Evidence map›Paper›PMID 36918228›Full record

ArticleRMD open2023

Oxidative stress involves phenotype modulation of morbid soreness symptoms in fibromyalgia.

Chih-Hsien Hung, Ming-Hsien Tsai, Po-Sheng Wang, Fu-Wen Liang, Chung-Yao Hsu, Kuo-Wei Lee, Yi-On Fong, Der-Sheng Han, Cheng-Han Lee, Chiou-Lian Lai and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04832100 (A Clinical Approach to Validate the Biological Significance of LPC16), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 15% 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.

NCT04832100 recruitingnot on this map

A Clinical Approach to Validate the Biological Significance of LPC16:0 as a Discriminating and Pathogenic Biomarker of Fibromyalgia

TypeobservationalSponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2021 to 2027Enrolled245ConditionsFibromyalgia, Primary, Pain, Soreness, Muscle, Oxidative StressArmsPregabalin 150mg, imipramine 25mg
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. When sng meets acupuncture -- a paradigm-shift biomarker for translational research.Journal of traditional and complementary medicine · 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

11 authors at 5 institutions in 1 country.

Chih-Hsien HungDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.ORCID 0000-0002-3740-0054
Ming-Hsien TsaiDepartment of Child Care, National Pingtung University of Science and Technology, Pingtung, Taiwan.
Po-Sheng WangDepartment of Nutrition and Health Sciences, Fooyin University, Kaohsiung, Taiwan.
Fu-Wen LiangDepartment of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chung-Yao HsuDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kuo-Wei LeeDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Yi-On FongDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Der-Sheng HanDepartment of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei, Taiwan.
Cheng-Han LeeInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Chiou-Lian LaiDepartment of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan chih@ibms.sinica.edu.tw cllai@cc.kmu.edu.tw.
Chih-Cheng ChenInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan chih@ibms.sinica.edu.tw cllai@cc.kmu.edu.tw.
Kaohsiung Medical University · TWInstitute of Biomedical Sciences, Academia Sinica · TWFooyin University · TWNational Pingtung University of Science and Technology · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMuscle soreness occurs after exercise and also in musculoskeletal diseases, such as fibromyalgia (FM). However, the nosography and pathoetiology of morbid soreness in FM remain unknown. This study aimed to investigate the morbid soreness of FM, evaluate its therapeutic responses and probe its pathophysiology with metabolomics profiling.

methodsPatients with newly diagnosed FM were prospectively recruited and completed self-report questionnaires pertaining to musculoskeletal symptoms. The phenotypes and metabotypes were assessed with variance, classification and correlation analyses.

resultsFifty-one patients and 41 healthy controls were included. Soreness symptoms were prevalent in FM individuals (92.2%). In terms of manifestations and metabolomic features, phenotypes diverged between patients with mixed pain and soreness symptoms (FM-PS) and those with pain dominant symptoms. Conventional treatment for FM did not ameliorate soreness severity despite its efficacy on pain. Moreover, despite the salient therapeutic efficacy on pain relief in FM-PS cases, conventional treatment did not improve their general disease severity. Metabolomics analyses suggested oxidative metabolism dysregulation in FM, and high malondialdehyde level indicated excessive oxidative stress in FM individuals as compared with controls (p=0.009). Contrary to exercise-induced soreness, lactate levels were significantly lower in FM individuals than controls, especially in FM-PS. Moreover, FM-PS cases exclusively featured increased malondialdehyde level (p=0.008) and a correlative trend between malondialdehyde expression and soreness intensity (r=0.337, p=0.086).

conclusionsMorbid soreness symptoms were prevalent in FM, with the presentation and therapeutic responses different from FM pain conditions. Oxidative stress rather than lactate accumulation involved phenotype modulation of the morbid soreness in FM. TRIAL REGISTRATION NUMBER: NCT04832100.

Indexed as

FibromyalgiaHumansOxidative StressPainPhenotypeSurveys and QuestionnairesFibromyalgiaHealth CareOutcome and Process AssessmentOutcome AssessmentPatient Reported Outcome Measures

Identifiers

PMID36918228
PMCPMC10016302
OpenAlexW4324195745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.