Evidence map›Paper›PMID 28399156›Full record

ArticlePloS one2017

Presence of IL-17 in synovial fluid identifies a potential inflammatory osteoarthritic phenotype.

Sarah J B Snelling, Sylvette Bas, Gabor J Puskas, Stephanie G Dakin, Domizio Suva, Axel Finckh, Cem Gabay, Pierre Hoffmeyer, Andrew J Carr, Anne Lübbeke

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT04443452 completednot on this mapstarted 2020, after this paper: background citation

Molecular Pathways Involved in Knee Pain: an Observational Study

TypeobservationalSponsorUniversity of NottinghamRan2020 to 2023Enrolled71ConditionsKnee Osteoarthritis, Knee Pain ChronicArmsQuantitative Sensory Testing, Radiographic Evaluation, Ultrasound-guided Aspiration, Muscle Strength Assessment, Function Assessment (A)
NCT07494838 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

IMAGES: Identifying Metabolic Imaging Association With Genicular Artery Embolization Success

TypeinterventionalSponsorLucas R. Cusumano, MDRan2026 to 2027Enrolled25ConditionsKnee Osteoarthritis, Knee Discomfort, Knee Pain Chronic, Knee Swelling PainArmsEmbolization
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

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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

10 authors at 2 institutions in 2 countries.

Sarah J B SnellingNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.ORCID http://orcid.org/0000-0002-7052-3793
Sylvette BasDivision of Rheumatology, Geneva University Hospitals, Geneva, Switzerland.
Gabor J PuskasDivision of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland.
Stephanie G DakinNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Domizio SuvaDivision of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland.
Axel FinckhDivision of Rheumatology, Geneva University Hospitals, Geneva, Switzerland.
Cem GabayDivision of Rheumatology, Geneva University Hospitals, Geneva, Switzerland.
Pierre HoffmeyerDivision of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Geneva, Switzerland.
Andrew J CarrNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Anne LübbekeNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
University Hospital of Geneva · CHNuffield Orthopaedic Centre · GB

Funding

Medical Research Council MC_PC_14103Medical Research Council MC_PC_15069Versus Arthritis 20087Versus Arthritis 20506
6 · The paper itself

Abstract

purposeOsteoarthritis (OA) is a common and heterogeneous arthritic disorder. Patients suffer pain and their joints are characterized by articular cartilage loss and osteophyte formation. Risk factors for OA include age and obesity with inflammation identified as a key mediator of disease pathogenesis. Interleukin-17A (IL-17) is a pro-inflammatory cytokine that has been implicated in inflammatory diseases such as rheumatoid arthritis. IL-17 can upregulate expression of inflammatory cytokines and adipocytokines. The aim of this study was to evaluate IL-17 levels in the synovial fluid of patients with end-stage knee and hip OA in relation to inflammation- and pain-related cytokines and adipocytokines in synovial fluid and serum, and clinical and radiographic disease parameters.

methodsThis is a cross-sectional study of 152 patients undergoing total hip and knee arthroplasty for OA. IL-17, IL-6, leptin, adiponectin, visfatin, resistin, C-C Motif Chemokine Ligand 2 (CCL2), C-C Motif Chemokine Ligand 7 (CCL7) and nerve growth factor (NGF) protein levels were measured in synovial fluid and serum using enzyme-linked immunosorbent assay (ELISA). Baseline characteristics included age, sex, body mass index, co-morbidities, pain and function, and radiographic analyses (OA features, K&L grade, minimal joint space width).

results14 patients (9.2%) had detectable IL-17 in synovial fluid. These patients had significantly higher median concentrations of IL-6, leptin, resistin, CCL7 and NGF. Osteophytes, sclerosis and minimum joint space width were significantly reduced in patients with detectable IL-17 in synovial fluid. No differences were found in pain, function and comorbidities. IL-17 concentrations in synovial fluid and serum were moderately correlated (r = 0.482).

conclusionThe presence of IL-17 in the synovial fluid therefore identifies a substantial subset of primary end-stage OA patients with distinct biological and clinical features. Stratification of patients on the basis of IL-17 may identify those responsive to therapeutic targeting.

Indexed as

AgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBiomarkersComorbidityCross-Sectional StudiesFemaleHumansInterleukin-17MaleOsteoarthritis, HipOsteoarthritis, KneePainPatient Reported Outcome MeasuresSynovial FluidBiomarkersIL17A protein, humanInterleukin-17

Identifiers

PMID28399156
PMCPMC5388337
OpenAlexW2606623325

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.