Evidence map›Paper›PMID 35646298›Full record

ArticleJournal of healthcare engineering2022

Natural Adrenocorticotropic Hormone (ACTH) Relieves Acute Inflammation in Gout Patients by Changing the Function of Macrophages.

Rui Xu, Li Zhao, Jiyu Liu, Lin Cao, Tianyi Zhao, Yiyun Yu, Dandan Xuan, Weiguo Wan, Yu Xue, Hejian Zou

Open access · hybridAbstract read
In one paragraph

Article in Journal of healthcare engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
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

8 citing papers in PubMed, 9 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Rui XuDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.ORCID 0000-0003-4154-3573
Li ZhaoDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Jiyu LiuDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Lin CaoDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Tianyi ZhaoDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Yiyun YuDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Dandan XuanDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Weiguo WanDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Yu XueDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.ORCID 0000-0002-9883-9722
Hejian ZouDivision of Rheumatology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gout is a common arthritis caused by deposition of monosodium urate crystals. Macrophage is crucial in the process of monosodium urate (MSU)-induced inflammation. Although it has been reported that adrenocorticotropic hormone (ACTH) in nature can be used to cure urarthritis, the mechanism concerning macrophage is still not clear. However, gout patients manifest other complications, such as hypertension, diabetes, chronic kidney disease, and hormone intolerance, which limit efficacy of some of these first-line drugs. Therefore, this study aims to explore how natural ACTH can alleviate urarthritis through functional changes in macrophage. We analyzed the variations in VAS pain scores of five patients, knowing the time of action and detecting the level of cortisol and ACTH in patients 24 hours after the application of ACTH. The effect of natural ACTH on joint inflammation and the level of cortisol in blood in the mouse model was evaluated by studies in vivo. In vitro studies, we evaluated the effect of natural ACTH on macrophages and revealed different functions of ACTH and dexamethasone on macrophages in the transcriptional level. In patients with acute gout, natural ACTH can quickly alleviate pain and does not affect the level of cortisol and ACTH. Natural ACTH is able to ease the swelling and inflammatory cell infiltration caused by arthritis, without changing the level of cortisol. Besides, natural ACTH in vitro can alleviate acute gouty inflammation by regulating phagocytosis and polarization of macrophage, which also exerts different effects on the transcription of some related genes. Natural ACTH is able to alleviate acute gouty inflammation by regulating macrophage, and this effect differs from that of dexamethasone at the transcriptional level.

Indexed as

Arthritis, GoutyGoutMacrophagesAdrenocorticotropic HormoneAnimalsDexamethasoneHumansHydrocortisoneInflammationMiceUric AcidAdrenocorticotropic HormoneDexamethasoneHydrocortisoneUric Acid

Identifiers

PMID35646298
PMCPMC9132716
OpenAlexW4220969536

What Socratic holds

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LicenceCC BY
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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 Socratic graph.