Evidence map›Paper›PMID 35052724›Full record

ReviewBiomedicines2021

Restoring the Balance between Pro-Inflammatory and Anti-Inflammatory Cytokines in the Treatment of Rheumatoid Arthritis: New Insights from Animal Models.

Adrienn Markovics, Ken S Rosenthal, Katalin Mikecz, Roy E Carambula, Jason C Ciemielewski, Daniel H Zimmerman

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  12. Effects and molecular mechanisms ofFrontiers in pharmacology · 2025
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  15. Differences in IDO1Frontiers in immunology · 2024
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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

6 authors at 3 institutions in 1 country.

Adrienn MarkovicsDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA.
Ken S RosenthalDepartment of Basic Sciences, Augusta University/University of Georgia Medical Partnership, Athens, GA 30602, USA.
Katalin MikeczDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA.
Roy E CarambulaCEL-SCI Corporation, Vienna, VA 22182, USA.ORCID 0000-0002-2693-0287
Jason C CiemielewskiCEL-SCI Corporation, Vienna, VA 22182, USA.ORCID 0000-0003-4847-9738
Daniel H ZimmermanCEL-SCI Corporation, Vienna, VA 22182, USA.
Cel-Sci (United States) · USRush University Medical Center · USUniversity of Georgia · US

Funding

Identification of Genetic and Epigenetic Alterations in SpondyloarthritisR01AR062991 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MIKECZ, KATALIN · 2013 to 2017
$1.6M
Immune Recognition of Citrullinated Cartilage PG Aggrecan in Autoimmune ArthritisR01AR064206 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MIKECZ, KATALIN · 2013 to 2017
$1.6M
Preclinical studies of PG70 LEAPS peptide vaccines for rheumatoid arthritisR44AR063504 · NIAMS · CEL-SCI CORPORATION · PI ZIMMERMAN, DANIEL HILL · 2017 to 2018
$1.5M
Preclinical Studies of PG70 LEAPS Peptide Vaccines for Rheumatoid ArthritisR43AR063504 · NIAMS · CEL-SCI CORPORATION · PI ZIMMERMAN, DANIEL HILL · 2014 to 2014
$225k
NIAMS NIH HHS R01 AAR062991NIAMS NIH HHS R01 AR064206NIAMS NIH HHS R43 AR063504NIAMS NIH HHS R44 AR063504-02A1
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) and other autoimmune inflammatory diseases are examples of imbalances within the immune system (disrupted homeostasis) that arise from the effects of an accumulation of environmental and habitual insults over a lifetime, combined with genetic predispositions. This review compares current immunotherapies-(1) disease-modifying anti-rheumatic drugs (DMARDs) and (2) Janus kinase (JAK) inhibitors (jakinibs)-to a newer approach-(3) therapeutic vaccines (using the LEAPS vaccine approach). The Ligand Epitope Antigen Presentation System (LEAPS) therapies are capable of inhibiting ongoing disease progression in animal models. Whereas DMARDs ablate or inhibit specific proinflammatory cytokines or cells and jakinibs inhibit the receptor activation cascade for expression of proinflammatory cytokines, the LEAPS therapeutic vaccines specifically modulate the ongoing antigen-specific, disease-driving, proinflammatory T memory cell responses. This decreases disease presentation and changes the cytokine conversation to decrease the expression of inflammatory cytokines (IL-17, IL-1(α or β), IL-6, IFN-γ, TNF-α) while increasing the expression of regulatory cytokines (IL-4, IL-10, TGF-β). This review refocuses the purpose of therapy for RA towards rebalancing the immune system rather than compromising specific components to stop disease. This review is intended to be thought provoking and look forward towards new therapeutic modalities rather than present a final definitive report.

Indexed as

aggrecan)animal modelsanti-inflammatorycollagen-induced arthritiscytokinesimmunotherapyinflammatorypeptide vaccinePG G1 domain-induced arthritisproteo-glycan (PGrheumatoid arthritis

Identifiers

PMID35052724
PMCPMC8772713
OpenAlexW4200008061

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.