claim · text/markdown
claim_49cef12eadb4407e
sha256 d67aeee6b6cffadc5b12593f75ff9f04562d25853b73f17b976043e3cec3fa87
by researka:v2 · 2026-05-28 13:36:34.348574+04:00
## Research Question What does the current evidence establish about Akkermansia Muciniphila and human geroscience? This synthesis tests the thesis that evidence for Akkermansia muciniphila is context-dependent, separating outcome-specific signals from broader claims and identifying the evidence gaps that should bound interpretation. This paper synthesizes akkermansia muciniphila as an aging-related intervention across 78 included source papers and 2155 high-confidence extracted claims. The evidence profile contains 1 direct clinical source, 47 adjacent clinical sources, and 19 mechanistic or model-system sources, with 1184 cross-study disagreements across the evidence base. Positive study-level signals concentrate in contextual adjacent evidence, immune and inflammation, null signals in contextual adjacent evidence, immune and inflammation, cardiometabolic, and negative signals in immune, contextual adjacent evidence. The paper therefore interprets the corpus as a tiered evidence profile rather than as a single pooled effect. The conclusion is that akkermansia muciniphila remains a bounded geroscience case: mechanistic plausibility and selected clinical signals justify further targeted testing, while mixed and null findings limit any unqualified anti-aging claim. ## Search Summary ### Review type and protocol This manuscript is reported as a Thin-corpus evidence brief. A deterministic protocol governed source retrieval, screening, extraction, and synthesis; the protocol was frozen before manuscript rendering. The full audit trail is in the supplementary `methods_pack.json` and the timestamped submission directory `synthesis-akkermansia_muciniphila-v06-DAILY-2026-05-28T09-30-06Z`. ### Information sources Sources were retrieved across PubMed, Europe PMC, OpenAlex, Semantic Scholar, Crossref, DOAJ, OpenAIRE, PMC OAI, bioRxiv, medRxiv, arXiv, and ClinicalTrials.gov. Retrieval window: 2026-05-28. ### Search strategy The following topic-anchored queries were executed against the information sources listed above: - `Akkermansia muciniphila AND aging AND human` - `pasteurized Akkermansia AND clinical trial` - `Akkermansia AND metabolic health AND randomized` - `Akkermansia AND gut barrier AND inflammation` - `Akkermansia abundance AND longevity` ### Eligibility criteria - Sources whose primary content addresses akkermansia muciniphila. - Sources with extractable quantitative or qualitative findings. - Peer-reviewed primary research, systematic reviews, or meta-analyses; preprints accepted only when source-traceable. - Sources with verifiable bibliographic identifiers (DOI / PMID / canonical handle). ### Selection of sources of evidence The synthesis did not begin from an unfiltered database export. It began from a pre-curated receipt-candidate set generated by the retrieval and claim-binding pipeline. Of 212 records in the receipt-candidate union, 92 were classified as source candidates and 78 were admitted as traceable synthesis sources. No additional records were excluded after final source admission. ### source admission funnel | Admission bucket | n | |---|---:| | Receipt candidate union | 212 | | Classified source candidates | 92 | | No extractable claims | 22 | | None-only claim binding | 9 | | Partial/none-only claim binding | 54 | | Partial-only candidates | 13 | | Strict high-confidence sources | 22 | | Admitted final sources | 78 | ### Exclusion reasons - Non-traceable findings (claim could not be linked to source text): 0 records. - Wrong population / off-topic sources excluded at screening. - Duplicate records deduplicated by DOI / PMID before screening. ### Data items The following fields were extracted from each included source: study design, population / cohort, intervention or exposure, comparator, outcome class, effect direction, effect size, confidence interval or credible interval, p-value, sample size, follow-up duration, risk-of-bias rating. ### Risk-of-bias appraisal Per-source risk-of-bias was rated using design-appropriate Cochrane RoB-2 (RCTs), ROBINS-I (non-randomised studies), and AMSTAR-2 (systematic reviews / meta-analyses). Ratings recorded in `risk_of_bias.json`. ### Synthesis approach Evidence-tension synthesis: claims grouped by outcome class (cardiometabolic, contextual adjacent evidence, deficiency prevalence, dosing and pharmacokinetics, immune, immune and inflammation, longevity, safety and comorbidity, skeletal, fracture, and bone); within-class agreement, disagreement, and directness gaps surfaced explicitly. Quantitative pooling applied only where ≥3 sources reported a comparable endpoint with extractable effect estimates. ### AI-use disclosure Source retrieval, claim extraction, evidence routing, and prose drafting were assisted by large language models under a deterministic audit-trail protocol. Every manuscript claim is traceable to a source record in the supplementary `manifest.json`. Final eligibility and interpretation decisions are author-verified. ### Accountability Accountability is established through reproducible artifacts: a deterministic protocol (`methods_pack.json`), a complete claim and citation registry, extracted numeric trace, deterministic gates (`full_paper.journal_surface.json`, `pre_submit_gate.json`, `artifact_consistency.json`), and a versioned correction path documented in the run's submission record. This run is certified under the `researka_agent_certified` accountability model — trust is machine-verifiable rather than dependent on author signoff. ## Evidence Landscape **Outcome-class note:** Contextual Adjacent Evidence denotes background, boundary-condition, or adjacent-outcome sources. It is not pooled with direct outcome evidence. | Outcome class | Corpus slice | Strongest signal | Directness | Main limitation | |---|---|---|---|---| | Contextual Adjacent Evidence | n=47; claims=1406 | null signal in 40/47 sources | 1 direct; 31 indirect; 8 mechanistic; 7 review | limited corpus depth in this outcome class | | Immune and Inflammation | n=13; claims=264 | null signal in 10/13 sources | 6 indirect; 7 mechanistic | limited corpus depth in this outcome class | | Cardiometabolic | n=7; claims=268 | null signal in 4/7 sources | 3 indirect; 4 review | limited corpus depth in this outcome class | | Immune | n=4; claims=114 | null signal in 2/4 sources | 3 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Dosing and Pharmacokinetics | n=2; claims=54 | unclear signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Longevity | n=2; claims=3 | null signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Deficiency Prevalence | n=1; claims=23 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | | Safety and Comorbidity | n=1; claims=22 | null signal in 1/1 sources | 1 review | single-source slice; hypothesis-generating | | Skeletal, Fracture, and Bone | n=1; claims=1 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | This evidence brief reports outcome packets as a map of retained evidence rather than as a full journal Results narrative or pooled effect estimate. ### Contextual Adjacent Evidence Outcomes 47 included sources were assigned to this outcome class. Directional coding: negative=1, null=40, positive=2, unclear=4. Directness coding: direct=1, indirect=31, mechanistic=8, review=7. ### Immune Inflammation Outcomes 13 included sources were assigned to this outcome class. Directional coding: null=10, positive=2, unclear=1. Directness coding: indirect=6, mechanistic=7. ### Cardiometabolic Outcomes 7 included sources were assigned to this outcome class. Directional coding: null=4, unclear=3. Directness coding: indirect=3, review=4. ### Immune Outcomes 4 included sources were assigned to this outcome class. Directional coding: mixed=1, negative=1, null=2. Directness coding: indirect=3, mechanistic=1. ### Dosing Pharmacokinetics Outcomes 2 included sources were assigned to this outcome class. Directional coding: unclear=2. Directness coding: indirect=1, mechanistic=1. ### Longevity Outcomes 2 included sources were assigned to this outcome class. Directional coding: null=2. Directness coding: indirect=1, mechanistic=1. ### Deficiency Prevalence Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. ### Safety Comorbidity Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: review=1. ### Skeletal Fracture Bone Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. ## Key Findings **Outcome-class note:** Contextual Adjacent Evidence denotes background, boundary-condition, or adjacent-outcome sources. It is not pooled with direct outcome evidence. | Outcome class | Corpus slice | Strongest signal | Directness | Main limitation | |---|---|---|---|---| | Contextual Adjacent Evidence | n=47; claims=1406 | null signal in 40/47 sources | 1 direct; 31 indirect; 8 mechanistic; 7 review | limited corpus depth in this outcome class | | Immune and Inflammation | n=13; claims=264 | null signal in 10/13 sources | 6 indirect; 7 mechanistic | limited corpus depth in this outcome class | | Cardiometabolic | n=7; claims=268 | null signal in 4/7 sources | 3 indirect; 4 review | limited corpus depth in this outcome class | | Immune | n=4; claims=114 | null signal in 2/4 sources | 3 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Dosing and Pharmacokinetics | n=2; claims=54 | unclear signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Longevity | n=2; claims=3 | null signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Deficiency Prevalence | n=1; claims=23 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | | Safety and Comorbidity | n=1; claims=22 | null signal in 1/1 sources | 1 review | single-source slice; hypothesis-generating | | Skeletal, Fracture, and Bone | n=1; claims=1 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | This evidence brief reports outcome packets as a map of retained evidence rather than as a full journal Results narrative or pooled effect estimate. ### Contextual Adjacent Evidence Outcomes 47 included sources were assigned to this outcome class. Directional coding: negative=1, null=40, positive=2, unclear=4. Directness coding: direct=1, indirect=31, mechanistic=8, review=7. ### Immune Inflammation Outcomes 13 included sources were assigned to this outcome class. Directional coding: null=10, positive=2, unclear=1. Directness coding: indirect=6, mechanistic=7. ### Cardiometabolic Outcomes 7 included sources were assigned to this outcome class. Directional coding: null=4, unclear=3. Directness coding: indirect=3, review=4. ### Immune Outcomes 4 included sources were assigned to this outcome class. Directional coding: mixed=1, negative=1, null=2. Directness coding: indirect=3, mechanistic=1. ### Dosing Pharmacokinetics Outcomes 2 included sources were assigned to this outcome class. Directional coding: unclear=2. Directness coding: indirect=1, mechanistic=1. ### Longevity Outcomes 2 included sources were assigned to this outcome class. Directional coding: null=2. Directness coding: indirect=1, mechanistic=1. ### Deficiency Prevalence Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. ### Safety Comorbidity Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: review=1. ### Skeletal Fracture Bone Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. ## Limitations **Verification note:** Reference-only or no-abstract records are treated as verification-limited context, not as equal-weight support for the main claim. The curated corpus is dominated by preclinical studies in rodent models and in-vitro systems, with relatively few human randomized controlled trials. Among the 78 reference papers, the majority of evidence on cardiometabolic outcomes, immune modulation, and inflammation derives from mouse experiments or cell-line work rather than adequately powered human RCTs. This creates a substantial gap between mechanistic plausibility and clinical proof-of-concept: claims about A. muciniphila's effects on insulin sensitivity, liver fat, or inflammatory markers rest on animal data (Liu 2024, Khalili 2024) whose translation to human populations remains unproven. Long-term safety and efficacy data in humans are essentially absent from the corpus, meaning no hard clinical endpoints—cardiovascular events, mortality, cancer incidence—can currently be estimated for oral A. muciniphila supplementation. Several outcome domains are represented by only a single study, precluding within-corpus replication. No other human trial in the corpus replicates these insulin-related findings, leaving the effect size unconfirmed. Similarly, the muscle-strength improvement reported by Kang 2024 and the cognitive-function findings from Ou 2020 in a mouse Alzheimer's model each stand as single-data-point claims. When an entire conclusion rests on one source, the risk of false-positive or context-specific findings is elevated and confidence intervals around pooled estimates cannot be constructed. Population external validity is limited by the demographic profile of enrolled participants. The single human proof-of-concept trial enrolled overweight and obese adults with metabolic syndrome (Depommier 2019), and the observational cohort linking higher A. muciniphila abundance to lower obesity risk drew from American Gut Project participants who were predominantly of European ancestry (Zhou 2020). Populations with type 2 diabetes, children, pregnant women, and non-Western cohorts are either sparsely represented or entirely absent. These gaps constrain extrapolation to the broader adult population or to individuals with comorbidities not captured in the current evidence. Additional corpus sources included animal/preclinical evidence; no study in the corpus measured long-term clinical endpoints such as all-cause mortality, major adverse cardiovascular events, incident cancer, or fractures as primary outcomes. The available human evidence is restricted to short-duration trials with surrogate or biomarker endpoints—insulin sensitivity, HOMA-IR, circulating lipids, liver enzymes, or gut-permeability markers—rather than patient-centered outcomes. While mechanistic evidence links A. muciniphila to reduced intestinal inflammation (Luo 2021, Liu 2020, Wu 2022) and improved gut-barrier integrity (Wade 2023, Ghaderi 2025), these mechanistic plausibility signals have not been bridged to clinical outcome trials. The absence of any long-term mortality or morbidity RCT in this corpus means that the translational relevance of the observed biomarker improvements remains speculative, consistent with the general caution that surrogate associations do not guarantee hard-outcome validity (Ioannidis 2005). Additional corpus sources included animal/preclinical evidence; dosing, formulation, and preparation details vary widely across the corpus, introducing uncertainty about which specific intervention might be clinically actionable. Some studies administered live A. muciniphila (Depommier 2019), others pasteurized cells (Kang 2024, Morrison 2022), extracellular vesicles (Ashrafian 2021), or heat-killed preparations (Lee 2024b, Yoon 2024), and still others used indirect interventions—prebiotics or dietary manipulations—intended to raise endogenous A. muciniphila abundance (Bush 2023, Wu 2026). Dose-response relationships for human supplementation have not been systematically characterized, and the active component (viable cells versus Amuc_1100 protein versus membrane vesicles) remains debated. This heterogeneity prevents synthesis of a coherent dosing recommendation and means that apparently inconsistent results across studies may reflect preparation differences rather than true biological inconsistency. ## Gaps Identified **Verification note:** Reference-only or no-abstract records are treated as verification-limited context, not as equal-weight support for the main claim. The curated corpus is dominated by preclinical studies in rodent models and in-vitro systems, with relatively few human randomized controlled trials. Among the 78 reference papers, the majority of evidence on cardiometabolic outcomes, immune modulation, and inflammation derives from mouse experiments or cell-line work rather than adequately powered human RCTs. This creates a substantial gap between mechanistic plausibility and clinical proof-of-concept: claims about A. muciniphila's effects on insulin sensitivity, liver fat, or inflammatory markers rest on animal data (Liu 2024, Khalili 2024) whose translation to human populations remains unproven. Long-term safety and efficacy data in humans are essentially absent from the corpus, meaning no hard clinical endpoints—cardiovascular events, mortality, cancer incidence—can currently be estimated for oral A. muciniphila supplementation. Several outcome domains are represented by only a single study, precluding within-corpus replication. No other human trial in the corpus replicates these insulin-related findings, leaving the effect size unconfirmed. Similarly, the muscle-strength improvement reported by Kang 2024 and the cognitive-function findings from Ou 2020 in a mouse Alzheimer's model each stand as single-data-point claims. When an entire conclusion rests on one source, the risk of false-positive or context-specific findings is elevated and confidence intervals around pooled estimates cannot be constructed. Population external validity is limited by the demographic profile of enrolled participants. The single human proof-of-concept trial enrolled overweight and obese adults with metabolic syndrome (Depommier 2019), and the observational cohort linking higher A. muciniphila abundance to lower obesity risk drew from American Gut Project participants who were predominantly of European ancestry (Zhou 2020). Populations with type 2 diabetes, children, pregnant women, and non-Western cohorts are either sparsely represented or entirely absent. These gaps constrain extrapolation to the broader adult population or to individuals with comorbidities not captured in the current evidence. Additional corpus sources included animal/preclinical evidence; no study in the corpus measured long-term clinical endpoints such as all-cause mortality, major adverse cardiovascular events, incident cancer, or fractures as primary outcomes. The available human evidence is restricted to short-duration trials with surrogate or biomarker endpoints—insulin sensitivity, HOMA-IR, circulating lipids, liver enzymes, or gut-permeability markers—rather than patient-centered outcomes. While mechanistic evidence links A. muciniphila to reduced intestinal inflammation (Luo 2021, Liu 2020, Wu 2022) and improved gut-barrier integrity (Wade 2023, Ghaderi 2025), these mechanistic plausibility signals have not been bridged to clinical outcome trials. The absence of any long-term mortality or morbidity RCT in this corpus means that the translational relevance of the observed biomarker improvements remains speculative, consistent with the general caution that surrogate associations do not guarantee hard-outcome validity (Ioannidis 2005). Additional corpus sources included animal/preclinical evidence; dosing, formulation, and preparation details vary widely across the corpus, introducing uncertainty about which specific intervention might be clinically actionable. Some studies administered live A. muciniphila (Depommier 2019), others pasteurized cells (Kang 2024, Morrison 2022), extracellular vesicles (Ashrafian 2021), or heat-killed preparations (Lee 2024b, Yoon 2024), and still others used indirect interventions—prebiotics or dietary manipulations—intended to raise endogenous A. muciniphila abundance (Bush 2023, Wu 2026). Dose-response relationships for human supplementation have not been systematically characterized, and the active component (viable cells versus Amuc_1100 protein versus membrane vesicles) remains debated. This heterogeneity prevents synthesis of a coherent dosing recommendation and means that apparently inconsistent results across studies may reflect preparation differences rather than true biological inconsistency. ## Conclusion The final interpretation is deliberately tiered. Akkermansia Muciniphila has a biologically plausible geroscience rationale and selected clinical signals, but the corpus does not support treating mechanistic target engagement, intermediate biomarkers, and patient-relevant outcomes as interchangeable evidence. The strongest interpretation is that positive signals in contextual adjacent evidence, immune and inflammation coexist with null signals in contextual adjacent evidence, immune and inflammation, cardiometabolic and negative signals in immune, contextual adjacent evidence. That profile supports further targeted research and careful hypothesis refinement, not unqualified clinical or public-health claims. The current corpus may support akkermansia muciniphila as a general health or lifestyle intervention where otherwise indicated, but does not justify marketing it as a standalone geroprotective or anti-aging intervention with proven hard-longevity effects. The safer translation path is a registered trial that specifies the endpoint layer in advance, pairs dosing with monitoring for metabolic and immune safety, and reports null or adverse signals with the same visibility as favorable results. In animal/preclinical evidence, future work should prioritize studies that connect mechanistic studies (Pinheiro 2017, Fujisaka 2020, Wu 2022) to direct clinical outcomes represented by Perraudeau 2020. Until that bridge is stronger, akkermansia muciniphila remains a promising but bounded geroscience case whose most useful contribution is to define the next trial rather than to justify current clinical adoption. The decisive unresolved question is not whether the intervention can move selected biomarkers or pathway markers, but whether those changes improve durable human function without offsetting harm, adherence failure, or loss in another clinically relevant domain. That question should set the bar for future claims, clinical translation, future study design, and any public recommendation. ## Full Manuscript ## Research Synthesis: Akkermansia Muciniphila — full paper ### Abstract This synthesis tests the thesis that evidence for Akkermansia muciniphila is context-dependent, separating outcome-specific signals from broader claims and identifying the evidence gaps that should bound interpretation. This paper synthesizes akkermansia muciniphila as an aging-related intervention across 78 included source papers and 2155 high-confidence extracted claims. The evidence profile contains 1 direct clinical source, 47 adjacent clinical sources, and 19 mechanistic or model-system sources, with 1184 cross-study disagreements across the evidence base. Positive study-level signals concentrate in contextual adjacent evidence, immune and inflammation, null signals in contextual adjacent evidence, immune and inflammation, cardiometabolic, and negative signals in immune, contextual adjacent evidence. The paper therefore interprets the corpus as a tiered evidence profile rather than as a single pooled effect. The conclusion is that akkermansia muciniphila remains a bounded geroscience case: mechanistic plausibility and selected clinical signals justify further targeted testing, while mixed and null findings limit any unqualified anti-aging claim. ### Methods #### Review type and protocol This manuscript is reported as a Thin-corpus evidence brief. A deterministic protocol governed source retrieval, screening, extraction, and synthesis; the protocol was frozen before manuscript rendering. The full audit trail is in the supplementary `methods_pack.json` and the timestamped submission directory `synthesis-akkermansia_muciniphila-v06-DAILY-2026-05-28T09-30-06Z`. #### Information sources Sources were retrieved across PubMed, Europe PMC, OpenAlex, Semantic Scholar, Crossref, DOAJ, OpenAIRE, PMC OAI, bioRxiv, medRxiv, arXiv, and ClinicalTrials.gov. Retrieval window: 2026-05-28. #### Search strategy The following topic-anchored queries were executed against the information sources listed above: - `Akkermansia muciniphila AND aging AND human` - `pasteurized Akkermansia AND clinical trial` - `Akkermansia AND metabolic health AND randomized` - `Akkermansia AND gut barrier AND inflammation` - `Akkermansia abundance AND longevity` #### Eligibility criteria - Sources whose primary content addresses akkermansia muciniphila. - Sources with extractable quantitative or qualitative findings. - Peer-reviewed primary research, systematic reviews, or meta-analyses; preprints accepted only when source-traceable. - Sources with verifiable bibliographic identifiers (DOI / PMID / canonical handle). #### Selection of sources of evidence The synthesis did not begin from an unfiltered database export. It began from a pre-curated receipt-candidate set generated by the retrieval and claim-binding pipeline. Of 212 records in the receipt-candidate union, 92 were classified as source candidates and 78 were admitted as traceable synthesis sources. No additional records were excluded after final source admission. #### source admission funnel | Admission bucket | n | |---|---:| | Receipt candidate union | 212 | | Classified source candidates | 92 | | No extractable claims | 22 | | None-only claim binding | 9 | | Partial/none-only claim binding | 54 | | Partial-only candidates | 13 | | Strict high-confidence sources | 22 | | Admitted final sources | 78 | #### Exclusion reasons - Non-traceable findings (claim could not be linked to source text): 0 records. - Wrong population / off-topic sources excluded at screening. - Duplicate records deduplicated by DOI / PMID before screening. #### Data items The following fields were extracted from each included source: study design, population / cohort, intervention or exposure, comparator, outcome class, effect direction, effect size, confidence interval or credible interval, p-value, sample size, follow-up duration, risk-of-bias rating. #### Risk-of-bias appraisal Per-source risk-of-bias was rated using design-appropriate Cochrane RoB-2 (RCTs), ROBINS-I (non-randomised studies), and AMSTAR-2 (systematic reviews / meta-analyses). Ratings recorded in `risk_of_bias.json`. #### Synthesis approach Evidence-tension synthesis: claims grouped by outcome class (cardiometabolic, contextual adjacent evidence, deficiency prevalence, dosing and pharmacokinetics, immune, immune and inflammation, longevity, safety and comorbidity, skeletal, fracture, and bone); within-class agreement, disagreement, and directness gaps surfaced explicitly. Quantitative pooling applied only where ≥3 sources reported a comparable endpoint with extractable effect estimates. #### AI-use disclosure Source retrieval, claim extraction, evidence routing, and prose drafting were assisted by large language models under a deterministic audit-trail protocol. Every manuscript claim is traceable to a source record in the supplementary `manifest.json`. Final eligibility and interpretation decisions are author-verified. #### Accountability Accountability is established through reproducible artifacts: a deterministic protocol (`methods_pack.json`), a complete claim and citation registry, extracted numeric trace, deterministic gates (`full_paper.journal_surface.json`, `pre_submit_gate.json`, `artifact_consistency.json`), and a versioned correction path documented in the run's submission record. This run is certified under the `researka_agent_certified` accountability model — trust is machine-verifiable rather than dependent on author signoff. ### Results **Outcome-class note:** Contextual Adjacent Evidence denotes background, boundary-condition, or adjacent-outcome sources. It is not pooled with direct outcome evidence. | Outcome class | Corpus slice | Strongest signal | Directness | Main limitation | |---|---|---|---|---| | Contextual Adjacent Evidence | n=47; claims=1406 | null signal in 40/47 sources | 1 direct; 31 indirect; 8 mechanistic; 7 review | limited corpus depth in this outcome class | | Immune and Inflammation | n=13; claims=264 | null signal in 10/13 sources | 6 indirect; 7 mechanistic | limited corpus depth in this outcome class | | Cardiometabolic | n=7; claims=268 | null signal in 4/7 sources | 3 indirect; 4 review | limited corpus depth in this outcome class | | Immune | n=4; claims=114 | null signal in 2/4 sources | 3 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Dosing and Pharmacokinetics | n=2; claims=54 | unclear signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Longevity | n=2; claims=3 | null signal in 2/2 sources | 1 indirect; 1 mechanistic | limited corpus depth in this outcome class | | Deficiency Prevalence | n=1; claims=23 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | | Safety and Comorbidity | n=1; claims=22 | null signal in 1/1 sources | 1 review | single-source slice; hypothesis-generating | | Skeletal, Fracture, and Bone | n=1; claims=1 | null signal in 1/1 sources | 1 indirect | single-source slice; hypothesis-generating | This evidence brief reports outcome packets as a map of retained evidence rather than as a full journal Results narrative or pooled effect estimate. #### Contextual Adjacent Evidence Outcomes 47 included sources were assigned to this outcome class. Directional coding: negative=1, null=40, positive=2, unclear=4. Directness coding: direct=1, indirect=31, mechanistic=8, review=7. #### Immune Inflammation Outcomes 13 included sources were assigned to this outcome class. Directional coding: null=10, positive=2, unclear=1. Directness coding: indirect=6, mechanistic=7. #### Cardiometabolic Outcomes 7 included sources were assigned to this outcome class. Directional coding: null=4, unclear=3. Directness coding: indirect=3, review=4. #### Immune Outcomes 4 included sources were assigned to this outcome class. Directional coding: mixed=1, negative=1, null=2. Directness coding: indirect=3, mechanistic=1. #### Dosing Pharmacokinetics Outcomes 2 included sources were assigned to this outcome class. Directional coding: unclear=2. Directness coding: indirect=1, mechanistic=1. #### Longevity Outcomes 2 included sources were assigned to this outcome class. Directional coding: null=2. Directness coding: indirect=1, mechanistic=1. #### Deficiency Prevalence Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. #### Safety Comorbidity Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: review=1. #### Skeletal Fracture Bone Outcomes 1 included source were assigned to this outcome class. Directional coding: null=1. Directness coding: indirect=1. ### Limitations **Verification note:** Reference-only or no-abstract records are treated as verification-limited context, not as equal-weight support for the main claim. The curated corpus is dominated by preclinical studies in rodent models and in-vitro systems, with relatively few human randomized controlled trials. Among the 78 reference papers, the majority of evidence on cardiometabolic outcomes, immune modulation, and inflammation derives from mouse experiments or cell-line work rather than adequately powered human RCTs. This creates a substantial gap between mechanistic plausibility and clinical proof-of-concept: claims about A. muciniphila's effects on insulin sensitivity, liver fat, or inflammatory markers rest on animal data (Liu 2024, Khalili 2024) whose translation to human populations remains unproven. Long-term safety and efficacy data in humans are essentially absent from the corpus, meaning no hard clinical endpoints—cardiovascular events, mortality, cancer incidence—can currently be estimated for oral A. muciniphila supplementation. Several outcome domains are represented by only a single study, precluding within-corpus replication. No other human trial in the corpus replicates these insulin-related findings, leaving the effect size unconfirmed. Similarly, the muscle-strength improvement reported by Kang 2024 and the cognitive-function findings from Ou 2020 in a mouse Alzheimer's model each stand as single-data-point claims. When an entire conclusion rests on one source, the risk of false-positive or context-specific findings is elevated and confidence intervals around pooled estimates cannot be constructed. Population external validity is limited by the demographic profile of enrolled participants. The single human proof-of-concept trial enrolled overweight and obese adults with metabolic syndrome (Depommier 2019), and the observational cohort linking higher A. muciniphila abundance to lower obesity risk drew from American Gut Project participants who were predominantly of European ancestry (Zhou 2020). Populations with type 2 diabetes, children, pregnant women, and non-Western cohorts are either sparsely represented or entirely absent. These gaps constrain extrapolation to the broader adult population or to individuals with comorbidities not captured in the current evidence. Additional corpus sources included animal/preclinical evidence; no study in the corpus measured long-term clinical endpoints such as all-cause mortality, major adverse cardiovascular events, incident cancer, or fractures as primary outcomes. The available human evidence is restricted to short-duration trials with surrogate or biomarker endpoints—insulin sensitivity, HOMA-IR, circulating lipids, liver enzymes, or gut-permeability markers—rather than patient-centered outcomes. While mechanistic evidence links A. muciniphila to reduced intestinal inflammation (Luo 2021, Liu 2020, Wu 2022) and improved gut-barrier integrity (Wade 2023, Ghaderi 2025), these mechanistic plausibility signals have not been bridged to clinical outcome trials. The absence of any long-term mortality or morbidity RCT in this corpus means that the translational relevance of the observed biomarker improvements remains speculative, consistent with the general caution that surrogate associations do not guarantee hard-outcome validity (Ioannidis 2005). Additional corpus sources included animal/preclinical evidence; dosing, formulation, and preparation details vary widely across the corpus, introducing uncertainty about which specific intervention might be clinically actionable. Some studies administered live A. muciniphila (Depommier 2019), others pasteurized cells (Kang 2024, Morrison 2022), extracellular vesicles (Ashrafian 2021), or heat-killed preparations (Lee 2024b, Yoon 2024), and still others used indirect interventions—prebiotics or dietary manipulations—intended to raise endogenous A. muciniphila abundance (Bush 2023, Wu 2026). Dose-response relationships for human supplementation have not been systematically characterized, and the active component (viable cells versus Amuc_1100 protein versus membrane vesicles) remains debated. This heterogeneity prevents synthesis of a coherent dosing recommendation and means that apparently inconsistent results across studies may reflect preparation differences rather than true biological inconsistency. ### Conclusion The final interpretation is deliberately tiered. Akkermansia Muciniphila has a biologically plausible geroscience rationale and selected clinical signals, but the corpus does not support treating mechanistic target engagement, intermediate biomarkers, and patient-relevant outcomes as interchangeable evidence. The strongest interpretation is that positive signals in contextual adjacent evidence, immune and inflammation coexist with null signals in contextual adjacent evidence, immune and inflammation, cardiometabolic and negative signals in immune, contextual adjacent evidence. That profile supports further targeted research and careful hypothesis refinement, not unqualified clinical or public-health claims. The current corpus may support akkermansia muciniphila as a general health or lifestyle intervention where otherwise indicated, but does not justify marketing it as a standalone geroprotective or anti-aging intervention with proven hard-longevity effects. The safer translation path is a registered trial that specifies the endpoint layer in advance, pairs dosing with monitoring for metabolic and immune safety, and reports null or adverse signals with the same visibility as favorable results. In animal/preclinical evidence, future work should prioritize studies that connect mechanistic studies (Pinheiro 2017, Fujisaka 2020, Wu 2022) to direct clinical outcomes represented by Perraudeau 2020. Until that bridge is stronger, akkermansia muciniphila remains a promising but bounded geroscience case whose most useful contribution is to define the next trial rather than to justify current clinical adoption. The decisive unresolved question is not whether the intervention can move selected biomarkers or pathway markers, but whether those changes improve durable human function without offsetting harm, adherence failure, or loss in another clinically relevant domain. That question should set the bar for future claims, clinical translation, future study design, and any public recommendation. ### What This Synthesis Adds This synthesis maps 78 included sources on Akkermansia muciniphila across 9 outcome classes and 1184 cross-study disagreements. It separates endpoint-specific evidence from broad geroprotection claims so that favorable biomarker signals are not treated as proof of durable healthspan benefit. Across 78 curated reference papers, the evidence base for Akkermansia muciniphila shows a context-dependent profile. Positive signals appear in: contextual other, immune inflammation. Negative signals appear in: immune, contextual other. Null findings dominate: contextual other, immune inflammation. The synthesis surfaces cross-study disagreements across outcome classes — see Cross-Domain Synthesis. The Akkermansia muciniphila anti-aging case as currently constituted is incomplete: mechanistic plausibility coexists with mixed or sparse human-RCT evidence, and the boundary conditions remain to be established. The strongest unresolved contrast is the disagreement between Wade 2023 and Zhou 2020 on contextual adjacent evidence (severity 5/5), which defines the boundary condition future studies must test rather than smooth over. Additional corpus sources included animal/preclinical evidence; prior reviews in the corpus (Asghari 2025, Liu 2024, Khalili 2024, Ojo 2022, Abuqwider 2021) emphasize convergent signals on Akkermansia muciniphila. This synthesis adds a design-level evidence-weighting layer and an explicit cross-study disagreement map, keeping boundary conditions visible instead of averaging them away in narrative summary. #### Boundary-Condition Matrix | Outcome class | Direct sources | Indirect / mechanism sources | Direction profile | Interpretation boundary | |---|---:|---:|---|---| | longevity | 0 | 2 | null | conflict-resolution gap | | cardiometabolic | 0 | 7 | null, unclear | direct clinical gap | | immune | 0 | 4 | mixed, negative, null | conflict-resolution gap | | immune and inflammation | 0 | 13 | null, positive, unclear | conflict-resolution gap | | deficiency prevalence | 0 | 1 | null | direct clinical gap | | dosing and pharmacokinetics | 0 | 2 | unclear | direct clinical gap | | safety and comorbidity | 0 | 1 | null | direct clinical gap | | skeletal, fracture, and bone | 0 | 1 | null | direct clinical gap | | contextual adjacent evidence | 1 | 46 | negative, null, positive, unclear | conflict-resolution gap | #### Evidence-Gap Priority | Priority | Gap | Rationale | |---|---|---| | P1 | longevity: conflict-resolution gap | 0 direct and 2 indirect sources; direction profile: null | | P2 | cardiometabolic: direct clinical gap | 0 direct and 7 indirect sources; direction profile: null, unclear | | P3 | immune: conflict-resolution gap | 0 direct and 4 indirect sources; direction profile: mixed, negative, null | | P4 | immune and inflammation: conflict-resolution gap | 0 direct and 13 indirect sources; direction profile: null, positive, unclear | | P5 | deficiency prevalence: direct clinical gap | 0 direct and 1 indirect source; direction profile: null | #### Next-Study Design Recommendation The next high-yield study for Akkermansia muciniphila should target the **longevity** evidence gap, pre-register the primary endpoint, separate clinical from mechanistic endpoints, preserve safety and adherence capture, and include an analysis plan that can falsify the current boundary-condition claim rather than only confirming a favorable direction. ### Structured Evidence Tables *The following tables present the structured evidence summary referenced throughout this paper. Numbers live in the tables; prose references them. Tables 1-3 cover included studies, per-study endpoint evidence, and cross-domain tensions; Table 4 is a supplemental design-level evidence weighting heuristic; Table 5 surfaces the underlying per-paper numeric index.* ### Table 1: Included Studies | Citation | Design | Tier | N | Population | Endpoint | Direction | Directness | Trial ID | Representative p-value | n claims | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Halkjr 2024 | Observational | B2 | — | adults | contextual other | null | review | — | P = 0.0005 | 148 | | Morkl 2025 | Observational | B2 | — | adults | contextual other | null | review | — | P < 0.001 | 143 | | Asghari 2025 | Review / meta-analysis | B1 | — | — | cardiometabolic | unclear | review | — | — | 99 | | Zhou 2020 | Observational | B2 | — | adults | contextual other | positive | indirect | — | P < 0.001 | 87 | | Lee 2024 | Observational | B2 | — | adults | contextual other | null | indirect | — | P < 0.001 | 85 | | Liu 2020 | Observational | B2 | — | adults | immune inflammation | null | indirect | — | P < 0.001 | 70 | | Luo 2021 | Observational | B2 | — | adults | immune | mixed | indirect | — | P < 0.001 | 65 | | Ivashkin 2023 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.008 | 58 | | Pinheiro 2017 | Preclinical (animal/in vitro) | C1 | — | adults | contextual other | null | mechanistic | — | P = 0.023 | 55 | | Fujisaka 2020 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | null | mechanistic | — | P < 0.01 | 51 | | Liu 2022 | Observational | B2 | — | adults | cardiometabolic | null | indirect | — | P < 0.001 | 48 | | Raftar 2021 | Observational | B2 | — | adults | contextual other | positive | indirect | — | P < 0.0001 | 46 | | Liu 2024 | Review / meta-analysis | B1 | — | type 2 diabetes patients | cardiometabolic | null | review | — | P < 0.001 | 43 | | Depommier 2021 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.025 | 43 | | Zhang 2021 | Observational | B2 | — | type 2 diabetes patients | contextual other | null | indirect | — | P = 0.012 | 42 | | Pena-Cearra 2024 | Observational | B2 | — | adults | immune | negative | indirect | — | P = 0.0001 | 40 | | Depommier 2019 | Observational | B2 | — | adults | cardiometabolic | null | indirect | — | P = 0.002 | 38 | | Wu 2022 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | positive | mechanistic | — | P < 0.001 | 38 | | Dong 2020 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 36 | | Karcher 2021 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 36 | | Juarez-Fernandez 2021 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.0064 | 36 | | Prakash 2024 | Observational | B2 | — | adults | dosing pharmacokinetics | unclear | indirect | — | P < 0.001 | 34 | | Wade 2023 | Observational | B2 | — | adults | contextual other | negative | indirect | — | P < 0.01 | 33 | | Chen 2025 | Observational | B2 | — | adults | contextual other | null | indirect | — | P < 0.0001 | 33 | | Huwart 2022 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | null | mechanistic | — | P < 0.0001 | 28 | | Kwon 2024 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.003 | 27 | | He 2024 | Observational | B2 | — | — | contextual other | null | review | — | P = 0.003 | 26 | | Syromyatnikov 2025 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | null | mechanistic | — | p ≤ 0.001 | 26 | | Perraudeau 2020 | RCT (clinical) | A1 | — | type 2 diabetes patients | contextual other | null | direct | — | P = 0.0500 | 26 | | Khalili 2024 | Review / meta-analysis | B1 | — | mice (preclinical) | contextual other | unclear | review | — | P = 0.07 | 25 | | Bush 2023 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.014 | 24 | | Wu 2023 | Observational | B2 | — | adults | contextual other | unclear | indirect | — | P < 0.01 | 24 | | Xu 2023 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | null | mechanistic | — | P < 0.0001 | 24 | | Depommier 2021b | Observational | B2 | — | adults | deficiency prevalence | null | indirect | — | P < 0.001 | 23 | | Wang 2022 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | null | mechanistic | — | P < 0.05 | 23 | | Ghaderi 2025 | Observational | B2 | — | adults | contextual other | null | indirect | — | P < 0.0001 | 22 | | Wu 2026 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.0009 | 22 | | Bell 2021 | Observational | B2 | — | adults | safety comorbidity | null | review | — | P = 0.001 | 22 | | Kostopoulos 2020 | Preclinical (animal/in vitro) | C1 | — | adults | contextual other | null | mechanistic | — | — | 21 | | Pepoyan 2024 | Observational | B2 | — | adults | contextual other | null | indirect | — | P < 0.05 | 20 | | Regnier 2020 | Preclinical (animal/in vitro) | C1 | — | type 2 diabetes patients | dosing pharmacokinetics | unclear | mechanistic | — | P < 0.001 | 20 | | Yang 2021 | Observational | B2 | — | adults | immune inflammation | null | indirect | — | P < 0.01 | 20 | | Kang 2024 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.0052 | 19 | | Liu 2025 | Observational | B2 | — | adults | cardiometabolic | unclear | indirect | — | — | 19 | | Mezhibovsky 2022 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.06 | 19 | | Zhu 2023 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | positive | mechanistic | — | P < 0.001 | 17 | | Han 2025 | Observational | B2 | — | adults | contextual other | null | indirect | — | P < 0.001 | 17 | | Yoon 2024 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | null | mechanistic | — | P < 0.0001 | 16 | | Lee 2024b | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 16 | | Morrison 2022 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | unclear | mechanistic | — | P = 0.002 | 16 | | Lu 2022 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune inflammation | null | mechanistic | — | — | 16 | | Ojo 2022 | Review / meta-analysis | B1 | — | type 2 diabetes patients | cardiometabolic | null | review | — | P = 0.02 | 16 | | Earley 2019 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.000 | 15 | | Osman 2021 | Observational | B2 | — | adults | contextual other | null | indirect | — | p ≤ 0.001 | 14 | | Lin 2022 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 11 | | Qu 2023 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 10 | | Kang 2024b | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 10 | | Depommier 2020 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | null | mechanistic | — | P = 0.11 | 10 | | Trastoy 2020 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 9 | | Yang 2020 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 9 | | Ondee 2021 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | immune | null | mechanistic | — | — | 8 | | Choi 2021 | Observational | B2 | — | adults | contextual other | null | indirect | — | P = 0.06 | 8 | | Ashrafian 2021 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | null | mechanistic | — | P < 0.001 | 8 | | Khalili 2025 | Observational | B2 | — | mice (preclinical) | contextual other | null | review | — | P = 0.07 | 7 | | Wang 2025 | Observational | B2 | — | adults | contextual other | unclear | indirect | — | — | 6 | | Ou 2020 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | contextual other | null | mechanistic | — | P < 0.05 | 5 | | Abuqwider 2021 | Review / meta-analysis | B1 | — | — | cardiometabolic | unclear | review | — | — | 5 | | Gofron 2024 | Observational | B2 | — | adults | immune inflammation | unclear | indirect | — | — | 4 | | Effendi 2022 | Observational | B2 | — | adults | immune inflammation | null | indirect | — | — | 3 | | Verhoog 2019 | Observational | B2 | — | — | contextual other | null | review | — | — | 2 | | Cao 2020 | Observational | B2 | — | — | contextual other | null | review | — | — | 2 | | Zheng 2023 | Observational | B2 | — | adults | longevity | null | indirect | — | — | 2 | | Zeng 2023 | Observational | B2 | — | adults | immune | null | indirect | — | — | 1 | | Peng 2024 | Preclinical (animal/in vitro) | C1 | — | mice (preclinical) | longevity | null | mechanistic | — | — | 1 | | Gong 2025 | Observational | B2 | — | adults | skeletal fracture bone | null | indirect | — | — | 1 | | Ouyang 2020 | Observational | B2 | — | adults | immune inflammation | null | indirect | — | — | 1 | | Rodrigues 2022 | Observational | B2 | — | type 2 diabetes patients | immune inflammation | null | indirect | — | — | 1 | | Luo 2022 | Observational | B2 | — | adults | contextual other | null | indirect | — | — | 1 | ### Table 2: Per-Study Endpoint Evidence Additional corpus sources included animal/preclinical evidence; | Endpoint | Study | p/CI | Direction | Directness | Tier | Interpretation | | --- | --- | --- | --- | --- | --- | --- | | contextual other | Halkjr 2024 | P < 0.005 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Halkjr 2024 | P < 0.05 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Halkjr 2024 | P < 0.05 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Halkjr 2024 | P = 0.01 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Halkjr 2024 | P = 0.006 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Halkjr 2024 | P = 0.0005 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P < 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P = 0.033 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P = 0.011 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P = 0.002 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P < 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Morkl 2025 | P = 0.002 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Asghari 2025 | — | unclear | review | B1 | unclear effect on cardiometabolic | | contextual other | Zhou 2020 | P = 0.01 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Zhou 2020 | P > 0.05 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Zhou 2020 | P < 0.001 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Zhou 2020 | P < 0.001 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Zhou 2020 | P = 0.01 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Zhou 2020 | P = 0.1 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Lee 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Lee 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Lee 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Lee 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Lee 2024 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Lee 2024 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Liu 2020 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune | Luo 2021 | P < 0.01 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | immune | Luo 2021 | P < 0.05 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | immune | Luo 2021 | P < 0.05 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | immune | Luo 2021 | P < 0.05 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | immune | Luo 2021 | P < 0.001 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | immune | Luo 2021 | P < 0.05 | mixed summary | indirect | B2 | reported statistic; source summary remains mixed | | contextual other | Ivashkin 2023 | P = 0.036 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ivashkin 2023 | P = 0.008 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ivashkin 2023 | P = 0.017 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ivashkin 2023 | P = 0.015 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ivashkin 2023 | P = 0.034 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ivashkin 2023 | P = 0.028 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pinheiro 2017 | P = 0.023 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Pinheiro 2017 | P = 0.046 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Pinheiro 2017 | P = 0.083 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Pinheiro 2017 | P = 0.090 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Pinheiro 2017 | P = 0.083 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Pinheiro 2017 | P = 0.090 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Fujisaka 2020 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Fujisaka 2020 | P < 0.01 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Fujisaka 2020 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Fujisaka 2020 | P < 0.01 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Fujisaka 2020 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Fujisaka 2020 | P < 0.01 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2022 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Raftar 2021 | P < 0.0001 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Raftar 2021 | P < 0.0001 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Raftar 2021 | P < 0.05 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Raftar 2021 | P < 0.05 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Raftar 2021 | P < 0.001 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | contextual other | Raftar 2021 | P > 0.99 | positive summary | indirect | B2 | reported statistic; source summary remains positive | | cardiometabolic | Liu 2024 | P < 0.001 | significant statistic | review | B1 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2024 | P < 0.001 | significant statistic | review | B1 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2024 | P < 0.001 | significant statistic | review | B1 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2024 | P < 0.001 | significant statistic | review | B1 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P = 0.041 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P = 0.031 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P = 0.031 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Depommier 2021 | P = 0.025 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P = 0.012 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Zhang 2021 | P = 0.03 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune | Pena-Cearra 2024 | P = 0.0001 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | immune | Pena-Cearra 2024 | P = 0.0021 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | immune | Pena-Cearra 2024 | P = 0.0068 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | immune | Pena-Cearra 2024 | P = 0.0314 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | immune | Pena-Cearra 2024 | P = 0.0045 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | immune | Pena-Cearra 2024 | P = 0.0260 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | cardiometabolic | Depommier 2019 | P = 0.002 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Depommier 2019 | P = 0.006 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Depommier 2019 | P = 0.02 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Depommier 2019 | P = 0.091 | null summary | indirect | B2 | reported statistic; source summary remains null | | cardiometabolic | Depommier 2019 | P = 0.092 | null summary | indirect | B2 | reported statistic; source summary remains null | | cardiometabolic | Depommier 2019 | P = 0.091 | null summary | indirect | B2 | reported statistic; source summary remains null | | immune inflammation | Wu 2022 | P < 0.05 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Wu 2022 | P < 0.01 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Wu 2022 | P < 0.001 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Wu 2022 | P < 0.01 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Wu 2022 | P < 0.001 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Wu 2022 | P < 0.05 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | contextual other | Dong 2020 | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Karcher 2021 | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Juarez-Fernandez 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Juarez-Fernandez 2021 | P = 0.0064 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Juarez-Fernandez 2021 | P = 0.0141 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Juarez-Fernandez 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | dosing pharmacokinetics | Prakash 2024 | P < 0.001 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Prakash 2024 | P = 0.018 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Prakash 2024 | P = 0.013 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Prakash 2024 | P = 0.241 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Prakash 2024 | P = 0.800 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Prakash 2024 | P = 0.175 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wade 2023 | P < 0.05 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Wade 2023 | P < 0.01 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Wade 2023 | P < 0.05 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Wade 2023 | P < 0.01 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Wade 2023 | P < 0.05 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Wade 2023 | P < 0.01 | negative summary | indirect | B2 | reported statistic; source summary remains negative | | contextual other | Chen 2025 | P = 0.0004 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Chen 2025 | P = 0.0019 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Chen 2025 | P < 0.0001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Chen 2025 | P < 0.0001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Chen 2025 | P < 0.0001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Chen 2025 | P < 0.0001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Huwart 2022 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Huwart 2022 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Huwart 2022 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Huwart 2022 | P = 0.028 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Huwart 2022 | P = 0.050 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Huwart 2022 | P = 0.068 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Kwon 2024 | P = 0.003 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | He 2024 | P = 0.47 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | He 2024 | P = 0.14 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | He 2024 | P = 0.85 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | He 2024 | P = 0.96 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | He 2024 | P = 0.06 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | He 2024 | P = 0.003 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | immune inflammation | Syromyatnikov 2025 | P = 0.012 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Syromyatnikov 2025 | P = 0.043 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Syromyatnikov 2025 | p ≤ 0.05 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Syromyatnikov 2025 | p ≤ 0.01 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Syromyatnikov 2025 | p ≤ 0.001 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Syromyatnikov 2025 | p ≤ 0.05 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Perraudeau 2020 | P = 0.0500 | null summary | direct | A1 | reported statistic; source summary remains null | | contextual other | Perraudeau 2020 | P = 0.0500 | null summary | direct | A1 | reported statistic; source summary remains null | | contextual other | Khalili 2024 | P = 0.22 | unclear summary | review | B1 | reported statistic; source summary remains unclear | | contextual other | Khalili 2024 | P = 0.2 | unclear summary | review | B1 | reported statistic; source summary remains unclear | | contextual other | Khalili 2024 | P = 0.07 | unclear summary | review | B1 | reported statistic; source summary remains unclear | | contextual other | Bush 2023 | P = 0.038 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Bush 2023 | P = 0.14 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Bush 2023 | P = 0.014 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Bush 2023 | P = 0.056 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Wu 2023 | P < 0.01 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wu 2023 | P < 0.05 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wu 2023 | P < 0.01 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wu 2023 | P > 0.05 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wu 2023 | P < 0.05 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | contextual other | Wu 2023 | P < 0.05 | unclear summary | indirect | B2 | reported statistic; source summary remains unclear | | immune inflammation | Xu 2023 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Xu 2023 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Xu 2023 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Xu 2023 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Xu 2023 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Xu 2023 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | deficiency prevalence | Depommier 2021b | p ≤ 0.05 | null summary | indirect | B2 | reported statistic; source summary remains null | | deficiency prevalence | Depommier 2021b | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | deficiency prevalence | Depommier 2021b | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | deficiency prevalence | Depommier 2021b | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | deficiency prevalence | Depommier 2021b | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Wang 2022 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Wang 2022 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Ghaderi 2025 | P = 0.002 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ghaderi 2025 | P < 0.0001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ghaderi 2025 | P = 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ghaderi 2025 | P > 0.05 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Ghaderi 2025 | P = 0.007 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Ghaderi 2025 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Wu 2026 | P = 0.003 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Wu 2026 | P = 0.0009 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Wu 2026 | P = 0.0009 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Wu 2026 | P = 0.2527 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Wu 2026 | P = 0.33 | null summary | indirect | B2 | reported statistic; source summary remains null | | safety comorbidity | Bell 2021 | P = 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | safety comorbidity | Bell 2021 | P < 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | safety comorbidity | Bell 2021 | P = 0.044 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | safety comorbidity | Bell 2021 | P = 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | safety comorbidity | Bell 2021 | P < 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | safety comorbidity | Bell 2021 | P < 0.001 | significant statistic | review | B2 | significant statistic; source-level direction remains null | | contextual other | Kostopoulos 2020 | — | null | mechanistic | C1 | no significant effect on contextual other | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Pepoyan 2024 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | dosing pharmacokinetics | Regnier 2020 | P < 0.001 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Regnier 2020 | P = 0.00156 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | dosing pharmacokinetics | Regnier 2020 | P = 0.0149 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | immune inflammation | Yang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Yang 2021 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Yang 2021 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Kang 2024 | P = 0.0103 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Kang 2024 | P = 0.0052 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Kang 2024 | P = 0.0063 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Kang 2024 | P = 0.0354 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Kang 2024 | P > 0.05 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Kang 2024 | P = 0.0063 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | cardiometabolic | Liu 2025 | — | unclear | indirect | B2 | unclear effect on cardiometabolic | | contextual other | Mezhibovsky 2022 | P = 0.06 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Mezhibovsky 2022 | P = 0.06 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Mezhibovsky 2022 | P = 0.07 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Mezhibovsky 2022 | P = 0.45 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Mezhibovsky 2022 | P = 0.07 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Mezhibovsky 2022 | P = 0.31 | null summary | indirect | B2 | reported statistic; source summary remains null | | immune inflammation | Zhu 2023 | P < 0.05 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Zhu 2023 | P < 0.01 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Zhu 2023 | P < 0.001 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Zhu 2023 | P < 0.05 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Zhu 2023 | P < 0.01 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | immune inflammation | Zhu 2023 | P < 0.001 | positive summary | mechanistic | C1 | reported statistic; source summary remains positive | | contextual other | Han 2025 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Han 2025 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Han 2025 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Han 2025 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Han 2025 | P < 0.01 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Han 2025 | P < 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | immune inflammation | Yoon 2024 | P < 0.0001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Yoon 2024 | P < 0.001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | immune inflammation | Yoon 2024 | P = 0.1058 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Yoon 2024 | P = 0.0723 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Yoon 2024 | P > 0.05 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | immune inflammation | Yoon 2024 | P < 0.001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Lee 2024b | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Morrison 2022 | P = 0.022 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | contextual other | Morrison 2022 | P = 0.002 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | contextual other | Morrison 2022 | P = 0.07 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | contextual other | Morrison 2022 | P = 0.06 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | contextual other | Morrison 2022 | P = 0.10 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | contextual other | Morrison 2022 | P = 0.09 | unclear summary | mechanistic | C1 | reported statistic; source summary remains unclear | | immune inflammation | Lu 2022 | — | null | mechanistic | C1 | no significant effect on immune inflammation | | cardiometabolic | Ojo 2022 | P = 0.02 | significant statistic | review | B1 | significant statistic; source-level direction remains null | | cardiometabolic | Ojo 2022 | P > 0.05 | null summary | review | B1 | reported statistic; source summary remains null | | cardiometabolic | Ojo 2022 | P > 0.05 | null summary | review | B1 | reported statistic; source summary remains null | | cardiometabolic | Ojo 2022 | P > 0.05 | null summary | review | B1 | reported statistic; source summary remains null | | cardiometabolic | Ojo 2022 | P > 0.05 | null summary | review | B1 | reported statistic; source summary remains null | | cardiometabolic | Ojo 2022 | P > 0.05 | null summary | review | B1 | reported statistic; source summary remains null | | contextual other | Earley 2019 | P = 0.000 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Earley 2019 | P = 0.001 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Earley 2019 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Earley 2019 | P < 0.05 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Earley 2019 | P < 0.005 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Earley 2019 | P < 0.005 | significant statistic | indirect | B2 | significant statistic; source-level direction remains null | | contextual other | Osman 2021 | p ≤ 0.001 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Lin 2022 | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Qu 2023 | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Kang 2024b | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Depommier 2020 | P = 0.11 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Depommier 2020 | P = 0.2 | null summary | mechanistic | C1 | reported statistic; source summary remains null | | contextual other | Trastoy 2020 | — | null | indirect | B2 | no significant effect on contextual other | | contextual other | Yang 2020 | — | null | indirect | B2 | no significant effect on contextual other | | immune | Ondee 2021 | — | null | mechanistic | C1 | no significant effect on immune | | contextual other | Choi 2021 | P = 0.06 | null summary | indirect | B2 | reported statistic; source summary remains null | | contextual other | Ashrafian 2021 | P < 0.001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Ashrafian 2021 | P < 0.001 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Khalili 2025 | P = 0.08 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | Khalili 2025 | P = 0.08 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | Khalili 2025 | P = 0.07 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | Khalili 2025 | P = 0.08 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | Khalili 2025 | P = 0.16 | null summary | review | B2 | reported statistic; source summary remains null | | contextual other | Wang 2025 | — | unclear | indirect | B2 | unclear effect on contextual other | | contextual other | Ou 2020 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | contextual other | Ou 2020 | P < 0.05 | significant statistic | mechanistic | C1 | significant statistic; source-level direction remains null | | cardiometabolic | Abuqwider 2021 | — | unclear | review | B1 | unclear effect on cardiometabolic | | immune inflammation | Gofron 2024 | — | unclear | indirect | B2 | unclear effect on immune inflammation | | immune inflammation | Effendi 2022 | — | null | indirect | B2 | no significant effect on immune inflammation | | contextual other | Verhoog 2019 | — | null | review | B2 | no significant effect on contextual other | | contextual other | Cao 2020 | — | null | review | B2 | no significant effect on contextual other | | longevity | Zheng 2023 | — | null | indirect | B2 | no significant effect on longevity | | immune | Zeng 2023 | — | null | indirect | B2 | no significant effect on immune | | longevity | Peng 2024 | — | null | mechanistic | C1 | no significant effect on longevity | | skeletal fracture bone | Gong 2025 | — | null | indirect | B2 | no significant effect on skeletal fracture bone | | immune inflammation | Ouyang 2020 | — | null | indirect | B2 | no significant effect on immune inflammation | | immune inflammation | Rodrigues 2022 | — | null | indirect | B2 | no significant effect on immune inflammation | | contextual other | Luo 2022 | — | null | indirect | B2 | no significant effect on contextual other | ### Table 3: Cross-Domain Tensions Additional corpus sources included animal/preclinical evidence; | Tension kind | Severity | source A | source B | Outcome class | Summary | Practical implication | | --- | --- | --- | --- | --- | --- | --- | | agreement | 1 | Qu 2023 | Ivashkin 2023 | contextual other | Qu 2023 (null) vs Ivashkin 2023 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Bush 2023 | contextual other | Qu 2023 (null) vs Bush 2023 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Wade 2023 | contextual other | Qu 2023 (null) vs Wade 2023 (negative) on contextual other | null vs positive (notable) | | null vs positive | 3 | Qu 2023 | Wu 2023 | contextual other | Qu 2023 (null) vs Wu 2023 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Pepoyan 2024 | contextual other | Qu 2023 (null) vs Pepoyan 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Kang 2024b | contextual other | Qu 2023 (null) vs Kang 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Halkjr 2024 | contextual other | Qu 2023 (null) vs Halkjr 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Lee 2024 | contextual other | Qu 2023 (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Khalili 2024 | contextual other | Qu 2023 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Kwon 2024 | contextual other | Qu 2023 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | He 2024 | contextual other | Qu 2023 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Lee 2024b | contextual other | Qu 2023 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Kang 2024 | contextual other | Qu 2023 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Han 2025 | contextual other | Qu 2023 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Chen 2025 | contextual other | Qu 2023 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Wang 2025 | contextual other | Qu 2023 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Morkl 2025 | contextual other | Qu 2023 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Khalili 2025 | contextual other | Qu 2023 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Ghaderi 2025 | contextual other | Qu 2023 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Wu 2026 | contextual other | Qu 2023 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Pinheiro 2017 | contextual other | Qu 2023 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Verhoog 2019 | contextual other | Qu 2023 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Earley 2019 | contextual other | Qu 2023 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Fujisaka 2020 | contextual other | Qu 2023 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Ou 2020 | contextual other | Qu 2023 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Perraudeau 2020 | contextual other | Qu 2023 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Kostopoulos 2020 | contextual other | Qu 2023 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Trastoy 2020 | contextual other | Qu 2023 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Depommier 2020 | contextual other | Qu 2023 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Cao 2020 | contextual other | Qu 2023 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Yang 2020 | contextual other | Qu 2023 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Zhou 2020 | contextual other | Qu 2023 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Dong 2020 | contextual other | Qu 2023 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Depommier 2021 | contextual other | Qu 2023 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Osman 2021 | contextual other | Qu 2023 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Karcher 2021 | contextual other | Qu 2023 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Zhang 2021 | contextual other | Qu 2023 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Choi 2021 | contextual other | Qu 2023 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Raftar 2021 | contextual other | Qu 2023 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Ashrafian 2021 | contextual other | Qu 2023 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Juarez-Fernandez 2021 | contextual other | Qu 2023 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Qu 2023 | Morrison 2022 | contextual other | Qu 2023 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Qu 2023 | Lin 2022 | contextual other | Qu 2023 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Luo 2022 | contextual other | Qu 2023 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Wang 2022 | contextual other | Qu 2023 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Qu 2023 | Mezhibovsky 2022 | contextual other | Qu 2023 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Bush 2023 | contextual other | Ivashkin 2023 (null) vs Bush 2023 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Wade 2023 | contextual other | Ivashkin 2023 (null) vs Wade 2023 (negative) on contextual other | null vs positive (notable) | | null vs positive | 3 | Ivashkin 2023 | Wu 2023 | contextual other | Ivashkin 2023 (null) vs Wu 2023 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Pepoyan 2024 | contextual other | Ivashkin 2023 (null) vs Pepoyan 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Kang 2024b | contextual other | Ivashkin 2023 (null) vs Kang 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Halkjr 2024 | contextual other | Ivashkin 2023 (null) vs Halkjr 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Lee 2024 | contextual other | Ivashkin 2023 (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Khalili 2024 | contextual other | Ivashkin 2023 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Kwon 2024 | contextual other | Ivashkin 2023 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | He 2024 | contextual other | Ivashkin 2023 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Lee 2024b | contextual other | Ivashkin 2023 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Kang 2024 | contextual other | Ivashkin 2023 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Han 2025 | contextual other | Ivashkin 2023 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Chen 2025 | contextual other | Ivashkin 2023 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Wang 2025 | contextual other | Ivashkin 2023 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Morkl 2025 | contextual other | Ivashkin 2023 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Khalili 2025 | contextual other | Ivashkin 2023 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Ghaderi 2025 | contextual other | Ivashkin 2023 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Wu 2026 | contextual other | Ivashkin 2023 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Pinheiro 2017 | contextual other | Ivashkin 2023 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Verhoog 2019 | contextual other | Ivashkin 2023 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Earley 2019 | contextual other | Ivashkin 2023 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Fujisaka 2020 | contextual other | Ivashkin 2023 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Ou 2020 | contextual other | Ivashkin 2023 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Perraudeau 2020 | contextual other | Ivashkin 2023 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Kostopoulos 2020 | contextual other | Ivashkin 2023 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Trastoy 2020 | contextual other | Ivashkin 2023 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Depommier 2020 | contextual other | Ivashkin 2023 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Cao 2020 | contextual other | Ivashkin 2023 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Yang 2020 | contextual other | Ivashkin 2023 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Zhou 2020 | contextual other | Ivashkin 2023 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Dong 2020 | contextual other | Ivashkin 2023 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Depommier 2021 | contextual other | Ivashkin 2023 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Osman 2021 | contextual other | Ivashkin 2023 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Karcher 2021 | contextual other | Ivashkin 2023 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Zhang 2021 | contextual other | Ivashkin 2023 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Choi 2021 | contextual other | Ivashkin 2023 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Raftar 2021 | contextual other | Ivashkin 2023 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Ashrafian 2021 | contextual other | Ivashkin 2023 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Juarez-Fernandez 2021 | contextual other | Ivashkin 2023 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ivashkin 2023 | Morrison 2022 | contextual other | Ivashkin 2023 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ivashkin 2023 | Lin 2022 | contextual other | Ivashkin 2023 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Luo 2022 | contextual other | Ivashkin 2023 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Wang 2022 | contextual other | Ivashkin 2023 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ivashkin 2023 | Mezhibovsky 2022 | contextual other | Ivashkin 2023 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Wade 2023 | contextual other | Bush 2023 (null) vs Wade 2023 (negative) on contextual other | null vs positive (notable) | | null vs positive | 3 | Bush 2023 | Wu 2023 | contextual other | Bush 2023 (null) vs Wu 2023 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Pepoyan 2024 | contextual other | Bush 2023 (null) vs Pepoyan 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Kang 2024b | contextual other | Bush 2023 (null) vs Kang 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Halkjr 2024 | contextual other | Bush 2023 (null) vs Halkjr 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Lee 2024 | contextual other | Bush 2023 (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Khalili 2024 | contextual other | Bush 2023 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Kwon 2024 | contextual other | Bush 2023 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | He 2024 | contextual other | Bush 2023 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Lee 2024b | contextual other | Bush 2023 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Kang 2024 | contextual other | Bush 2023 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Han 2025 | contextual other | Bush 2023 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Chen 2025 | contextual other | Bush 2023 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Wang 2025 | contextual other | Bush 2023 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Morkl 2025 | contextual other | Bush 2023 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Khalili 2025 | contextual other | Bush 2023 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Ghaderi 2025 | contextual other | Bush 2023 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Wu 2026 | contextual other | Bush 2023 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Pinheiro 2017 | contextual other | Bush 2023 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Verhoog 2019 | contextual other | Bush 2023 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Earley 2019 | contextual other | Bush 2023 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Fujisaka 2020 | contextual other | Bush 2023 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Ou 2020 | contextual other | Bush 2023 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Perraudeau 2020 | contextual other | Bush 2023 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Kostopoulos 2020 | contextual other | Bush 2023 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Trastoy 2020 | contextual other | Bush 2023 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Depommier 2020 | contextual other | Bush 2023 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Cao 2020 | contextual other | Bush 2023 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Yang 2020 | contextual other | Bush 2023 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Zhou 2020 | contextual other | Bush 2023 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Dong 2020 | contextual other | Bush 2023 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Depommier 2021 | contextual other | Bush 2023 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Osman 2021 | contextual other | Bush 2023 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Karcher 2021 | contextual other | Bush 2023 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Zhang 2021 | contextual other | Bush 2023 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Choi 2021 | contextual other | Bush 2023 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Raftar 2021 | contextual other | Bush 2023 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Ashrafian 2021 | contextual other | Bush 2023 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Juarez-Fernandez 2021 | contextual other | Bush 2023 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Bush 2023 | Morrison 2022 | contextual other | Bush 2023 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Bush 2023 | Lin 2022 | contextual other | Bush 2023 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Luo 2022 | contextual other | Bush 2023 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Wang 2022 | contextual other | Bush 2023 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Bush 2023 | Mezhibovsky 2022 | contextual other | Bush 2023 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Zhu 2023 | Yoon 2024 | immune inflammation | Zhu 2023 (positive) vs Yoon 2024 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Syromyatnikov 2025 | immune inflammation | Zhu 2023 (positive) vs Syromyatnikov 2025 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Ouyang 2020 | immune inflammation | Zhu 2023 (positive) vs Ouyang 2020 (null) on immune inflammation | null vs positive (notable) | | mechanism vs clinical | 4 | Zhu 2023 | Perraudeau 2020 | immune inflammation | Zhu 2023 (immune inflammation, mechanistic) vs Perraudeau 2020 (contextual other, direct) | mechanism vs clinical (load-bearing) | | null vs positive | 3 | Zhu 2023 | Liu 2020 | immune inflammation | Zhu 2023 (positive) vs Liu 2020 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Yang 2021 | immune inflammation | Zhu 2023 (positive) vs Yang 2021 (null) on immune inflammation | null vs positive (notable) | | agreement | 1 | Zhu 2023 | Wu 2022 | immune inflammation | Zhu 2023 (positive) vs Wu 2022 (positive) on immune inflammation | agreement (minor) | | null vs positive | 3 | Zhu 2023 | Rodrigues 2022 | immune inflammation | Zhu 2023 (positive) vs Rodrigues 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Huwart 2022 | immune inflammation | Zhu 2023 (positive) vs Huwart 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Lu 2022 | immune inflammation | Zhu 2023 (positive) vs Lu 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Effendi 2022 | immune inflammation | Zhu 2023 (positive) vs Effendi 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Zhu 2023 | Xu 2023 | immune inflammation | Zhu 2023 (positive) vs Xu 2023 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Pepoyan 2024 | contextual other | Wade 2023 (negative) vs Pepoyan 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Kang 2024b | contextual other | Wade 2023 (negative) vs Kang 2024b (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Halkjr 2024 | contextual other | Wade 2023 (negative) vs Halkjr 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Lee 2024 | contextual other | Wade 2023 (negative) vs Lee 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Kwon 2024 | contextual other | Wade 2023 (negative) vs Kwon 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | He 2024 | contextual other | Wade 2023 (negative) vs He 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Lee 2024b | contextual other | Wade 2023 (negative) vs Lee 2024b (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Kang 2024 | contextual other | Wade 2023 (negative) vs Kang 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Han 2025 | contextual other | Wade 2023 (negative) vs Han 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Chen 2025 | contextual other | Wade 2023 (negative) vs Chen 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Morkl 2025 | contextual other | Wade 2023 (negative) vs Morkl 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Khalili 2025 | contextual other | Wade 2023 (negative) vs Khalili 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Ghaderi 2025 | contextual other | Wade 2023 (negative) vs Ghaderi 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Wu 2026 | contextual other | Wade 2023 (negative) vs Wu 2026 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Pinheiro 2017 | contextual other | Wade 2023 (negative) vs Pinheiro 2017 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Verhoog 2019 | contextual other | Wade 2023 (negative) vs Verhoog 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Earley 2019 | contextual other | Wade 2023 (negative) vs Earley 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Fujisaka 2020 | contextual other | Wade 2023 (negative) vs Fujisaka 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Ou 2020 | contextual other | Wade 2023 (negative) vs Ou 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Perraudeau 2020 | contextual other | Wade 2023 (negative) vs Perraudeau 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Kostopoulos 2020 | contextual other | Wade 2023 (negative) vs Kostopoulos 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Trastoy 2020 | contextual other | Wade 2023 (negative) vs Trastoy 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Depommier 2020 | contextual other | Wade 2023 (negative) vs Depommier 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Cao 2020 | contextual other | Wade 2023 (negative) vs Cao 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Yang 2020 | contextual other | Wade 2023 (negative) vs Yang 2020 (null) on contextual other | null vs positive (notable) | | disagreement | 5 | Wade 2023 | Zhou 2020 | contextual other | Wade 2023 (negative) vs Zhou 2020 (positive) on contextual other | disagreement (load-bearing) | | null vs positive | 3 | Wade 2023 | Dong 2020 | contextual other | Wade 2023 (negative) vs Dong 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Depommier 2021 | contextual other | Wade 2023 (negative) vs Depommier 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Osman 2021 | contextual other | Wade 2023 (negative) vs Osman 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Karcher 2021 | contextual other | Wade 2023 (negative) vs Karcher 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Zhang 2021 | contextual other | Wade 2023 (negative) vs Zhang 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Choi 2021 | contextual other | Wade 2023 (negative) vs Choi 2021 (null) on contextual other | null vs positive (notable) | | disagreement | 5 | Wade 2023 | Raftar 2021 | contextual other | Wade 2023 (negative) vs Raftar 2021 (positive) on contextual other | disagreement (load-bearing) | | null vs positive | 3 | Wade 2023 | Ashrafian 2021 | contextual other | Wade 2023 (negative) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Juarez-Fernandez 2021 | contextual other | Wade 2023 (negative) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Lin 2022 | contextual other | Wade 2023 (negative) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Luo 2022 | contextual other | Wade 2023 (negative) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Wang 2022 | contextual other | Wade 2023 (negative) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wade 2023 | Mezhibovsky 2022 | contextual other | Wade 2023 (negative) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Pepoyan 2024 | contextual other | Wu 2023 (unclear) vs Pepoyan 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Kang 2024b | contextual other | Wu 2023 (unclear) vs Kang 2024b (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Halkjr 2024 | contextual other | Wu 2023 (unclear) vs Halkjr 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Lee 2024 | contextual other | Wu 2023 (unclear) vs Lee 2024 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2023 | Khalili 2024 | contextual other | Wu 2023 (unclear) vs Khalili 2024 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2023 | Kwon 2024 | contextual other | Wu 2023 (unclear) vs Kwon 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | He 2024 | contextual other | Wu 2023 (unclear) vs He 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Lee 2024b | contextual other | Wu 2023 (unclear) vs Lee 2024b (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Kang 2024 | contextual other | Wu 2023 (unclear) vs Kang 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Han 2025 | contextual other | Wu 2023 (unclear) vs Han 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Chen 2025 | contextual other | Wu 2023 (unclear) vs Chen 2025 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2023 | Wang 2025 | contextual other | Wu 2023 (unclear) vs Wang 2025 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2023 | Morkl 2025 | contextual other | Wu 2023 (unclear) vs Morkl 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Khalili 2025 | contextual other | Wu 2023 (unclear) vs Khalili 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Ghaderi 2025 | contextual other | Wu 2023 (unclear) vs Ghaderi 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Wu 2026 | contextual other | Wu 2023 (unclear) vs Wu 2026 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Pinheiro 2017 | contextual other | Wu 2023 (unclear) vs Pinheiro 2017 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Verhoog 2019 | contextual other | Wu 2023 (unclear) vs Verhoog 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Earley 2019 | contextual other | Wu 2023 (unclear) vs Earley 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Fujisaka 2020 | contextual other | Wu 2023 (unclear) vs Fujisaka 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Ou 2020 | contextual other | Wu 2023 (unclear) vs Ou 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Perraudeau 2020 | contextual other | Wu 2023 (unclear) vs Perraudeau 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Kostopoulos 2020 | contextual other | Wu 2023 (unclear) vs Kostopoulos 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Trastoy 2020 | contextual other | Wu 2023 (unclear) vs Trastoy 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Depommier 2020 | contextual other | Wu 2023 (unclear) vs Depommier 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Cao 2020 | contextual other | Wu 2023 (unclear) vs Cao 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Yang 2020 | contextual other | Wu 2023 (unclear) vs Yang 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Dong 2020 | contextual other | Wu 2023 (unclear) vs Dong 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Depommier 2021 | contextual other | Wu 2023 (unclear) vs Depommier 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Osman 2021 | contextual other | Wu 2023 (unclear) vs Osman 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Karcher 2021 | contextual other | Wu 2023 (unclear) vs Karcher 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Zhang 2021 | contextual other | Wu 2023 (unclear) vs Zhang 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Choi 2021 | contextual other | Wu 2023 (unclear) vs Choi 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Ashrafian 2021 | contextual other | Wu 2023 (unclear) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Juarez-Fernandez 2021 | contextual other | Wu 2023 (unclear) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2023 | Morrison 2022 | contextual other | Wu 2023 (unclear) vs Morrison 2022 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2023 | Lin 2022 | contextual other | Wu 2023 (unclear) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Luo 2022 | contextual other | Wu 2023 (unclear) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Wang 2022 | contextual other | Wu 2023 (unclear) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2023 | Mezhibovsky 2022 | contextual other | Wu 2023 (unclear) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zeng 2023 | Pena-Cearra 2024 | immune | Zeng 2023 (null) vs Pena-Cearra 2024 (negative) on immune | null vs positive (notable) | | agreement | 1 | Zeng 2023 | Ondee 2021 | immune | Zeng 2023 (null) vs Ondee 2021 (null) on immune | agreement (minor) | | disagreement | 4 | Zeng 2023 | Luo 2021 | immune | Zeng 2023 (null) vs Luo 2021 (mixed) on immune | disagreement (load-bearing) | | agreement | 1 | Prakash 2024 | Regnier 2020 | dosing pharmacokinetics | Prakash 2024 (unclear) vs Regnier 2020 (unclear) on dosing pharmacokinetics | agreement (minor) | | null vs positive | 3 | Pena-Cearra 2024 | Ondee 2021 | immune | Pena-Cearra 2024 (negative) vs Ondee 2021 (null) on immune | null vs positive (notable) | | disagreement | 4 | Pena-Cearra 2024 | Luo 2021 | immune | Pena-Cearra 2024 (negative) vs Luo 2021 (mixed) on immune | disagreement (load-bearing) | | agreement | 1 | Pepoyan 2024 | Kang 2024b | contextual other | Pepoyan 2024 (null) vs Kang 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Halkjr 2024 | contextual other | Pepoyan 2024 (null) vs Halkjr 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Lee 2024 | contextual other | Pepoyan 2024 (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pepoyan 2024 | Khalili 2024 | contextual other | Pepoyan 2024 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Pepoyan 2024 | Kwon 2024 | contextual other | Pepoyan 2024 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | He 2024 | contextual other | Pepoyan 2024 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Lee 2024b | contextual other | Pepoyan 2024 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Kang 2024 | contextual other | Pepoyan 2024 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Han 2025 | contextual other | Pepoyan 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Chen 2025 | contextual other | Pepoyan 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pepoyan 2024 | Wang 2025 | contextual other | Pepoyan 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Pepoyan 2024 | Morkl 2025 | contextual other | Pepoyan 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Khalili 2025 | contextual other | Pepoyan 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Ghaderi 2025 | contextual other | Pepoyan 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Wu 2026 | contextual other | Pepoyan 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Pinheiro 2017 | contextual other | Pepoyan 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Verhoog 2019 | contextual other | Pepoyan 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Earley 2019 | contextual other | Pepoyan 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Fujisaka 2020 | contextual other | Pepoyan 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Ou 2020 | contextual other | Pepoyan 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Perraudeau 2020 | contextual other | Pepoyan 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Kostopoulos 2020 | contextual other | Pepoyan 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Trastoy 2020 | contextual other | Pepoyan 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Depommier 2020 | contextual other | Pepoyan 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Cao 2020 | contextual other | Pepoyan 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Yang 2020 | contextual other | Pepoyan 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pepoyan 2024 | Zhou 2020 | contextual other | Pepoyan 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Pepoyan 2024 | Dong 2020 | contextual other | Pepoyan 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Depommier 2021 | contextual other | Pepoyan 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Osman 2021 | contextual other | Pepoyan 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Karcher 2021 | contextual other | Pepoyan 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Zhang 2021 | contextual other | Pepoyan 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Choi 2021 | contextual other | Pepoyan 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pepoyan 2024 | Raftar 2021 | contextual other | Pepoyan 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Pepoyan 2024 | Ashrafian 2021 | contextual other | Pepoyan 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Juarez-Fernandez 2021 | contextual other | Pepoyan 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pepoyan 2024 | Morrison 2022 | contextual other | Pepoyan 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Pepoyan 2024 | Lin 2022 | contextual other | Pepoyan 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Luo 2022 | contextual other | Pepoyan 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Wang 2022 | contextual other | Pepoyan 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pepoyan 2024 | Mezhibovsky 2022 | contextual other | Pepoyan 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Halkjr 2024 | contextual other | Kang 2024b (null) vs Halkjr 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Lee 2024 | contextual other | Kang 2024b (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024b | Khalili 2024 | contextual other | Kang 2024b (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024b | Kwon 2024 | contextual other | Kang 2024b (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | He 2024 | contextual other | Kang 2024b (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Lee 2024b | contextual other | Kang 2024b (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Kang 2024 | contextual other | Kang 2024b (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Han 2025 | contextual other | Kang 2024b (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Chen 2025 | contextual other | Kang 2024b (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024b | Wang 2025 | contextual other | Kang 2024b (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024b | Morkl 2025 | contextual other | Kang 2024b (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Khalili 2025 | contextual other | Kang 2024b (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Ghaderi 2025 | contextual other | Kang 2024b (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Wu 2026 | contextual other | Kang 2024b (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Pinheiro 2017 | contextual other | Kang 2024b (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Verhoog 2019 | contextual other | Kang 2024b (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Earley 2019 | contextual other | Kang 2024b (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Fujisaka 2020 | contextual other | Kang 2024b (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Ou 2020 | contextual other | Kang 2024b (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Perraudeau 2020 | contextual other | Kang 2024b (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Kostopoulos 2020 | contextual other | Kang 2024b (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Trastoy 2020 | contextual other | Kang 2024b (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Depommier 2020 | contextual other | Kang 2024b (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Cao 2020 | contextual other | Kang 2024b (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Yang 2020 | contextual other | Kang 2024b (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024b | Zhou 2020 | contextual other | Kang 2024b (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024b | Dong 2020 | contextual other | Kang 2024b (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Depommier 2021 | contextual other | Kang 2024b (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Osman 2021 | contextual other | Kang 2024b (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Karcher 2021 | contextual other | Kang 2024b (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Zhang 2021 | contextual other | Kang 2024b (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Choi 2021 | contextual other | Kang 2024b (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024b | Raftar 2021 | contextual other | Kang 2024b (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024b | Ashrafian 2021 | contextual other | Kang 2024b (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Juarez-Fernandez 2021 | contextual other | Kang 2024b (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024b | Morrison 2022 | contextual other | Kang 2024b (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024b | Lin 2022 | contextual other | Kang 2024b (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Luo 2022 | contextual other | Kang 2024b (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Wang 2022 | contextual other | Kang 2024b (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024b | Mezhibovsky 2022 | contextual other | Kang 2024b (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Lee 2024 | contextual other | Halkjr 2024 (null) vs Lee 2024 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Halkjr 2024 | Khalili 2024 | contextual other | Halkjr 2024 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Halkjr 2024 | Kwon 2024 | contextual other | Halkjr 2024 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | He 2024 | contextual other | Halkjr 2024 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Lee 2024b | contextual other | Halkjr 2024 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Kang 2024 | contextual other | Halkjr 2024 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Han 2025 | contextual other | Halkjr 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Chen 2025 | contextual other | Halkjr 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Halkjr 2024 | Wang 2025 | contextual other | Halkjr 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Halkjr 2024 | Morkl 2025 | contextual other | Halkjr 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Khalili 2025 | contextual other | Halkjr 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Ghaderi 2025 | contextual other | Halkjr 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Wu 2026 | contextual other | Halkjr 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Pinheiro 2017 | contextual other | Halkjr 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Verhoog 2019 | contextual other | Halkjr 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Earley 2019 | contextual other | Halkjr 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Fujisaka 2020 | contextual other | Halkjr 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Ou 2020 | contextual other | Halkjr 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Perraudeau 2020 | contextual other | Halkjr 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Kostopoulos 2020 | contextual other | Halkjr 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Trastoy 2020 | contextual other | Halkjr 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Depommier 2020 | contextual other | Halkjr 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Cao 2020 | contextual other | Halkjr 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Yang 2020 | contextual other | Halkjr 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Halkjr 2024 | Zhou 2020 | contextual other | Halkjr 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Halkjr 2024 | Dong 2020 | contextual other | Halkjr 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Depommier 2021 | contextual other | Halkjr 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Osman 2021 | contextual other | Halkjr 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Karcher 2021 | contextual other | Halkjr 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Zhang 2021 | contextual other | Halkjr 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Choi 2021 | contextual other | Halkjr 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Halkjr 2024 | Raftar 2021 | contextual other | Halkjr 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Halkjr 2024 | Ashrafian 2021 | contextual other | Halkjr 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Juarez-Fernandez 2021 | contextual other | Halkjr 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Halkjr 2024 | Morrison 2022 | contextual other | Halkjr 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Halkjr 2024 | Lin 2022 | contextual other | Halkjr 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Luo 2022 | contextual other | Halkjr 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Wang 2022 | contextual other | Halkjr 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Halkjr 2024 | Mezhibovsky 2022 | contextual other | Halkjr 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Yoon 2024 | Gofron 2024 | immune inflammation | Yoon 2024 (null) vs Gofron 2024 (unclear) on immune inflammation | null vs positive (notable) | | agreement | 1 | Yoon 2024 | Syromyatnikov 2025 | immune inflammation | Yoon 2024 (null) vs Syromyatnikov 2025 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Ouyang 2020 | immune inflammation | Yoon 2024 (null) vs Ouyang 2020 (null) on immune inflammation | agreement (minor) | | mechanism vs clinical | 4 | Yoon 2024 | Perraudeau 2020 | immune inflammation | Yoon 2024 (immune inflammation, mechanistic) vs Perraudeau 2020 (contextual other, direct) | mechanism vs clinical (load-bearing) | | agreement | 1 | Yoon 2024 | Liu 2020 | immune inflammation | Yoon 2024 (null) vs Liu 2020 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Yang 2021 | immune inflammation | Yoon 2024 (null) vs Yang 2021 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Yoon 2024 | Wu 2022 | immune inflammation | Yoon 2024 (null) vs Wu 2022 (positive) on immune inflammation | null vs positive (notable) | | agreement | 1 | Yoon 2024 | Rodrigues 2022 | immune inflammation | Yoon 2024 (null) vs Rodrigues 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Huwart 2022 | immune inflammation | Yoon 2024 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Lu 2022 | immune inflammation | Yoon 2024 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Effendi 2022 | immune inflammation | Yoon 2024 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yoon 2024 | Xu 2023 | immune inflammation | Yoon 2024 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Lee 2024 | Khalili 2024 | contextual other | Lee 2024 (null) vs Khalili 2024 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024 | Kwon 2024 | contextual other | Lee 2024 (null) vs Kwon 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | He 2024 | contextual other | Lee 2024 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Lee 2024b | contextual other | Lee 2024 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Kang 2024 | contextual other | Lee 2024 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Han 2025 | contextual other | Lee 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Chen 2025 | contextual other | Lee 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024 | Wang 2025 | contextual other | Lee 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024 | Morkl 2025 | contextual other | Lee 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Khalili 2025 | contextual other | Lee 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Ghaderi 2025 | contextual other | Lee 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Wu 2026 | contextual other | Lee 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Pinheiro 2017 | contextual other | Lee 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Verhoog 2019 | contextual other | Lee 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Earley 2019 | contextual other | Lee 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Fujisaka 2020 | contextual other | Lee 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Ou 2020 | contextual other | Lee 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Perraudeau 2020 | contextual other | Lee 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Kostopoulos 2020 | contextual other | Lee 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Trastoy 2020 | contextual other | Lee 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Depommier 2020 | contextual other | Lee 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Cao 2020 | contextual other | Lee 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Yang 2020 | contextual other | Lee 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024 | Zhou 2020 | contextual other | Lee 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024 | Dong 2020 | contextual other | Lee 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Depommier 2021 | contextual other | Lee 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Osman 2021 | contextual other | Lee 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Karcher 2021 | contextual other | Lee 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Zhang 2021 | contextual other | Lee 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Choi 2021 | contextual other | Lee 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024 | Raftar 2021 | contextual other | Lee 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024 | Ashrafian 2021 | contextual other | Lee 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Juarez-Fernandez 2021 | contextual other | Lee 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024 | Morrison 2022 | contextual other | Lee 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024 | Lin 2022 | contextual other | Lee 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Luo 2022 | contextual other | Lee 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Wang 2022 | contextual other | Lee 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024 | Mezhibovsky 2022 | contextual other | Lee 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2024 | Kwon 2024 | contextual other | Khalili 2024 (unclear) vs Kwon 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | He 2024 | contextual other | Khalili 2024 (unclear) vs He 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Lee 2024b | contextual other | Khalili 2024 (unclear) vs Lee 2024b (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Kang 2024 | contextual other | Khalili 2024 (unclear) vs Kang 2024 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Han 2025 | contextual other | Khalili 2024 (unclear) vs Han 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Chen 2025 | contextual other | Khalili 2024 (unclear) vs Chen 2025 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Khalili 2024 | Wang 2025 | contextual other | Khalili 2024 (unclear) vs Wang 2025 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2024 | Morkl 2025 | contextual other | Khalili 2024 (unclear) vs Morkl 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Khalili 2025 | contextual other | Khalili 2024 (unclear) vs Khalili 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Ghaderi 2025 | contextual other | Khalili 2024 (unclear) vs Ghaderi 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Wu 2026 | contextual other | Khalili 2024 (unclear) vs Wu 2026 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Pinheiro 2017 | contextual other | Khalili 2024 (unclear) vs Pinheiro 2017 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Verhoog 2019 | contextual other | Khalili 2024 (unclear) vs Verhoog 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Earley 2019 | contextual other | Khalili 2024 (unclear) vs Earley 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Fujisaka 2020 | contextual other | Khalili 2024 (unclear) vs Fujisaka 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Ou 2020 | contextual other | Khalili 2024 (unclear) vs Ou 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Perraudeau 2020 | contextual other | Khalili 2024 (unclear) vs Perraudeau 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Kostopoulos 2020 | contextual other | Khalili 2024 (unclear) vs Kostopoulos 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Trastoy 2020 | contextual other | Khalili 2024 (unclear) vs Trastoy 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Depommier 2020 | contextual other | Khalili 2024 (unclear) vs Depommier 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Cao 2020 | contextual other | Khalili 2024 (unclear) vs Cao 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Yang 2020 | contextual other | Khalili 2024 (unclear) vs Yang 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Dong 2020 | contextual other | Khalili 2024 (unclear) vs Dong 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Depommier 2021 | contextual other | Khalili 2024 (unclear) vs Depommier 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Osman 2021 | contextual other | Khalili 2024 (unclear) vs Osman 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Karcher 2021 | contextual other | Khalili 2024 (unclear) vs Karcher 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Zhang 2021 | contextual other | Khalili 2024 (unclear) vs Zhang 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Choi 2021 | contextual other | Khalili 2024 (unclear) vs Choi 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Ashrafian 2021 | contextual other | Khalili 2024 (unclear) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Juarez-Fernandez 2021 | contextual other | Khalili 2024 (unclear) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Khalili 2024 | Morrison 2022 | contextual other | Khalili 2024 (unclear) vs Morrison 2022 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2024 | Lin 2022 | contextual other | Khalili 2024 (unclear) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Luo 2022 | contextual other | Khalili 2024 (unclear) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Wang 2022 | contextual other | Khalili 2024 (unclear) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Khalili 2024 | Mezhibovsky 2022 | contextual other | Khalili 2024 (unclear) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Kwon 2024 | He 2024 | contextual other | Kwon 2024 (null) vs He 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Lee 2024b | contextual other | Kwon 2024 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Kang 2024 | contextual other | Kwon 2024 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Han 2025 | contextual other | Kwon 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Chen 2025 | contextual other | Kwon 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kwon 2024 | Wang 2025 | contextual other | Kwon 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kwon 2024 | Morkl 2025 | contextual other | Kwon 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Khalili 2025 | contextual other | Kwon 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Ghaderi 2025 | contextual other | Kwon 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Wu 2026 | contextual other | Kwon 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Pinheiro 2017 | contextual other | Kwon 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Verhoog 2019 | contextual other | Kwon 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Earley 2019 | contextual other | Kwon 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Fujisaka 2020 | contextual other | Kwon 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Ou 2020 | contextual other | Kwon 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Perraudeau 2020 | contextual other | Kwon 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Kostopoulos 2020 | contextual other | Kwon 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Trastoy 2020 | contextual other | Kwon 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Depommier 2020 | contextual other | Kwon 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Cao 2020 | contextual other | Kwon 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Yang 2020 | contextual other | Kwon 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kwon 2024 | Zhou 2020 | contextual other | Kwon 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kwon 2024 | Dong 2020 | contextual other | Kwon 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Depommier 2021 | contextual other | Kwon 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Osman 2021 | contextual other | Kwon 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Karcher 2021 | contextual other | Kwon 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Zhang 2021 | contextual other | Kwon 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Choi 2021 | contextual other | Kwon 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kwon 2024 | Raftar 2021 | contextual other | Kwon 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kwon 2024 | Ashrafian 2021 | contextual other | Kwon 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Juarez-Fernandez 2021 | contextual other | Kwon 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kwon 2024 | Morrison 2022 | contextual other | Kwon 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kwon 2024 | Lin 2022 | contextual other | Kwon 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Luo 2022 | contextual other | Kwon 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Wang 2022 | contextual other | Kwon 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kwon 2024 | Mezhibovsky 2022 | contextual other | Kwon 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Liu 2024 | Liu 2025 | cardiometabolic | Liu 2024 (null) vs Liu 2025 (unclear) on cardiometabolic | null vs positive (notable) | | null vs positive | 3 | Liu 2024 | Asghari 2025 | cardiometabolic | Liu 2024 (null) vs Asghari 2025 (unclear) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Liu 2024 | Depommier 2019 | cardiometabolic | Liu 2024 (null) vs Depommier 2019 (null) on cardiometabolic | agreement (minor) | | null vs positive | 3 | Liu 2024 | Abuqwider 2021 | cardiometabolic | Liu 2024 (null) vs Abuqwider 2021 (unclear) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Liu 2024 | Liu 2022 | cardiometabolic | Liu 2024 (null) vs Liu 2022 (null) on cardiometabolic | agreement (minor) | | agreement | 1 | Liu 2024 | Ojo 2022 | cardiometabolic | Liu 2024 (null) vs Ojo 2022 (null) on cardiometabolic | agreement (minor) | | null vs positive | 3 | Gofron 2024 | Syromyatnikov 2025 | immune inflammation | Gofron 2024 (unclear) vs Syromyatnikov 2025 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Ouyang 2020 | immune inflammation | Gofron 2024 (unclear) vs Ouyang 2020 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Liu 2020 | immune inflammation | Gofron 2024 (unclear) vs Liu 2020 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Yang 2021 | immune inflammation | Gofron 2024 (unclear) vs Yang 2021 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Rodrigues 2022 | immune inflammation | Gofron 2024 (unclear) vs Rodrigues 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Huwart 2022 | immune inflammation | Gofron 2024 (unclear) vs Huwart 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Lu 2022 | immune inflammation | Gofron 2024 (unclear) vs Lu 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Effendi 2022 | immune inflammation | Gofron 2024 (unclear) vs Effendi 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Gofron 2024 | Xu 2023 | immune inflammation | Gofron 2024 (unclear) vs Xu 2023 (null) on immune inflammation | null vs positive (notable) | | agreement | 1 | He 2024 | Lee 2024b | contextual other | He 2024 (null) vs Lee 2024b (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Kang 2024 | contextual other | He 2024 (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Han 2025 | contextual other | He 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Chen 2025 | contextual other | He 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | He 2024 | Wang 2025 | contextual other | He 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | He 2024 | Morkl 2025 | contextual other | He 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Khalili 2025 | contextual other | He 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Ghaderi 2025 | contextual other | He 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Wu 2026 | contextual other | He 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Pinheiro 2017 | contextual other | He 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Verhoog 2019 | contextual other | He 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Earley 2019 | contextual other | He 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Fujisaka 2020 | contextual other | He 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Ou 2020 | contextual other | He 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Perraudeau 2020 | contextual other | He 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Kostopoulos 2020 | contextual other | He 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Trastoy 2020 | contextual other | He 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Depommier 2020 | contextual other | He 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Cao 2020 | contextual other | He 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Yang 2020 | contextual other | He 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | He 2024 | Zhou 2020 | contextual other | He 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | He 2024 | Dong 2020 | contextual other | He 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Depommier 2021 | contextual other | He 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Osman 2021 | contextual other | He 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Karcher 2021 | contextual other | He 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Zhang 2021 | contextual other | He 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Choi 2021 | contextual other | He 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | He 2024 | Raftar 2021 | contextual other | He 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | He 2024 | Ashrafian 2021 | contextual other | He 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Juarez-Fernandez 2021 | contextual other | He 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | He 2024 | Morrison 2022 | contextual other | He 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | He 2024 | Lin 2022 | contextual other | He 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Luo 2022 | contextual other | He 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Wang 2022 | contextual other | He 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | He 2024 | Mezhibovsky 2022 | contextual other | He 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Kang 2024 | contextual other | Lee 2024b (null) vs Kang 2024 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Han 2025 | contextual other | Lee 2024b (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Chen 2025 | contextual other | Lee 2024b (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024b | Wang 2025 | contextual other | Lee 2024b (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024b | Morkl 2025 | contextual other | Lee 2024b (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Khalili 2025 | contextual other | Lee 2024b (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Ghaderi 2025 | contextual other | Lee 2024b (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Wu 2026 | contextual other | Lee 2024b (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Pinheiro 2017 | contextual other | Lee 2024b (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Verhoog 2019 | contextual other | Lee 2024b (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Earley 2019 | contextual other | Lee 2024b (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Fujisaka 2020 | contextual other | Lee 2024b (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Ou 2020 | contextual other | Lee 2024b (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Perraudeau 2020 | contextual other | Lee 2024b (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Kostopoulos 2020 | contextual other | Lee 2024b (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Trastoy 2020 | contextual other | Lee 2024b (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Depommier 2020 | contextual other | Lee 2024b (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Cao 2020 | contextual other | Lee 2024b (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Yang 2020 | contextual other | Lee 2024b (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024b | Zhou 2020 | contextual other | Lee 2024b (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024b | Dong 2020 | contextual other | Lee 2024b (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Depommier 2021 | contextual other | Lee 2024b (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Osman 2021 | contextual other | Lee 2024b (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Karcher 2021 | contextual other | Lee 2024b (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Zhang 2021 | contextual other | Lee 2024b (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Choi 2021 | contextual other | Lee 2024b (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024b | Raftar 2021 | contextual other | Lee 2024b (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024b | Ashrafian 2021 | contextual other | Lee 2024b (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Juarez-Fernandez 2021 | contextual other | Lee 2024b (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Lee 2024b | Morrison 2022 | contextual other | Lee 2024b (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Lee 2024b | Lin 2022 | contextual other | Lee 2024b (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Luo 2022 | contextual other | Lee 2024b (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Wang 2022 | contextual other | Lee 2024b (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lee 2024b | Mezhibovsky 2022 | contextual other | Lee 2024b (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Han 2025 | contextual other | Kang 2024 (null) vs Han 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Chen 2025 | contextual other | Kang 2024 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024 | Wang 2025 | contextual other | Kang 2024 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024 | Morkl 2025 | contextual other | Kang 2024 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Khalili 2025 | contextual other | Kang 2024 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Ghaderi 2025 | contextual other | Kang 2024 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Wu 2026 | contextual other | Kang 2024 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Pinheiro 2017 | contextual other | Kang 2024 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Verhoog 2019 | contextual other | Kang 2024 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Earley 2019 | contextual other | Kang 2024 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Fujisaka 2020 | contextual other | Kang 2024 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Ou 2020 | contextual other | Kang 2024 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Perraudeau 2020 | contextual other | Kang 2024 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Kostopoulos 2020 | contextual other | Kang 2024 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Trastoy 2020 | contextual other | Kang 2024 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Depommier 2020 | contextual other | Kang 2024 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Cao 2020 | contextual other | Kang 2024 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Yang 2020 | contextual other | Kang 2024 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024 | Zhou 2020 | contextual other | Kang 2024 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024 | Dong 2020 | contextual other | Kang 2024 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Depommier 2021 | contextual other | Kang 2024 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Osman 2021 | contextual other | Kang 2024 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Karcher 2021 | contextual other | Kang 2024 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Zhang 2021 | contextual other | Kang 2024 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Choi 2021 | contextual other | Kang 2024 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024 | Raftar 2021 | contextual other | Kang 2024 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024 | Ashrafian 2021 | contextual other | Kang 2024 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Juarez-Fernandez 2021 | contextual other | Kang 2024 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kang 2024 | Morrison 2022 | contextual other | Kang 2024 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kang 2024 | Lin 2022 | contextual other | Kang 2024 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Luo 2022 | contextual other | Kang 2024 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Wang 2022 | contextual other | Kang 2024 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kang 2024 | Mezhibovsky 2022 | contextual other | Kang 2024 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | mechanism vs clinical | 4 | Peng 2024 | Perraudeau 2020 | longevity | Peng 2024 (longevity, mechanistic) vs Perraudeau 2020 (contextual other, direct) | mechanism vs clinical (load-bearing) | | agreement | 1 | Peng 2024 | Zheng 2023 | longevity | Peng 2024 (null) vs Zheng 2023 (null) on longevity | agreement (minor) | | agreement | 1 | Han 2025 | Chen 2025 | contextual other | Han 2025 (null) vs Chen 2025 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Han 2025 | Wang 2025 | contextual other | Han 2025 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Han 2025 | Morkl 2025 | contextual other | Han 2025 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Khalili 2025 | contextual other | Han 2025 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Ghaderi 2025 | contextual other | Han 2025 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Wu 2026 | contextual other | Han 2025 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Pinheiro 2017 | contextual other | Han 2025 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Verhoog 2019 | contextual other | Han 2025 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Earley 2019 | contextual other | Han 2025 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Fujisaka 2020 | contextual other | Han 2025 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Ou 2020 | contextual other | Han 2025 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Perraudeau 2020 | contextual other | Han 2025 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Kostopoulos 2020 | contextual other | Han 2025 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Trastoy 2020 | contextual other | Han 2025 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Depommier 2020 | contextual other | Han 2025 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Cao 2020 | contextual other | Han 2025 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Yang 2020 | contextual other | Han 2025 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Han 2025 | Zhou 2020 | contextual other | Han 2025 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Han 2025 | Dong 2020 | contextual other | Han 2025 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Depommier 2021 | contextual other | Han 2025 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Osman 2021 | contextual other | Han 2025 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Karcher 2021 | contextual other | Han 2025 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Zhang 2021 | contextual other | Han 2025 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Choi 2021 | contextual other | Han 2025 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Han 2025 | Raftar 2021 | contextual other | Han 2025 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Han 2025 | Ashrafian 2021 | contextual other | Han 2025 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Juarez-Fernandez 2021 | contextual other | Han 2025 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Han 2025 | Morrison 2022 | contextual other | Han 2025 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Han 2025 | Lin 2022 | contextual other | Han 2025 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Luo 2022 | contextual other | Han 2025 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Wang 2022 | contextual other | Han 2025 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Han 2025 | Mezhibovsky 2022 | contextual other | Han 2025 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Liu 2025 | Asghari 2025 | cardiometabolic | Liu 2025 (unclear) vs Asghari 2025 (unclear) on cardiometabolic | agreement (minor) | | null vs positive | 3 | Liu 2025 | Depommier 2019 | cardiometabolic | Liu 2025 (unclear) vs Depommier 2019 (null) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Liu 2025 | Abuqwider 2021 | cardiometabolic | Liu 2025 (unclear) vs Abuqwider 2021 (unclear) on cardiometabolic | agreement (minor) | | null vs positive | 3 | Liu 2025 | Liu 2022 | cardiometabolic | Liu 2025 (unclear) vs Liu 2022 (null) on cardiometabolic | null vs positive (notable) | | null vs positive | 3 | Liu 2025 | Ojo 2022 | cardiometabolic | Liu 2025 (unclear) vs Ojo 2022 (null) on cardiometabolic | null vs positive (notable) | | null vs positive | 3 | Chen 2025 | Wang 2025 | contextual other | Chen 2025 (null) vs Wang 2025 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Chen 2025 | Morkl 2025 | contextual other | Chen 2025 (null) vs Morkl 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Khalili 2025 | contextual other | Chen 2025 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Ghaderi 2025 | contextual other | Chen 2025 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Wu 2026 | contextual other | Chen 2025 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Pinheiro 2017 | contextual other | Chen 2025 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Verhoog 2019 | contextual other | Chen 2025 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Earley 2019 | contextual other | Chen 2025 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Fujisaka 2020 | contextual other | Chen 2025 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Ou 2020 | contextual other | Chen 2025 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Perraudeau 2020 | contextual other | Chen 2025 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Kostopoulos 2020 | contextual other | Chen 2025 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Trastoy 2020 | contextual other | Chen 2025 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Depommier 2020 | contextual other | Chen 2025 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Cao 2020 | contextual other | Chen 2025 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Yang 2020 | contextual other | Chen 2025 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Chen 2025 | Zhou 2020 | contextual other | Chen 2025 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Chen 2025 | Dong 2020 | contextual other | Chen 2025 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Depommier 2021 | contextual other | Chen 2025 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Osman 2021 | contextual other | Chen 2025 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Karcher 2021 | contextual other | Chen 2025 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Zhang 2021 | contextual other | Chen 2025 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Choi 2021 | contextual other | Chen 2025 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Chen 2025 | Raftar 2021 | contextual other | Chen 2025 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Chen 2025 | Ashrafian 2021 | contextual other | Chen 2025 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Juarez-Fernandez 2021 | contextual other | Chen 2025 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Chen 2025 | Morrison 2022 | contextual other | Chen 2025 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Chen 2025 | Lin 2022 | contextual other | Chen 2025 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Luo 2022 | contextual other | Chen 2025 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Wang 2022 | contextual other | Chen 2025 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Chen 2025 | Mezhibovsky 2022 | contextual other | Chen 2025 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Wang 2025 | Morkl 2025 | contextual other | Wang 2025 (unclear) vs Morkl 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Khalili 2025 | contextual other | Wang 2025 (unclear) vs Khalili 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Ghaderi 2025 | contextual other | Wang 2025 (unclear) vs Ghaderi 2025 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Wu 2026 | contextual other | Wang 2025 (unclear) vs Wu 2026 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Pinheiro 2017 | contextual other | Wang 2025 (unclear) vs Pinheiro 2017 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Verhoog 2019 | contextual other | Wang 2025 (unclear) vs Verhoog 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Earley 2019 | contextual other | Wang 2025 (unclear) vs Earley 2019 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Fujisaka 2020 | contextual other | Wang 2025 (unclear) vs Fujisaka 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Ou 2020 | contextual other | Wang 2025 (unclear) vs Ou 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Perraudeau 2020 | contextual other | Wang 2025 (unclear) vs Perraudeau 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Kostopoulos 2020 | contextual other | Wang 2025 (unclear) vs Kostopoulos 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Trastoy 2020 | contextual other | Wang 2025 (unclear) vs Trastoy 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Depommier 2020 | contextual other | Wang 2025 (unclear) vs Depommier 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Cao 2020 | contextual other | Wang 2025 (unclear) vs Cao 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Yang 2020 | contextual other | Wang 2025 (unclear) vs Yang 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Dong 2020 | contextual other | Wang 2025 (unclear) vs Dong 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Depommier 2021 | contextual other | Wang 2025 (unclear) vs Depommier 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Osman 2021 | contextual other | Wang 2025 (unclear) vs Osman 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Karcher 2021 | contextual other | Wang 2025 (unclear) vs Karcher 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Zhang 2021 | contextual other | Wang 2025 (unclear) vs Zhang 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Choi 2021 | contextual other | Wang 2025 (unclear) vs Choi 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Ashrafian 2021 | contextual other | Wang 2025 (unclear) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Juarez-Fernandez 2021 | contextual other | Wang 2025 (unclear) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Wang 2025 | Morrison 2022 | contextual other | Wang 2025 (unclear) vs Morrison 2022 (unclear) on contextual other | agreement (minor) | | null vs positive | 3 | Wang 2025 | Lin 2022 | contextual other | Wang 2025 (unclear) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Luo 2022 | contextual other | Wang 2025 (unclear) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Wang 2022 | contextual other | Wang 2025 (unclear) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wang 2025 | Mezhibovsky 2022 | contextual other | Wang 2025 (unclear) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Morkl 2025 | Khalili 2025 | contextual other | Morkl 2025 (null) vs Khalili 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Ghaderi 2025 | contextual other | Morkl 2025 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Wu 2026 | contextual other | Morkl 2025 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Pinheiro 2017 | contextual other | Morkl 2025 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Verhoog 2019 | contextual other | Morkl 2025 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Earley 2019 | contextual other | Morkl 2025 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Fujisaka 2020 | contextual other | Morkl 2025 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Ou 2020 | contextual other | Morkl 2025 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Perraudeau 2020 | contextual other | Morkl 2025 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Kostopoulos 2020 | contextual other | Morkl 2025 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Trastoy 2020 | contextual other | Morkl 2025 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Depommier 2020 | contextual other | Morkl 2025 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Cao 2020 | contextual other | Morkl 2025 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Yang 2020 | contextual other | Morkl 2025 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Morkl 2025 | Zhou 2020 | contextual other | Morkl 2025 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Morkl 2025 | Dong 2020 | contextual other | Morkl 2025 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Depommier 2021 | contextual other | Morkl 2025 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Osman 2021 | contextual other | Morkl 2025 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Karcher 2021 | contextual other | Morkl 2025 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Zhang 2021 | contextual other | Morkl 2025 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Choi 2021 | contextual other | Morkl 2025 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Morkl 2025 | Raftar 2021 | contextual other | Morkl 2025 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Morkl 2025 | Ashrafian 2021 | contextual other | Morkl 2025 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Juarez-Fernandez 2021 | contextual other | Morkl 2025 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Morkl 2025 | Morrison 2022 | contextual other | Morkl 2025 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Morkl 2025 | Lin 2022 | contextual other | Morkl 2025 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Luo 2022 | contextual other | Morkl 2025 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Wang 2022 | contextual other | Morkl 2025 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Morkl 2025 | Mezhibovsky 2022 | contextual other | Morkl 2025 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Ghaderi 2025 | contextual other | Khalili 2025 (null) vs Ghaderi 2025 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Wu 2026 | contextual other | Khalili 2025 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Pinheiro 2017 | contextual other | Khalili 2025 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Verhoog 2019 | contextual other | Khalili 2025 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Earley 2019 | contextual other | Khalili 2025 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Fujisaka 2020 | contextual other | Khalili 2025 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Ou 2020 | contextual other | Khalili 2025 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Perraudeau 2020 | contextual other | Khalili 2025 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Kostopoulos 2020 | contextual other | Khalili 2025 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Trastoy 2020 | contextual other | Khalili 2025 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Depommier 2020 | contextual other | Khalili 2025 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Cao 2020 | contextual other | Khalili 2025 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Yang 2020 | contextual other | Khalili 2025 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2025 | Zhou 2020 | contextual other | Khalili 2025 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Khalili 2025 | Dong 2020 | contextual other | Khalili 2025 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Depommier 2021 | contextual other | Khalili 2025 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Osman 2021 | contextual other | Khalili 2025 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Karcher 2021 | contextual other | Khalili 2025 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Zhang 2021 | contextual other | Khalili 2025 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Choi 2021 | contextual other | Khalili 2025 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2025 | Raftar 2021 | contextual other | Khalili 2025 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Khalili 2025 | Ashrafian 2021 | contextual other | Khalili 2025 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Juarez-Fernandez 2021 | contextual other | Khalili 2025 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Khalili 2025 | Morrison 2022 | contextual other | Khalili 2025 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Khalili 2025 | Lin 2022 | contextual other | Khalili 2025 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Luo 2022 | contextual other | Khalili 2025 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Wang 2022 | contextual other | Khalili 2025 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Khalili 2025 | Mezhibovsky 2022 | contextual other | Khalili 2025 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Asghari 2025 | Depommier 2019 | cardiometabolic | Asghari 2025 (unclear) vs Depommier 2019 (null) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Asghari 2025 | Abuqwider 2021 | cardiometabolic | Asghari 2025 (unclear) vs Abuqwider 2021 (unclear) on cardiometabolic | agreement (minor) | | null vs positive | 3 | Asghari 2025 | Liu 2022 | cardiometabolic | Asghari 2025 (unclear) vs Liu 2022 (null) on cardiometabolic | null vs positive (notable) | | null vs positive | 3 | Asghari 2025 | Ojo 2022 | cardiometabolic | Asghari 2025 (unclear) vs Ojo 2022 (null) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Syromyatnikov 2025 | Ouyang 2020 | immune inflammation | Syromyatnikov 2025 (null) vs Ouyang 2020 (null) on immune inflammation | agreement (minor) | | mechanism vs clinical | 4 | Syromyatnikov 2025 | Perraudeau 2020 | immune inflammation | Syromyatnikov 2025 (immune inflammation, mechanistic) vs Perraudeau 2020 (contextual other, direct) | mechanism vs clinical (load-bearing) | | agreement | 1 | Syromyatnikov 2025 | Liu 2020 | immune inflammation | Syromyatnikov 2025 (null) vs Liu 2020 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Syromyatnikov 2025 | Yang 2021 | immune inflammation | Syromyatnikov 2025 (null) vs Yang 2021 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Syromyatnikov 2025 | Wu 2022 | immune inflammation | Syromyatnikov 2025 (null) vs Wu 2022 (positive) on immune inflammation | null vs positive (notable) | | agreement | 1 | Syromyatnikov 2025 | Rodrigues 2022 | immune inflammation | Syromyatnikov 2025 (null) vs Rodrigues 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Syromyatnikov 2025 | Huwart 2022 | immune inflammation | Syromyatnikov 2025 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Syromyatnikov 2025 | Lu 2022 | immune inflammation | Syromyatnikov 2025 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Syromyatnikov 2025 | Effendi 2022 | immune inflammation | Syromyatnikov 2025 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Syromyatnikov 2025 | Xu 2023 | immune inflammation | Syromyatnikov 2025 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Wu 2026 | contextual other | Ghaderi 2025 (null) vs Wu 2026 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Pinheiro 2017 | contextual other | Ghaderi 2025 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Verhoog 2019 | contextual other | Ghaderi 2025 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Earley 2019 | contextual other | Ghaderi 2025 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Fujisaka 2020 | contextual other | Ghaderi 2025 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Ou 2020 | contextual other | Ghaderi 2025 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Perraudeau 2020 | contextual other | Ghaderi 2025 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Kostopoulos 2020 | contextual other | Ghaderi 2025 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Trastoy 2020 | contextual other | Ghaderi 2025 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Depommier 2020 | contextual other | Ghaderi 2025 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Cao 2020 | contextual other | Ghaderi 2025 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Yang 2020 | contextual other | Ghaderi 2025 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ghaderi 2025 | Zhou 2020 | contextual other | Ghaderi 2025 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ghaderi 2025 | Dong 2020 | contextual other | Ghaderi 2025 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Depommier 2021 | contextual other | Ghaderi 2025 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Osman 2021 | contextual other | Ghaderi 2025 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Karcher 2021 | contextual other | Ghaderi 2025 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Zhang 2021 | contextual other | Ghaderi 2025 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Choi 2021 | contextual other | Ghaderi 2025 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ghaderi 2025 | Raftar 2021 | contextual other | Ghaderi 2025 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ghaderi 2025 | Ashrafian 2021 | contextual other | Ghaderi 2025 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Juarez-Fernandez 2021 | contextual other | Ghaderi 2025 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ghaderi 2025 | Morrison 2022 | contextual other | Ghaderi 2025 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ghaderi 2025 | Lin 2022 | contextual other | Ghaderi 2025 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Luo 2022 | contextual other | Ghaderi 2025 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Wang 2022 | contextual other | Ghaderi 2025 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ghaderi 2025 | Mezhibovsky 2022 | contextual other | Ghaderi 2025 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Pinheiro 2017 | contextual other | Wu 2026 (null) vs Pinheiro 2017 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Verhoog 2019 | contextual other | Wu 2026 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Earley 2019 | contextual other | Wu 2026 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Fujisaka 2020 | contextual other | Wu 2026 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Ou 2020 | contextual other | Wu 2026 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Perraudeau 2020 | contextual other | Wu 2026 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Kostopoulos 2020 | contextual other | Wu 2026 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Trastoy 2020 | contextual other | Wu 2026 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Depommier 2020 | contextual other | Wu 2026 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Cao 2020 | contextual other | Wu 2026 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Yang 2020 | contextual other | Wu 2026 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2026 | Zhou 2020 | contextual other | Wu 2026 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2026 | Dong 2020 | contextual other | Wu 2026 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Depommier 2021 | contextual other | Wu 2026 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Osman 2021 | contextual other | Wu 2026 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Karcher 2021 | contextual other | Wu 2026 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Zhang 2021 | contextual other | Wu 2026 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Choi 2021 | contextual other | Wu 2026 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2026 | Raftar 2021 | contextual other | Wu 2026 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2026 | Ashrafian 2021 | contextual other | Wu 2026 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Juarez-Fernandez 2021 | contextual other | Wu 2026 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Wu 2026 | Morrison 2022 | contextual other | Wu 2026 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Wu 2026 | Lin 2022 | contextual other | Wu 2026 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Luo 2022 | contextual other | Wu 2026 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Wang 2022 | contextual other | Wu 2026 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Wu 2026 | Mezhibovsky 2022 | contextual other | Wu 2026 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Verhoog 2019 | contextual other | Pinheiro 2017 (null) vs Verhoog 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Earley 2019 | contextual other | Pinheiro 2017 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Fujisaka 2020 | contextual other | Pinheiro 2017 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Ou 2020 | contextual other | Pinheiro 2017 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Perraudeau 2020 | contextual other | Pinheiro 2017 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Kostopoulos 2020 | contextual other | Pinheiro 2017 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Trastoy 2020 | contextual other | Pinheiro 2017 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Depommier 2020 | contextual other | Pinheiro 2017 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Cao 2020 | contextual other | Pinheiro 2017 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Yang 2020 | contextual other | Pinheiro 2017 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pinheiro 2017 | Zhou 2020 | contextual other | Pinheiro 2017 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Pinheiro 2017 | Dong 2020 | contextual other | Pinheiro 2017 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Depommier 2021 | contextual other | Pinheiro 2017 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Osman 2021 | contextual other | Pinheiro 2017 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Karcher 2021 | contextual other | Pinheiro 2017 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Zhang 2021 | contextual other | Pinheiro 2017 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Choi 2021 | contextual other | Pinheiro 2017 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pinheiro 2017 | Raftar 2021 | contextual other | Pinheiro 2017 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Pinheiro 2017 | Ashrafian 2021 | contextual other | Pinheiro 2017 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Juarez-Fernandez 2021 | contextual other | Pinheiro 2017 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Pinheiro 2017 | Morrison 2022 | contextual other | Pinheiro 2017 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Pinheiro 2017 | Lin 2022 | contextual other | Pinheiro 2017 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Luo 2022 | contextual other | Pinheiro 2017 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Wang 2022 | contextual other | Pinheiro 2017 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Pinheiro 2017 | Mezhibovsky 2022 | contextual other | Pinheiro 2017 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Earley 2019 | contextual other | Verhoog 2019 (null) vs Earley 2019 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Fujisaka 2020 | contextual other | Verhoog 2019 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Ou 2020 | contextual other | Verhoog 2019 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Perraudeau 2020 | contextual other | Verhoog 2019 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Kostopoulos 2020 | contextual other | Verhoog 2019 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Trastoy 2020 | contextual other | Verhoog 2019 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Depommier 2020 | contextual other | Verhoog 2019 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Cao 2020 | contextual other | Verhoog 2019 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Yang 2020 | contextual other | Verhoog 2019 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Verhoog 2019 | Zhou 2020 | contextual other | Verhoog 2019 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Verhoog 2019 | Dong 2020 | contextual other | Verhoog 2019 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Depommier 2021 | contextual other | Verhoog 2019 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Osman 2021 | contextual other | Verhoog 2019 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Karcher 2021 | contextual other | Verhoog 2019 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Zhang 2021 | contextual other | Verhoog 2019 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Choi 2021 | contextual other | Verhoog 2019 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Verhoog 2019 | Raftar 2021 | contextual other | Verhoog 2019 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Verhoog 2019 | Ashrafian 2021 | contextual other | Verhoog 2019 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Juarez-Fernandez 2021 | contextual other | Verhoog 2019 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Verhoog 2019 | Morrison 2022 | contextual other | Verhoog 2019 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Verhoog 2019 | Lin 2022 | contextual other | Verhoog 2019 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Luo 2022 | contextual other | Verhoog 2019 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Wang 2022 | contextual other | Verhoog 2019 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Verhoog 2019 | Mezhibovsky 2022 | contextual other | Verhoog 2019 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2019 | Abuqwider 2021 | cardiometabolic | Depommier 2019 (null) vs Abuqwider 2021 (unclear) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Depommier 2019 | Liu 2022 | cardiometabolic | Depommier 2019 (null) vs Liu 2022 (null) on cardiometabolic | agreement (minor) | | agreement | 1 | Depommier 2019 | Ojo 2022 | cardiometabolic | Depommier 2019 (null) vs Ojo 2022 (null) on cardiometabolic | agreement (minor) | | agreement | 1 | Earley 2019 | Fujisaka 2020 | contextual other | Earley 2019 (null) vs Fujisaka 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Ou 2020 | contextual other | Earley 2019 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Perraudeau 2020 | contextual other | Earley 2019 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Kostopoulos 2020 | contextual other | Earley 2019 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Trastoy 2020 | contextual other | Earley 2019 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Depommier 2020 | contextual other | Earley 2019 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Cao 2020 | contextual other | Earley 2019 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Yang 2020 | contextual other | Earley 2019 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Earley 2019 | Zhou 2020 | contextual other | Earley 2019 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Earley 2019 | Dong 2020 | contextual other | Earley 2019 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Depommier 2021 | contextual other | Earley 2019 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Osman 2021 | contextual other | Earley 2019 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Karcher 2021 | contextual other | Earley 2019 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Zhang 2021 | contextual other | Earley 2019 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Choi 2021 | contextual other | Earley 2019 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Earley 2019 | Raftar 2021 | contextual other | Earley 2019 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Earley 2019 | Ashrafian 2021 | contextual other | Earley 2019 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Juarez-Fernandez 2021 | contextual other | Earley 2019 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Earley 2019 | Morrison 2022 | contextual other | Earley 2019 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Earley 2019 | Lin 2022 | contextual other | Earley 2019 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Luo 2022 | contextual other | Earley 2019 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Wang 2022 | contextual other | Earley 2019 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Earley 2019 | Mezhibovsky 2022 | contextual other | Earley 2019 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Ou 2020 | contextual other | Fujisaka 2020 (null) vs Ou 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Perraudeau 2020 | contextual other | Fujisaka 2020 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Kostopoulos 2020 | contextual other | Fujisaka 2020 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Trastoy 2020 | contextual other | Fujisaka 2020 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Depommier 2020 | contextual other | Fujisaka 2020 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Cao 2020 | contextual other | Fujisaka 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Yang 2020 | contextual other | Fujisaka 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Fujisaka 2020 | Zhou 2020 | contextual other | Fujisaka 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Fujisaka 2020 | Dong 2020 | contextual other | Fujisaka 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Depommier 2021 | contextual other | Fujisaka 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Osman 2021 | contextual other | Fujisaka 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Karcher 2021 | contextual other | Fujisaka 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Zhang 2021 | contextual other | Fujisaka 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Choi 2021 | contextual other | Fujisaka 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Fujisaka 2020 | Raftar 2021 | contextual other | Fujisaka 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Fujisaka 2020 | Ashrafian 2021 | contextual other | Fujisaka 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Juarez-Fernandez 2021 | contextual other | Fujisaka 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Fujisaka 2020 | Morrison 2022 | contextual other | Fujisaka 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Fujisaka 2020 | Lin 2022 | contextual other | Fujisaka 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Luo 2022 | contextual other | Fujisaka 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Wang 2022 | contextual other | Fujisaka 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Fujisaka 2020 | Mezhibovsky 2022 | contextual other | Fujisaka 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ouyang 2020 | Liu 2020 | immune inflammation | Ouyang 2020 (null) vs Liu 2020 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ouyang 2020 | Yang 2021 | immune inflammation | Ouyang 2020 (null) vs Yang 2021 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Ouyang 2020 | Wu 2022 | immune inflammation | Ouyang 2020 (null) vs Wu 2022 (positive) on immune inflammation | null vs positive (notable) | | agreement | 1 | Ouyang 2020 | Rodrigues 2022 | immune inflammation | Ouyang 2020 (null) vs Rodrigues 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ouyang 2020 | Huwart 2022 | immune inflammation | Ouyang 2020 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ouyang 2020 | Lu 2022 | immune inflammation | Ouyang 2020 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ouyang 2020 | Effendi 2022 | immune inflammation | Ouyang 2020 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ouyang 2020 | Xu 2023 | immune inflammation | Ouyang 2020 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Ou 2020 | Perraudeau 2020 | contextual other | Ou 2020 (null) vs Perraudeau 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Kostopoulos 2020 | contextual other | Ou 2020 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Trastoy 2020 | contextual other | Ou 2020 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Depommier 2020 | contextual other | Ou 2020 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Cao 2020 | contextual other | Ou 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Yang 2020 | contextual other | Ou 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ou 2020 | Zhou 2020 | contextual other | Ou 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ou 2020 | Dong 2020 | contextual other | Ou 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Depommier 2021 | contextual other | Ou 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Osman 2021 | contextual other | Ou 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Karcher 2021 | contextual other | Ou 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Zhang 2021 | contextual other | Ou 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Choi 2021 | contextual other | Ou 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ou 2020 | Raftar 2021 | contextual other | Ou 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Ou 2020 | Ashrafian 2021 | contextual other | Ou 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Juarez-Fernandez 2021 | contextual other | Ou 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ou 2020 | Morrison 2022 | contextual other | Ou 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ou 2020 | Lin 2022 | contextual other | Ou 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Luo 2022 | contextual other | Ou 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Wang 2022 | contextual other | Ou 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ou 2020 | Mezhibovsky 2022 | contextual other | Ou 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Kostopoulos 2020 | contextual other | Perraudeau 2020 (null) vs Kostopoulos 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Trastoy 2020 | contextual other | Perraudeau 2020 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Depommier 2020 | contextual other | Perraudeau 2020 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Cao 2020 | contextual other | Perraudeau 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Yang 2020 | contextual other | Perraudeau 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Perraudeau 2020 | Zhou 2020 | contextual other | Perraudeau 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Perraudeau 2020 | Dong 2020 | contextual other | Perraudeau 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | mechanism vs clinical | 4 | Perraudeau 2020 | Regnier 2020 | contextual other | Perraudeau 2020 (contextual other, direct) vs Regnier 2020 (dosing pharmacokinetics, mechanistic) | mechanism vs clinical (load-bearing) | | agreement | 1 | Perraudeau 2020 | Depommier 2021 | contextual other | Perraudeau 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Osman 2021 | contextual other | Perraudeau 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | mechanism vs clinical | 4 | Perraudeau 2020 | Ondee 2021 | contextual other | Perraudeau 2020 (contextual other, direct) vs Ondee 2021 (immune, mechanistic) | mechanism vs clinical (load-bearing) | | agreement | 1 | Perraudeau 2020 | Karcher 2021 | contextual other | Perraudeau 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Zhang 2021 | contextual other | Perraudeau 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Choi 2021 | contextual other | Perraudeau 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Perraudeau 2020 | Raftar 2021 | contextual other | Perraudeau 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Perraudeau 2020 | Ashrafian 2021 | contextual other | Perraudeau 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Juarez-Fernandez 2021 | contextual other | Perraudeau 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Perraudeau 2020 | Morrison 2022 | contextual other | Perraudeau 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | mechanism vs clinical | 4 | Perraudeau 2020 | Wu 2022 | contextual other | Perraudeau 2020 (contextual other, direct) vs Wu 2022 (immune inflammation, mechanistic) | mechanism vs clinical (load-bearing) | | mechanism vs clinical | 4 | Perraudeau 2020 | Huwart 2022 | contextual other | Perraudeau 2020 (contextual other, direct) vs Huwart 2022 (immune inflammation, mechanistic) | mechanism vs clinical (load-bearing) | | mechanism vs clinical | 4 | Perraudeau 2020 | Lu 2022 | contextual other | Perraudeau 2020 (contextual other, direct) vs Lu 2022 (immune inflammation, mechanistic) | mechanism vs clinical (load-bearing) | | agreement | 1 | Perraudeau 2020 | Lin 2022 | contextual other | Perraudeau 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Luo 2022 | contextual other | Perraudeau 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Wang 2022 | contextual other | Perraudeau 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Perraudeau 2020 | Mezhibovsky 2022 | contextual other | Perraudeau 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | mechanism vs clinical | 4 | Perraudeau 2020 | Xu 2023 | contextual other | Perraudeau 2020 (contextual other, direct) vs Xu 2023 (immune inflammation, mechanistic) | mechanism vs clinical (load-bearing) | | agreement | 1 | Kostopoulos 2020 | Trastoy 2020 | contextual other | Kostopoulos 2020 (null) vs Trastoy 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Depommier 2020 | contextual other | Kostopoulos 2020 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Cao 2020 | contextual other | Kostopoulos 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Yang 2020 | contextual other | Kostopoulos 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kostopoulos 2020 | Zhou 2020 | contextual other | Kostopoulos 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kostopoulos 2020 | Dong 2020 | contextual other | Kostopoulos 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Depommier 2021 | contextual other | Kostopoulos 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Osman 2021 | contextual other | Kostopoulos 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Karcher 2021 | contextual other | Kostopoulos 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Zhang 2021 | contextual other | Kostopoulos 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Choi 2021 | contextual other | Kostopoulos 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kostopoulos 2020 | Raftar 2021 | contextual other | Kostopoulos 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Kostopoulos 2020 | Ashrafian 2021 | contextual other | Kostopoulos 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Juarez-Fernandez 2021 | contextual other | Kostopoulos 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Kostopoulos 2020 | Morrison 2022 | contextual other | Kostopoulos 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Kostopoulos 2020 | Lin 2022 | contextual other | Kostopoulos 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Luo 2022 | contextual other | Kostopoulos 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Wang 2022 | contextual other | Kostopoulos 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Kostopoulos 2020 | Mezhibovsky 2022 | contextual other | Kostopoulos 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Depommier 2020 | contextual other | Trastoy 2020 (null) vs Depommier 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Cao 2020 | contextual other | Trastoy 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Yang 2020 | contextual other | Trastoy 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Trastoy 2020 | Zhou 2020 | contextual other | Trastoy 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Trastoy 2020 | Dong 2020 | contextual other | Trastoy 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Depommier 2021 | contextual other | Trastoy 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Osman 2021 | contextual other | Trastoy 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Karcher 2021 | contextual other | Trastoy 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Zhang 2021 | contextual other | Trastoy 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Choi 2021 | contextual other | Trastoy 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Trastoy 2020 | Raftar 2021 | contextual other | Trastoy 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Trastoy 2020 | Ashrafian 2021 | contextual other | Trastoy 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Juarez-Fernandez 2021 | contextual other | Trastoy 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Trastoy 2020 | Morrison 2022 | contextual other | Trastoy 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Trastoy 2020 | Lin 2022 | contextual other | Trastoy 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Luo 2022 | contextual other | Trastoy 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Wang 2022 | contextual other | Trastoy 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Trastoy 2020 | Mezhibovsky 2022 | contextual other | Trastoy 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Cao 2020 | contextual other | Depommier 2020 (null) vs Cao 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Yang 2020 | contextual other | Depommier 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2020 | Zhou 2020 | contextual other | Depommier 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Depommier 2020 | Dong 2020 | contextual other | Depommier 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Depommier 2021 | contextual other | Depommier 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Osman 2021 | contextual other | Depommier 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Karcher 2021 | contextual other | Depommier 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Zhang 2021 | contextual other | Depommier 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Choi 2021 | contextual other | Depommier 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2020 | Raftar 2021 | contextual other | Depommier 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Depommier 2020 | Ashrafian 2021 | contextual other | Depommier 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Juarez-Fernandez 2021 | contextual other | Depommier 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2020 | Morrison 2022 | contextual other | Depommier 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Depommier 2020 | Lin 2022 | contextual other | Depommier 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Luo 2022 | contextual other | Depommier 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Wang 2022 | contextual other | Depommier 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2020 | Mezhibovsky 2022 | contextual other | Depommier 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Yang 2020 | contextual other | Cao 2020 (null) vs Yang 2020 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Cao 2020 | Zhou 2020 | contextual other | Cao 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Cao 2020 | Dong 2020 | contextual other | Cao 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Depommier 2021 | contextual other | Cao 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Osman 2021 | contextual other | Cao 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Karcher 2021 | contextual other | Cao 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Zhang 2021 | contextual other | Cao 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Choi 2021 | contextual other | Cao 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Cao 2020 | Raftar 2021 | contextual other | Cao 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Cao 2020 | Ashrafian 2021 | contextual other | Cao 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Juarez-Fernandez 2021 | contextual other | Cao 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Cao 2020 | Morrison 2022 | contextual other | Cao 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Cao 2020 | Lin 2022 | contextual other | Cao 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Luo 2022 | contextual other | Cao 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Wang 2022 | contextual other | Cao 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Cao 2020 | Mezhibovsky 2022 | contextual other | Cao 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Yang 2020 | Zhou 2020 | contextual other | Yang 2020 (null) vs Zhou 2020 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Yang 2020 | Dong 2020 | contextual other | Yang 2020 (null) vs Dong 2020 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Depommier 2021 | contextual other | Yang 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Osman 2021 | contextual other | Yang 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Karcher 2021 | contextual other | Yang 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Zhang 2021 | contextual other | Yang 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Choi 2021 | contextual other | Yang 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Yang 2020 | Raftar 2021 | contextual other | Yang 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Yang 2020 | Ashrafian 2021 | contextual other | Yang 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Juarez-Fernandez 2021 | contextual other | Yang 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Yang 2020 | Morrison 2022 | contextual other | Yang 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Yang 2020 | Lin 2022 | contextual other | Yang 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Luo 2022 | contextual other | Yang 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Wang 2022 | contextual other | Yang 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Yang 2020 | Mezhibovsky 2022 | contextual other | Yang 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Zhou 2020 | Dong 2020 | contextual other | Zhou 2020 (positive) vs Dong 2020 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Depommier 2021 | contextual other | Zhou 2020 (positive) vs Depommier 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Osman 2021 | contextual other | Zhou 2020 (positive) vs Osman 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Karcher 2021 | contextual other | Zhou 2020 (positive) vs Karcher 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Zhang 2021 | contextual other | Zhou 2020 (positive) vs Zhang 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Choi 2021 | contextual other | Zhou 2020 (positive) vs Choi 2021 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Zhou 2020 | Raftar 2021 | contextual other | Zhou 2020 (positive) vs Raftar 2021 (positive) on contextual other | agreement (minor) | | null vs positive | 3 | Zhou 2020 | Ashrafian 2021 | contextual other | Zhou 2020 (positive) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Juarez-Fernandez 2021 | contextual other | Zhou 2020 (positive) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Lin 2022 | contextual other | Zhou 2020 (positive) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Luo 2022 | contextual other | Zhou 2020 (positive) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Wang 2022 | contextual other | Zhou 2020 (positive) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Zhou 2020 | Mezhibovsky 2022 | contextual other | Zhou 2020 (positive) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Dong 2020 | Depommier 2021 | contextual other | Dong 2020 (null) vs Depommier 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Osman 2021 | contextual other | Dong 2020 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Karcher 2021 | contextual other | Dong 2020 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Zhang 2021 | contextual other | Dong 2020 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Choi 2021 | contextual other | Dong 2020 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Dong 2020 | Raftar 2021 | contextual other | Dong 2020 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Dong 2020 | Ashrafian 2021 | contextual other | Dong 2020 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Juarez-Fernandez 2021 | contextual other | Dong 2020 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Dong 2020 | Morrison 2022 | contextual other | Dong 2020 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Dong 2020 | Lin 2022 | contextual other | Dong 2020 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Luo 2022 | contextual other | Dong 2020 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Wang 2022 | contextual other | Dong 2020 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Dong 2020 | Mezhibovsky 2022 | contextual other | Dong 2020 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Liu 2020 | Yang 2021 | immune inflammation | Liu 2020 (null) vs Yang 2021 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Liu 2020 | Wu 2022 | immune inflammation | Liu 2020 (null) vs Wu 2022 (positive) on immune inflammation | null vs positive (notable) | | agreement | 1 | Liu 2020 | Rodrigues 2022 | immune inflammation | Liu 2020 (null) vs Rodrigues 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Liu 2020 | Huwart 2022 | immune inflammation | Liu 2020 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Liu 2020 | Lu 2022 | immune inflammation | Liu 2020 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Liu 2020 | Effendi 2022 | immune inflammation | Liu 2020 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Liu 2020 | Xu 2023 | immune inflammation | Liu 2020 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Depommier 2021 | Osman 2021 | contextual other | Depommier 2021 (null) vs Osman 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Karcher 2021 | contextual other | Depommier 2021 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Zhang 2021 | contextual other | Depommier 2021 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Choi 2021 | contextual other | Depommier 2021 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2021 | Raftar 2021 | contextual other | Depommier 2021 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Depommier 2021 | Ashrafian 2021 | contextual other | Depommier 2021 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Juarez-Fernandez 2021 | contextual other | Depommier 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Depommier 2021 | Morrison 2022 | contextual other | Depommier 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Depommier 2021 | Lin 2022 | contextual other | Depommier 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Luo 2022 | contextual other | Depommier 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Wang 2022 | contextual other | Depommier 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Depommier 2021 | Mezhibovsky 2022 | contextual other | Depommier 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Karcher 2021 | contextual other | Osman 2021 (null) vs Karcher 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Zhang 2021 | contextual other | Osman 2021 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Choi 2021 | contextual other | Osman 2021 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Osman 2021 | Raftar 2021 | contextual other | Osman 2021 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Osman 2021 | Ashrafian 2021 | contextual other | Osman 2021 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Juarez-Fernandez 2021 | contextual other | Osman 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Osman 2021 | Morrison 2022 | contextual other | Osman 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Osman 2021 | Lin 2022 | contextual other | Osman 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Luo 2022 | contextual other | Osman 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Wang 2022 | contextual other | Osman 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Osman 2021 | Mezhibovsky 2022 | contextual other | Osman 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | disagreement | 4 | Ondee 2021 | Luo 2021 | immune | Ondee 2021 (null) vs Luo 2021 (mixed) on immune | disagreement (load-bearing) | | null vs positive | 3 | Abuqwider 2021 | Liu 2022 | cardiometabolic | Abuqwider 2021 (unclear) vs Liu 2022 (null) on cardiometabolic | null vs positive (notable) | | null vs positive | 3 | Abuqwider 2021 | Ojo 2022 | cardiometabolic | Abuqwider 2021 (unclear) vs Ojo 2022 (null) on cardiometabolic | null vs positive (notable) | | agreement | 1 | Karcher 2021 | Zhang 2021 | contextual other | Karcher 2021 (null) vs Zhang 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Karcher 2021 | Choi 2021 | contextual other | Karcher 2021 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Karcher 2021 | Raftar 2021 | contextual other | Karcher 2021 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Karcher 2021 | Ashrafian 2021 | contextual other | Karcher 2021 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Karcher 2021 | Juarez-Fernandez 2021 | contextual other | Karcher 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Karcher 2021 | Morrison 2022 | contextual other | Karcher 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Karcher 2021 | Lin 2022 | contextual other | Karcher 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Karcher 2021 | Luo 2022 | contextual other | Karcher 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Karcher 2021 | Wang 2022 | contextual other | Karcher 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Karcher 2021 | Mezhibovsky 2022 | contextual other | Karcher 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Zhang 2021 | Choi 2021 | contextual other | Zhang 2021 (null) vs Choi 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Zhang 2021 | Raftar 2021 | contextual other | Zhang 2021 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Zhang 2021 | Ashrafian 2021 | contextual other | Zhang 2021 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Zhang 2021 | Juarez-Fernandez 2021 | contextual other | Zhang 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Zhang 2021 | Morrison 2022 | contextual other | Zhang 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Zhang 2021 | Lin 2022 | contextual other | Zhang 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Zhang 2021 | Luo 2022 | contextual other | Zhang 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Zhang 2021 | Wang 2022 | contextual other | Zhang 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Zhang 2021 | Mezhibovsky 2022 | contextual other | Zhang 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Choi 2021 | Raftar 2021 | contextual other | Choi 2021 (null) vs Raftar 2021 (positive) on contextual other | null vs positive (notable) | | agreement | 1 | Choi 2021 | Ashrafian 2021 | contextual other | Choi 2021 (null) vs Ashrafian 2021 (null) on contextual other | agreement (minor) | | agreement | 1 | Choi 2021 | Juarez-Fernandez 2021 | contextual other | Choi 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Choi 2021 | Morrison 2022 | contextual other | Choi 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Choi 2021 | Lin 2022 | contextual other | Choi 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Choi 2021 | Luo 2022 | contextual other | Choi 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Choi 2021 | Wang 2022 | contextual other | Choi 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Choi 2021 | Mezhibovsky 2022 | contextual other | Choi 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Yang 2021 | Wu 2022 | immune inflammation | Yang 2021 (null) vs Wu 2022 (positive) on immune inflammation | null vs positive (notable) | | agreement | 1 | Yang 2021 | Rodrigues 2022 | immune inflammation | Yang 2021 (null) vs Rodrigues 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yang 2021 | Huwart 2022 | immune inflammation | Yang 2021 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yang 2021 | Lu 2022 | immune inflammation | Yang 2021 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yang 2021 | Effendi 2022 | immune inflammation | Yang 2021 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Yang 2021 | Xu 2023 | immune inflammation | Yang 2021 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | null vs positive | 3 | Raftar 2021 | Ashrafian 2021 | contextual other | Raftar 2021 (positive) vs Ashrafian 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Raftar 2021 | Juarez-Fernandez 2021 | contextual other | Raftar 2021 (positive) vs Juarez-Fernandez 2021 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Raftar 2021 | Lin 2022 | contextual other | Raftar 2021 (positive) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Raftar 2021 | Luo 2022 | contextual other | Raftar 2021 (positive) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Raftar 2021 | Wang 2022 | contextual other | Raftar 2021 (positive) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Raftar 2021 | Mezhibovsky 2022 | contextual other | Raftar 2021 (positive) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | agreement | 1 | Ashrafian 2021 | Juarez-Fernandez 2021 | contextual other | Ashrafian 2021 (null) vs Juarez-Fernandez 2021 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Ashrafian 2021 | Morrison 2022 | contextual other | Ashrafian 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Ashrafian 2021 | Lin 2022 | contextual other | Ashrafian 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ashrafian 2021 | Luo 2022 | contextual other | Ashrafian 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ashrafian 2021 | Wang 2022 | contextual other | Ashrafian 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Ashrafian 2021 | Mezhibovsky 2022 | contextual other | Ashrafian 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Juarez-Fernandez 2021 | Morrison 2022 | contextual other | Juarez-Fernandez 2021 (null) vs Morrison 2022 (unclear) on contextual other | null vs positive (notable) | | agreement | 1 | Juarez-Fernandez 2021 | Lin 2022 | contextual other | Juarez-Fernandez 2021 (null) vs Lin 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Juarez-Fernandez 2021 | Luo 2022 | contextual other | Juarez-Fernandez 2021 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Juarez-Fernandez 2021 | Wang 2022 | contextual other | Juarez-Fernandez 2021 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Juarez-Fernandez 2021 | Mezhibovsky 2022 | contextual other | Juarez-Fernandez 2021 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | null vs positive | 3 | Morrison 2022 | Lin 2022 | contextual other | Morrison 2022 (unclear) vs Lin 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Morrison 2022 | Luo 2022 | contextual other | Morrison 2022 (unclear) vs Luo 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Morrison 2022 | Wang 2022 | contextual other | Morrison 2022 (unclear) vs Wang 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Morrison 2022 | Mezhibovsky 2022 | contextual other | Morrison 2022 (unclear) vs Mezhibovsky 2022 (null) on contextual other | null vs positive (notable) | | null vs positive | 3 | Wu 2022 | Rodrigues 2022 | immune inflammation | Wu 2022 (positive) vs Rodrigues 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Wu 2022 | Huwart 2022 | immune inflammation | Wu 2022 (positive) vs Huwart 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Wu 2022 | Lu 2022 | immune inflammation | Wu 2022 (positive) vs Lu 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Wu 2022 | Effendi 2022 | immune inflammation | Wu 2022 (positive) vs Effendi 2022 (null) on immune inflammation | null vs positive (notable) | | null vs positive | 3 | Wu 2022 | Xu 2023 | immune inflammation | Wu 2022 (positive) vs Xu 2023 (null) on immune inflammation | null vs positive (notable) | | agreement | 1 | Liu 2022 | Ojo 2022 | cardiometabolic | Liu 2022 (null) vs Ojo 2022 (null) on cardiometabolic | agreement (minor) | | agreement | 1 | Rodrigues 2022 | Huwart 2022 | immune inflammation | Rodrigues 2022 (null) vs Huwart 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Rodrigues 2022 | Lu 2022 | immune inflammation | Rodrigues 2022 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Rodrigues 2022 | Effendi 2022 | immune inflammation | Rodrigues 2022 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Rodrigues 2022 | Xu 2023 | immune inflammation | Rodrigues 2022 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Huwart 2022 | Lu 2022 | immune inflammation | Huwart 2022 (null) vs Lu 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Huwart 2022 | Effendi 2022 | immune inflammation | Huwart 2022 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Huwart 2022 | Xu 2023 | immune inflammation | Huwart 2022 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Lu 2022 | Effendi 2022 | immune inflammation | Lu 2022 (null) vs Effendi 2022 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Lu 2022 | Xu 2023 | immune inflammation | Lu 2022 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | | agreement | 1 | Lin 2022 | Luo 2022 | contextual other | Lin 2022 (null) vs Luo 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lin 2022 | Wang 2022 | contextual other | Lin 2022 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Lin 2022 | Mezhibovsky 2022 | contextual other | Lin 2022 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Luo 2022 | Wang 2022 | contextual other | Luo 2022 (null) vs Wang 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Luo 2022 | Mezhibovsky 2022 | contextual other | Luo 2022 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Wang 2022 | Mezhibovsky 2022 | contextual other | Wang 2022 (null) vs Mezhibovsky 2022 (null) on contextual other | agreement (minor) | | agreement | 1 | Effendi 2022 | Xu 2023 | immune inflammation | Effendi 2022 (null) vs Xu 2023 (null) on immune inflammation | agreement (minor) | ### Table 4 (supplemental): Design-Level Evidence Weighting Heuristic *Per-domain grades are derived from each study's evidence tier (A1/A2/B1/B2/C1/C2) — they capture design-level limitations, NOT a formal per-paper risk-of-bias assessment from the source text. Domains follow design-family categories for randomized, observational, animal, and systematic-review evidence; `n/a` indicates the domain is not meaningful for that design (e.g. blinding for an observational cohort). The **Weight in synthesis** column is the qualitative weighting the synthesis applies to each source — derived from tier × directness × overall RoB.* | Citation | Tier | Tool | Allocation | Blinding | Attrition | Outcome measurement | Reporting | Confounding control | Generalizability | Overall RoB | Weight in synthesis | Effect direction notes | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Halkjr 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Morkl 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Asghari 2025 | B1 | AMSTAR-2 (review) | unclear | unclear | unclear | unclear | moderate | moderate | moderate | unclear | **supporting** (synthesis evidence) | signed claims without significance signal | | Zhou 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | positive effect — see Tables 1/2 | | Lee 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Liu 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Luo 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | internal contradiction across endpoints | | Ivashkin 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Pinheiro 2017 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Fujisaka 2020 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Liu 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Raftar 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | positive effect — see Tables 1/2 | | Liu 2024 | B1 | AMSTAR-2 (review) | unclear | unclear | unclear | unclear | moderate | moderate | moderate | unclear | **supporting** (synthesis evidence) | primary endpoint did not reach significance | | Depommier 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Zhang 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Pena-Cearra 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | negative effect — see Tables 1/2 | | Depommier 2019 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Wu 2022 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | positive effect — see Tables 1/2 | | Dong 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Karcher 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Juarez-Fernandez 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Prakash 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | signed claims without significance signal | | Wade 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | negative effect — see Tables 1/2 | | Chen 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Huwart 2022 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Kwon 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | He 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Syromyatnikov 2025 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Perraudeau 2020 | A1 | Cochrane RoB-2 | low | low | moderate | low | low | low | moderate | low | **load-bearing** (direct clinical RCT) | primary endpoint did not reach significance | | Khalili 2024 | B1 | AMSTAR-2 (review) | unclear | unclear | unclear | unclear | moderate | moderate | moderate | unclear | **supporting** (synthesis evidence) | signed claims without significance signal | | Bush 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Wu 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | signed claims without significance signal | | Xu 2023 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Depommier 2021b | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Wang 2022 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Ghaderi 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Wu 2026 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Bell 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Kostopoulos 2020 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Pepoyan 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Regnier 2020 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | signed claims without significance signal | | Yang 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Kang 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Liu 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | signed claims without significance signal | | Mezhibovsky 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Zhu 2023 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | positive effect — see Tables 1/2 | | Han 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Yoon 2024 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Lee 2024b | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Morrison 2022 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | signed claims without significance signal | | Lu 2022 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Ojo 2022 | B1 | AMSTAR-2 (review) | unclear | unclear | unclear | unclear | moderate | moderate | moderate | unclear | **supporting** (synthesis evidence) | primary endpoint did not reach significance | | Earley 2019 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Osman 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Lin 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Qu 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Kang 2024b | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Depommier 2020 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Trastoy 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Yang 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Ondee 2021 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Choi 2021 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Ashrafian 2021 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Khalili 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Wang 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | signed claims without significance signal | | Ou 2020 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Abuqwider 2021 | B1 | AMSTAR-2 (review) | unclear | unclear | unclear | unclear | moderate | moderate | moderate | unclear | **supporting** (synthesis evidence) | signed claims without significance signal | | Gofron 2024 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | signed claims without significance signal | | Effendi 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Verhoog 2019 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Cao 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Zheng 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Zeng 2023 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Peng 2024 | C1 | SYRCLE (animal) | low | n/a | low | moderate | moderate | n/a | high | low | **hypothesis-generating** (preclinical mechanism) | primary endpoint did not reach significance | | Gong 2025 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Ouyang 2020 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Rodrigues 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | | Luo 2022 | B2 | ROBINS-I | n/a | n/a | moderate | moderate | moderate | high | moderate | moderate | **contextual** (observational signal) | primary endpoint did not reach significance | ### Table 5 (supplemental): Per-Paper Numeric Index *Top-N quantitative claims per paper — the underlying corpus numerics that power Q2 trace and Q9 density. One row per (paper × claim) tuple, prioritised by claim type (p-value > percentage > ratio > unit-value).* Additional corpus sources included animal/preclinical evidence; | Citation | Section | Type | Value | Units | | --- | --- | --- | --- | --- | | Asghari 2025 | results | percentage | 2.5% | % | | Asghari 2025 | results | unit value | 10 weeks | weeks | | Asghari 2025 | results | unit value | 20 weeks | weeks | | Asghari 2025 | results | unit value | 20 weeks | weeks | | Asghari 2025 | results | unit value | 10 weeks | weeks | | Zhou 2020 | results | p-value | P < 0.001 | — | | Zhou 2020 | results | percentage | 0.088% | % | | Zhou 2020 | results | percentage | 0.043% | % | | Luo 2021 | abstract | p-value | P < 0.05 | — | | Luo 2021 | abstract | unit value | 20 ng/mL | ng/mL | | Luo 2021 | abstract | p-value | P < 0.05 | — | | Luo 2021 | abstract | p-value | P < 0.05 | — | | Luo 2021 | discussion | unit value | 20 ng/mL | ng/mL | | Raftar 2021 | results | p-value | P > 0.99 | — | | Raftar 2021 | discussion | unit value | 5 weeks | weeks | | Raftar 2021 | results | p-value | P > 0.99 | — | | Liu 2024 | results | percentage | 21.2% | % | | Liu 2024 | results | unit value | 114.7 mg/dL | mg/dL | | Liu 2024 | results | unit value | 145.5 mg/dL | mg/dL | | Liu 2024 | discussion | percentage | 21.2% | % | | Liu 2024 | discussion | percentage | 26.9% | % | | Pena-Cearra 2024 | results | p-value | P = 0.0352 | — | | Wu 2022 | methods | p-value | P < 0.05 | — | | Wu 2022 | methods | p-value | P < 0.01 | — | | Wu 2022 | methods | p-value | P < 0.001 | — | | Wu 2022 | methods | p-value | P < 0.01 | — | | Wu 2022 | methods | p-value | P < 0.001 | — | | Juarez-Fernandez 2021 | results | percentage | 8.6% | % | | Prakash 2024 | discussion | unit value | 6 weeks | weeks | | Wade 2023 | results | percentage | 2.5% | % | | Wade 2023 | results | unit value | 6 days | days | | Wade 2023 | results | percentage | 2.5% | % | | Perraudeau 2020 | abstract | p-value | P = 0.0500 | — | | Perraudeau 2020 | discussion | percentage | 0.6% | % | | Perraudeau 2020 | abstract | unit value | 36.1 mg/dL | mg/dL | | Perraudeau 2020 | abstract | unit value | 28.6 mg/dL | mg/dL | | Perraudeau 2020 | discussion | percentage | 0.2% | % | | Khalili 2024 | results | unit value | 3 weeks | weeks | | Wu 2023 | results | p-value | P < 0.05 | — | | Wu 2026 | results | p-value | P = 0.0009 | — | | Wu 2026 | results | unit value | 1.42 kg | kg | | Wu 2026 | results | confidence interval | 95% CI: -1.98 to -0.87 | 95%CI | | Wu 2026 | results | unit value | 0.50 kg | kg | | Wu 2026 | results | confidence interval | 95% CI: -0.69 to -0.32 | 95%CI | | Regnier 2020 | discussion | unit value | 400 mg | mg | | Yang 2021 | results | p-value | P < 0.05 | — | | Yang 2021 | results | unit value | 4 weeks | weeks | | Kang 2024 | results | p-value | P > 0.05 | — | | Liu 2025 | discussion | percentage | 40% | % | | Liu 2025 | discussion | unit value | 100 mg | mg | | Liu 2025 | discussion | unit value | 12 weeks | weeks | | Liu 2025 | discussion | unit value | 100 mg | mg | | Zhu 2023 | results | sample size | n = 5 | — | | Morrison 2022 | results | p-value | P = 0.07 | — | | Ojo 2022 | abstract | p-value | P = 0.02 | — | | Ojo 2022 | abstract | percentage | 95% | % | | Ojo 2022 | abstract | p-value | P > 0.05 | — | | Ojo 2022 | abstract | p-value | P > 0.05 | — | | Ojo 2022 | abstract | p-value | P < 0.05 | — | | Abuqwider 2021 | results | percentage | 50% | % | ### References - **Halkjr 2024.** _Multi-strain probiotics during pregnancy in women with obesity influence infant gut microbiome development: results from a randomized, double-blind placebo-controlled study._ Gut Microbes, 2024. DOI: 10.1080/19490976.2024.2337968. PMID: 38591920. - **Morkl 2025.** _Multi-species probiotic supplement enhances vagal nerve function – results of a randomized controlled trial in patients with depression and healthy controls._ Gut Microbes, 2025. DOI: 10.1080/19490976.2025.2492377. PMID: 40298641. - **Asghari 2025.** _Therapeutic potential of Akkermansia muciniphila in non-alcoholic fatty liver disease: a systematic review._ BMC Gastroenterology, 2025. DOI: 10.1186/s12876-025-04436-3. PMID: 41257640. - **Zhou 2020.** _Gut bacteria Akkermansia is associated with reduced risk of obesity: evidence from the American Gut Project._ Nutrition & Metabolism, 2020. DOI: 10.1186/s12986-020-00516-1. PMID: 33110437. - **Lee 2024.** _Efficacy of Lactococcus lactis subsp. lactis LY-66 and Lactobacillus plantarum PL-02 in Enhancing Explosive Strength and Endurance: A Randomized, Double-Blinded Clinical Trial._ Nutrients, 2024. DOI: 10.3390/nu16121921. PMID: 38931275. - **Liu 2020.** _Akkermansia muciniphila promotes type H vessel formation and bone fracture healing by reducing gut permeability and inflammation._ Disease Models & Mechanisms, 2020. DOI: 10.1242/dmm.043620. PMID: 33033107. - **Luo 2021.** _Active or Autoclaved Akkermansia muciniphila Relieves TNF-α-Induced Inflammation in Intestinal Epithelial Cells Through Distinct Pathways._ Frontiers in Immunology, 2021. DOI: 10.3389/fimmu.2021.788638. PMID: 34975882. - **Ivashkin 2023.** _Eubiotic effect of rifaximin is associated with decreasing abdominal pain in symptomatic uncomplicated diverticular disease: results from an observational cohort study._ BMC Gastroenterology, 2023. DOI: 10.1186/s12876-023-02690-x. PMID: 36959568. - **Pinheiro 2017.** _A yeast fermentate improves gastrointestinal discomfort and constipation by modulation of the gut microbiome: results from a randomized double-blind placebo-controlled pilot trial._ BMC Complementary and Alternative Medicine, 2017. DOI: 10.1186/s12906-017-1948-0. PMID: 28870194. - **Fujisaka 2020.** _Bofutsushosan improves gut barrier function with a bloom of Akkermansia muciniphila and improves glucose metabolism in mice with diet-induced obesity._ Scientific Reports, 2020. DOI: 10.1038/s41598-020-62506-w. PMID: 32218475. - **Liu 2022.** _TLR4 regulates RORγt + regulatory T-cell responses and susceptibility to colon inflammation through interaction with Akkermansia muciniphila._ Microbiome, 2022. DOI: 10.1186/s40168-022-01296-x. PMID: 35761415. - **Raftar 2021.** _The Protective Effects of Live and Pasteurized Akkermansia muciniphila and Its Extracellular Vesicles against HFD/CCl4-Induced Liver Injury._ Microbiology Spectrum, 2021. DOI: 10.1128/Spectrum.00484-21. PMID: 34549998. - **Liu 2024.** _Akkermansia muciniphila for the Prevention of Type 2 Diabetes and Obesity: A Meta-Analysis of Animal Studies._ Nutrients, 2024. DOI: 10.3390/nu16203440. PMID: 39458436. - **Depommier 2021.** _Beneficial Effects of Akkermansia muciniphila Are Not Associated with Major Changes in the Circulating Endocannabinoidome but Linked to Higher Mono-Palmitoyl-Glycerol Levels as New PPARα Agonists._ Cells, 2021. DOI: 10.3390/cells10010185. PMID: 33477821. - **Zhang 2021.** _Decreased Abundance of Akkermansia muciniphila Leads to the Impairment of Insulin Secretion and Glucose Homeostasis in Lean Type 2 Diabetes._ Advanced Science, 2021. DOI: 10.1002/advs.202100536. PMID: 34085773. - **Pena-Cearra 2024.** _Akkermansia muciniphila -induced trained immune phenotype increases bacterial intracellular survival and attenuates inflammation._ Communications Biology, 2024. DOI: 10.1038/s42003-024-05867-6. PMID: 38365881. - **Depommier 2019.** _Supplementation with Akkermansia muciniphila in overweight and obese human volunteers: a proof-of-concept exploratory study._ Nature medicine, 2019. DOI: 10.1038/s41591-019-0495-2. PMID: 31263284. - **Wu 2022.** _Akkermansia muciniphila Ameliorates Clostridioides difficile Infection in Mice by Modulating the Intestinal Microbiome and Metabolites._ Frontiers in Microbiology, 2022. DOI: 10.3389/fmicb.2022.841920. PMID: 35663882. - **Dong 2020.** _A High Protein Calorie Restriction Diet Alters the Gut Microbiome in Obesity._ Nutrients, 2020. DOI: 10.3390/nu12103221. PMID: 33096810. - **Karcher 2021.** _Genomic diversity and ecology of human-associated Akkermansia species in the gut microbiome revealed by extensive metagenomic assembly._ Genome Biology, 2021. DOI: 10.1186/s13059-021-02427-7. PMID: 34261503. - **Juarez-Fernandez 2021.** _The Synbiotic Combination of Akkermansia muciniphila and Quercetin Ameliorates Early Obesity and NAFLD through Gut Microbiota Reshaping and Bile Acid Metabolism Modulation._ Antioxidants, 2021. DOI: 10.3390/antiox10122001. PMID: 34943104. - **Prakash 2024.** _Effect of ginger supplementation on the fecal microbiome in subjects with prior colorectal adenoma._ Scientific Reports, 2024. DOI: 10.1038/s41598-024-52658-4. PMID: 38316805. - **Wade 2023.** _Akkermansia muciniphila and its membrane protein ameliorates intestinal inflammatory stress and promotes epithelial wound healing via CREBH and miR-143/145._ Journal of Biomedical Science, 2023. DOI: 10.1186/s12929-023-00935-1. PMID: 37287024. - **Chen 2025.** _Akkermansia muciniphila ameliorates olanzapine-induced metabolic dysfunction-associated steatotic liver disease via PGRMC1/SIRT1/FOXO1 signaling pathway._ Frontiers in Pharmacology, 2025. DOI: 10.3389/fphar.2025.1550015. PMID: 40176900. - **Huwart 2022.** _Food Reward Alterations during Obesity Are Associated with Inflammation in the Striatum in Mice: Beneficial Effects of Akkermansia muciniphila._ Cells, 2022. DOI: 10.3390/cells11162534. PMID: 36010611. - **Kwon 2024.** _Effect of Lacticaseibacillus rhamnosus IDCC 3201 on irritable bowel syndrome with constipation: a randomized, double-blind, and placebo-controlled trial._ Scientific Reports, 2024. DOI: 10.1038/s41598-024-72887-x. PMID: 39333245. - **He 2024.** _Changes in gut flora in patients with epilepsy: a systematic review and meta-analysis._ Frontiers in Microbiology, 2024. DOI: 10.3389/fmicb.2024.1480022. PMID: 39611090. - **Syromyatnikov 2025.** _Study of Akkermansia muciniphila Effect on the Gut Microbiome of Mice Under LPS-Induced Systemic Inflammation._ International Journal of Inflammation, 2025. DOI: 10.1155/ijin/8695182. PMID: 41357037. - **Perraudeau 2020.** _Improvements to postprandial glucose control in subjects with type 2 diabetes: a multicenter, double blind, randomized placebo-controlled trial of a novel probiotic formulation._ BMJ Open Diabetes Research & Care, 2020. DOI: 10.1136/bmjdrc-2020-001319. PMID: 32675291. - **Khalili 2024.** _The Role of Akkermansia muciniphila on Improving Gut and Metabolic Health Modulation: A Meta-Analysis of Preclinical Mouse Model Studies._ Microorganisms, 2024. DOI: 10.3390/microorganisms12081627. PMID: 39203469. - **Bush 2023.** _Consumption of Solnul ™ Resistant Potato Starch Produces a Prebiotic Effect in a Randomized, Placebo-Controlled Clinical Trial._ Nutrients, 2023. DOI: 10.3390/nu15071582. PMID: 37049425. - **Wu 2023.** _Akkermansia muciniphila alleviates high‐fat‐diet‐related metabolic‐associated fatty liver disease by modulating gut microbiota and bile acids._ Microbial Biotechnology, 2023. DOI: 10.1111/1751-7915.14293. PMID: 37377410. - **Xu 2023.** _Akkermansia muciniphila Alleviates Persistent Inflammation, Immunosuppression, and Catabolism Syndrome in Mice._ Metabolites, 2023. DOI: 10.3390/metabo13020194. PMID: 36837813. - **Depommier 2021b.** _Serum metabolite profiling yields insights into health promoting effect of A. muciniphila in human volunteers with a metabolic syndrome._ Gut Microbes, 2021. DOI: 10.1080/19490976.2021.1994270. PMID: 34812127. - **Wang 2022.** _The negative effect of Akkermansia muciniphila -mediated post-antibiotic reconstitution of the gut microbiota on the development of colitis-associated colorectal cancer in mice._ Frontiers in Microbiology, 2022. DOI: 10.3389/fmicb.2022.932047. PMID: 36312913. - **Ghaderi 2025.** _Tight junctions expression is affected by active, inactive, and derivatives of Akkermansia muciniphila._ Iranian Journal of Microbiology, 2025. DOI: 10.18502/ijm.v17i6.20355. PMID: 41510033. - **Wu 2026.** _The Effects of a Prebiotic Formula Promoting Akkermansia muciniphila (AKK) on Gut Health: A Single-Centre, Randomised Controlled Trial._ International Journal of Medical Sciences, 2026. DOI: 10.7150/ijms.125881. PMID: 42158814. - **Bell 2021.** _A randomized, placebo-controlled trial investigating the acute and chronic benefits of American Ginseng (Cereboost®) on mood and cognition in healthy young adults, including in vitro investigation of gut microbiota changes as a possible mechanism of action._ European Journal of Nutrition, 2021. DOI: 10.1007/s00394-021-02654-5. PMID: 34396468. - **Kostopoulos 2020.** _Akkermansia muciniphila uses human milk oligosaccharides to thrive in the early life conditions in vitro._ Scientific Reports, 2020. DOI: 10.1038/s41598-020-71113-8. PMID: 32868839. - **Pepoyan 2024.** _Placebo-resistant gut bacteria: Akkermansia muciniphila spp. and Familial Mediterranean fever disease._ Frontiers in Cellular and Infection Microbiology, 2024. DOI: 10.3389/fcimb.2024.1336752. PMID: 38465231. - **Regnier 2020.** _Rhubarb Supplementation Prevents Diet-Induced Obesity and Diabetes in Association with Increased Akkermansia muciniphila in Mice._ Nutrients, 2020. DOI: 10.3390/nu12102932. PMID: 32987923. - **Yang 2021.** _Lactobacillus plantarum CCFM1143 Alleviates Chronic Diarrhea via Inflammation Regulation and Gut Microbiota Modulation: A Double-Blind, Randomized, Placebo-Controlled Study._ Frontiers in Immunology, 2021. DOI: 10.3389/fimmu.2021.746585. PMID: 34721416. - **Kang 2024.** _Pasteurized Akkermansia muciniphila HB05 (HB05P) Improves Muscle Strength and Function: A 12-Week, Randomized, Double-Blind, Placebo-Controlled Clinical Trial._ Nutrients, 2024. DOI: 10.3390/nu16234037. PMID: 39683431. - **Liu 2025.** _Quercetin‐Driven Akkermansia Muciniphila Alleviates Obesity by Modulating Bile Acid Metabolism via an ILA/m 6 A/CYP8B1 Signaling._ Advanced Science, 2025. DOI: 10.1002/advs.202412865. PMID: 39888270. - **Mezhibovsky 2022.** _Impact of grape polyphenols on Akkermansia muciniphila and the gut barrier._ AIMS Microbiology, 2022. DOI: 10.3934/microbiol.2022035. PMID: 36694591. - **Zhu 2023.** _Akkermansia muciniphila , which is enriched in the gut microbiota by metformin, improves cognitive function in aged mice by reducing the proinflammatory cytokine interleukin-6._ Microbiome, 2023. DOI: 10.1186/s40168-023-01567-1. PMID: 37254162. - **Han 2025.** _Antibiotic-associated changes in Akkermansia muciniphila alter its effects on host metabolic health._ Microbiome, 2025. DOI: 10.1186/s40168-024-02023-4. PMID: 39920776. - **Yoon 2024.** _Heat-killed Akkermansia muciniphila ameliorates allergic airway inflammation in mice._ Frontiers in Microbiology, 2024. DOI: 10.3389/fmicb.2024.1386428. PMID: 38784796. - **Lee 2024b.** _Efficacy of ETB-F01, Heat-Killed Akkermansia muciniphila Strain EB-AMDK19, in Patients with Respiratory Symptoms: A Multicenter Clinical Trial._ Nutrients, 2024. DOI: 10.3390/nu16234113. PMID: 39683507. - **Morrison 2022.** _Heat-Inactivated Akkermansia muciniphila Improves Gut Permeability but Does Not Prevent Development of Non-Alcoholic Steatohepatitis in Diet-Induced Obese Ldlr−/−.Leiden Mice._ International Journal of Molecular Sciences, 2022. DOI: 10.3390/ijms23042325. PMID: 35216439. - **Lu 2022.** _Periplaneta americana Extract Pretreatment Alleviates Oxidative Stress and Inflammation and Increases the Abundance of Gut Akkermansia muciniphila in Diquat-Induced Mice._ Antioxidants, 2022. DOI: 10.3390/antiox11091806. PMID: 36139880. - **Ojo 2022.** _The Effect of Prebiotics and Oral Anti-Diabetic Agents on Gut Microbiome in Patients with Type 2 Diabetes: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials._ Nutrients, 2022. DOI: 10.3390/nu14235139. PMID: 36501168. - **Earley 2019.** _The abundance of Akkermansia muciniphila and its relationship with sulphated colonic mucins in health and ulcerative colitis._ Scientific Reports, 2019. DOI: 10.1038/s41598-019-51878-3. PMID: 31666581. - **Osman 2021.** _Parvimonas micra , Peptostreptococcus stomatis, Fusobacterium nucleatum and Akkermansia muciniphila as a four-bacteria biomarker panel of colorectal cancer._ Scientific Reports, 2021. DOI: 10.1038/s41598-021-82465-0. PMID: 33536501. - **Lin 2022.** _Akkermansia muciniphila Suppresses High-Fat Diet-Induced Obesity and Related Metabolic Disorders in Beagles._ Molecules, 2022. DOI: 10.3390/molecules27186074. PMID: 36144806. - **Qu 2023.** _Excessive consumption of mucin by over-colonized Akkermansia muciniphila promotes intestinal barrier damage during malignant intestinal environment._ Frontiers in Microbiology, 2023. DOI: 10.3389/fmicb.2023.1111911. PMID: 36937258. - **Kang 2024b.** _The secreted protein Amuc_1409 from Akkermansia muciniphila improves gut health through intestinal stem cell regulation._ Nature Communications, 2024. DOI: 10.1038/s41467-024-47275-8. PMID: 38582860. - **Depommier 2020.** _Pasteurized Akkermansia muciniphila increases whole-body energy expenditure and fecal energy excretion in diet-induced obese mice._ Gut Microbes, 2020. DOI: 10.1080/19490976.2020.1737307. PMID: 32167023. - **Trastoy 2020.** _Structural basis of mammalian mucin processing by the human gut O -glycopeptidase OgpA from Akkermansia muciniphila._ Nature Communications, 2020. DOI: 10.1038/s41467-020-18696-y. PMID: 32973204. - **Yang 2020.** _Beneficial Effects of Newly Isolated Akkermansia muciniphila Strains from the Human Gut on Obesity and Metabolic Dysregulation._ Microorganisms, 2020. DOI: 10.3390/microorganisms8091413. PMID: 32937828. - **Ondee 2021.** _Lactobacillus acidophilus LA5 improves saturated fat-induced obesity mouse model through the enhanced intestinal Akkermansia muciniphila._ Scientific Reports, 2021. DOI: 10.1038/s41598-021-85449-2. PMID: 33737543. - **Choi 2021.** _Effects of Live and Pasteurized Forms of Akkermansia from the Human Gut on Obesity and Metabolic Dysregulation._ Microorganisms, 2021. DOI: 10.3390/microorganisms9102039. PMID: 34683361. - **Ashrafian 2021.** _Extracellular vesicles and pasteurized cells derived from Akkermansia muciniphila protect against high-fat induced obesity in mice._ Microbial Cell Factories, 2021. DOI: 10.1186/s12934-021-01709-w. PMID: 34863163. - **Khalili 2025.** _The Impact of Akkermansia muciniphila on Mouse Models of Depression, Anxiety, and Stress: A Systematic Review and Meta-Analysis._ Current Neuropharmacology, 2025. DOI: 10.2174/011570159X360149250225041829. PMID: 40108902. - **Wang 2025.** _Bibliometric analysis of research trends and prospective directions of Akkermansia muciniphila from 2010 to 2024._ Frontiers in Microbiology, 2025. DOI: 10.3389/fmicb.2025.1569241. PMID: 40309112. - **Ou 2020.** _Protective effects of Akkermansia muciniphila on cognitive deficits and amyloid pathology in a mouse model of Alzheimer’s disease._ Nutrition & Diabetes, 2020. DOI: 10.1038/s41387-020-0115-8. PMID: 32321934. - **Abuqwider 2021.** _Akkermansia muciniphila, a New Generation of Beneficial Microbiota in Modulating Obesity: A Systematic Review._ Microorganisms, 2021. DOI: 10.3390/microorganisms9051098. PMID: 34065217. - **Gofron 2024.** _Akkermansia muciniphila - impact on the cardiovascular risk, the intestine inflammation and obesity._ Acta Biochimica Polonica, 2024. DOI: 10.3389/abp.2024.13550. PMID: 39611203. - **Effendi 2022.** _Akkermansia muciniphila and Faecalibacterium prausnitzii in Immune-Related Diseases._ Microorganisms, 2022. DOI: 10.3390/microorganisms10122382. PMID: 36557635. - **Verhoog 2019.** _Dietary Factors and Modulation of Bacteria Strains of Akkermansia muciniphila and Faecalibacterium prausnitzii : A Systematic Review._ Nutrients, 2019. DOI: 10.3390/nu11071565. PMID: 31336737. - **Cao 2020.** _Effects of Non-insulin Anti-hyperglycemic Agents on Gut Microbiota: A Systematic Review on Human and Animal Studies._ Frontiers in Endocrinology, 2020. DOI: 10.3389/fendo.2020.573891. PMID: 33071980. - **Zheng 2023.** _The role of Akkermansia muciniphila in inflammatory bowel disease: Current knowledge and perspectives._ Frontiers in Immunology, 2023. DOI: 10.3389/fimmu.2022.1089600. PMID: 36685588. - **Zeng 2023.** _Potential Effects of Akkermansia Muciniphila in Aging and Aging-Related Diseases: Current Evidence and Perspectives._ Aging and Disease, 2023. DOI: 10.14336/AD.2023.0325. PMID: 37199577. - **Peng 2024.** _Pasteurized Akkermansia muciniphila Ameliorates Preeclampsia in Mice by Enhancing Gut Barrier Integrity, Improving Endothelial Function, and Modulating Gut Metabolic Dysregulation._ Microorganisms, 2024. DOI: 10.3390/microorganisms12122483. PMID: 39770686. - **Gong 2025.** _Akkermansia muciniphila and osteoporosis: emerging role of gut microbiota in skeletal homeostasis._ Frontiers in Microbiology, 2025. DOI: 10.3389/fmicb.2025.1665101. PMID: 41030554. - **Ouyang 2020.** _The Bacterium Akkermansia muciniphila : A Sentinel for Gut Permeability and Its Relevance to HIV-Related Inflammation._ Frontiers in Immunology, 2020. DOI: 10.3389/fimmu.2020.00645. PMID: 32328074. - **Rodrigues 2022.** _Akkermansia muciniphila and Gut Immune System: A Good Friendship That Attenuates Inflammatory Bowel Disease, Obesity, and Diabetes._ Frontiers in Immunology, 2022. DOI: 10.3389/fimmu.2022.934695. PMID: 35874661. - **Luo 2022.** _Rational consideration of Akkermansia muciniphila targeting intestinal health: advantages and challenges._ NPJ Biofilms and Microbiomes, 2022. DOI: 10.1038/s41522-022-00338-4. PMID: 36253412. #### Background References *Canonical clinical thresholds cited in prose. Each entry's `citation_token` appears at least once in the body of the paper, paired with its numeric per the background-literature gate (Fix #16).* - **Ioannidis 2005.** _Ioannidis JPA. Why most published research findings are false. PLoS Med. 2005;2(8):e124._ DOI: 10.1371/journal.pmed.0020124. PMID: 16060722.
metadata
{
"article_type": "rapid_evidence_synthesis",
"author_agent_id": "agent-v3-full-paper",
"decision": "accept",
"doi": "10.17605/OSF.IO/A594F",
"doi_status": "minted",
"domain_slug": "longevity",
"osf_url": "https://osf.io/a594f/",
"panel_route": "fallback_tiebreak",
"primary_fallback_reason": null,
"primary_fallback_used": false,
"prompt_version": "editor-v1-clean-runtime",
"provenance_schema_version": "publication_sidecars_v1",
"researka_decision_id": "6329f8ac-a90e-4d09-8f4d-fd27cf5a5085",
"researka_object_type": "publication",
"researka_publication_id": "019d3db7-0843-4319-bdec-c34cd9eea4ce",
"researka_review_id": "2603ae5d-76aa-4f89-a438-89569304247f",
"researka_submission_id": "fa2cfa75-9504-4739-b4a7-5d475106e44b",
"screening": {
"excluded": 0,
"exclusion_reasons": [
"No PRISMA full-text exclusion-stage filter was applied."
],
"flow": [
"identified",
"screened",
"excluded_with_reasons",
"included"
],
"identified": 78,
"included": 78,
"included_or_retained": 78,
"screened": 78,
"wording": "78 candidate receipts retained after source retrieval, deduplication, and topic filtering. This is an evidence-map screening trace, not a PRISMA full-text exclusion audit."
},
"sidecars": [
{
"name": "citation_traces.json",
"url": "https://api.researka.org/publications/019d3db7-0843-4319-bdec-c34cd9eea4ce/sidecars/citation_traces.json"
},
{
"name": "claim_graph.json",
"url": "https://api.researka.org/publications/019d3db7-0843-4319-bdec-c34cd9eea4ce/sidecars/claim_graph.json"
},
{
"name": "contradiction_map.json",
"url": "https://api.researka.org/publications/019d3db7-0843-4319-bdec-c34cd9eea4ce/sidecars/contradiction_map.json"
},
{
"name": "evidence_table.csv",
"url": "https://api.researka.org/publications/019d3db7-0843-4319-bdec-c34cd9eea4ce/sidecars/evidence_table.csv"
},
{
"name": "risk_of_bias.json",
"url": "https://api.researka.org/publications/019d3db7-0843-4319-bdec-c34cd9eea4ce/sidecars/risk_of_bias.json"
}
],
"sparring_fallback_reason": null,
"sparring_fallback_used": false,
"title": "Research Synthesis: Akkermansia Muciniphila \u2014 full paper"
}Produced by
classify
step step_6f2d3e88d2854f52 · hash 6f0ac4296f147554…
inputs: source_495a75215bbf470e, source_e8887455394f44d3, source_823e55bd6aa34057, source_83d8208e968f45b2, source_dd3ea2484de44632, source_66b2cc0256a84593, source_4cf3b172ebd24cf2
method
{
"decision": "accept",
"stage": "autonomous_publish",
"system": "researka-v2"
}