Evidence map›Paper›PMID 40985320›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Multiomics Analyses Reveal an Essential Role of Tryptophan in Treatment of csDMARDs in Rheumatoid Arthritis.

Congcong Jian, Jing Zhu, Jianhong Wu, Yan Zhang, Jianghua Chen, Huan Wang, Hengyan Liu, Ke Xu, Jiaxin Huang, Xiaoting Zhu and 17 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

27 authors.

Congcong JianDepartment of Clinical Research Center, Sichuan Clinical Research Center for Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.
Jing ZhuDepartment of Rheumatology and Immunology, Sichuan Provincial People's Hospital, Chengdu, 610072, China.
Jianhong WuDepartment of Rheumatology and Immunology, Dazhou Central Hospital, Dazhou, 635000, China.
Yan ZhangDepartment of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, China.
Jianghua ChenDazhou Vocational College of Chinese Medicine, Dazhou, 635000, China.
Huan WangNorth Sichuan Medical College, Nanchong, 637100, China.
Hengyan LiuMudanjiang Medical University, Mudanjiang, 157011, China.
Ke XuMedicine School of Henan University, Kaifeng, 450046, China.
Jiaxin HuangInstitute of Basic Medicine and Forensic Medicine, North Sichuan Medical College, Nanchong, 637100, China.
Xiaoting ZhuDepartment of Clinical Research Center, Sichuan Clinical Research Center for Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.
Yuanli WeiDepartment of Rheumatology and Immunology, Dazhou Central Hospital, Dazhou, 635000, China.
Shilin LiDepartment of Clinical Research Center, Sichuan Clinical Research Center for Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.
Tingting WangDepartment of Rheumatology and Immunology, Dazhou Central Hospital, Dazhou, 635000, China.
Xuan HuangMedical Research Center, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100000, China.
Qinghua ZouDepartment of Rheumatology and Immunology, First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Jie ZhangDepartment of Clinical Research Center, Sichuan Clinical Research Center for Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.
Jiang SuDepartment of Rheumatology and Immunology, Sichuan Provincial People's Hospital, Chengdu, 610072, China.
Xinming DuHubei Key Laboratory of Agricultural Bioinformatics, College of Informatics, Huazhong Agricultural University, Wuhan, 430070, China.
Yaping LuSinopharm (Wuhan) Medical Laboratory Co., Ltd., Wuhan, 430000, China.
Tianci ZhouDepartment of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China.
Yingtong ZhouInstitute of Basic Medicine and Forensic Medicine, North Sichuan Medical College, Nanchong, 637100, China.
Minglong TangNorth Sichuan Medical College, Nanchong, 637100, China.
Bin LiSinopharm (Wuhan) Medical Laboratory Co., Ltd., Wuhan, 430000, China.
Xue ZhouSinopharm (Wuhan) Precision Medical Technology Co., Ltd., Wuhan, 430000, China.
Qihao WeiSinopharm (Wuhan) Precision Medical Technology Co., Ltd., Wuhan, 430000, China.
Qiulong YanThe Fifth Affiliated Hospital of Southern Medical University, Guangzhou, 510900, China.
Fanxin ZengDepartment of Clinical Research Center, Sichuan Clinical Research Center for Medical Imaging, Dazhou Central Hospital, Dazhou, 635000, China.ORCID https://orcid.org/0000-0002-7337-4463

Funding

Beijing Hospitals Authority Youth Programme 20230302Chengdu University of Traditional Chinese Medicine YYZX2022178Key Research and Development Program of Dazhou Science and Technology Bureau 24ZDYF0005National Science and Technology Major Project of the Ministry of Science and Technology of China 2024ZD0520505Sichuan Provincial Administration of Traditional Chinese Medicine 25MSZX439Special Fund for Central Guidance on Local Science and Technology Development from the Sichuan Provincial Department of Science and Technology 2024ZYD0285
6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a autoimmune disease characterized by heterogeneity in response to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs). This study aims to elucidate molecular differences in response mechanisms of RA patients to csDMARDs through multiomics approach, with particular focus on the role of tryptophan (Trp) in treatment. Plasma, fecal, and peripheral blood mononuclear cells (PBMCs) were collected for metabolomics, microbiomics, transcriptomics, single-cell transcriptomics, proteomics, and phosphoproteomics analyses. Additionally, in vitro/vivo experiments and controlled clinical trial were conducted to validate the findings. Comprehensive analysis revealed significant alterations in Trp-related metabolic profiles, microbiota composition, and immune cells, indicating the role of Trp in modulating therapeutic response to csDMARDs. In vitro experiments demonstrated that Trp significantly inhibited the proliferation of MH7A and PBMCs while reducing the secretion of IL-1β, IL-6, and TNF-α. Furthermore, in vivo studies showed that Trp treatment decreased arthritis scores and histological scores in mice. Clinical data further confirmed that dietary supplementation with Trp significantly improved disease activity scores and alleviated inflammatory in RA patients. This study highlights the crucial regulatory role of Trp in RA therapy, providing novel insights for optimizing clinical treatment strategies for RA.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidTryptophanAnimalsFemaleHumansLeukocytes, MononuclearMaleMetabolomicsMiceMiddle AgedMultiomicsProteomicsAntirheumatic AgentsTryptophancsDMARDsmultiomics strategyrheumatoid arthritistreatment responsetryptophan

Identifiers

PMID40985320
PMCPMC12904049

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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.