Evidence map›Paper›PMID 28187731›Full record

ArticleBMC musculoskeletal disorders2017

Strontium ranelate causes osteophytes overgrowth in a model of early phase osteoarthritis.

Jian-Guo Chu, Mu-Wei Dai, Yu Wang, Fa-Ming Tian, Hui-Ping Song, Ya-Ping Xiao, Li-Tao Shao, Ying-Ze Zhang, Liu Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 2 institutions in 1 country.

Jian-Guo ChuDepartment of Orthopedic Surgery, Hebei Medical University, Shijiazhuang, China.
Mu-Wei DaiDepartment of Orthopedic Surgery, Hebei Medical University, Shijiazhuang, China.
Yu WangDepartment of Orthopedic Surgery, The Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Fa-Ming TianMedical Research Center, North China University of Science and Technology, Tangshan, China.
Hui-Ping SongDepartment of Orthopedic Surgery, The Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Ya-Ping XiaoDepartment of Orthopedic Surgery, The Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Li-Tao ShaoDepartment of Orthopedic Surgery, The Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Ying-Ze ZhangDepartment of Orthopedic Surgery, Hebei Medical University, Shijiazhuang, China.
Liu ZhangDepartment of Orthopedic Surgery, Hebei Medical University, Shijiazhuang, China. zhliu130@sohu.com.ORCID 0000-0001-5239-3561
North China University of Science and Technology · CNHebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) involves cartilage changes as well as modifications of subchondral bone and synovial tissues. Strontium ranelate (SR), an anti-osteoporosis compound, which is currently in phase III clinical trial for treatment of OA. Evidences suggest that SR preferably deposited in osteophyte, other than in subchondral bone in early phase of OA. This phenomenon raises concern about its utility for OA treatment as a disease-modifying drug. To evaluate the effect of SR on cartilage, subchondral bone mass and subchondral trabecular bone structure in medial meniscectomized (MNX) guinea pigs.

methodThirty-six 3-month-old male Dunkin Hartley albino guinea pigs received either sham or medial meniscectomy operations. One week after the procedure, meniscectomized animals began 12 weeks of SR (625 mg/kg, daily) treatment by oral gavage for MNX + SR group, or normal saline for MNX + V group. All animals were euthanized 12 weeks later, cartilage degeneration and subchondral bone micro-architecture was analyzed.

resultsBoth OARSI scores (P = 0.523 for marcoscopic scores, P = 0.297 for histological scores) and Cartilage thickness (P = 0.335) in MNX + SR group were comparable to MNX + V group. However, osteophyte sizes were larger in MNX + SR group (P = 0.014), and collapsed osteophytes in MNX + SR group (7 by 12) were significantly more than in MNX + V group (1 by 12) (P = 0.027), while immunohistochemistry indicates catabolic changes in osteophyte/plateau junction. Micro-CT analysis showed bone mineral density (BMD) (P = 0.001), bone volume fraction (BV/TV) (P = 0.008), trabecular spacing (Tb.Sp) (P = 0.020), trabecular thickness (Tb.Th) (P = 0.012) and structure model index (SMI) (P = 0.005) levels to be significantly higher in the MNX + SR group than in the MNX + V group.

conclusionsSR (625 mg/kg/day) did not protect cartilage from degeneration in MNX guinea pigs but subchondral bone was significantly enhanced. In early phase OA, SR administration causes osteophyte overgrowth, which may be related to incorporation into mineralizing osteophytes. This adverse effect is important for future studies of SR in OA.

Indexed as

Disease Models, AnimalAnimalsBone Density Conservation AgentsGuinea PigsMaleOsteoarthritisOsteophyteThiophenesBone Density Conservation Agentsstrontium ranelateThiophenesCartilageMicro-CTOsteoarthritisOsteophytesStrontium ranelateSubchondral bone

Identifiers

PMID28187731
PMCPMC5303224
OpenAlexW2587280939

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.