Evidence map›Paper›PMID 35163417›Full record

ReviewInternational journal of molecular sciences2022

The Association between Gut Microbiota and Osteoarthritis: Does the Disease Begin in the Gut?

Luciano C Ramires, Gabriel Silva Santos, Rafaela Pereira Ramires, Lucas Furtado da Fonseca, Madhan Jeyaraman, Sathish Muthu, Anna Vitória Lana, Gabriel Azzini, Curtis Scott Smith, José Fábio Lana

Registry-linked trialAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06791993 (Impact of Probiotics Combined with Antibiotic Prophylaxis on Gut Microbiome Balance in Patients Undergoing Elective Orthopedic Surgery, Double-Blinded Randomized Controlled Trial), which is not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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.

NCT06791993 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Probiotics Combined with Antibiotic Prophylaxis on Gut Microbiome Balance in Patients Undergoing Elective Orthopedic Surgery, Double-Blinded Randomized Controlled Trial

TypeinterventionalSponsorAcibadem Maslak HospitalRan2025 to 2025Enrolled60ConditionsDysbiosis, Gut -microbiota, Microbiome Analysis, ProbioticArmsPlacebo Capsule, Probiotic with Human Milk Oligosaccharides (HMO)
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Heat-TreatedCells · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Analysis of gut microbiota characteristics in osteoarthritis patients.Frontiers in cellular and infection microbiology · 2026
    Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Cross-talks between osteoporosis and gut microbiome.World journal of orthopedics · 2025
    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

10 authors.

Luciano C RamiresDepartment of Orthopaedics and Sports Medicine, Mãe de Deus Hospital, Porto Alegre 90110-270, RS, Brazil.ORCID 0000-0001-9268-5120
Gabriel Silva SantosDepartment of Orthopaedics, The Bone and Cartilage Institute, Indaiatuba 13334-170, SP, Brazil.ORCID 0000-0002-0549-6821
Rafaela Pereira RamiresDepartment of Biology, Cellular, Molecular and Biomedical Science, Boise State University, 1910 W University Drive, Boise, ID 83725, USA.ORCID 0000-0001-6577-0012
Lucas Furtado da FonsecaDepartment of Orthopaedics, The Federal University of São Paulo, São Paulo 04024-002, SP, Brazil.ORCID 0000-0001-6497-833X
Madhan JeyaramanDepartment of Orthopaedics, Faculty of Medicine, Sri Lalithambigai Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai 600095, Tamil Nadu, India.ORCID 0000-0002-9045-9493
Sathish MuthuDepartment of Orthopaedics, Government Medical College and Hospital, Dindigul 624304, Tamil Nadu, India.ORCID 0000-0002-7143-4354
Anna Vitória LanaDepartment of Medicine, Max Planck University Center, Indaiatuba 13343-060, SP, Brazil.
Gabriel AzziniDepartment of Orthopaedics, The Bone and Cartilage Institute, Indaiatuba 13334-170, SP, Brazil.
Curtis Scott SmithDepartment of Medicine, University of Washington School of Medicine, Seattle, WA 83703, USA.ORCID 0000-0003-4556-2923
José Fábio LanaDepartment of Orthopaedics, The Bone and Cartilage Institute, Indaiatuba 13334-170, SP, Brazil.ORCID 0000-0002-2330-3982

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Some say that all diseases begin in the gut. Interestingly, this concept is actually quite old, since it is attributed to the Ancient Greek physician Hippocrates, who proposed the hypothesis nearly 2500 years ago. The continuous breakthroughs in modern medicine have transformed our classic understanding of the gastrointestinal tract (GIT) and human health. Although the gut microbiota (GMB) has proven to be a core component of human health under standard metabolic conditions, there is now also a strong link connecting the composition and function of the GMB to the development of numerous diseases, especially the ones of musculoskeletal nature. The symbiotic microbes that reside in the gastrointestinal tract are very sensitive to biochemical stimuli and may respond in many different ways depending on the nature of these biological signals. Certain variables such as nutrition and physical modulation can either enhance or disrupt the equilibrium between the various species of gut microbes. In fact, fat-rich diets can cause dysbiosis, which decreases the number of protective bacteria and compromises the integrity of the epithelial barrier in the GIT. Overgrowth of pathogenic microbes then release higher quantities of toxic metabolites into the circulatory system, especially the pro-inflammatory cytokines detected in osteoarthritis (OA), thereby promoting inflammation and the initiation of many disease processes throughout the body. Although many studies link OA with GMB perturbations, further research is still needed.

Indexed as

DysbiosisIntestinal MucosaOsteoarthritisAnimalsGastrointestinal MicrobiomeHumansgut microbiotametabolic syndromeosteoarthritissystemic inflammation

Identifiers

PMID35163417
PMCPMC8835947

What OpenQuestion holds

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Registered trials

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.