Evidence map›Paper›PMID 30775528›Full record

ArticleOsteoporosis and sarcopenia2017

Effects of combined therapy of alendronate and low-intensity pulsed ultrasound on metaphyseal bone repair after osteotomy in the proximal tibia of glucocorticoid-induced osteopenia rats.

Tetsuya Kawano, Naohisa Miyakoshi, Yuji Kasukawa, Michio Hongo, Hiroyuki Tsuchie, Chie Sato, Masashi Fujii, Masazumi Suzuki, Manabu Akagawa, Yuichi Ono and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Osteoporosis and sarcopenia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

13 authors at 1 institution in 1 country.

Tetsuya KawanoDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Naohisa MiyakoshiDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yuji KasukawaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Michio HongoDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Hiroyuki TsuchieDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Chie SatoDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Masashi FujiiDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Masazumi SuzukiDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Manabu AkagawaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yuichi OnoDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yusuke YuasaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Itsuki NagahataDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Yoichi ShimadaDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
Akita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGlucocorticoid (GC) treatment inhibits activation of runt-related transcription factor 2 (Runx2), which is essential for osteoblast differentiation from stem cells. As a result, GC treatment results in bone loss, GC-induced osteoporosis (GIO), elevated fracture risk, and delayed bone healing. Bisphosphonates such as alendronate (ALN) are recommended for treating or preventing GIO, and low-intensity pulsed ultrasound (LIPUS) facilitates fracture healing and maturation of regenerated bone. Combined therapy with ALN and LIPUS may stimulate cancellous bone healing in GIO rats. Here, we examined the effect of ALN and LIPUS on cancellous bone osteotomy repair in the proximal tibia of GIO rats.

methodsPrednisolone (10 mg/kg body weight/day) was administered for 4 weeks to induce GIO in 6-month-old female Sprague-Dawley rats. Tibial osteotomy was then performed and daily subcutaneous injection of ALN (1-μg/kg body weight) was subsequently administered alone or in combination with LIPUS (20 min/day) for 2 or 4 weeks.

resultsALN significantly increased bone mineral density (BMD) at 2 and 4 weeks, and ALN + LIPUS significantly increased BMD at 4 weeks. Bone union rates were significantly increased after 2 and 4 weeks ALN and ALN + LIPUS treatment. Lastly, ALN and ALN + LIPUS significantly increased the proportion of Runx2 positive cells at 4 weeks.

conclusionsALN monotherapy and combined ALN and LUPUS treatment augmented BMD and stimulated cancellous bone repair with increased Runx2 expression at the osteotomy site in GIO rats. However, the combined treatment had no additional effect on cancellous bone healing compared to ALN monotherapy.

Indexed as

BisphosphonateGlucocorticoidOsteoporosis

Identifiers

PMID30775528
PMCPMC6372826
OpenAlexW2769051890

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.