Evidence map›Paper›PMID 24247116›Full record

ReviewCurrent opinion in rheumatology2014

When and where does inflammation begin in rheumatoid arthritis?

M Kristen Demoruelle, Kevin D Deane, V Michael Holers

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in rheumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
9.8field-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

81 citing papers in PubMed, 170 citations in OpenAlex.

  1. Trial
  2. Review
  3. Polysaccharides and Glycosides fromPharmaceuticals (Basel, Switzerland) · 2026
    Article
  4. Zinc: a metallic shield against cardiac inflammation.Metallomics : integrated biometal science · 2026
    Review
  5. Article
  6. Rheumatoid Lung Disease.Mediterranean journal of rheumatology · 2025
    Review
  7. Review
  8. Article
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21 more citing papers are in PubMed but not listed here.

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 at 1 institution in 1 country.

M Kristen DemoruelleUniversity of Colorado School of Medicine, Division of Rheumatology, Aurora, Colorado, USA.
Kevin D Deane
V Michael Holers
University of Colorado Denver · US

Funding

UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
Prevention Center U01: Early Targets for Antigen-Specific Tolerance Induction in Preclinical Rheumatoid ArthritisU01AI101981 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2012 to 2021
$6.2M
The Role of the Lung in the Initiation of Rheumatoid ArthritisR56AI103023 · NIAID · UNIVERSITY OF COLORADO DENVER · PI DEANE, KEVIN · 2013 to 2013
$398k
NIAID NIH HHS R56 AI103023NIAID NIH HHS U01 AI101981NICHD NIH HHS K12 HD057022
6 · The paper itself

Abstract

purpose of reviewThe cause of rheumatoid arthritis (RA), as well as the timing and anatomic site at which RA-related autoimmunity is initiated, is currently unknown. An improved understanding of the initial steps in the development of RA would provide insights into disease pathogenesis that could ultimately lead to more effective treatments and/or novel preventive strategies in RA. RECENT

findingsSystemic inflammation and autoimmunity in RA begin long before the onset of detectable joint inflammation. Emerging data suggest that RA-related autoimmunity may be initiated at a mucosal site years before the onset of joint symptoms. The candidate sites of origin include the oral, lung and gastrointestinal mucosa, as data consistent with this hypothesis have been generated for each location. Individual patients may undergo initiation events at unique sites, but still converge on similar joint findings as the disease process evolves. SUMMARY: Investigations are needed to determine when and where RA begins, including comprehensive prospective studies of individuals in the preclinical period of RA that can provide insight into the relationship between mucosal inflammation, RA-related autoantibody generation and subsequent joint inflammation in RA.

Indexed as

Arthritis, RheumatoidAutoantibodiesAutoimmunityHumansImmunity, MucosalInflammationIntestinesLungMouth MucosaAutoantibodies

Identifiers

PMID24247116
PMCPMC4033623
OpenAlexW2096022984

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.