Evidence map›Paper›PMID 35670881›Full record

ArticleClinical rheumatology2022

Osteoporosis in patients with rheumatoid arthritis is associated with serum immune regulatory cellular factors.

Jianjun Qiu, Chunde Lu, Lei Zhang, Xu Zhou, Hanlin Zou

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Bone Health in Rheumatoid Arthritis: An Update.Current rheumatology reports · 2026
    Review
  3. Osteoporosis in rheumatoid arthritis: a new perspective on risk factors and clinical prediction models.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Is there a role for essential fatty acids in osteoporosis?European journal of clinical nutrition · 2024
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Risk Genetic Variants (Journal of inflammation research · 2023
    Article
  14. Article
  15. Mechanisms of Systemic Osteoporosis in Rheumatoid Arthritis.International journal of molecular sciences · 2022
    Review
  16. 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

5 authors at 2 institutions in 1 country.

Jianjun Qiu *Department of Orthopedics, Shanghai Putuo District Central Hospital, No. 164, Lanxi Road, Putuo District, Shanghai, 200062, People's Republic of China.
Chunde Lu *Department of Orthopedics, Shanghai Jiangong Hospital, Shanghai, 200083, People's Republic of China.
Lei ZhangDepartment of Orthopedics, Shanghai Putuo District Central Hospital, No. 164, Lanxi Road, Putuo District, Shanghai, 200062, People's Republic of China.
Xu ZhouDepartment of Orthopedics, Shanghai Putuo District Central Hospital, No. 164, Lanxi Road, Putuo District, Shanghai, 200062, People's Republic of China. blntzfhj676@163.com.
Hanlin ZouDepartment of Orthopedics, Shanghai Putuo District Central Hospital, No. 164, Lanxi Road, Putuo District, Shanghai, 200062, People's Republic of China. zouhanlin1111@163.com.ORCID http://orcid.org/0000-0003-3243-6303
Central Hospital of Putuo District · CNNanjing Jiangning Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoporosis (OP) is a comorbidity of rheumatoid arthritis (RA) that largely causes disability. This study discussed the expression patterns of serum immunoregulatory factors and their clinical significance in RA patients complicated with OP.

methodsA total of 116 RA patients were enrolled. Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry to allocate patients to OP group (N = 62) and non-OP group (N = 54). CRP, rheumatoid factor, IgG, IgA, and IgM were detected using rate nephelometry. Erythrocyte sedimentation rate (ESR) and bone metabolic indexes were detected using Microsed automatic ESR analyzer and Cobas e601 automated immunoassay systems and reagents. IL-17, IL-6, TNF-α, IL-10, and IL-4 levels were determined using ELISA kit and their prediction values on OP were analyzed using the ROC curve. Influencing factors of OP incidence were analyzed using logistic regression model.

resultsRA patients with OP showed increased age, disease course, tender and swollen joints, ESR, CRP, DAS28 scores, β-CTX, IL-17, IL-6, and TNF-α, and decreased 25(OH)D3, IL-10, and IL-4. DAS28 was positively correlated with IL-17, IL-6, and TNF-α, and negatively correlated with IL-10 and IL-4. DAS28, IL-17, IL-10, and IL-4 were independently correlated with OP in RA patients. The combination of DAS28, IL-17, IL-10, and IL-4 can better predict the incidence of OP complication in RA patients.

conclusionIL-17, IL-6, TNF-α, IL-10, and IL-4 were associated with disease activity of RA patients complicated with OP. A combination of DAS28, IL-17, IL-10, and IL-4 might predict OP incidence in RA patients.

Indexed as

Arthritis, RheumatoidOsteoporosisHumansInterleukin-10Interleukin-17Interleukin-4Interleukin-6Tumor Necrosis Factor-alphaInterleukin-10Interleukin-17Interleukin-4Interleukin-6Tumor Necrosis Factor-alpha28-joint disease activity scoreBone mineral densityCorrelationDisease activityImmunoregulatory factorsOsteoporosisReceiver operating characteristic curveRheumatoid arthritis

Identifiers

PMID35670881
OpenAlexW4281976996

What OpenQuestion holds

Textmetadata
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.