Evidence map›Paper›PMID 40237059›Full record

ReviewCurrent rheumatology reviews2026

The Role of Synovitis and Latent Transcription Factors in the Pathogenesis of Rheumatoid Arthritis.

Lavkush Tiwari, Nitu Nigam, Amod Kumar Sachan, Urmila Dhakad, Puneet Kumar, Chandana Venkateshwara Rao, Shubha Shukla

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In one paragraph

Review in Current rheumatology reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lavkush TiwariCytogenetics Lab, Centre for Advanced Research, King George's Medical University, UP, Lucknow, 226003, India.
Nitu NigamCytogenetics Lab, Centre for Advanced Research, King George's Medical University, UP, Lucknow, 226003, India.
Amod Kumar SachanDepartment of Pharmacology and Therapeutics, King George's Medical University, UP, Lucknow, 226003, India.
Urmila DhakadDepartment of Rheumatology, King George's Medical University, UP, Lucknow, 226003, India.
Puneet KumarDepartment of Rheumatology, King George's Medical University, UP, Lucknow, 226003, India.
Chandana Venkateshwara RaoDepartment of Pharmacology, CSIR-National Botanical Research Institute, Lucknow, 226031, India.
Shubha ShuklaDivision of Neuroscience and Aging Biology, CSIR-Central Drug Research Institute, Lucknow, 226031, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatoid Arthritis (RA) is a chronic autoimmune inflammatory disease that affects synovial membranes, leading to relentless progressive joint damage. This pathological process is regulated by transcription factors, such as NF-κB, STAT3, TGF-β, WNT, p38 MAPK, mTOR, AP-1, TLR-4, SOCS-4, YY-1, IRF, and FGF-20, which enhance the production of matrix-degrading enzymes and proinflammatory cytokines. Dysregulation of these transcription factors amplifies inflammation and accelerates joint damage, making them potential therapeutic targets.

objectivesThe purpose of this review was to summarize the role of transcription factors in RA and the onset of synovitis and identify potential therapeutic targets to mitigate joint damage. METHODOLOGY: A comprehensive search of electronic databases (PubMed, Google Scholar, and Web of Science) was conducted. Additionally, searches of government health ministries and websites were performed to retrieve relevant information. Records available until March 12, 2024, were considered. Screening (primary and secondary) of the records and data extraction from eligible studies were carried out.

resultsSynovitis sustains a proinflammatory environment mediated by dysregulated transcription factors, as mentioned earlier. These transcription factors promote the production of inflammatory cytokines and matrix-degrading enzymes, leading to progressive joint destruction. Therefore, targeting these transcription factors or their upstream regulators may offer promising therapeutic interventions for RA.

conclusionThe pathogenesis of RA centers on transcription factors responsible for the inflammatory and destructive processes in synovitis. These molecules are ideal targets for developing novel treatments. Further elucidation of their complex molecular interactions and advancements in personalized therapies for RA patients is necessary.

Indexed as

Arthritis, RheumatoidSynovitisTranscription FactorsHumansTranscription Factorsjoint damageNF-κBp38 MAPK.Rheumatoid arthritissynovitistranscription factors

Identifiers

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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.