Evidence map›Paper›PMID 28381317›Full record

ArticleComparative medicine2017

Local and Systemic Changes Associated with Long-term, Percutaneous, Static Implantation of Titanium Alloys in Rhesus Macaques (

Galit H Frydman, Robert P Marini, Vasudevan Bakthavatchalu, Kathleen E Biddle, Sureshkumar Muthupalani, Charles R Vanderburg, Barry Lai, Pavan K Bendapudi, Ronald G Tompkins, James G Fox

Open access · greenAbstract read
In one paragraph

Article in Comparative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Evaluation of 415-nm Blue Light and Hypochlorous Acid on the Rhesus Macaque (Macaca mulatta) Cranial Implant Microbiota.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
    Article
  2. Association of Primate Veterinarians Cranial Implant Care for Nonhuman Primates in Biomedical Research.Journal of the American Association for Laboratory Animal Science : JAALAS · 2021
    Article
  3. Article
  4. Article
  5. CytotoxicGut pathogens · 2017
    Article
  6. Article
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

10 authors at 1 institution in 1 country.

Galit H FrydmanDivision of Comparative Medicine, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Division of Surgery, Science, and Bioengineering, Advanced Tissue Resource Center, Massachusetts General Hospital, Boston, Massachusetts;, Email: gfrydman@mit.edu.
Robert P MariniDivision of Comparative Medicine, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
Vasudevan BakthavatchaluDivision of Comparative Medicine, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
Kathleen E BiddleDrug Safety Research and Development, Pfizer, Groton, Connecticut.
Sureshkumar MuthupalaniDivision of Comparative Medicine, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
Charles R VanderburgAdvanced Tissue Resource Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Barry LaiX-ray Science Division, Argonne National Laboratory, US Department of Energy, Argonne, Illinois.
Pavan K BendapudiHarvard Medical School, Division of Hematology, Massachusetts General Hospital, Boston, Massachusetts.
Ronald G TompkinsDivision of Surgery, Science, and Bioengineering, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
James G FoxDivision of Comparative Medicine, Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
Pfizer (United States) · US

Funding

WOUND HEALINGP50GM021700 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI TOMPKINS, RONALD GARY · 1985 to 2017
$27.2M
TOXICOLOGY CORE UNITP30ES002109 · NIEHS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI YAFFE, MICHAEL B · 1985 to 2020
$25.6M
Biomedical Research Training for Veterinary ScientistsT32OD010978 · OD · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI FOX, JAMES G · 2012 to 2017
$2.2M
NIEHS NIH HHS P30 ES002109NIGMS NIH HHS P50 GM021700NIH HHS T32 OD010978
6 · The paper itself

Abstract

Metal alloys are frequently used as implant materials in veterinary medicine. Recent studies suggest that many alloys induce both local and systemic inflammatory responses. In this study, 37 rhesus macaques with long-term skull-anchored percutaneous titanium alloy implants (duration, 0 to 14 y) were evaluated for changes in their hematology, coagulation, and serum chemistry profiles. Negative controls (n = 28) did not have implants. Macaques with implants had higher plasma D-dimer and lower antithrombin III concentrations than nonimplanted animals. In addition, animals with implants had higher globulin and lower albumin and calcium concentrations compared with nonimplanted macaques. Many of these changes were positively correlated with duration of implantation and the number of implants. Chronic bacterial infection of the skin was present around many of the implant sites and within deeper tissues. Representative histopathology around the implant site of 2 macaques revealed chronic suppurative to pyogranulomatous inflammation extending from the skin to the dura mater. X-ray fluorescence microscopy of tissue biopsies from the implant site of the same 2 animals revealed significantly higher levels of free metal ions in the tissue, including titanium and iron. The higher levels of free metal ions persisted in the tissues for as long as 6 mo after explantation. These results suggest that long-term skull-anchored percutaneous titanium alloy implants can be associated with localized inflammation, chronic infection, and leaching of metal ions into local tissues.

Indexed as

AlloysAnimalsAntithrombin IIIBiocompatible MaterialsChronic DiseaseFemaleFibrin Fibrinogen Degradation ProductsIronMacaca mulattaMaleProstheses and ImplantsSkullTime FactorsTitaniumAlloysAntithrombin IIIBiocompatible MaterialsFibrin Fibrinogen Degradation Productsfibrin fragment DIronTitanium

Identifiers

PMID28381317
PMCPMC5402736
OpenAlexW2991613928

What OpenQuestion holds

Textmetadata
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.