Evidence map›Paper›PMID 35056068›Full record

ReviewPharmaceuticals (Basel, Switzerland)2021

Treatment of Cardiovascular Disease in Rheumatoid Arthritis: A Complex Challenge with Increased Atherosclerotic Risk.

Saba Ahmed, Benna Jacob, Steven E Carsons, Joshua De Leon, Allison B Reiss

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceuticals (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 28 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

5 authors at 1 institution in 1 country.

Saba AhmedDepartment of Medicine and Biomedical Research Institute, NYU Long Island School of Medicine and NYU Langone Hospital, Long Island, Mineola, NY 11501, USA.
Benna JacobDepartment of Medicine and Biomedical Research Institute, NYU Long Island School of Medicine and NYU Langone Hospital, Long Island, Mineola, NY 11501, USA.
Steven E CarsonsDepartment of Medicine and Biomedical Research Institute, NYU Long Island School of Medicine and NYU Langone Hospital, Long Island, Mineola, NY 11501, USA.
Joshua De LeonDepartment of Medicine and Biomedical Research Institute, NYU Long Island School of Medicine and NYU Langone Hospital, Long Island, Mineola, NY 11501, USA.
Allison B ReissDepartment of Medicine and Biomedical Research Institute, NYU Long Island School of Medicine and NYU Langone Hospital, Long Island, Mineola, NY 11501, USA.ORCID 0000-0002-4478-2441
Biomedical Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) carries significant risk for atherosclerotic cardiovascular disease (ASCVD). Traditional ASCVD risk factors fail to account for this accelerated atherosclerosis. Shared inflammatory pathways are fundamental in the pathogenesis of both diseases. Considering the impact of RA in increasing cardiovascular morbidity and mortality, the characterization of therapies encompassing both RA and ASCVD management merit high priority. Despite little progress, several drugs discussed here promote remission and or lower rheumatoid disease activity while simultaneously conferring some level of atheroprotection. Methotrexate, a widely used disease-modifying drug used in RA, is associated with significant reduction in cardiovascular adverse events. MTX promotes cholesterol efflux from macrophages, upregulates free radical scavenging and improves endothelial function. Likewise, the sulfonamide drug sulfasalazine positively impacts the lipid profile by increasing HDL-C, and its use in RA has been correlated with reduced risk of myocardial infraction. In the biologic class, inhibitors of TNF-α and IL-6 contribute to improvements in endothelial function and promote anti-atherogenic properties of HDL-C, respectively. The immunosuppressant hydroxychloroquine positively affects insulin sensitization and the lipid profile. While no individual therapy has elicited optimal atheroprotection, further investigation of combination therapies are ongoing.

Indexed as

ABC transportersatherosclerosischolesterolcytokineshydoxychloroquinemethotrexaterheumatoid arthritisTNF-α

Identifiers

PMID35056068
PMCPMC8778152
OpenAlexW4200454701

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.