Evidence map›Paper›PMID 26640325›Full record

Trial reportMediators of inflammation2015

Clinical Trial and In Vitro Study for the Role of Cartilage and Synovia in Acute Articular Infection.

Elia R Langenmair, Eva J Kubosch, Gian M Salzmann, Samuel Beck, Hagen Schmal

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Mediators of inflammation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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

5 authors at 3 institutions in 3 countries.

Elia R LangenmairDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs University Medical Center Freiburg, Hugstetter Street 55, 79106 Freiburg, Germany.
Eva J KuboschDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs University Medical Center Freiburg, Hugstetter Street 55, 79106 Freiburg, Germany.
Gian M SalzmannDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs University Medical Center Freiburg, Hugstetter Street 55, 79106 Freiburg, Germany ; Schulthess Clinic, Zurich, Lenghalde 2, 8008 Zurich, Switzerland.
Samuel BeckDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs University Medical Center Freiburg, Hugstetter Street 55, 79106 Freiburg, Germany.
Hagen SchmalDepartment of Orthopedics and Trauma Surgery, Albert-Ludwigs University Medical Center Freiburg, Hugstetter Street 55, 79106 Freiburg, Germany ; Department of Orthopaedics and Traumatology, Odense University Hospital and Department of Clinical Research, University of Southern Denmark, Sdr. Boulevard 29, 5000 Odense C, Denmark.
University of Freiburg · DEOdense University Hospital · DKUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoarthritis is a long-term complication of acute articular infections. However, the roles of cartilage and synovia in this process are not yet fully understood.

methodsPatients with acute joint infections were enrolled in a prospective clinical trial and the cytokine composition of effusions compared in patients with arthroplasty (n = 8) or with intact joints (n = 67). Cytokines and cell function were also analyzed using a human in vitro model of joint infection.

resultsSynovial IL-1β levels were significantly higher in patients with arthroplasty (p = 0.004). Higher IL-1β concentrations were also found in the in vitro model without chondrocytes (p < 0.05). The anti-inflammatory cytokines IL-4 and IL-10 were consistently expressed in vivo and in vitro, showing no association with the presence of cartilage or chondrocytes. In contrast, FasL levels increased steadily in vitro, reaching higher levels without chondrocytes (p < 0.05). Likewise, the viability of synovial fibroblasts (SFB) during infection was higher in the presence of chondrocytes. The cartilage-metabolism markers aggrecan and bFGF were at higher concentrations in intact joints, but also synthesized by SFB.

conclusionsOur data suggest an anti-inflammatory effect of cartilage associated with the SFBs' increased resistance to infections, which displayed the ability to effectively synthesize cartilage metabolites.The trial is registered with DRKS 00003536, MISSinG.

Indexed as

Acute DiseaseAgedAggrecansCartilageChondrocytesFemaleFibroblast Growth Factor 2HumansInterleukin-1betaMaleMiddle AgedOsteoarthritisProspective StudiesSynovial FluidTransforming Growth Factor betaAggrecansFibroblast Growth Factor 2Interleukin-1betaTransforming Growth Factor beta

Identifiers

PMID26640325
PMCPMC4657131
OpenAlexW2189661160

What OpenQuestion holds

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LicenceCC BY
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.