content/9/1/e002876.full
spellingShingle Mary K Crow
Lars Rönnblom
Dimitrios T Boumpas
Robert Biesen
George Bertsias
Marie-Louise Frémond
Marie Wahren-Herlenius
Giulio Cavalli
PG Conaghan
Maija-Leena Eloranta
Javier Rodríguez-Carrio
Marianne Visser
Agata Burska
Willem A Dik
Ed Vital
Jan Rehwinkel
Marjan Versnel
Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
RMD Open
title Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
title_full Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
title_fullStr Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
title_full_unstemmed Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
title_short Type I interferon pathway assays in studies of rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider
title_sort type i interferon pathway assays in studies of rheumatic and musculoskeletal diseases a systematic literature review informing eular points to consider
url https://rmdopen.bmj.com/content/9/1/e002876.full
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