Evidence map›Paper›PMID 40213471›Full record

ArticleOsteoarthritis and cartilage open2025

Exploring associations among pro-inflammatory cytokines, osteoarthritis, and gut microbiome composition in individuals with obesity using machine learning.

Cameron Kurz, Liubov Arbeeva, M Andrea Azcarate-Peril, Delisha A Stewart, B Duncan X Lascelles, Richard F Loeser, Amanda E Nelson

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. The gut-joint axis in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  5. Review
  6. ZnScientific reports · 2025
    Article
  7. Article
  8. 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

7 authors.

Cameron KurzThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Liubov ArbeevaThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
M Andrea Azcarate-PerilCenter for Gastrointestinal Biology and Disease (CGIBD), Department of Medicine, Division of Gastroenterology and Hepatology, School of Medicine, UNC Microbiome Core, University of North Carolina, Chapel Hill, NC, USA.
Delisha A StewartNutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, NC, USA.
B Duncan X LascellesThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Richard F LoeserThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Amanda E NelsonThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
National Gnotobiotic Rodent Resource CenterP40OD010995 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ryan B Sartor · 2012 to 2026
$9.7M
UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Amanda E Nelson · 2019 to 2026
$6.1M
Is the gut important in multiple joint osteoarthritis? A multimodal investigation in humans and pet dogsR01AR080733 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Duncan Lascelles, Amanda E Nelson · 2022 to 2026
$3.8M
Mentoring in Patient Oriented Research in OsteoarthritisK24AR081368 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Amanda E Nelson · 2022 to 2026
$916k
NCATS NIH HHS UL1 TR002489NCATS NIH HHS UM1 TR004406NCCDPHP CDC HHS U01 DP006266NIAMS NIH HHS K24 AR081368NIAMS NIH HHS P30 AR072580NIAMS NIH HHS R01 AR080733NIDDK NIH HHS P30 DK034987NIDDK NIH HHS P30 DK056350NIH HHS P40 OD010995
6 · The paper itself

Abstract

Objective: To investigate potentially novel and modifiable mechanisms of the effects of gut microbiome composition on obesity-related osteoarthritis (OA), focusing on cross-sectional relationships between microbiota, cytokines, and lipopolysaccharide (LPS). Design: Johnston County OA Project participants (n ​= ​64) with (cases) and without (controls) OA in hands and knees, with age ≥55 years and obesity (BMI ≥30 ​kg/m Results: We identified 5 enterotypes. Enterotypes 3, 4 (most prevalent in our sample), and 5, dominated respectively by genera Conclusion: Three of five identified enterotypes were inversely associated with OA status and levels of OA associated cytokines. These exploratory analyses revealed associations between the gut microbiome, cytokines, and OA outcomes, suggesting potentially cytokine-mediated mechanisms of the effects of gut composition on OA in obese individuals, and providing a basis for further investigation of the underlying causal mechanisms.

Indexed as

CytokinesMachine learningMicrobiomeOsteoarthritis

Identifiers

PMID40213471
PMCPMC11985103

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.