Evidence mapPaperPMID 41114770Full record

ArticleClinical rheumatology2025

Health-enhancing physical activity induce beneficial skeletal muscle mitochondrial adaptations in individuals with rheumatoid arthritis.

Emily Shorter, Elena Ossipova, Estela Santos Alves, Helena Idborg, Jone Vanluyten, Eva Kosek, Liu Zhengye, Birgitta Nordgren, Cecilia Fridén, Ferdinand von Walden and 6 more

Abstract read
In one paragraph

Article in Clinical rheumatology, 2025. 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

16 authors.

Emily ShorterDepartment of Physiology and Pharmacology, Molecular Muscle Physiology and Pathophysiology Group, Karolinska Institutet, Solnavagen 9, 17177, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-9431-3742
Elena OssipovaDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Estela Santos AlvesDepartment of Physiology and Pharmacology, Molecular Muscle Physiology and Pathophysiology Group, Karolinska Institutet, Solnavagen 9, 17177, Stockholm, Sweden.
Helena IdborgDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Jone VanluytenDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Eva KosekKarolinska University Hospital, Stockholm, Sweden.
Liu ZhengyeDepartment of Physiology and Pharmacology, Molecular Muscle Physiology and Pathophysiology Group, Karolinska Institutet, Solnavagen 9, 17177, Stockholm, Sweden.
Birgitta NordgrenKarolinska University Hospital, Stockholm, Sweden.
Cecilia FridénKarolinska University Hospital, Stockholm, Sweden.
Ferdinand von WaldenKarolinska University Hospital, Stockholm, Sweden.
Christer MalmKarolinska University Hospital, Stockholm, Sweden.
Per-Johan JakobssonDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Christina H OpavaKarolinska University Hospital, Stockholm, Sweden.
Marina KorotkovaDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Ingrid E LundbergDepartment of Medicine, Division of Rheumatology, Karolinska Institutet, SE-17176, Stockholm, Sweden.
Johanna T LannerDepartment of Physiology and Pharmacology, Molecular Muscle Physiology and Pathophysiology Group, Karolinska Institutet, Solnavagen 9, 17177, Stockholm, Sweden. johanna.lanner@ki.se.ORCID http://orcid.org/0000-0002-1222-9473

Funding

The Swedish Research Council 2022-00773Wellcome Trust 100172
6 · The paper itself

Abstract

objectiveRheumatoid arthritis (RA) is a common chronic systemic inflammatory disease that causes musculoskeletal impairments and fatigue. Physical activity is recommended for individuals with RA, and health-enhancing physical activity (HEPA) has been shown to improve health perception and physical fitness in this group. However, the molecular adaptations of skeletal muscle in response to an exercise intervention are still unexplored in individuals with RA. This study aimed to assess the skeletal muscle response to a 2-year HEPA intervention in individuals with RA.

methodsThirteen individuals with RA (65 ± 2 years old, 13 ± 2 years disease duration) participated. The 2-year HEPA intervention involved 150 min of weekly moderately intense aerobic activity and twice-weekly circuit training. Practical and theoretical physiotherapist support was available the first year, but not the second year. Skeletal muscle biopsies, functional assessments, and mass spectrometry-based proteomics analysis were conducted.

resultsCompliance was high the first year but dropped significantly the second year. Functional improvements in strength, endurance, and lower extremity muscle function (TST) were observed after year 1. Proteomics analysis revealed significant enrichment of mitochondrial proteins including COX8A, citrate synthase, M2OM, NDUFA6, NDUFS2, and VDAC3 after year 1, indicating positive muscle adaptations. However, these changes regressed to baseline levels by year 2.

conclusionHEPA can induce beneficial mitochondrial adaptations in skeletal muscle of individuals with RA. However, insufficient compliance and progression in HEPA exercise load led to a reversal of these adaptations. Continuous support and motivation are crucial for maintaining and progressing exercise levels and muscle health in individuals with RA. Key points • Health-enhancing physical activity (HEPA) can induce beneficial mitochondrial adaptations in the skeletal muscle proteome of individuals with RA. • Positive effects on mitochondrial protein levels aligned with the participants compliance to the HEPA intervention. • Results emphasizes that sustaining and progressing exercise regimen is crucial to maintain beneficial adaptations for individuals with RA.

Indexed as

Adaptation, PhysiologicalArthritis, RheumatoidExerciseExercise TherapyMitochondria, MuscleMuscle, SkeletalAgedFemaleHumansMaleMiddle AgedMuscle StrengthProteomicsExercise adaptationHealth-enhancing physical activityMitochondriaMuscle biopsyRheumatoid arthritisSkeletal muscle

Identifiers

PMID41114770
PMCPMC12602583

What Socratic holds

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LicenceCC BY
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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 Socratic graph.