Evidence map›Paper›PMID 33320289›Full record

ArticleZeitschrift fur Rheumatologie2022

Comparison of therapeutic efficacy and mechanism of paclitaxel alone or in combination with methotrexate in a collagen-induced arthritis rat model.

Z Sheng, J Zeng, W Huang, L Li, B Li, C Lv, F Yan

Abstract read
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In one paragraph

Article in Zeitschrift fur Rheumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Z ShengDepartment of Traditional Chinese Medicine, Liuzhou People's Hospital, No. 8 Wenchang Road, 545006, Liuzhou, Guangxi, China. xiaos0@yeah.net.
J ZengDepartment of Traditional Chinese Medicine, Liuzhou People's Hospital, No. 8 Wenchang Road, 545006, Liuzhou, Guangxi, China.
W HuangClass 3, Grade 2017, the First Clinical Medical Graduate School, Guangxi University of Traditional Chinese Medicine, 530001, Nanning, Guangxi, China.
L LiClass 3, Grade 2018, the First Clinical Medical Graduate School, Guangxi University of Traditional Chinese Medicine, Guangxi, 530001, Nanning, China.
B LiClass 3, Grade 2017, the First Clinical Medical Graduate School, Guangxi University of Traditional Chinese Medicine, 530001, Nanning, Guangxi, China.
C LvClass 3, Grade 2017, the First Clinical Medical Graduate School, Guangxi University of Traditional Chinese Medicine, 530001, Nanning, Guangxi, China.
F YanClass 3, Grade 2017, the First Clinical Medical Graduate School, Guangxi University of Traditional Chinese Medicine, 530001, Nanning, Guangxi, China.
Guangxi University of Chinese Medicine · CNLiuzhou General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the therapeutic efficacy of paclitaxel (PTX) alone to its combination with methotrexate (MTX) on rheumatoid arthritis.

methodsA collagen-induced arthritis (CIA) rat model was established by induction of type II collagen. Rats were divided into blank control group, CIA model group, MTX group 1 mg/kg, PTX 1.5 mg/kg, PTX 2.5 mg/kg, PTX 3.5 mg/kg, and MTX 1 mg/kg + PTX 3.5 mg/kg, with 10 rats per group. The inflammation of the ankle joint was analyzed by H&E staining and interleukin (IL)-1β and IL‑6 expression was detected by immunohistochemistry. TUNEL assay was performed to detect synovial tissue cell apoptosis after administration of PTX and MTX either alone or in combination. TLR4 and p‑NF-κBp65 protein expression in synovial tissue and the changes of serum IL‑1β, IL‑6, IL‑12, MMP‑3, and TNFα protein factors were detected by western blot and ELISA, respectively.

resultsPTX and MTX improved histopathological changes in CIA rats. Besides, the apoptosis rate of synovial tissue cells in the PTX 3.5 mg/kg group was more than that of the PTX + MTX group. Immunohistochemistry and western blot results indicated that PTX and MTX reduce the expression rate of IL‑6 and IL‑1β and downregulate TLR4 and p‑NF-κBp65 protein expression. Furthermore, TLR4 and p‑NF-κBp65 reduced the concentration of MMP‑3, IL‑12, IL‑6, IL1‑β, and TNFα.

conclusionBoth PTX and MTX exert significant suppression on rheumatoid arthritis, and the combined effect of the two drugs is weaker than that of PTX alone. Moreover, intraperitoneal injection of PTX 3.5 mg/kg every other day was the optimal dose observed in this study.

Indexed as

Arthritis, ExperimentalArthritis, RheumatoidAnimalsMethotrexatePaclitaxelRatsSynovial MembraneMethotrexatePaclitaxelCombination therapyp‑NF-κBp65Rheumatoid arthritisTLR4Type II collagen

Identifiers

PMID33320289
OpenAlexW3111724787

What OpenQuestion holds

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Registered trials

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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.