Evidence mapPaperPMID 40565171Full record

ArticleInternational journal of molecular sciences2025

Endocannabinoid Tone and Oxylipins in Rheumatoid Arthritis and Osteoarthritis-A Novel Target for the Treatment of Pain and Inflammation?

Jost Klawitter, Andrew D Clauw, Jennifer A Seifert, Jelena Klawitter, Bridget Tompson, Cristina Sempio, Susan L Ingram, Uwe Christians, Larry W Moreland

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Jost KlawitterDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-6413-4820
Andrew D ClauwDivision of Rheumatology and Clinical Immunology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Jennifer A SeifertDivision of Rheumatology and Clinical Immunology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Jelena KlawitterDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Bridget TompsonDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Cristina SempioDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0002-8095-612X
Susan L IngramDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0003-1371-8532
Uwe ChristiansDepartment of Anesthesiology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.ORCID 0000-0001-7297-147X
Larry W MorelandDivision of Rheumatology and Clinical Immunology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Funding

Cannabis Use Impact on Pain and Recovery Post-Surgery - The Role of the Endocannabinoid SystemRM1NS140316 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$1.4M
Defining the descending pain modulatory circuitR01NS120486 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$449k
NINDS NIH HHS R01 NS120486NINDS NIH HHS RM1 NS140316
6 · The paper itself

Abstract

Inflammation is a complicated physiological process that contributes to a variety of disorders including osteoarthritis (OA) and rheumatoid arthritis (RA). Endocannabinoids and the endocannabinoid system (ECS) play a pivotal role in the physiological response to pain and inflammation. A clinical study to investigate the role of the endocannabinoid system and related lipids in pain and inflammation in OA and RA was performed. In total, 80 subjects, namely, 25 patients with RA, 18 with OA, and 37 healthy participants, were included. Sixteen endocannabinoids and congeners, as well as 129 oxylipins, were quantified in plasma using specific, quantitative LC-MS/MS assays. The endocannabinoid analysis revealed significantly lower levels of 2-arachidonoylglycerol (2-AG) in RA and OA patients compared to healthy participants. In contrast, the EC levels of the ethanolamide group (anandamide, docosahexaenoyl-EA, palmitoleoyl-EA, and other ethanolamides) were higher in the RA study cohort and to a lesser extent also in the OA cohort. This analysis of oxylipins revealed lower levels of the pro-resolving lipid 9-oxo-octadecadienoic acid (9-oxoODE) and the ω-3 fatty acids EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) in RA compared to all other study cohorts. 2-AG is a key regulator of nociception and inflammation, and its relatively low levels might be a mechanistic contributor to residual pain and inflammation in RA and OA. Several changes in pro- and anti-inflammatory lipid mediators were detected, including lower levels of EPA and DHA in RA, which might reveal the potential for nutritional supplementation with these anti-inflammatory fatty acids.

Indexed as

Arthritis, RheumatoidEndocannabinoidsInflammationOxylipinsPainAgedCytokinesFemaleHumansMaleMiddle AgedCytokinesEndocannabinoidsOxylipinsbiomarkersendocannabinoid systeminflammationosteoarthritispainrheumatoid arthritis

Identifiers

PMID40565171
PMCPMC12192655

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.