Evidence map›Paper›PMID 26723578›Full record

ArticleBone2016

Prevention of radiation-induced bone pathology through combined pharmacologic cytoprotection and angiogenic stimulation.

Alexis Donneys, Noah S Nelson, Joseph E Perosky, Yekaterina Polyatskaya, Jose J Rodriguez, Christian Figueredo, Cheyenne A Vasseli, Hannah C Ratliff, Sagar S Deshpande, Kenneth M Kozloff and 1 more

Open access · greenAbstract read
In one paragraph

Article in Bone, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors at 1 institution in 1 country.

Alexis DonneysUniversity of Michigan, Ann Arbor, MI, USA.
Noah S NelsonUniversity of Michigan, Ann Arbor, MI, USA.
Joseph E PeroskyUniversity of Michigan, Ann Arbor, MI, USA.
Yekaterina PolyatskayaUniversity of Michigan, Ann Arbor, MI, USA.
Jose J RodriguezUniversity of Michigan, Ann Arbor, MI, USA.
Christian FigueredoUniversity of Michigan, Ann Arbor, MI, USA.
Cheyenne A VasseliUniversity of Michigan, Ann Arbor, MI, USA.
Hannah C RatliffUniversity of Michigan, Ann Arbor, MI, USA.
Sagar S DeshpandeUniversity of Michigan, Ann Arbor, MI, USA.
Kenneth M KozloffUniversity of Michigan, Ann Arbor, MI, USA.
Steven R BuchmanUniversity of Michigan, Ann Arbor, MI, USA. Electronic address: sbuchman@med.umich.edu.
University of Michigan–Ann Arbor · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
TRAINING GRANT IN TRAUMA, BURN AND WOUND HEALING RESEARCT32GM008616 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUCHMAN, STEVEN R, CHUNG, KEVIN C · 1997 to 2025
$3.1M
Translational Optimization of Bone Regeneration in the Irradiated MandibleR01CA125187 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BUCHMAN, STEVEN R · 2007 to 2017
$2.8M
NCI NIH HHS 3R01 CA 125187-07S2NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA125187NCI NIH HHS R01 CA12587-01NCI NIH HHS R01 CA12587-06NIGMS NIH HHS T32 GM008616NIGMS NIH HHS T32-GM008616NIMHD NIH HHS L32 MD009814
6 · The paper itself

Abstract

Pathologic fractures and associated non-unions arising in previously irradiated bone are severely debilitating diseases. Although radiation is known to have deleterious effects on healthy tissue cellularity and vascularity, no clinically accepted pharmacologic interventions currently exist to target these destructive mechanisms within osseous tissues. We utilized amifostine-a cellular radioprotectant-and deferoxamine-an angiogenic stimulant-to simultaneously target the cellular and vascular niches within irradiated bone in a rat model of mandibular fracture repair following irradiation. Rats treated with combined therapy were compared to those undergoing treatment with singular amifostine or deferoxamine therapy, nontreated/irradiated animals (XFx) and non-treated/non-irradiated animals (Fx). 3D angiographic modeling, histology, Bone Mineral Density Distribution and mechanical metrics were utilized to assess therapeutic efficacy. We observed diminished metrics for all outcomes when comparing XFx to Fx alone, indicating the damaging effects of radiation. Across all outcomes, only the combined treatment group improved upon XFx levels, normalized all metrics to Fx levels, and was consistently as good as, or superior to the other treatment options (p<0.05). Collectively, our data demonstrate that pharmacologically targeting the cellular and vascular environments within irradiated bone prevents bone injury and enhances fracture healing.

Indexed as

AmifostineAngiographyAnimalsBiomechanical PhenomenaBone DensityBone DiseasesCytoprotectionDeferoxamineMaleNeovascularization, PhysiologicRadiation InjuriesRats, Sprague-DawleyAmifostineDeferoxamineAmifostineDeferoxamineNonunionOsteoradionecrosisPathologic fractureRadiotherapy

Identifiers

PMID26723578
PMCPMC4776634
OpenAlexW2203410921

What OpenQuestion holds

Textmetadata
LicenceTDM
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.