Evidence map›Paper›PMID 38114197›Full record

ArticleRMD open2023

Gut-joint axis in knee synovitis: gut fungal dysbiosis and altered fungi-bacteria correlation network identified in a community-based study.

Ting Jiang, Ke Liu, Jiatian Li, Yuqing Zhang, Weiya Zhang, Michael Doherty, Zidan Yang, Tuo Yang, Yuanheng Yang, Qianlin Weng and 7 more

Open access · goldAbstract read
PubMed Publisher
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. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Analysis of gut microbiota characteristics in osteoarthritis patients.Frontiers in cellular and infection microbiology · 2026
    Article
  6. The Gut Mycobiome for Precision Medicine.Journal of fungi (Basel, Switzerland) · 2025
    Review
  7. 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

17 authors at 3 institutions in 3 countries.

Ting Jiang *Department of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.ORCID 0000-0002-5604-7989
Ke Liu *Department of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Jiatian Li *Department of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Yuqing ZhangDivision of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-7638-0888
Weiya ZhangAcademic Rheumatology, University of Nottingham School of Medicine, Nottingham, UK.
Michael DohertyAcademic Rheumatology, University of Nottingham School of Medicine, Nottingham, UK.
Zidan YangHunan Key Laboratory of Joint Degeneration and Injury, Xiangya Hospital Central South University, Changsha, China.
Tuo YangAcademic Rheumatology, University of Nottingham School of Medicine, Nottingham, UK.
Yuanheng YangDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Qianlin WengDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Xianghang LuoDepartment of Endocrinology, Endocrinology Research Center, Xiangya Hospital Central South University, Changsha, China.
Hui XieDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China.
Changjun LiDepartment of Endocrinology, Endocrinology Research Center, Xiangya Hospital Central South University, Changsha, China.
Kelong AiKey Laboratory of Aging-Related Bone and Joint Diseases Prevention and Treatment, Ministry of Education, Xiangya Hospital Central South University, Changsha, China.
Jie WeiDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China weij1988@csu.edu.cn zengchao@csu.edu.cn lei_guanghua@csu.edu.cn.ORCID 0000-0003-3510-8241
Guanghua LeiDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China weij1988@csu.edu.cn zengchao@csu.edu.cn lei_guanghua@csu.edu.cn.ORCID 0000-0003-2987-138X
Chao ZengDepartment of Orthopaedics, Xiangya Hospital Central South University, Changsha, China weij1988@csu.edu.cn zengchao@csu.edu.cn lei_guanghua@csu.edu.cn.
Central South University · CNUniversity of Nottingham · GBMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesKnee synovitis is a highly prevalent and potentially curable condition for knee pain; however, its pathogenesis remains unclear. We sought to assess the associations of the gut fungal microbiota and the fungi-bacteria correlation network with knee synovitis.

methodsParticipants were derived from a community-based cross-sectional study. We performed an ultrasound examination of both knees. A knee was defined as having synovitis if its synovium was ≥4 mm and/or Power Doppler (PD) signal was within the knee synovium area (PD synovitis). We collected faecal specimens from each participant and assessed gut fungal and bacterial microbiota using internal transcribed spacer 2 and shotgun metagenomic sequencing. We examined the relation of α-diversity, β-diversity, the relative abundance of taxa and the interkingdom correlations to knee synovitis.

resultsAmong 977 participants (mean age: 63.2 years; women: 58.8%), 191 (19.5%) had knee synovitis. β-diversity of the gut fungal microbiota, but not

conclusionAlterations of gut fungal microbiota and the fungi-bacteria correlation network are associated with knee synovitis. These novel findings may help understand the mechanisms of the gut-joint axis in knee synovitis and suggest potential targets for future treatment.

Indexed as

DysbiosisSynovitisBacteriaCross-Sectional StudiesFemaleFungiHumansMiddle Agedfungigastrointestinal microbiomeosteoarthritis, kneesynovitisultrasonography

Identifiers

PMID38114197
OpenAlexW4389942363

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.