Evidence map›Paper›PMID 41123770›Full record

ArticleClinical rheumatology2025

Exploration of the mechanism of intestinal flora-mediated immune modulation in the pathogenesis of gout.

Zeyu Zhou, Siming Wang, Zenghui Liu, Qian Xue, Aoni Wu, Qiyu Sun

Abstract read
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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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

6 authors.

Zeyu ZhouDepartment of Clinical Laboratory, Affiliated Hospital of Chengde Medical College, Chengde, Hebei Province, China.ORCID http://orcid.org/0009-0009-1106-5364
Siming WangDepartment of Clinical Laboratory, Affiliated Hospital of Chengde Medical College, Chengde, Hebei Province, China.ORCID http://orcid.org/0009-0005-2254-9947
Zenghui LiuDepartment of Immunology, Mudanjiang Medical University, Mudanjiang, Heilongjiang, China.ORCID http://orcid.org/0009-0000-1829-1238
Qian XueDepartment of Clinical Laboratory, Affiliated Hospital of Chengde Medical College, Chengde, Hebei Province, China.ORCID http://orcid.org/0009-0009-7681-2121
Aoni WuDepartment of Clinical Laboratory, Affiliated Hospital of Chengde Medical College, Chengde, Hebei Province, China.ORCID http://orcid.org/0009-0001-6287-0736
Qiyu SunDepartment of Clinical Laboratory, Affiliated Hospital of Chengde Medical College, Chengde, Hebei Province, China. Sunqiyu063017@163.com.ORCID http://orcid.org/0000-0002-2526-7823

Funding

Natural Science Foundation of Hebei Province H2022406047
6 · The paper itself

Abstract

introductionAlthough the role of immune cells in the pathogenesis of gout has been extensively studied, their interactions with the gut microbiota and the potential mediating effects in disease progression remain insufficiently characterized.

methodThis study used pooled data from genome-wide association studies (GWAS) to analyze associations among 731 immune cell phenotypes, 473 gut microbiota traits, and gout. A two-step mediation analysis identified microbiota potentially mediating the immune-gout relationship. Causal inference was primarily conducted using inverse-variance weighting (IVW), with MR-Egger, simple mode, weighted median, and weighted mode methods used to ensure robustness. Sensitivity analyses further confirmed the reliability of the findings.

resultsEight immune cell phenotypes were significantly linked to gout-five protective and three risk-related. Twenty gut microbial taxa were also associated, including seven protective and thirteen risk-related. Mediation analysis identified five microbial taxa (three genera, two species) mediating immune cell effects on gout. For example, higher TD CD8br %CD8br cells reduced gout risk by lowering Microvirga abundance (β = - 0.0315, P = 0.045), mediating 26.5%. In contrast, increased CD127 expression on CD28.

conclusionsThis study reveals a potential causal link between immune cells and gut microbiota in gout and identifies key microbial taxa involved. The findings deepen our understanding of gout pathogenesis and provide a basis for new therapeutic approaches. Key Points • Employed the authoritative FinnGen R12 disease database. • Utilized the latest gut microbiota GWAS data covering 473 microbial features. • Proposed a novel "immune cells-gut microbiota-gout" causal pathway. • Integrated multi-omics approaches for systematic mediation analysis.

Indexed as

Gastrointestinal MicrobiomeGoutGenome-Wide Association StudyHumansGoutGut microbiotaImmune cellsMendelian randomization analysis

Identifiers

PMID41123770

What Socratic holds

Textmetadata
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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.