Evidence map›Paper›PMID 26223190›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

A single CT-guided percutaneous intraosseous injection of thermosensitive simvastatin/poloxamer 407 hydrogel enhances vertebral bone formation in ovariectomized minipigs.

J Tan, X Fu, C G Sun, C Liu, X H Zhang, Y Y Cui, Q Guo, T Ma, H Wang, G H Du and 5 more

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

J TanDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
X FuDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
C G SunDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
C LiuDepartment of Radiology, Peking University Third Hospital, Beijing, 100191, China.
X H ZhangDepartment of Pharmacology, Peking University Third Hospital, Beijing, 100191, China.
Y Y CuiDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
Q GuoDepartment of Neurology, Peking University Third Hospital, Beijing, 100191, China.
T MaDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
H WangDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
G H DuDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
X YinDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
Z J LiuDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
H J LengDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China.
Y S XuDepartment of Neurology, Peking University Third Hospital, Beijing, 100191, China.
C L SongDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100191, China. schl@bjmu.edu.cn.
Peking University Third Hospital · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe ultimate goal of osteoporosis treatment is prevention of fragile fracture. Local treatment targeting specific bone may decrease the incidence of osteoporotic fractures. We developed an injectable, thermosensitive simvastatin/poloxamer 407 hydrogel; a single CT-guided percutaneous intraosseous injection augmented vertebrae in ovariectomized minipigs.

introductionThe greatest hazard associated with osteoporosis is local fragility fractures. An adjunct, local treatment might be helpful to decrease the incidence of osteoporotic fracture. Studies have found that simvastatin stimulates bone formation, but the skeletal bioavailability of orally administered is low. Directly delivering simvastatin to the specific bone that is prone to fractures may reinforce the target bone and reduce the incidence of fragility fractures.

methodsWe developed an injectable, thermosensitive simvastatin/poloxamer 407 hydrogel, conducted scanning electron microscopy, rheological, and drug release analyses to evaluate the delivery system; injected it into the lumbar vertebrae of ovariectomized minipigs via minimally invasive CT-guided percutaneous vertebral injection. Three months later, BMD, microstructures, mineral apposition rates, and strength were determined by DXA, micro-CT, histology, and biomechanical test; expression of VEGF, BMP2, and osteocalcin were analyzed by immunohistochemistry and Western blots.

resultsPoloxamer 407 is an effective controlled delivery system for intraosseous-injected simvastatin. A single injection of the simvastatin/poloxamer 407 hydrogel significantly increased BMD, bone microstructure, and strength; the bone volume fraction and trabecular thickness increased nearly 150 %, bone strength almost doubled compared with controls (all P < 0.01); and induced higher expression of VEGF, BMP2, and osteocalcin.

conclusionsCT-guided percutaneous vertebral injection of a single simvastatin/poloxamer 407 thermosensitive hydrogel promotes bone formation in ovariectomized minipigs. The underlying mechanism appears to involve the higher expression of VEGF and BMP-2.

Indexed as

Absorptiometry, PhotonAnimalsBone DensityBone Morphogenetic Protein 2Chemistry, PhysicalDrug CombinationsDrug Delivery SystemsDrug Evaluation, PreclinicalFemaleHydrogel, Polyethylene Glycol DimethacrylateInjections, SpinalLumbar VertebraeMicroscopy, Electron, ScanningOsteogenesisOsteoporosisOvariectomyBone Morphogenetic Protein 2Drug CombinationsHydrogel, Polyethylene Glycol DimethacrylatePoloxamerSimvastatinVascular Endothelial Growth Factor ALocal treatmentOsteoporosisPercutaneous intraosseous injectionPoloxamer 407 hydrogelStatins

Identifiers

PMID26223190
OpenAlexW2239208312

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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