Evidence map›Paper›PMID 29800621›Full record

ArticleOsteoarthritis and cartilage2018

Alterations in quadriceps muscle cellular and molecular properties in adults with moderate knee osteoarthritis.

B Noehren, K Kosmac, R G Walton, K A Murach, M F Lyles, R F Loeser, C A Peterson, S P Messier

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07471204 (Muscle Oxygenation and Recovery Dynamics in Individuals With Knee Osteoarthritis), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
4.2field-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.

NCT07471204 completednot on this mapstarted 2026, after this paper: background citation

Muscle Oxygenation and Recovery Dynamics in Individuals With Knee Osteoarthritis: A Case-Control Study

TypeobservationalSponsorBahçeşehir UniversityRan2026 to 2026Enrolled34ConditionsOsteoarthritis of Knee, Healthy ParticipantsArmsNo intervention
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Decreased Thigh Muscle Cross-Sectional Area Following Anterior Cruciate Ligament Injury Depends on Concomitant Meniscal Injury and Subject Sex.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Knee Health Is a Major Determinant of Mobility Across the Healthspan.Journal of functional morphology and kinesiology · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

B NoehrenDepartment of Rehabilitation Sciences, College of Health Sciences, Center for Muscle Biology, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: b.noehren@uky.edu.
K KosmacDepartment of Rehabilitation Sciences, College of Health Sciences, Center for Muscle Biology, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: kate.kosmac@uky.edu.
R G WaltonDepartment of Rehabilitation Sciences, College of Health Sciences, Center for Muscle Biology, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: r.grace.walton@uky.edu.
K A MurachDepartment of Rehabilitation Sciences, College of Health Sciences, Center for Muscle Biology, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: kmu236@g.uky.edu.
M F LylesSection on Gerontology and Geriatrics, Wake Forest School of Medicine, Winston-Salem, NC, 27109, USA. Electronic address: mlyles@wakehealth.edu.
R F LoeserThurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC, 27599, USA. Electronic address: richard_loeser@med.unc.edu.
C A PetersonDepartment of Rehabilitation Sciences, College of Health Sciences, Center for Muscle Biology, University of Kentucky, Lexington, KY, 40536, USA. Electronic address: Charlotte.Peterson@uky.edu.
S P MessierJ.B. Snow Biomechanics Laboratory, Department of Health & Exercise Science, Wake Forest University, Winston-Salem, NC, 27109, USA. Electronic address: messier@wfu.edu.
University of Kentucky · USWake Forest University · USUniversity of North Carolina at Chapel Hill · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Strength Training and Arthritis TrialR01AR059105 · NIAMS · WAKE FOREST UNIVERSITY · PI MESSIER, STEPHEN P · 2011 to 2015
$3.9M
Prolonged alterations to muscle following knee surgery and physical therapyK23AR062069 · NIAMS · UNIVERSITY OF KENTUCKY · PI NOEHREN, BRIAN · 2013 to 2017
$619k
NCATS NIH HHS UL1 TR000117NIAMS NIH HHS K23 AR062069NIAMS NIH HHS R01 AR059105
6 · The paper itself

Abstract

objectiveQuadriceps muscle weakness is common in knee osteoarthritis (OA). While pain, disuse, and atrophy are commonly cited causes for muscle weakness in OA, emerging evidence suggests changes in muscle quality also occur. Alterations in muscle quality are not well understood, but likely include both cellular and morphologic adaptions. The purpose of this study was to conduct the first cellular-level analysis of the vastus lateralis in adults with moderate knee OA.

methodsVastus lateralis biopsies were obtained from 24 subjects with moderate knee OA and 15 healthy controls. Quadriceps strength, muscle fiber cross sectional area (CSA), fiber type distribution, extracellular matrix (ECM) content, satellite cell abundance, and profibrotic gene expression were assessed.

resultsRelative to controls, quadriceps strength was significantly lower in OA subjects (OA 62.23, 50.67-73.8 Nm vs 91.46, 75.91-107.0 Nm, P = 0.003) despite no difference in fiber CSA. OA subjects had significantly fewer Type I fibers (OA 41.51, 35.56-47.47% vs 53.07, 44.86-61.29%, P = 0.022) and more hybrid IIa/x fibers (OA 24.61, 20.61-28.61% vs 16.4, 11.60-21.20%, P = 0.009). Significantly greater ECM content, lower satellite cell density, and higher profibrotic gene expression was observed with OA, and muscle collagen content was inversely correlated to strength and satellite cell (SC) density.

conclusionLower quadriceps function with moderate OA may not result from fiber size impairments, but is associated with ECM expansion. Impaired satellite cell density, high profibrotic gene expression, and a slow-to-fast fiber type transition may contribute to reduced muscle quality in OA. These findings can help guide therapeutic interventions to enhance muscle function with OA.

Indexed as

AgedBiopsyCross-Sectional StudiesExtracellular MatrixFemaleGene Expression RegulationHumansMaleMiddle AgedMuscle StrengthMuscle WeaknessOsteoarthritis, KneeQuadriceps MuscleRNASatellite Cells, Skeletal MuscleRNAAtrophyFibrosisKneeOsteoarthritisQuadriceps weakness

Identifiers

PMID29800621
PMCPMC7050996
OpenAlexW2803819420

What OpenQuestion holds

Textmetadata
LicenceTDM
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.