Evidence map›Paper›PMID 34402961›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2021

Metabolomics profiling predicts outcome of tocilizumab in rheumatoid arthritis: an exploratory study.

Jessica D Murillo-Saich, Cesar Diaz-Torne, M Angeles Ortiz, Roxana Coras, Paulo Gil-Alabarse, Anders Pedersen, Hector Corominas, Silvia Vidal, Monica Guma

Abstract read
In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Emerging Therapeutics in Rheumatoid Arthritis.Current rheumatology reports · 2026
    Review
  5. Metabolomics: A Viable Approach to Understand the Pathogenesis of Reactive ArthritisEndocrine, metabolic & immune disorders drug targets · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Towards Personalized Medicine in Rheumatoid Arthritis.Open access rheumatology : research and reviews · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
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

9 authors.

Jessica D Murillo-SaichDepartment of Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA.ORCID 0000-0002-1169-2888
Cesar Diaz-TorneGroup of Inflammatory Diseases, Institute Rec. Hospital de la Santa Creu I Sant Pau, Carrer de Sant Quintí, 89, 08041, Barcelona, Spain.ORCID 0000-0001-6275-7699
M Angeles OrtizGroup of Inflammatory Diseases, Institute Rec. Hospital de la Santa Creu I Sant Pau, Carrer de Sant Quintí, 89, 08041, Barcelona, Spain.ORCID 0000-0002-1574-9861
Roxana CorasDepartment of Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA.ORCID 0000-0001-9547-218X
Paulo Gil-AlabarseVA San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA.ORCID 0000-0002-9721-9302
Anders PedersenSwedish NMR Centre, University of Gothenburg, Medicinaregatan 5C, 413 90, Gothenburg, Sweden.ORCID 0000-0001-8704-5129
Hector CorominasGroup of Inflammatory Diseases, Institute Rec. Hospital de la Santa Creu I Sant Pau, Carrer de Sant Quintí, 89, 08041, Barcelona, Spain.ORCID 0000-0002-7738-6787
Silvia VidalGroup of Inflammatory Diseases, Institute Rec. Hospital de la Santa Creu I Sant Pau, Carrer de Sant Quintí, 89, 08041, Barcelona, Spain. SVidal@santpau.cat.ORCID 0000-0002-3909-6682
Monica GumaDepartment of Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA. mguma@health.ucsd.edu.ORCID 0000-0003-1951-9411

Funding

Rheumatic Diseases Research Training GrantT32AR064194 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GARY S FIRESTEIN, Monica Guma · 2013 to 2026
$3.8M
Targeting hexokinase-2 in rheumatoid arthritisR01AR073324 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GUMA, MONICA · 2018 to 2022
$2.4M
NIAMS NIH HHS R01 AR073324NIAMS NIH HHS T32 AR064194NIH HHS R01AR073324NIH HHS T32AR064194
6 · The paper itself

Abstract

introductionTo study metabolic signatures can be used to identify predictive biomarkers for a patient's therapeutic response.

objectivesWe hypothesized that the characterization of a patients' metabolic profile, utilizing one-dimensional nuclear magnetic resonance (

methods40 active RA patients meeting the 2010 ACR/EULAR classification criteria initiating treatment with tocilizumab were recruited. Clinical outcomes were determined at baseline, and after six and twelve months of treatment. EULAR response criteria at 6 and 12 months to categorize patients as responders and non-responders. Blood was collected at baseline and after six months of tocilizumab therapy.

resultsIsobutyrate, 3-hydroxybutyrate, lysine, phenylalanine, sn-glycero-3-phosphocholine, tryptophan and tyrosine were significantly elevated in responders at the baseline. OPLS-DA at baseline partially discriminated between RA responders and non-responders. A multivariate diagnostic model showed that concentrations of 3-hydroxybutyrate and phenylalanine improved the ability to specifically predict responders classifying 77.1% of the patients correctly. At 6 months, levels of methylamine, sn-glycero-3-phosphocholine and tryptophan tended to still be low in non-responders.

conclusionThe relationship between plasma metabolic profiles and the clinical response to tocilizumab suggests that

Indexed as

Antirheumatic AgentsArthritis, Rheumatoid3-Hydroxybutyric AcidAntibodies, Monoclonal, HumanizedHumansMetabolomicsPhenylalaninePhosphorylcholineTryptophan3-Hydroxybutyric AcidAntibodies, Monoclonal, HumanizedAntirheumatic AgentsPhenylalaninePhosphorylcholinetocilizumabTryptophanMetabolomic profilingNMRRheumatoid arthritisTherapeutic responseTocilizumab

Identifiers

PMID34402961
PMCPMC8810395

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.