Evidence map›Paper›PMID 27013493›Full record

ArticleAnnals of the rheumatic diseases2016

Dysregulated bioenergetics: a key regulator of joint inflammation.

M Biniecka, M Canavan, T McGarry, W Gao, J McCormick, S Cregan, L Gallagher, T Smith, J J Phelan, J Ryan and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 2 pooled it
10.6field-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

154 citing papers in PubMed, 2 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Review
  5. Review
  6. Article
  7. JAK/STAT inhibition reprograms T cell activation and metabolism in inflammatory arthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
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  15. Emerging roles of the metabolite succinate in bone-related diseases.Journal of Zhejiang University. Science. B · 2025
    Review
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  18. Exhaustion-Resistant CD8Immunology · 2025
    Review
  19. Review
  20. Article

94 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

14 authors at 5 institutions in 2 countries.

M BinieckaCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
M CanavanDepartment of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
T McGarryDepartment of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
W GaoCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
J McCormickCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
S CreganCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
L GallagherCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
T SmithCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
J J PhelanDepartment of Surgery, Trinity College Dublin, St James's Hospital, Dublin, Ireland.
J RyanDepartment of Radiology, School of Medicine and Biomedical Sciences, University College Dublin, Dublin, Ireland.
J O'SullivanDepartment of Surgery, Trinity College Dublin, St James's Hospital, Dublin, Ireland.
C T NgDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.
D J VealeCentre for Arthritis and Rheumatic Diseases, Dublin Academic Medical Centre, St. Vincent's University Hospital, Dublin, Ireland.
U FearonDepartment of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
St. Vincent's University Hospital · IETrinity College Dublin · IESingapore General Hospital · SGSt. James's Hospital · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study examines the relationship between synovial hypoxia and cellular bioenergetics with synovial inflammation.

methodsPrimary rheumatoid arthritis synovial fibroblasts (RASF) were cultured with hypoxia, dimethyloxalylglycine (DMOG) or metabolic intermediates. Mitochondrial respiration, mitochondrial DNA mutations, cell invasion, cytokines, glucose and lactate were quantified using specific functional assays. RASF metabolism was assessed by the XF24-Flux Analyzer. Mitochondrial structural morphology was assessed by transmission electron microscopy (TEM). In vivo synovial tissue oxygen (tpO

resultsDMOG significantly increased mtDNA mutations, mitochondrial membrane potential, mitochondrial mass, reactive oxygen species and glycolytic RASF activity with concomitant attenuation of mitochondrial respiration and ATP activity (all p<0.01). This was coupled with altered mitochondrial morphology. Hypoxia-induced lactate levels (p<0.01), which in turn induced basic fibroblast growth factor (bFGF) secretion and RASF invasiveness (all p<0.05). In vivo glycolytic markers were inversely associated with synovial tpO

conclusionsHypoxia alters cellular bioenergetics by inducing mitochondrial dysfunction and promoting a switch to glycolysis, supporting abnormal angiogenesis, cellular invasion and pannus formation.

Indexed as

Amino Acids, DicarboxylicArthritis, RheumatoidCell MovementCells, CulturedCytokinesDNA, MitochondrialEnergy MetabolismFibroblastsGlucoseHumansHypoxiaJointsLactic AcidMitochondriaReactive Oxygen SpeciesSynovial MembraneAmino Acids, DicarboxylicCytokinesDNA, MitochondrialGlucoseLactic AcidoxalylglycineReactive Oxygen SpeciesFibroblastsInflammationRheumatoid ArthritisSynovitisTNF-alpha

Identifiers

PMID27013493
PMCPMC5136702
OpenAlexW2311703587

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.