Evidence map›Paper›PMID 27571347›Full record

ArticleNature medicine2016

Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats.

Yifeng Zhang, Jiankun Xu, Ye Chun Ruan, Mei Kuen Yu, Micheal O'Laughlin, Helen Wise, Di Chen, Li Tian, Dufang Shi, Jiali Wang and 18 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 397 papers.

0numbers the graph read from it
0cells of the map it votes in
397citing papers in PubMed
45.7field-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

397 citing papers in PubMed, 998 citations in OpenAlex.

  1. Trial
  2. Article
  3. [Advances in biodegradable medical magnesium alloys for orthopedic applications].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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  6. Piezo2FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  19. Temporal immunomodulation of CD4Science advances · 2026
    Article
  20. [Mechanisms and applications of magnesium ion-regulated stem cell functions in promoting tendon-bone interface healing].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Review

337 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 8 institutions in 4 countries.

Yifeng ZhangMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Jiankun XuMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Ye Chun RuanEpithelial Cell Biology Research Centre, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PR China.
Mei Kuen YuEpithelial Cell Biology Research Centre, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PR China.
Micheal O'LaughlinMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Helen WiseSchool of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PR China.
Di ChenDepartment of Biochemistry, Rush University, Chicago, USA.
Li TianMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Dufang ShiMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Jiali WangMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Sihui ChenMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Jian Q FengDepartment of Biomedical Sciences, Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Texas, USA.
Dick Ho Kiu ChowMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.ORCID 0000-0002-2836-3255
Xinhui XieMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Lizhen ZhengMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Le HuangMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Shuo HuangMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Kwoksui LeungMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Na LuDivision of Life Science, The Hong Kong University of Science and Technology, Kowloon, Hong Kong, PR China.
Lan ZhaoDepartment of Biochemistry, Rush University, Chicago, USA.
Huafang LiMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Dewei ZhaoDepartment of Orthopedics, Dalian University Zhongshan Hospital, Dalian, PR China.
Xia GuoDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, PR China.ORCID 0000-0003-4889-2696
Kaiming ChanMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Frank WitteJulius Wolff Institute and Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0001-9154-6217
Hsiao Chang ChanEpithelial Cell Biology Research Centre, School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, PR China.
Yufeng ZhengDepartment of Materials Science and Engineering, College of Engineering, Peking University, Beijing, PR China.ORCID 0000-0002-7402-9979
Ling QinMusculoskeletal Research Laboratory, Department of Orthopedics &Traumatology, The Chinese University of Hong Kong, Hong Kong, PR China.
Chinese University of Hong Kong · HKRush University · USAffiliated Zhongshan Hospital of Dalian University · CNBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEHong Kong Polytechnic University · HKHong Kong University of Science and Technology · HKPeking University · CNTexas A&M Health Science Center · US

Funding

The Mechanism through which TGF-Beta Maintains Chondrocytes in Proliferating StagR01AR054465 · NIAMS · UNIVERSITY OF ROCHESTER · PI CHEN, DI · 2007 to 2018
$2.7M
Pain Mechanisms of Knee Joint OsteoarthritisR01AR062136 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI CHEN, DI · 2012 to 2016
$1.7M
Allosteric Small Molecule Inhibitor Of Nerve Growth Factor Signaling in Low Back PainR21AR067935 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI CHEN, DI · 2015 to 2016
$375k
NIAMS NIH HHS R01 AR054465NIAMS NIH HHS R01 AR062136NIAMS NIH HHS R21 AR067935
6 · The paper itself

Abstract

Orthopedic implants containing biodegradable magnesium have been used for fracture repair with considerable efficacy; however, the underlying mechanisms by which these implants improve fracture healing remain elusive. Here we show the formation of abundant new bone at peripheral cortical sites after intramedullary implantation of a pin containing ultrapure magnesium into the intact distal femur in rats. This response was accompanied by substantial increases of neuronal calcitonin gene-related polypeptide-α (CGRP) in both the peripheral cortex of the femur and the ipsilateral dorsal root ganglia (DRG). Surgical removal of the periosteum, capsaicin denervation of sensory nerves or knockdown in vivo of the CGRP-receptor-encoding genes Calcrl or Ramp1 substantially reversed the magnesium-induced osteogenesis that we observed in this model. Overexpression of these genes, however, enhanced magnesium-induced osteogenesis. We further found that an elevation of extracellular magnesium induces magnesium transporter 1 (MAGT1)-dependent and transient receptor potential cation channel, subfamily M, member 7 (TRPM7)-dependent magnesium entry, as well as an increase in intracellular adenosine triphosphate (ATP) and the accumulation of terminal synaptic vesicles in isolated rat DRG neurons. In isolated rat periosteum-derived stem cells, CGRP induces CALCRL- and RAMP1-dependent activation of cAMP-responsive element binding protein 1 (CREB1) and SP7 (also known as osterix), and thus enhances osteogenic differentiation of these stem cells. Furthermore, we have developed an innovative, magnesium-containing intramedullary nail that facilitates femur fracture repair in rats with ovariectomy-induced osteoporosis. Taken together, these findings reveal a previously undefined role of magnesium in promoting CGRP-mediated osteogenic differentiation, which suggests the therapeutic potential of this ion in orthopedics.

Indexed as

Bone NailsAnimalsCalcitonin Gene-Related PeptideCalcitonin Receptor-Like ProteinCapsaicinCation Transport ProteinsCell DifferentiationCyclic AMP Response Element-Binding ProteinDenervationFemaleFemoral FracturesFemurFracture Fixation, IntramedullaryFracture HealingGanglia, SpinalGene Knockdown TechniquesCalcitonin Gene-Related PeptideCalcitonin Receptor-Like ProteinCalcrl protein, ratCapsaicinCation Transport ProteinsCreb1 protein, ratCyclic AMP Response Element-Binding ProteinMagnesiumMagT1 protein, ratRamp1 protein, ratReceptor Activity-Modifying Protein 1Sensory System AgentsSp7 protein, ratTranscription FactorsTrpm7 protein, ratTRPM Cation Channels

Identifiers

PMID27571347
PMCPMC5293535
OpenAlexW2510993966

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.