Evidence map›Paper›PMID 30990796›Full record

ArticleThe Journal of clinical investigation2019

Transcription factor Fra-1 targets arginase-1 to enhance macrophage-mediated inflammation in arthritis.

Nicole Hannemann, Shan Cao, Daniel Eriksson, Anne Schnelzer, Jutta Jordan, Martin Eberhardt, Ulrike Schleicher, Jürgen Rech, Andreas Ramming, Steffen Uebe and 8 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04535427 (Role of L-Arginine Supplementation in the Treatment of Rheumatoid Arthritis), which is not on this map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
3.1field-weighted citation impact, top 7% 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.

NCT04535427 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Role of L-Arginine Supplementation in the Treatment of Rheumatoid Arthritis

TypeinterventionalSponsorRenJi HospitalRan2021 to 2023Enrolled144ConditionsRheumatoid ArthritisArmsL-arginine, Placebo
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 109 citations in OpenAlex.

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  16. SynovialInternational journal of molecular sciences · 2025
    Article
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 5 countries.

Nicole HannemannDepartment of Internal Medicine 3-Rheumatology and Immunology.
Shan CaoDepartment of Internal Medicine 3-Rheumatology and Immunology.
Daniel ErikssonDepartment of Internal Medicine 3-Rheumatology and Immunology.
Anne SchnelzerDepartment of Internal Medicine 3-Rheumatology and Immunology.
Jutta JordanInstitute of Radiology, Preclinical Imaging Platform Erlangen (PIPE).
Martin EberhardtLaboratory of Systems Tumor Immunology, Department of Dermatology.
Ulrike SchleicherMikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, and.
Jürgen RechDepartment of Internal Medicine 3-Rheumatology and Immunology.
Andreas RammingDepartment of Internal Medicine 3-Rheumatology and Immunology.
Steffen UebeInstitute of Human Genetics, FAU and Universitätsklinikum Erlangen, Erlangen, Germany.
Arif EkiciInstitute of Human Genetics, FAU and Universitätsklinikum Erlangen, Erlangen, Germany.
Juan D CañeteDepartamento de Reumatología, Hospital Clínic de Barcelona e IDIBAPS, Barcelona, Spain.
Xiaoxiang ChenDepartment of Rheumatology, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tobias BäuerleInstitute of Radiology, Preclinical Imaging Platform Erlangen (PIPE).
Julio VeraLaboratory of Systems Tumor Immunology, Department of Dermatology.
Christian BogdanMikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, and.
Georg SchettDepartment of Internal Medicine 3-Rheumatology and Immunology.
Aline BozecDepartment of Internal Medicine 3-Rheumatology and Immunology.
Center for Rheumatology · USInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DEJilin Province Tumor Hospital · CNResearch Institute of Radiology · BYUniversitätsklinikum Erlangen · DEHospital Clínic de Barcelona · ESShanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The polarization of macrophages is regulated by transcription factors such as nuclear factor kappa B (NF-κB) and activator protein 1 (AP-1). In this manuscript, we delineated the role of the transcription factor Fos-related antigen 1 (Fra-1) during macrophage activation and development of arthritis. Network level interaction analysis of microarray data derived from Fra-1- or Fra-2-deficient macrophages revealed a central role of Fra-1, but not of Fra-2 in orchestrating the expression of genes related to wound response, toll-like receptor activation and interleukin signaling. Chromatin-immunoprecipitation (ChIP)-sequencing and standard ChIP analyses of macrophages identified arginase 1 (Arg1) as a target of Fra-1. Luciferase reporter assays revealed that Fra-1 down-regulated Arg1 expression by direct binding to the promoter region. Using macrophage-specific Fra-1- or Fra-2- deficient mice, we observed an enhanced expression and activity of Arg1 and a reduction of arthritis in the absence of Fra-1, but not of Fra-2. This phenotype was reversed by treatment with the arginase inhibitor Nω-hydroxy-nor-L-arginine, while ʟ-arginine supplementation increased arginase activity and alleviated arthritis, supporting the notion that reduced arthritis in macrophage-specific Fra-1-deficient mice resulted from enhanced Arg1 expression and activity. Moreover, patients with active RA showed increased Fra-1 expression in the peripheral blood and elevated Fra-1 protein in synovial macrophages compared to RA patients in remission. In addition, the Fra-1/ARG1 ratio in synovial macrophages was related to RA disease activity. In conclusion, these data suggest that Fra-1 orchestrates the inflammatory state of macrophages by inhibition of Arg1 expression and thereby impedes the resolution of inflammation.

Indexed as

Arthritis, RheumatoidGene Expression Regulation, EnzymologicAnimalsArginaseFos-Related Antigen 1Fos-Related Antigen-2HumansMacrophagesMaleMiceMice, TransgenicProto-Oncogene Proteins c-fosSynovial MembraneARG1 protein, humanArg1 protein, mouseArginaseFOSL2 protein, humanFosl2 protein, mouseFos-Related Antigen 1Fos-Related Antigen-2Proto-Oncogene Proteins c-fosArthritisCell BiologyInflammationMacrophages

Identifiers

PMID30990796
PMCPMC6597220
OpenAlexW2939367418

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Registered trials

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.