Evidence map›Paper›PMID 41514155›Full record

ReviewInflammation2026

Autophagy in Rheumatoid Arthritis: Molecular Mechanisms, Diagnostic Biomarkers, and Emerging Therapeutic Strategies.

Amir Nasrollahizadeh, Soheil Rahmati, Mohammad Sadra Gholami Chahkand, Fatemeh Esmaeilpour Moallem, Eftekhar Azarm, Parisa Alsadat Dadkhah, Mehdi Karimi, Ehsan Amini-Salehi, Mohammad Amin Karimi

Abstract readReview
In one paragraph

Review in Inflammation, 2026. 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.

Amir NasrollahizadehCardiovascular Diseases Research Institute, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Soheil RahmatiStudent Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Mohammad Sadra Gholami ChahkandStudent Research Committee, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
Fatemeh Esmaeilpour MoallemStudent Research Committee, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
Eftekhar AzarmStudent Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Parisa Alsadat DadkhahStudent Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Mehdi KarimiFaculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine.
Ehsan Amini-SalehiGuilan University of Medical Sciences, Rasht, Iran.
Mohammad Amin KarimiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. m.aminkarimi72@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder marked by persistent synovial inflammation, joint destruction, and systemic complications. Recent research has revealed the complex involvement of autophagy, a cellular degradation and recycling process, in the pathogenesis and progression of RA. This review provides a comprehensive analysis of autophagy's multifaceted roles across immune regulation, synovial hyperplasia, osteoclastogenesis, and antigen presentation. Particular attention is given to the dualistic nature of autophagy, which may exert both protective and pathogenic effects depending on the cellular context and disease stage. We explore key molecular pathways regulating autophagy, including the mTOR, AMPK, and ULK1 axes, and detail how these are modulated by cytokines and signaling molecules characteristic of the RA inflammatory milieu. Epigenetic and genetic factors, including polymorphisms in ATG and BECN1 genes, microRNA regulation, and histone modifications, are also examined for their impact on autophagic flux and immune dysregulation. The diagnostic potential of autophagy-related biomarkers is discussed through transcriptomic and bioinformatics studies that stratify RA subtypes and correlate autophagic activity with disease severity. Additionally, we review therapeutic strategies targeting autophagy, encompassing conventional DMARDs, biologics, small molecules, nanoparticles, and phytochemicals. While modulating autophagy shows clinical promise, challenges remain regarding safety, specificity, and long-term efficacy. The integration of high-throughput omics technologies with artificial intelligence presents new opportunities to refine diagnostic precision and develop personalized therapeutic interventions. This review underscores the necessity of further translational research to define context-specific roles of autophagy in RA and to harness its potential in advancing precision medicine.

Indexed as

Arthritis, RheumatoidAutophagyAnimalsAntirheumatic AgentsBiomarkersHumansAntirheumatic AgentsBiomarkersAutophagyBiomarkersDiagnosticRheumatoid arthritisTargeted therapy

Identifiers

PMID41514155
PMCPMC12891162

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.