Evidence map›Paper›PMID 29857156›Full record

ArticleOsteoarthritis and cartilage2018

Osteoarthritis induced by destabilization of the medial meniscus is reduced in germ-free mice.

V Ulici, K L Kelley, M A Azcarate-Peril, R J Cleveland, R B Sartor, T A Schwartz, R F Loeser

Open access · greenAbstract 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. Cited by 75 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 7 pooled it
9.0field-weighted citation impact, top 2% 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

75 citing papers in PubMed, 7 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  12. Article
  13. The gut-joint axis in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  14. Review
  15. Osteoarthritis as a systemic disease.Nature reviews. Rheumatology · 2026
    Review
  16. Review
  17. Review
  18. Review
  19. Analysis of gut microbiota characteristics in osteoarthritis patients.Frontiers in cellular and infection microbiology · 2026
    Article
  20. Review

15 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

7 authors at 1 institution in 1 country.

V UliciThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
K L KelleyThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
M A Azcarate-PerilDepartment of Medicine, Division of Gastroenterology and Hepatology, and Microbiome Core Facility, Center for Gastrointestinal Biology and Disease, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
R J ClevelandThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
R B SartorDepartment of Medicine, Division of Gastroenterology and Hepatology and Gnotobiotic Core Facility, Center for Gastrointestinal Biology and Disease, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
T A SchwartzThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
R F LoeserThurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: richard_loeser@med.unc.edu.
University of North Carolina at Chapel Hill · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1985 to 2026
$30.5M
National Gnotobiotic Rodent Resource CenterP40OD010995 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ryan B Sartor · 2012 to 2026
$9.7M
UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2019 to 2026
$6.1M
NIAMS Multidisciplinary Clinical Research CenterP60AR064166 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CALLAHAN, LEIGH FLEMING · 2013 to 2017
$5.8M
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NIAMS NIH HHS P30 AR072580NIAMS NIH HHS P60 AR064166NIDDK NIH HHS P30 DK034987NIH HHS P40 OD010995
6 · The paper itself

Abstract

objectiveTo determine the contribution of the gut microbiota to the development of injury-induced osteoarthritis (OA).

designOA was induced using the destabilized medial meniscus (DMM) model in 20 germ-free (GF) C57BL/6J male mice housed in a gnotobiotic facility and 23 strain-matched specific pathogen free (SPF) mice in 2 age groups -13.5 weeks avg age at DMM (17 SPF and 15 GF) and 43 weeks avg age at DMM (6 SPF and 5 GF). OA severity was measured using scores for articular cartilage structure (ACS), loss of safranin O (SafO) staining, osteophyte size, and synovial hyperplasia. Microbiome analysis by 16S rRNA amplicon sequencing was performed on stool samples and LPS and LPS binding protein (LBP) were measured in plasma.

resultsCompared to the SPF DMM mice, the maximum (MAX) ACS score per joint was 28% lower (p = 0.036) in GF DMM mice while the SafO sum score of all sections evaluated per joint was decreased by 31% (p = 0.009). The differences between SPF and GF mice in these scores were greater when only the younger mice were included in the analysis. The younger GF DMM mice also had significant reductions in osteophyte size (36%, P = 0.0119) and LBP (27%, P = 0.007) but not synovial scores or LPS. Differences in relative abundance of a number of Operational Taxonomic Units (OTUs) were noted between SPF mice with high vs low maximum ACS scores.

conclusionsThese results suggest factors related to the gut microbiota promote the development of OA after joint injury.

Indexed as

Gastrointestinal MicrobiomeAcute-Phase ProteinsAnimalsCarrier ProteinsCartilage, ArticularDisease Models, AnimalGerm-Free LifeInterleukin-6Lipopolysaccharide-Binding ProteinLipopolysaccharidesMaleMembrane GlycoproteinsMenisci, TibialMiceMice, Inbred C57BLOsteoarthritisAcute-Phase ProteinsCarrier ProteinsInterleukin-6Lipopolysaccharide-Binding ProteinLipopolysaccharidesMembrane GlycoproteinsRNA, Ribosomal, 16SCartilageDMMGerm-freeLBPMicrobiomeOsteoarthritis

Identifiers

PMID29857156
PMCPMC7970023
OpenAlexW2606236360

What OpenQuestion holds

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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.