Evidence mapPaperPMID 41405656Full record

ReviewInflammation2025

Integrating Nutrition into Precision Medicine for Controlling Systemic Inflammation in Rheumatoid Arthritis.

Francesca Ingegnoli, Saviana Gandolfo, Francesco Ciccia, Roberto Caporali

Abstract readReview
In one paragraph

Review in Inflammation, 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

4 authors.

Francesca IngegnoliRheumatology Clinic, Department of Rheumatology and Medical Sciences, ASST Gaetano Pini-CTO, Milan, Italy.ORCID http://orcid.org/0000-0002-6727-1273
Saviana GandolfoRheumatology Section, Department of Precision Medicine, University della Campania L. Vanvitelli, Naples, Italy.ORCID http://orcid.org/0000-0001-9406-3632
Francesco CicciaRheumatology Section, Department of Precision Medicine, University della Campania L. Vanvitelli, Naples, Italy. francesco.ciccia@unicampania.it.ORCID http://orcid.org/0000-0002-9352-1264
Roberto CaporaliRheumatology Clinic, Department of Rheumatology and Medical Sciences, ASST Gaetano Pini-CTO, Milan, Italy.ORCID http://orcid.org/0000-0001-9300-6169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of rheumatoid arthritis (RA) has evolved from the conventional “treat-to-target” approach to strategies that emphasize individualized, patient-centered care. Concepts such as “therapeutic matchmaking” and “smart-to-target” highlight the importance of biomarkers, comorbidities, and quality-of-life priorities in selecting treatments. There is increasing evidence that identifies the gut-joint axis as a critical factor in RA pathogenesis. This axis links gut microbiota composition, intestinal barrier integrity, and systemic inflammation. Dysbiosis, reduced short-chain fatty acid production, and increased gut permeability can lead to immune dysregulation and joint inflammation. Nutritional interventions, such as high-fiber diets, prebiotics, probiotics, polyphenols, and omega-3 fatty acids, can restore microbial balance, enhance barrier function, and reduce inflammation. Precision nutrition, which tailors dietary recommendations based on genetic, microbiome, metabolic, and lifestyle factors, provides a framework for incorporating gut health into RA management. Microbiome-guided dietary strategies may improve responses to pharmacologic treatments, enable early intervention, and provide preventive benefits for high-risk individuals. Combining personalized nutrition with pharmacotherapy could optimize disease control, mitigate side effects, and promote sustainable, patient-empowering care. Future research should focus on randomized controlled trials and advanced analytic tools to refine predictive models and establish personalized nutrition as a cornerstone of holistic RA management.

Indexed as

Arthritis, RheumatoidInflammationPrecision MedicineDysbiosisGastrointestinal MicrobiomeHumansPrebioticsProbioticsPrebioticsInflammationNutritionPrecision medicineRheumatoid arthritis

Identifiers

PMID41405656
PMCPMC12711927

What Socratic holds

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LicenceCC BY
Read underepoch 390

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.