Evidence map›Paper›PMID 41361221›Full record

ArticleScientific reports2025

Heterogeneity of active mast cells, endothelial cells, and fibroblasts in hemophilic arthritis defined by synovial single-cell sequencing.

Kun Lin, Shuai Fan, Xiaoqiang Yang, Wenyuan Hou, Junjiao Zhang, Jiaru Liao, Longfei Han, Peng Peng, Fangjun Xiao, Weihua Fang and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Kun LinGuangzhou University of Chinese Medicine, Guangzhou, China.
Shuai FanGuangzhou University of Chinese Medicine, Guangzhou, China.
Xiaoqiang YangState Key Laboratory of Traditional Chinese Medicine Syndrome, The Third Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Wenyuan HouGuangzhou University of Chinese Medicine, Guangzhou, China.
Junjiao ZhangGuangzhou University of Chinese Medicine, Guangzhou, China.
Jiaru LiaoGuangzhou University of Chinese Medicine, Guangzhou, China.
Longfei HanGuangzhou University of Chinese Medicine, Guangzhou, China.
Peng PengGuangzhou University of Chinese Medicine, Guangzhou, China.
Fangjun XiaoGuangzhou University of Chinese Medicine, Guangzhou, China.
Weihua FangGuangzhou University of Chinese Medicine, Guangzhou, China.
Xianshun HeGuangzhou University of Chinese Medicine, Guangzhou, China.
Jiaqing TianGuangzhou University of Chinese Medicine, Guangzhou, China.
Shun LuGuangzhou University of Chinese Medicine, Guangzhou, China.
Fan YangThe Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.
Qiushi WeiThe Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.
Mincong HeThe Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China. min-cong.he@hotmail.com.

Funding

National Natural Science Foundation of China 82004392National Natural Science Foundation of China 82274544the Foundation of Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine for Youth Scientists GYH202201-01the major project of "double first-class" and high-level university disciplines collaborative innovation team of Guangzhou University of Traditional Chinese Medicine 2021XK05
6 · The paper itself

Abstract

Recurrent synovial bleeding is the major cause of Hemophilic Arthritis (HA). Up to now, the transcriptomic profiles of bleeding syvonium in HA patient have largely remained unknown. Exploring the transcriptomic characteristics of synovium obtained from HA patients undergoing total knee arthroplasty (TKA), and uncovering potential pathological mechanisms of HA synovium through bioinformatics analysis and differential analysis. Single-cell RNA sequencing (scRNA-seq) technology was utilized to identify distinct cellular subsets within HA synovium. Comparative analysis was conducted with scRNA-seq data from osteoarthritis (OA) and rheumatoid arthritis (RA) synovium to assess transcriptional differences. Histological evaluation, immunofluorescence (IF), immunohistochemistry (IHC) and in vitro cell testing were performed for validation. We observed that the single-cell transcriptomic characteristics of HA synovium differ significantly from those of OA and RA patients. Mast cells, identified as unique immune cells in HA synovium, are actively involved and may be the initiating factor for changes in vascular permeability or bleeding in HA synovium. The transcriptomic features of endothelial cells and fibroblasts, which are non-immune stromal cells, reveal the synovial microenvironment: repeated bleeding leads to iron deposition, which causes substantial ferroptosis within the synovium. Based on the pseudotime analysis of endothelial cells, along with IHC staining and in vitro cell assays, it was demonstrated that ferroptosis in endothelial cells induces vascular damage and triggers a significant migration of endothelial cells. The stress of ferroptosis leads to the differentiation of HMOX1

Indexed as

ArthritisEndothelial CellsFibroblastsHemarthrosisHemophilia AMast CellsSynovial MembraneArthritis, RheumatoidFemaleGene Expression ProfilingHumansMaleMiddle AgedSingle-Cell AnalysisTranscriptomeEndothelial cellFerroptosisFibroblastHemophilic arthropathyHMOX1Mast cellSCARA5Single-cell RNA sequencingTPSB2

Identifiers

PMID41361221
PMCPMC12686410

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.