Evidence map›Paper›PMID 30111168›Full record

ArticleFoot & ankle international2018

Amino Acid Profile of Synovial Fluid Following Intra-articular Ankle Fracture.

Elizabeth M Leimer, Laura M Tanenbaum, Dana L Nettles, Richard D Bell, Mark E Easley, Lori A Setton, Samuel B Adams

Open access · greenAbstract readComparative Study
In one paragraph

Article in Foot & ankle international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Correlations between metabolites in the synovial fluid and serum: A mouse injury study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  5. 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

7 authors at 4 institutions in 1 country.

Elizabeth M Leimer1 Department of Biomedical Engineering, Washington University in St. Louis, MO, USA.
Laura M Tanenbaum1 Department of Biomedical Engineering, Washington University in St. Louis, MO, USA.
Dana L Nettles3 Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Richard D Bell4 Department of Pathology, University of Rochester Medical Center, Rochester, NY, USA.
Mark E Easley3 Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Lori A Setton1 Department of Biomedical Engineering, Washington University in St. Louis, MO, USA.
Samuel B Adams3 Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USWashington University in St. Louis · USAlbany Medical Center Hospital · USUniversity of Rochester Medical Center · US

Funding

MECHANICAL STIMULATION OF IVD CELLSR01AR047442 · NIAMS · WASHINGTON UNIVERSITY · PI SETTON, LORI A. · 2001 to 2015
$4.6M
Intra-Articular Delivery of Sustained Release NF-kB Antagonists In ArthritisR01AR070975 · NIAMS · WASHINGTON UNIVERSITY · PI SETTON, LORI A. · 2017 to 2021
$1.7M
Engineering Microenvironments for the Nucleus Pulposus CellR01AR069588 · NIAMS · WASHINGTON UNIVERSITY · PI SETTON, LORI A. · 2016 to 2019
$1.2M
NIAMS NIH HHS R01 AR047442NIAMS NIH HHS R01 AR069588NIAMS NIH HHS R01 AR070975
6 · The paper itself

Abstract

backgroundPost-traumatic osteoarthritis (PTOA) is a frequent complication in patients with a previous traumatic joint injury, and the pathophysiology is not well understood. The goal of this study was to characterize the biochemical signature of amino acids, peptides, and amino acid metabolites in ankle synovial fluid following intra-articular fracture.

methodsSynovial fluid from both the injured and contralateral ankles of 19 patients with an intra-articular ankle fracture was obtained and analyzed via metabolic profiling. Follow-up analysis was performed after 6 months in 7 of these patients.

resultsStatistical comparisons between injured and contralateral ankles revealed that 19 of the 66 measured amino acids, peptides, and amino acid metabolites were significantly elevated at time of fracture. Metabolites associated with glutathione metabolism exhibited the most elevated mean-fold changes, indicating a possible role for oxidative stress in fractured ankles. None of the metabolites elevated at baseline were significantly elevated after 6 months, but 6 metabolites had mean-fold changes greater than 2.1 at this time point. Multiple metabolites also exhibited significant correlations ( r > 0.575) with matrix metalloproteinase-1 and -9.

conclusionThese results indicate the presence of amino acid metabolic products in the setting of ankle fracture and suggest that these changes in amino acid metabolism may be chronic and indicate a role for inflammation and collagen degradation in disease progression. CLINICAL RELEVANCE: Changes in amino acid metabolism following intra-articular fracture may contribute to the progression to PTOA. This knowledge may allow for the identification and early treatment of patients at risk of developing PTOA. LEVEL OF EVIDENCE: Level III, comparative series.

Indexed as

AdultAmino AcidsAnkle FracturesFemaleHumansIntra-Articular FracturesMaleMiddle AgedOsteoarthritisRetrospective StudiesSynovial FluidAmino Acidsamino acidsankle fracturemetabolic profileosteoarthritissynovial fluid

Identifiers

PMID30111168
PMCPMC6309257
OpenAlexW2887229884

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.