Evidence map›Paper›PMID 42346595›Full record

ReviewJournal of personalized medicine2026

Glucagon-like Peptide-1 Receptor Agonists in Rheumatoid Arthritis: A Scoping Review of Metabolic, Anti-Inflammatory, and Cardioprotective Effects.

Simona Buonanno, Carla Gaggiano, Caterina Baldi, Luca Cantarini, Bruno Frediani, Stefano Gentileschi

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 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

6 authors.

Simona BuonannoRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.ORCID 0009-0000-3885-8182
Carla GaggianoRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.ORCID 0000-0003-1401-8343
Caterina BaldiRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.ORCID 0000-0002-3070-5568
Luca CantariniRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.ORCID 0000-0002-7352-1275
Bruno FredianiRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.
Stefano GentileschiRheumatology Section, Department of Medical Sciences, Surgery and Neuroscience, Siena University Hospital, University of Siena, Policlinico "Le Scotte", Viale Mario Bracci 16, 53100 Siena, Italy.ORCID 0000-0001-6658-1037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory disorder associated with a substantially increased risk of cardiovascular (CV) disease, driven by both persistent systemic inflammation and a high burden of traditional cardiometabolic risk factors. In recent years, glucagon-like peptide-1 receptor agonists (GLP-1RAs), licensed for type 2 diabetes mellitus and obesity, have attracted attention for their broader metabolic and cardiovascular benefits, raising the question of their potential role in RA. This scoping review summarizes current evidence on the impact of GLP-1RAs on RA disease activity, CV comorbidities, and the underlying immuno-metabolic mechanisms. Experimental studies suggest that GLP-1RAs could modulate key inflammatory pathways in synovial cells, reducing pro-inflammatory cytokine production, oxidative stress, and tissue-degrading enzymes, while improving mitochondrial function. Although clinical data remains limited, observational studies report improvements in disease activity, inflammatory markers, and pain in patients with RA treated with GLP-1RAs in addition to immunosuppressive treatment. Extensive evidence from randomized trials in metabolic populations demonstrates that GLP-1RAs improve glycemic control, induce significant weight loss, and reduce modestly but consistently blood pressure and atherogenic lipids, ultimately lowering major CV events and mortality. Although this evidence cannot be directly translated to RA populations, early real-world data specific to the disease suggest similar favorable trends, including reductions in cardiometabolic risk factors and thromboembolic events. Taken together, these findings suggest that GLP-1RAs may offer dual benefits in RA by addressing both metabolic dysfunction and inflammation. However, the current evidence base is heterogeneous and largely non-randomized, underscoring the need for dedicated trials.

Indexed as

cardiovascular riskglucagon-like peptide-1 receptor agonistsobesityrheumatoid arthritistype 2 diabetes mellitus

Identifiers

PMID42346595
PMCPMC13300951

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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.