Evidence map›Paper›PMID 34423918›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2022

Association of Increased Serum Lipopolysaccharide, But Not Microbial Dysbiosis, With Obesity-Related Osteoarthritis.

Richard F Loeser, Liubov Arbeeva, Kathryn Kelley, Anthony A Fodor, Shan Sun, Veronica Ulici, Lara Longobardi, Yang Cui, Delisha A Stewart, Susan J Sumner and 6 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 6% 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

55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  11. DNA From Neutrophil Extracellular Traps Restricts Group 3 Innate Lymphoid Cells Function in Intestinal Epithelial Repair via CCDC25.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. The gut-joint axis in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  13. Article
  14. Osteoarthritis as a systemic disease.Nature reviews. Rheumatology · 2026
    Review
  15. Article
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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

16 authors at 2 institutions in 1 country.

Richard F LoeserUniversity of North Carolina School of Medicine, Chapel Hill.ORCID 0000-0003-2832-6144
Liubov ArbeevaUniversity of North Carolina School of Medicine, Chapel Hill.ORCID 0000-0001-5004-419X
Kathryn KelleyUniversity of North Carolina School of Medicine, Chapel Hill.
Anthony A FodorUniversity of North Carolina, Charlotte.
Shan SunUniversity of North Carolina, Charlotte.
Veronica UliciUniversity of North Carolina School of Medicine, Chapel Hill.
Lara LongobardiUniversity of North Carolina School of Medicine, Chapel Hill.ORCID 0000-0002-0156-847X
Yang CuiUniversity of North Carolina School of Medicine, Chapel Hill.
Delisha A StewartUniversity of North Carolina, Chapel Hill.
Susan J SumnerUniversity of North Carolina, Chapel Hill.
M Andrea Azcarate-PerilUniversity of North Carolina School of Medicine, Chapel Hill.
R Balfour SartorUniversity of North Carolina School of Medicine, Chapel Hill.
Ian M CarrollUniversity of North Carolina, Chapel Hill.
Jordan B RennerUniversity of North Carolina School of Medicine, Chapel Hill.
Joanne M JordanUniversity of North Carolina School of Medicine, Chapel Hill.
Amanda E NelsonUniversity of North Carolina School of Medicine, Chapel Hill.
University of North Carolina at Chapel Hill · USUniversity of North Carolina at Charlotte · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
National Gnotobiotic Rodent Resource CenterP40OD010995 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ryan B Sartor · 2012 to 2026
$9.7M
UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2019 to 2026
$6.1M
Johnston County Osteoarthritis Project: Arthritis, Disability, and Other Chronic DiseasesU01DP006266 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NELSON, AMANDA E · 2016 to 2020
$3.8M
ACL HHS U01DP006266ARTHFNCDC HHS U01-DP-006266NCATS NIH HHS UL1 TR002489NCATS NIH HHS UL1-TR-002489NCCDPHP CDC HHS U01 DP006266NIAMS NIH HHS P30 AR072580NIAMS NIH HHS P30-AR-072580NIDDK NIH HHS P30 DK034987NIDDK NIH HHS P30-DK-034987NIDDK NIH HHS P30 DK056350NIDDK NIH HHS P30-DK-056350NIH HHS P40 OD010995Nutrition Obesity Resource Core of the National Institute of Diabetes and Digestive and Kidney Diseases P30-DK-056350Office of the Director, NIH P40-OD-010995
6 · The paper itself

Abstract

objectiveTo test the hypothesis that an altered gut microbiota (dysbiosis) plays a role in obesity-associated osteoarthritis (OA).

methodsStool and blood samples were collected from 92 participants with a body mass index (BMI) ≥30 kg/m

resultsOn average, OA patients were slightly older than the controls, consisted of more women, and had a higher mean BMI, higher mean Western Ontario and McMaster Universities Osteoarthritis Index pain score, and higher mean K/L grade. There were no significant differences in α- or β-diversity or genus level composition between patients and controls. Patients had higher plasma levels of osteopontin (P = 0.01) and serum LPS (P < 0.0001) compared to controls. Mice transplanted with patient or control microbiota exhibited a significant difference in α-diversity (P = 0.02) and β-diversity, but no differences in OA severity were observed.

conclusionThe lack of differences in the gut microbiota, but increased serum LPS levels, suggest the possibility that increased intestinal permeability allowing for greater absorption of LPS, rather than a dysbiotic microbiota, may contribute to the development of OA associated with obesity.

Indexed as

AnimalsDysbiosisFecesHumansLipopolysaccharidesMaleMiceMice, Inbred C57BLObesityOsteoarthritis, KneeLipopolysaccharides

Identifiers

PMID34423918
PMCPMC8795472
OpenAlexW3195988085

What OpenQuestion holds

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Read underepoch 390

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.