A significant decrease in citrate and -ketoglutarate in synovial tissue, accompanied by a decrease in the pyruvate/lactate ratio, suggests hyperglycolysis coupled with mitochondrial oxidative metabolism disassociation ( 5.2 Analysis of the correlation between lipid metabolism-specific markers and disease activity in RA Multiple specific lipid metabolism markers are present in the serum and synovium of RA patients, and their aberrant expression is closely related to disease progression and inflammatory regulation ( Membrane phospholipids, A study demonstrated that RA patients exhibited significantly elevated levels of PE (18:1) and lyso-PE (LPE (20:3)), which were positively correlated with Sharp scores ( Fatty acid classes, Meanwhile, the abnormal accumulation of acylcarnitine (AC (20:3)) in RA serum was associated with mitochondrial FAO defects, and each 1-M increase in its concentration stimulated a 3-fold increase in synovial IL-1 secretion, thus providing a theoretical basis for metabolic intervention targeting CPT2 ( Amino acid derivatives, Furthermore, aspartyl phenylalanine (Asp-Phe) could stabilize HIF-1 by competitively inhibiting prolyl hydroxylase (PHD), forming a metabolic-hypoxic positive feedback loop, while a small-molecule inhibitor targeting its synthetase, Phgdh, could reduce synovial thickness by 42% in a collagen-induced arthritis (CIA) animal model ( Lipid metabolism markers are dynamically associated with disease activity

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Paul Edison, a professor of neuroscience at Imperial College London who presented the findings Tuesday
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Sulfur burps are exactly what they sound like: burps with a strong odor resembling rotten eggs
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