Evidence map›Paper›PMID 28285015›Full record

ArticleBone2017

TNFα contributes to diabetes impaired angiogenesis in fracture healing.

Jason C Lim, Kang I Ko, Marcelo Mattos, Miao Fang, Citong Zhang, Daniel Feinberg, Hisham Sindi, Shuai Li, Jazia Alblowi, Rayyan A Kayal and 3 more

Abstract read
In one paragraph

Article in Bone, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

61 citing papers in PubMed, 78 citations in OpenAlex.

  1. Bone health in diabetes mellitus.Reviews in endocrine & metabolic disorders · 2026
    Review
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  4. Article
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  8. Article
  9. Article
  10. Review
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  13. Article
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  15. Angiogenesis: Biological Mechanisms and In Vitro Models.Annals of biomedical engineering · 2025
    Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

1 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

13 authors at 6 institutions in 3 countries.

Jason C LimDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Kang I KoDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Marcelo MattosDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Miao FangDepartment of Endocrinology, Shanxi Province People's Hospital, Shanxi Province, China.
Citong ZhangDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Implantology, School of Stomatology, Jilin University, Changchun 130021, China.
Daniel FeinbergDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Hisham SindiDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Shuai LiDepartment of Implant Dentistry, Peking University, School and Hospital of Stomatology, Beijing, China.
Jazia AlblowiDepartment of Oral Basic and Clinical Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Rayyan A KayalDepartment of Oral Basic and Clinical Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Thomas A EinhornDepartment of Orthopedic Surgery, School of Medicine, Boston University, Boston, MA 02118, USA.
Louis C GerstenfeldDepartment of Orthopedic Surgery, School of Medicine, Boston University, Boston, MA 02118, USA.
Dana T GravesDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: dtgraves@upenn.edu.
University of Pennsylvania · USBoston University · USKing Abdulaziz University · SAJilin University · CNPeking University · CNShanxi Province Hospital of Traditional Chinese Medicine · CN

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
Diabetes-enhanced Experimental PeriodontitisR01DE017732 · NIDCR · UNIV OF MED/DENT OF NJ-NJ DENTAL SCHOOL · PI DANA T GRAVES · 2007 to 2026
$6.5M
Mechanisms for Impaired Diabetic Wound HealingR01DE019108 · NIDCR · UNIV OF MED/DENT OF NJ-NJ DENTAL SCHOOL · PI DANA T GRAVES · 2009 to 2026
$4.8M
Diabetic Fracture HealingR01AR060055 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GRAVES, DANA T · 2011 to 2015
$1.8M
NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R01 AR060055NIDCR NIH HHS R01 DE017732NIDCR NIH HHS R01 DE019108
6 · The paper itself

Abstract

Diabetes increases the likelihood of fracture, interferes with fracture healing and impairs angiogenesis. The latter may be significant due to the critical nature of angiogenesis in fracture healing. Although it is known that diabetes interferes with angiogenesis the mechanisms remain poorly defined. We examined fracture healing in normoglycemic and streptozotocin-induced diabetic mice and quantified the degree of angiogenesis with antibodies to three different vascular markers, CD34, CD31 and Factor VIII. The role of diabetes-enhanced inflammation was investigated by treatment of the TNFα-specific inhibitor, pegsunercept starting 10days after induction of fractures. Diabetes decreased both angiogenesis and VEGFA expression by chondrocytes. The reduced angiogenesis and VEGFA expression in diabetic fractures was rescued by specific inhibition of TNF in vivo. In addition, the TNF inhibitor rescued the negative effect of diabetes on endothelial cell proliferation and endothelial cell apoptosis. The effect of TNFα in vitro was enhanced by high glucose and an advanced glycation endproduct to impair microvascular endothelial cell proliferation and tube formation and to stimulate apoptosis. The effect of TNF, high glucose and an AGE was mediated by the transcription factor FOXO1, which increased expression of p21 and caspase-3. These studies indicate that inflammation plays a major role in diabetes-impaired angiogenesis in endochondral bone formation through its effect on microvascular endothelial cells and FOXO1.

Indexed as

AnimalsAntigens, CD34Diabetes Mellitus, ExperimentalFactor VIIIFracture HealingHyperglycemiaInflammationMaleMicePlatelet Endothelial Cell Adhesion Molecule-1Polyethylene GlycolsReceptors, Tumor Necrosis Factor, Type ITumor Necrosis Factor-alphaVascular Endothelial Growth Factor AAntigens, CD34Factor VIIIPEGylated soluble tumor necrosis factor receptor IPlatelet Endothelial Cell Adhesion Molecule-1Polyethylene GlycolsReceptors, Tumor Necrosis Factor, Type ITumor Necrosis Factor-alphaVascular Endothelial Growth Factor ABlood vesselBoneCytokineEndothelialForkheadHyperglycemiaInflammationVascularizationVEGF

Identifiers

PMID28285015
PMCPMC5563392
OpenAlexW2591689403

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.