Evidence map›Paper›PMID 27922003›Full record

ArticleNature communications2016

Blood flow controls bone vascular function and osteogenesis.

Saravana K Ramasamy, Anjali P Kusumbe, Maria Schiller, Dagmar Zeuschner, M Gabriele Bixel, Carlo Milia, Jaba Gamrekelashvili, Anne Limbourg, Alexander Medvinsky, Massimo M Santoro and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 237 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
237citing papers in PubMed, 4 pooled it
23.9field-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

237 citing papers in PubMed, 4 syntheses or guidelines pooled it, 401 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Consequences of Aging on Bone.Aging and disease · 2023
    Pooled it
  4. Pooled it
  5. [Effect of trapezoidal and modified triangular flaps on mucosal blood supply and osteogenesis after guided bone regeneration].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Trial
  6. Review
  7. Materials today. Bio · 2026
    Article
  8. Thioredoxin-2 Alleviates Osteoporosis by Restraining FOXO3a Nuclear Translocation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Biodegradable MgBioactive materials · 2026
    Article
  18. Review
  19. Article
  20. Article

177 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

12 authors at 5 institutions in 4 countries.

Saravana K RamasamyFaculty of Medicine, Department of Tissue Morphogenesis, Max-Planck-Institute for Molecular Biomedicine and University of Münster, D-48149 Münster, Germany.
Anjali P KusumbeFaculty of Medicine, Department of Tissue Morphogenesis, Max-Planck-Institute for Molecular Biomedicine and University of Münster, D-48149 Münster, Germany.
Maria SchillerFaculty of Medicine, Department of Tissue Morphogenesis, Max-Planck-Institute for Molecular Biomedicine and University of Münster, D-48149 Münster, Germany.
Dagmar ZeuschnerElectron Microscopy Unit, Max-Planck-Institute for Molecular Biomedicine, D-48149 Münster, Germany.
M Gabriele BixelFaculty of Medicine, Department of Tissue Morphogenesis, Max-Planck-Institute for Molecular Biomedicine and University of Münster, D-48149 Münster, Germany.
Carlo MiliaVIB Vesalius Research Center, KU Leuven, 3000 Leuven, Belgium.
Jaba GamrekelashviliDepartment of Nephrology and Hypertension, Hannover Medical School, D-30625 Hannover, Germany.
Anne LimbourgDepartment of Plastic and Reconstructive Surgery, Hannover Medical School, D-30625 Hannover, Germany.
Alexander MedvinskyResearch group Ontogeny of Haematopoietic Stem Cells, MRC Centre for Regenerative Medicine, University of Edinburgh, Edinburgh EH16 4UU, Scotland.
Massimo M SantoroVIB Vesalius Research Center, KU Leuven, 3000 Leuven, Belgium.
Florian P LimbourgDepartment of Nephrology and Hypertension, Hannover Medical School, D-30625 Hannover, Germany.
Ralf H AdamsFaculty of Medicine, Department of Tissue Morphogenesis, Max-Planck-Institute for Molecular Biomedicine and University of Münster, D-48149 Münster, Germany.
University of Münster · DEMedizinische Hochschule Hannover · DEMax Planck Institute for Molecular Biomedicine · DEVIB-KU Leuven Center for Microbiology · BEUniversity of Edinburgh · GB

Funding

European Research Council
6 · The paper itself

Abstract

While blood vessels play important roles in bone homeostasis and repair, fundamental aspects of vascular function in the skeletal system remain poorly understood. Here we show that the long bone vasculature generates a peculiar flow pattern, which is important for proper angiogenesis. Intravital imaging reveals that vessel growth in murine long bone involves the extension and anastomotic fusion of endothelial buds. Impaired blood flow leads to defective angiogenesis and osteogenesis, and downregulation of Notch signalling in endothelial cells. In aged mice, skeletal blood flow and endothelial Notch activity are also reduced leading to decreased angiogenesis and osteogenesis, which is reverted by genetic reactivation of Notch. Blood flow and angiogenesis in aged mice are also enhanced on administration of bisphosphonate, a class of drugs frequently used for the treatment of osteoporosis. We propose that blood flow and endothelial Notch signalling are key factors controlling ageing processes in the skeletal system.

Indexed as

OsteogenesisAlendronateAnimalsBlood VesselsBone and BonesDiphosphonatesEndothelial CellsFemaleMaleMice, Inbred C57BLModels, BiologicalNeovascularization, PhysiologicReceptors, NotchRegional Blood FlowSignal TransductionAlendronateDiphosphonatesReceptors, Notch

Identifiers

PMID27922003
PMCPMC5150650
OpenAlexW2560485180

What OpenQuestion holds

Textmetadata
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.