Evidence map›Paper›PMID 42977800›Full record

ReviewNature reviews. Rheumatology2026

Circadian rhythms in arthritis: from pathophysiology to chronotherapy.

Amanda Cimino, Katelyn E Lipa, Autumn Kim, Qing-Jun Meng, Erik D Herzog, Christine T N Pham, Farshid Guilak

Abstract readReview
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In one paragraph

Review in Nature reviews. Rheumatology, 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.

Amanda CiminoDepartment of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO, USA.
Katelyn E LipaDepartment of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO, USA.
Autumn KimDepartment of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO, USA.
Qing-Jun MengFaculty of Biology, Medicine and Health, Wellcome Trust Centre for Cell Matrix Research, University of Manchester, Oxford Road, Manchester, UK.ORCID http://orcid.org/0000-0002-9426-8336
Erik D HerzogDepartment of Biology, Washington University, St Louis, MO, USA.ORCID http://orcid.org/0000-0001-7209-5174
Christine T N PhamCenter of Regenerative Medicine, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0003-1127-3699
Farshid GuilakDepartment of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO, USA. guilak@wustl.edu.ORCID http://orcid.org/0000-0001-7380-0330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Arthritis is characterized by pain and inflammation of the joints, with the most common forms being osteoarthritis (OA) and rheumatoid arthritis (RA). These conditions affect a sizeable portion of the adult population, creating substantial health and socioeconomic burdens. Dysregulated inflammatory pathways contribute to arthritis and represent important targets for current and emerging therapies. Symptoms and cytokine levels change dynamically over time in arthritis, varying not only with disease state (such as flare-ups) but also with daily circadian rhythms. Daily fluctuations in rheumatoid arthritis symptoms are well established and parallel changes in inflammatory mediators, whereas osteoarthritis seems to exhibit more variable and patient-specific temporal patterns. Current treatments generally do not account for these biological rhythms. However, growing evidence suggests that aligning therapy with circadian fluctuations (termed 'chronotherapy') could improve outcomes and reduce adverse effects, although practical implementation remains challenging. Emerging synthetic biology approaches aim to enable timed drug delivery by harnessing the endogenous genetic mechanisms that regulate cellular rhythms. Together, these advances highlight opportunities for translating circadian-based therapies into clinical practice.

Identifiers

What OpenQuestion holds

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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.