Evidence map›Paper›PMID 42677000›Full record

ArticleFrontiers in medicine2026

Effects of moxibustion on autophagy and ferroptosis in a disease-syndrome combination rat model of rheumatoid arthritis.

Jiajia Sang, Zixiang Jin, Hui Zuo, Long Zeng, Yi Yue, Meng Wang, Jun Hu, Feng Hao

Abstract read
In one paragraph

Article in Frontiers in 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

8 authors.

Jiajia Sang *Department of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Zixiang Jin *Department of Integrated Traditional Chinese and Western Medicine, Peking University First Hospital, Beijing, China.
Hui Zuo *Department of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Long ZengDepartment of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Yi YueDepartment of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Meng WangInstitute of Basic Theory of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Jun HuDepartment of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
Feng HaoDepartment of Tuina, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by persistent synovial inflammation, fibroblast-like synoviocyte hyperplasia, and progressive cartilage and bone destruction. Moxibustion is widely used as a non-pharmacological adjunctive intervention for RA; however, its specific therapeutic effects and its associations with autophagy and ferroptosis remain insufficiently characterized. This protocol describes a randomized, controlled, assessor-blinded preclinical study designed to evaluate moxibustion in a disease-syndrome combination rat model of RA. Eligible rats will undergo exposure to a controlled wind-, cold-, and dampness-related environment followed by Complete Freund's Adjuvant (CFA) injection. After successful model induction has been confirmed using prespecified criteria, animals will be randomly allocated to a normal control group, an untreated model group, a heat-matched sham-moxibustion group, a Zusanli (ST36) moxibustion group, and a methotrexate active-comparator group. All animals will undergo standardized handling and restraint procedures. Moxibustion will be administered for 20 min once daily for 15 consecutive days, whereas methotrexate will be administered at the prespecified dose and frequency. The primary outcome will be the histopathological synovitis score. Secondary outcomes will include paw volume, arthritis index, joint structural damage, serum and synovial inflammatory mediators, and functional assessments. Autophagy will be evaluated using LC3-II/LC3-I, SQSTM1/p62, Beclin-1, and complementary assessments of autophagic flux. Ferroptosis-related outcomes will include GPX4, SLC7A11, ACSL4, lipid peroxidation, glutathione, reactive oxygen species, and tissue iron levels. Outcome assessment and statistical analysis will be performed by investigators blinded to group allocation. This study is expected to provide a reproducible framework for distinguishing the specific effects of moxibustion from non-specific heat, restraint, and handling effects, and to generate mechanistic evidence supporting subsequent translational and clinical investigations.

Indexed as

autophagyferroptosismoxibustionrheumatoid arthritis (RA)synovitis

Identifiers

PMID42677000
PMCPMC13527452

What OpenQuestion holds

Textmetadata
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.