Evidence map›Paper›PMID 26950423›Full record

ArticleThe Journal of clinical investigation2016

NOTCH signaling in skeletal progenitors is critical for fracture repair.

Cuicui Wang, Jason A Inzana, Anthony J Mirando, Yinshi Ren, Zhaoyang Liu, Jie Shen, Regis J O'Keefe, Hani A Awad, Matthew J Hilton

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

71 citing papers in PubMed, 121 citations in OpenAlex.

  1. Review
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  5. Accelerated Bone Healing via Electrical Stimulation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Cuicui Wang
Jason A Inzana
Anthony J Mirando
Yinshi Ren
Zhaoyang Liu
Jie Shen
Regis J O'Keefe
Hani A Awad
Matthew J Hilton
University of Rochester Medical Center · USDuke University · USWashington University in St. Louis · US

Funding

Translating PTH Therapy as an Adjuvant for Structural AllograftingP50AR054041 · NIAMS · UNIVERSITY OF ROCHESTER · PI O'KEEFE, REGIS J · 2006 to 2016
$15.7M
Notch Signaling in Joint Cartilage Maintenance and ArthritisR01AR063071 · NIAMS · UNIVERSITY OF ROCHESTER · PI HILTON, MATTHEW J. · 2012 to 2021
$3.9M
The University of Rochester Core Center for Musculoskeletal Biology and MedicineP30AR061307 · NIAMS · UNIVERSITY OF ROCHESTER · PI SCHWARZ, EDWARD M. · 2011 to 2015
$3.0M
Notch Signaling in Cartilage DevelopmentR01AR057022 · NIAMS · UNIVERSITY OF ROCHESTER · PI HILTON, MATTHEW J. · 2010 to 2014
$1.7M
Notch Mediated Maintenance and Expansion of Human Mesenchymal Stem CellsR21AR059733 · NIAMS · UNIVERSITY OF ROCHESTER · PI HILTON, MATTHEW J. · 2010 to 2011
$373k
NIAMS NIH HHS AR054041NIAMS NIH HHS AR057022NIAMS NIH HHS AR059733NIAMS NIH HHS AR061307NIAMS NIH HHS AR063071NIAMS NIH HHS P30 AR061307NIAMS NIH HHS P50 AR054041NIAMS NIH HHS R01 AR057022NIAMS NIH HHS R01 AR063071NIAMS NIH HHS R21 AR059733
6 · The paper itself

Abstract

Fracture nonunions develop in 10%-20% of patients with fractures, resulting in prolonged disability. Current data suggest that bone union during fracture repair is achieved via proliferation and differentiation of skeletal progenitors within periosteal and soft tissues surrounding bone, while bone marrow stromal/stem cells (BMSCs) and other skeletal progenitors may also contribute. The NOTCH signaling pathway is a critical maintenance factor for BMSCs during skeletal development, although the precise role for NOTCH and the requisite nature of BMSCs following fracture is unknown. Here, we evaluated whether NOTCH and/or BMSCs are required for fracture repair by performing nonstabilized and stabilized fractures on NOTCH-deficient mice with targeted deletion of RBPjk in skeletal progenitors, maturing osteoblasts, and committed chondrocytes. We determined that removal of NOTCH signaling in BMSCs and subsequent depletion of this population result in fracture nonunion, as the fracture repair process was normal in animals harboring either osteoblast- or chondrocyte-specific deletion of RBPjk. Together, this work provides a genetic model of a fracture nonunion and demonstrates the requirement for NOTCH and BMSCs in fracture repair, irrespective of fracture stability and vascularity.

Indexed as

Fracture HealingSignal TransductionAnimalsBone Marrow CellsFractures, BoneMiceMice, TransgenicReceptors, NotchStem CellsStromal CellsReceptors, Notch

Identifiers

PMID26950423
PMCPMC4811137
OpenAlexW2295665020

What OpenQuestion holds

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Registered trials

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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.