Evidence map›Paper›PMID 32157196›Full record

ReviewNature reviews. Rheumatology2020

Pharmacomicrobiomics in inflammatory arthritis: gut microbiome as modulator of therapeutic response.

Jose U Scher, Renuka R Nayak, Carles Ubeda, Peter J Turnbaugh, Steven B Abramson

Open access · greenAbstract readComparative StudyReview
In one paragraph

Review in Nature reviews. Rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Intestinal microbiota and arthritis.EULAR rheumatology open · 2026
    Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Microbial threads in the tapestry of rheumatoid arthritis.The Journal of clinical investigation · 2025
    Review
  13. Observational
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

12 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

5 authors at 3 institutions in 2 countries.

Jose U ScherDepartment of Medicine, Division of Rheumatology, New York University Langone Health, New York, NY, USA. jose.scher@nyulangone.org.ORCID http://orcid.org/0000-0002-1072-6994
Renuka R NayakRheumatology Division, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Carles UbedaCentro Superior de Investigacion en Salud Publica - FISABIO, Valencia, Spain.
Peter J TurnbaughDepartment of Microbiology & Immunology, University of California, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-0888-2875
Steven B AbramsonDepartment of Medicine, Division of Rheumatology, New York University Langone Health, New York, NY, USA.
NYU Langone Health · USUniversity of California, San Francisco · USFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ES

Funding

Predicting and preventing drug metabolism by the human gut microbiomeR01HL122593 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Peter James Turnbaugh · 2016 to 2026
$5.7M
Employing the gut microbiome to accelerate effective initiation of rheumatoid arthritis therapyR01AR074500 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Renuka Rajendra Nayak, Jose U. Scher · 2019 to 2026
$4.1M
The impact of the gut microbiome on rheumatoid arthritis treatmentK08AR073930 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAYAK, RENUKA RAJENDRA · 2018 to 2022
$981k
Human Gut Microbiome as Modulator of Drug Response in Inflammatory ArthritisR03AR072182 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHER, JOSE U. · 2017 to 2018
$170k
NHLBI NIH HHS R01 HL122593NIAMS NIH HHS K08 AR073930NIAMS NIH HHS R01 AR074500NIAMS NIH HHS R03 AR072182
6 · The paper itself

Abstract

In the past three decades, extraordinary advances have been made in the understanding of the pathogenesis of, and treatment options for, inflammatory arthritides, including rheumatoid arthritis and spondyloarthritis. The use of methotrexate and subsequently biologic therapies (such as TNF inhibitors, among others) and oral small molecules have substantially improved clinical outcomes for many patients with inflammatory arthritis; for others, however, these agents do not substantially improve their symptoms. The emerging field of pharmacomicrobiomics, which investigates the effect of variations within the human gut microbiome on drugs, has already provided important insights into these therapeutics. Pharmacomicrobiomic studies have demonstrated that human gut microorganisms and their enzymatic products can affect the bioavailability, clinical efficacy and toxicity of a wide array of drugs through direct and indirect mechanisms. This discipline promises to facilitate the advent of microbiome-based precision medicine approaches in inflammatory arthritis, including strategies for predicting response to treatment and for modulating the microbiome to improve response to therapy or reduce drug toxicity.

Indexed as

AnimalsAntirheumatic AgentsArthritis, RheumatoidAutoimmunityBiological AvailabilityGastrointestinal MicrobiomeHumansMethotrexateMicePrecision MedicineSpondylarthritisTumor Necrosis Factor InhibitorsAntirheumatic AgentsMethotrexateTumor Necrosis Factor Inhibitors

Identifiers

PMID32157196
PMCPMC11221369
OpenAlexW3011806602

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.