Evidence map›Paper›PMID 29227579›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2018

Obesity/type 2 diabetes increases inflammation, periosteal reactive bone formation, and osteolysis during Staphylococcus aureus implant-associated bone infection.

Christopher W Farnsworth, Eric M Schott, Abigail M Benvie, Jacob Zukoski, Stephen L Kates, Edward M Schwarz, Steven R Gill, Michael J Zuscik, Robert A Mooney

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  15. Complications of modern design total elbow replacement.Journal of clinical orthopaedics and trauma · 2021
    Review
  16. Three-DimensionalInfection and immunity · 2020
    Article
  17. Article
  18. Review
  19. Article
  20. Aspirin alleviates orthopedic implant‑associated infection.International journal of molecular medicine · 2019
    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

9 authors at 2 institutions in 1 country.

Christopher W FarnsworthDepartment of Pathology and Laboratory Medicine, University of Rochester, Box 626, 601 Elmwood Ave., Rochester, New York, 14642.
Eric M SchottDepartment of Pathology and Laboratory Medicine, University of Rochester, Box 626, 601 Elmwood Ave., Rochester, New York, 14642.
Abigail M BenvieDepartment of Pathology and Laboratory Medicine, University of Rochester, Box 626, 601 Elmwood Ave., Rochester, New York, 14642.
Jacob ZukoskiDepartment of Pathology and Laboratory Medicine, University of Rochester, Box 626, 601 Elmwood Ave., Rochester, New York, 14642.
Stephen L KatesDepartment of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0003-0005-8694
Edward M SchwarzCenter for Musculoskeletal Research, University of Rochester, Rochester, New York.ORCID 0000-0002-4854-9698
Steven R GillDepartment of Microbiology and Immunology, University of Rochester, Rochester, New York.
Michael J ZuscikCenter for Musculoskeletal Research, University of Rochester, Rochester, New York.
Robert A MooneyDepartment of Pathology and Laboratory Medicine, University of Rochester, Box 626, 601 Elmwood Ave., Rochester, New York, 14642.
University of Rochester · USVirginia Commonwealth University · US

Funding

Project 2: Defining the Protective vs. Susceptible Immune Proteome of S. aureus OsteomyelitisP50AR072000 · NIAMS · UNIVERSITY OF ROCHESTER · PI Benjamin L Miller · 2017 to 2026
$13.6M
Rochester Resource-Based Center for Bone, Muscle and Orthopaedic Research (ROCSTARR) (Overall Application)P30AR069655 · NIAMS · UNIVERSITY OF ROCHESTER · PI Edward M. Schwarz · 2016 to 2026
$7.8M
Training in Orthopaedic Researchhttps://apps.era.nih.gov/grantfolder/viewInternalGF.era?applId=8841318&folderId=90T32AR053459 · NIAMS · UNIVERSITY OF ROCHESTER · PI ZUSCIK, MICHAEL J · 2006 to 2017
$3.4M
NIAMS NIH HHS P30 AR069655NIAMS NIH HHS P50 AR072000NIAMS NIH HHS T32 AR053459
6 · The paper itself

Abstract

Obese and type 2 diabetic (T2D) patients have a fivefold increased rate of infection following placement of an indwelling orthopaedic device. Though implant infections are associated with inflammation, periosteal reactive bone formation, and osteolysis, the effect of obesity/T2D on these complicating factors has not been studied. To address this question, C57BL/6J mice were fed a high fat diet (60% Kcal from fat) to induce obesity/T2D, or a control diet (10% Kcal from fat) for 3 months, and challenged with a transtibial pin coated with a bioluminescent USA300 strain of S. aureus. In the resulting infected bone, obesity/T2D was associated with increased S. aureus proliferation and colony forming units. RNA sequencing of the infected tibiae on days 7 and 14 revealed an increase in 635 genes in obese/T2D mice relative to controls. Pathways associated with ossification, angiogenesis, and immunity were enriched. MicroCT and histology on days 21 and 35 demonstrated significant increased periosteal reactive bone formation in infected obese/T2D mice versus infected controls (p < 0.05). The enhanced periosteal bone formation was associated with increased osteoblastic activity and robust endochondral ossification, with persistant cartilage on day 21 that was only observed in infected obesity/T2D. Osteolysis and osteoclast numbers in obesity/T2D were also significantly increased versus infected controls (p < 0.05). Consistent with an up-regulated immune transcriptome, macrophages were more abundant within both the periosteum and the new reactive bone of obese/T2D mice. In conclusion, we find that implant-associated S. aureus osteomyelitis in obesity/T2D is associated with increased inflammation, reactive bone formation, and osteolysis. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1614-1623, 2018.

Indexed as

OsteogenesisAnimalsDiabetes Mellitus, Type 2InflammationMacrophagesMaleMiceMice, Inbred C57BLObesityOsteolysisProsthesis-Related InfectionsStaphylococcal InfectionsStaphylococcus aureusdiabetesobesityosteoblastosteolysisosteomyelitisStaphylococcus aureus

Identifiers

PMID29227579
PMCPMC5995608
OpenAlexW2771141516

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.