Evidence map›Paper›PMID 27539668›Full record

ReviewNature reviews. Rheumatology2016

Low-grade inflammation as a key mediator of the pathogenesis of osteoarthritis.

William H Robinson, Christin M Lepus, Qian Wang, Harini Raghu, Rong Mao, Tamsin M Lindstrom, Jeremy Sokolove

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 863 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
863citing papers in PubMed, 4 pooled it
68.6field-weighted citation impact, top 1% 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

863 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,446 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Single-DoseToxins · 2025
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  17. Dual-Targeted Inhibition of PARNanomaterials (Basel, Switzerland) · 2026
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803 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

William H RobinsonGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Christin M LepusGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Qian WangGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Harini RaghuGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Rong MaoGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Tamsin M LindstromGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Jeremy SokoloveGeriatric Research Education and Clinical Centers, Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, California 94304, USA.
Geriatric Research Education and Clinical Center · USStanford University · US

Funding

Evolving Adaptive and Effector Mechanisms from Pre-RA Through Established DiseaseUH2AR067681 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2014 to 2020
$5.5M
Large-Scale Characterization of Autoantibody Responses in Rheumatoid ArthritisR01AR063676 · NIAMS · STANFORD UNIVERSITY · PI ROBINSON, WILLIAM H · 2013 to 2017
$1.7M
Investigating the Role of Fc Receptors in the Pathogenesis of OsteoarthritisI01BX002345 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ROBINSON, WILLIAM H · 2014 to 2017
–
Inflammatory Mechanisms in Traumatic Joint Injury and RepairI01RX000588 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ROBINSON, WILLIAM H · 2012 to 2015
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The Role of Coagulation and Fibrinolysis in Post-Traumatic OsteoarthritisI01RX000934 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ROBINSON, WILLIAM H · 2015 to 2017
–
BLRD VA I01 BX002345NIAMS NIH HHS R01 AR063676NIAMS NIH HHS UH2 AR067681RRD VA I01 RX000588RRD VA I01 RX000934
6 · The paper itself

Abstract

Osteoarthritis (OA) has long been viewed as a degenerative disease of cartilage, but accumulating evidence indicates that inflammation has a critical role in its pathogenesis. Furthermore, we now appreciate that OA pathogenesis involves not only breakdown of cartilage, but also remodelling of the underlying bone, formation of ectopic bone, hypertrophy of the joint capsule, and inflammation of the synovial lining. That is, OA is a disorder of the joint as a whole, with inflammation driving many pathologic changes. The inflammation in OA is distinct from that in rheumatoid arthritis and other autoimmune diseases: it is chronic, comparatively low-grade, and mediated primarily by the innate immune system. Current treatments for OA only control the symptoms, and none has been FDA-approved for the prevention or slowing of disease progression. However, increasing insight into the inflammatory underpinnings of OA holds promise for the development of new, disease-modifying therapies. Indeed, several anti-inflammatory therapies have shown promise in animal models of OA. Further work is needed to identify effective inhibitors of the low-grade inflammation in OA, and to determine whether therapies that target this inflammation can prevent or slow the development and progression of the disease.

Indexed as

AnimalsCartilage, ArticularDisease ProgressionEvidence-Based MedicineHumansInflammationMagnetic Resonance ImagingOsteoarthritisPrognosis

Identifiers

PMID27539668
PMCPMC5500215
OpenAlexW2507683743

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.