Evidence map›Paper›PMID 34834246›Full record

ReviewPharmaceutics2021

Chronobiology and Chronotherapy in Inflammatory Joint Diseases.

Francesco Ursini, Alfredo De Giorgi, Martina D'Onghia, Roberto De Giorgio, Fabio Fabbian, Roberto Manfredini

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 26 citations in OpenAlex.

  1. Circadian Modulation of the Antioxidant Effect of Grape Consumption: A Randomized Controlled Trial.International journal of environmental research and public health · 2023
    Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. The clinical impact of chronopharmacology on current medicine.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. [Diurnal differences in acute gout attacks: A clinical study of male gout patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  14. Circadian Regulation of Macrophages and Osteoclasts in Rheumatoid Arthritis.International journal of molecular sciences · 2023
    Review
  15. Hair Follicles as a Critical Model for Monitoring the Circadian Clock.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Biological rhythms and epilepsy treatment.Frontiers in neurology · 2023
    Review
  18. Article
  19. Review
  20. Article
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

6 authors at 2 institutions in 1 country.

Francesco UrsiniMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Alfredo De GiorgiClinica Medica Unit, Department of Medical Sciences, University of Ferrara, via L. Borsari 47, 44121 Ferrara, Italy.
Martina D'OnghiaMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Roberto De GiorgioInternal Medicine II Unit, Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-0867-5873
Fabio FabbianClinica Medica Unit, Department of Medical Sciences, University of Ferrara, via L. Borsari 47, 44121 Ferrara, Italy.ORCID 0000-0001-5189-3695
Roberto ManfrediniClinica Medica Unit, Department of Medical Sciences, University of Ferrara, via L. Borsari 47, 44121 Ferrara, Italy.ORCID 0000-0002-8364-2601
University of Ferrara · ITIstituto Ortopedico Rizzoli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circadian rhythm perturbations can impact the evolution of different conditions, including autoimmune diseases. This narrative review summarizes the current understanding of circadian biology in inflammatory joint diseases and discusses the potential application of chronotherapy. Proinflammatory cytokines are key players in the development and progression of rheumatoid arthritis (RA), regulating cell survival/apoptosis, differentiation, and proliferation. The production and secretion of inflammatory cytokines show a dependence on the human day-night cycle, resulting in changing cytokine plasma levels over 24 h. Moreover, beyond the circadian rhythm of cytokine secretion, disturbances in timekeeping mechanisms have been proposed in RA. Taking into consideration chronotherapy concepts, modified-release (MR) prednisone tablets have been introduced to counteract the negative effects of night-time peaks of proinflammatory cytokines. Low-dose MR prednisone seems to be able to improve the course of RA, reduce morning stiffness and morning serum levels of IL-6, and induce significant clinical benefits. Additionally, methotrexate (MTX) chronotherapy has been reported to be associated with a significant improvement in RA activity score. Similar effects have been described for polymyalgia rheumatica and gout, although the available literature is still limited. Growing knowledge of chronobiology applied to inflammatory joint diseases could stimulate the development of new drug strategies to treat patients in accordance with biological rhythms and minimize side effects.

Indexed as

chronobiologychronotherapyinflammatory joint diseases

Identifiers

PMID34834246
PMCPMC8621834
OpenAlexW3208163174

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.