Evidence map›Paper›PMID 25608777›Full record

ReviewArthritis research & therapy2014

Circadian rhythms in rheumatology--a glucocorticoid perspective.

Cornelia M Spies, Rainer H Straub, Maurizio Cutolo, Frank Buttgereit

Open access · goldAbstract readReview
In one paragraph

Review in Arthritis research & therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 66 citations in OpenAlex.

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  9. Glucocorticoid circadian rhythms in immune function.Seminars in immunopathology · 2022
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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

4 authors at 2 institutions in 2 countries.

Cornelia M Spies
Rainer H Straub
Maurizio Cutolo
Frank Buttgereit
Charité - Universitätsmedizin Berlin · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The hypothalamic-pituitary-adrenal (HPA) axis plays an important role in regulating and controlling immune responses. Dysfunction of the HPA axis has been implicated in the pathogenesis of rheumatoid arthritis (RA) and other rheumatic diseases. The impact of glucocorticoid (GC) therapy on HPA axis function also remains a matter of concern, particularly for longer treatment duration. Knowledge of circadian rhythms and the influence of GC in rheumatology is important: on the one hand we aim for optimal treatment of the daily undulating inflammatory symptoms, for example morning stiffness and swelling; on the other, we wish to disturb the HPA axis as little as possible. This review describes circadian rhythms in RA and other chronic inflammatory diseases, dysfunction of the HPA axis in RA and other rheumatic diseases and the recent concept of the hepato-hypothalamic-pituitary-adrenal-renal axis, the problem of adrenal suppression by GC therapy and how it can be avoided, and evidence that chronotherapy with modified release prednisone effective at 02:00 a.m. can inhibit proinflammatory sequelae of nocturnal inflammation better compared with GC administration in the morning but does not increase the risk of HPA axis insufficiency in RA.

Indexed as

11-beta-Hydroxysteroid Dehydrogenase Type 1Adrenal InsufficiencyArthritis, RheumatoidCircadian RhythmCorticotropin-Releasing HormoneDrug ChronotherapyGlucocorticoidsHumansHydrocortisoneHypothalamo-Hypophyseal SystemInflammationInterleukin-6LiverMulticenter Studies as TopicPituitary-Adrenal SystemTumor Necrosis Factor-alpha11-beta-Hydroxysteroid Dehydrogenase Type 1Corticotropin-Releasing HormoneGlucocorticoidsHydrocortisoneIL6 protein, humanInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID25608777
PMCPMC4249493
OpenAlexW2130213653

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.