Evidence map›Paper›PMID 24798341›Full record

ArticleAutoimmunity2014

1-Methyl-tryptophan synergizes with methotrexate to alleviate arthritis in a mouse model of arthritis.

Elizabeth Pigott, James B DuHadaway, Alexander J Muller, Susan Gilmour, George C Prendergast, Laura Mandik-Nayak

Open access · greenAbstract read
In one paragraph

Article in Autoimmunity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Metabolites as drivers and targets in rheumatoid arthritis.Clinical and experimental immunology · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The role of indoleamine 2,3 dioxygenase 1 in the osteoarthritis.American journal of translational research · 2020
    Review
  11. Article
  12. Article
  13. Article
  14. IDO2: A Pathogenic Mediator of Inflammatory Autoimmunity.Clinical medicine insights. Pathology · 2016
    Review
  15. Autoimmunity in 2014.Clinical reviews in allergy & immunology · 2015
    Review
  16. Review
  17. 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

6 authors at 2 institutions in 1 country.

Elizabeth PigottThe Lankenau Institute for Medical Research , Wynnewood, PA , USA .
James B DuHadaway
Alexander J Muller
Susan Gilmour
George C Prendergast
Laura Mandik-Nayak
Lankenau Institute for Medical Research · USThomas Jefferson University · US

Funding

IDO Inhibitors for Combinatorial Cancer TherapyR01CA109542 · NCI · LANKENAU INSTITUTE FOR MEDICAL RESEARCH · PI PRENDERGAST, GEORGE C · 2005 to 2015
$2.0M
IDO Pathways in Inflammatory Pathogenesis and Treatment of Rheumatoid ArthritisR01AR057847 · NIAMS · LANKENAU INSTITUTE FOR MEDICAL RESEARCH · PI MANDIK-NAYAK, LAURA · 2010 to 2014
$1.8M
NCI NIH HHS R01 CA109542NIAMS NIH HHS 5-RO1AR057847NIAMS NIH HHS R01 AR057847
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is an inflammatory autoimmune disease with no known cure. Current strategies to treat RA, including methotrexate (MTX), target the later inflammatory stage of disease. Recently, we showed that inhibiting indoleamine-2,3-dioxygenase (IDO) with 1-methyl-tryptophan (1MT) targets autoantibodies and cytokines that drive the initiation of the autoimmune response. Therefore, we hypothesized that combining 1MT with MTX would target both the initiation and chronic inflammatory phases of the autoimmune response and be an effective co-therapeutic strategy for arthritis. To test this, we used K/BxN mice, a pre-clinical model of arthritis that develops joint-specific inflammation with many characteristics of human RA. Mice were treated with 1MT, MTX, alone or in combination, and followed for arthritis, autoantibodies, and inflammatory cytokines. Both 1MT and MTX were able to partially inhibit arthritis when used individually; however, combining MTX + 1MT was significantly more effective than either treatment alone at delaying the onset and alleviating the severity of joint inflammation. We went on to show that combination of MTX + 1MT did not lower inflammatory cytokine or autoantibody levels, nor could the synergistic co-therapeutic effect be reversed by the adenosine receptor antagonist theophylline or be mimicked by inhibition of polyamine synthesis. However, supplementation with folinic acid did reverse the synergistic co-therapeutic effect, demonstrating that, in the K/BxN model, MTX synergizes with 1MT by blocking folate metabolism. These data suggest that pharmacological inhibition of IDO with 1MT is a potential candidate for use in combination with MTX to increase its efficacy in the treatment of RA.

Indexed as

AnimalsAntirheumatic AgentsArthritis, ExperimentalArthritis, RheumatoidAutoantibodiesAutoimmunityCytokinesDisease Models, AnimalDrug SynergismInflammationMethotrexateMiceTryptophanTryptophan Oxygenase1-methyltryptophanAntirheumatic AgentsAutoantibodiesCytokinesMethotrexateTryptophanTryptophan OxygenaseAutoantibodiesco-therapycytokinesindoleaminetreatment

Identifiers

PMID24798341
PMCPMC4237210
OpenAlexW2024695639

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.