Evidence map›Paper›PMID 38026219›Full record

ArticleiScience2023

Herbal supplement Spirulina stimulates inflammatory cytokine production in patients with dermatomyositis

Christina E Bax, DeAnna Diaz, Yubin Li, Thomas Vazquez, Jay Patel, Madison Grinnell, Adarsh Ravishankar, Spandana Maddukuri, Emily Keyes, Daisy Yan and 2 more

Abstract read
In one paragraph

Article in iScience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

  1. Trial
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  4. Review
  5. Article
  6. Neuroprotective and Antioxidant Study ofCurrent aging science · 2026
    Article
  7. Article
  8. Article
  9. Review
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  13. 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

12 authors.

Christina E BaxCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
DeAnna DiazCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Yubin LiCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Thomas VazquezCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Jay PatelCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Madison GrinnellCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Adarsh RavishankarCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Spandana MaddukuriCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Emily KeyesCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Daisy YanCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Muhammad BashirCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Victoria P WerthCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.

Funding

NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
A nonpsychoactive cannabinoid receptor-2 agonist to treat itch and inflammation in dermatomyositisR01AR076766 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WERTH, VICTORIA P · 2020 to 2023
$1.7M
NCATS NIH HHS TL1 TR001880NIAMS NIH HHS P30 AR069589NIAMS NIH HHS R01 AR076766
6 · The paper itself

Abstract

Spirulina, an herbal supplement and popular ingredient in health foods, is a potent stimulant of the immune system. Spirulina use is temporally associated with the onset or exacerbation of Dermatomyositis (DM), an autoimmune connective tissue disease that frequently affects the skin and muscle. In this study, we investigated the effect of Spirulina on peripheral blood mononuclear cells (PBMCs) in DM and Healthy Controls (HCs), showing that Spirulina stimulates Interferon β (IFNβ), Tumor necrosis factor α (TNFα), and Interferon γ (IFNγ) production of DM PBMCs primarily via Toll-Like Receptor 4 (TLR4) activation using ELISA (enzyme linked immunosorbent assay) and flow cytometry. We show that classical monocytes and monocyte-derived dendritic cells are stimulated by Spirulina and are activated via TLR4. Skin from patients with Spirulina-associated DM exhibits an inflammatory milieu similar to that of idiopathic DM but with a stronger correlation of TLR4 and IFNγ.

Indexed as

Cell biologyDermatologyImmunologyPharmacology

Identifiers

PMID38026219
PMCPMC10665953

What OpenQuestion holds

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Registered trials

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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.