Evidence map›Paper›PMID 24095939›Full record

ArticleAnnals of the rheumatic diseases2015

Role of vascular channels as a novel mechanism for subchondral bone damage at cruciate ligament entheses in osteoarthritis and inflammatory arthritis.

D A Binks, E M Gravallese, D Bergin, R J Hodgson, A L Tan, M M Matzelle, D McGonagle, A Radjenovic

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. The bone marrow side of axial spondyloarthritis.Nature reviews. Rheumatology · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. DNA Methylation in Osteoarthritis.Current genomics · 2015
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

D A BinksLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK Leeds Musculoskeletal Biomedical Research Unit, National Institute for Health Research, Chapel Allerton Hospital, University of Leeds, Leeds, UK.
E M GravalleseDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
D BerginDepartment of Radiology, Galway University Hospitals, Galway, Ireland.
R J HodgsonLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK Leeds Musculoskeletal Biomedical Research Unit, National Institute for Health Research, Chapel Allerton Hospital, University of Leeds, Leeds, UK.
A L TanLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK Leeds Musculoskeletal Biomedical Research Unit, National Institute for Health Research, Chapel Allerton Hospital, University of Leeds, Leeds, UK.
M M MatzelleDepartment of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
D McGonagleLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK Leeds Musculoskeletal Biomedical Research Unit, National Institute for Health Research, Chapel Allerton Hospital, University of Leeds, Leeds, UK.
A RadjenovicLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK Leeds Musculoskeletal Biomedical Research Unit, National Institute for Health Research, Chapel Allerton Hospital, University of Leeds, Leeds, UK.
NIHR Leeds Musculoskeletal Biomedical Research Unit · GBUniversity of Leeds · GBUniversity of Massachusetts Chan Medical School · USChapel Allerton Hospital · GBUniversity Hospital Galway · IE

Funding

Inhibition of osteoblast function in bone erosion in rheumatoid arthritisR01AR055952 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GRAVALLESE, ELLEN M · 2009 to 2013
$1.7M
Department of Health NIHR/CS/009/015NIAMS NIH HHS 1R01AR055952NIAMS NIH HHS R01 AR055952Wellcome TrustWellcome Trust WT088908/Z/09/Z
6 · The paper itself

Abstract

objectivesThe purpose of this work was to test whether normal peri-entheseal vascular anatomy at anterior and posterior cruciate ligaments (ACL and PCL) was associated with distribution of peri-entheseal bone erosion/bone marrow lesions (BMLs) in inflammatory arthritis (IA) and osteoarthritis (OA).

methodsNormal microanatomy was defined histologically in mice and by 3 T MRI and histology in 21 cadaveric knees. MRI of 89 patients from the Osteoarthritis Initiative and 27 patients with IA was evaluated for BMLs at ACL and PCL entheses. Antigen-induced arthritis (AIA) in mice was evaluated to ascertain whether putative peri-entheseal vascular regions influenced osteitis and bone erosion.

resultsVascular channels penetrating cortical bone were identified in knees of non-arthritic mice adjacent to the cruciate ligaments. On MRI of normal cadavers, vascular channels adjacent to the ACL (64% of cases) and PCL (71%) entheses were observed. Histology of 10 macroscopically normal cadaveric specimens confirmed the location of vascular channels and associated subclinical changes including subchondral bone damage (80% of cases) and micro-cyst formation (50%). In the AIA model, vascular channels clearly provided a site for inflammatory tissue entry and osteoclast activation. MRI showed BMLs in the same topographic locations in both patients with early OA (41% ACL, 59% PCL) and IA (44%, 33%).

conclusionThe findings show that normal ACL and PCL entheses have immediately adjacent vascular channels which are common sites of subtle bone marrow pathology in non-arthritic joints. These channels appear to be key determinants in bone damage in inflammatory and degenerative arthritis.

Indexed as

AgedAnimalsAnterior Cruciate LigamentArthritis, ExperimentalBlood VesselsBone and BonesCartilage, ArticularFemaleHumansKnee JointMagnetic Resonance ImagingMaleMiceMiddle AgedOsteoarthritis, KneePosterior Cruciate LigamentInflammationKnee OsteoarthritisMagnetic Resonance ImagingOsteoarthritisRheumatoid Arthritis

Identifiers

PMID24095939
PMCPMC4283693
OpenAlexW2168730263

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.