Evidence map›Paper›PMID 30843733›Full record

ArticleDrug delivery2019

Intra-articular injection of triamcinolone acetonide releasing biomaterial microspheres inhibits pain and inflammation in an acute arthritis model.

Imke Rudnik-Jansen, Karin Schrijver, Nina Woike, Anna Tellegen, Sabine Versteeg, Pieter Emans, George Mihov, Jens Thies, Niels Eijkelkamp, Marianna Tryfonidou and 1 more

Open access · goldAbstract read
In one paragraph

Article in Drug delivery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Management of osteoarthritis: From drug molecules to nano/micromedicines.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 3 institutions in 1 country.

Imke Rudnik-Jansena Department of Orthopedics , University Medical Center Utrecht , Utrecht , the Netherlands.ORCID http://orcid.org/0000-0002-2508-3610
Karin Schrijvera Department of Orthopedics , University Medical Center Utrecht , Utrecht , the Netherlands.
Nina Woikeb DSM Biomedical B.V , Geleen , The Netherlands.
Anna Tellegenc Department of Clinical Sciences of Companion Animals , Utrecht University , Utrecht , the Netherlands.ORCID http://orcid.org/0000-0002-8836-097X
Sabine Versteegd Laboratory of Translational Immunology , University Medical Center Utrecht, Utrecht University , Utrecht , the Netherlands.
Pieter Emanse Department of Orthopedics , Maastricht University Medical Center Utrecht , Utrecht , the Netherlands.ORCID http://orcid.org/0000-0001-9370-5525
George Mihovb DSM Biomedical B.V , Geleen , The Netherlands.
Jens Thiesb DSM Biomedical B.V , Geleen , The Netherlands.
Niels Eijkelkampd Laboratory of Translational Immunology , University Medical Center Utrecht, Utrecht University , Utrecht , the Netherlands.
Marianna Tryfonidouc Department of Clinical Sciences of Companion Animals , Utrecht University , Utrecht , the Netherlands.ORCID http://orcid.org/0000-0002-2333-7162
Laura Creemersa Department of Orthopedics , University Medical Center Utrecht , Utrecht , the Netherlands.
University Medical Center Utrecht · NLUtrecht University · NLDSM (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation of the synovium and joint capsule is a main driver of pain in an osteoarthritic (OA) joint. Triamcinolone acetonide (TAA) is a classical corticosteroid that reduces synovitis and alleviates pain, albeit transiently. Biomaterial-based local TAA release may prolong the suppression of pain without the need for multiple injections. Polylactic-co-glycolic acid (PLGA) formulations of TAA prolong OA pain relief to a limited extent. A novel polyesteramide (PEA) microsphere platform allows for extended release in the OA joint for over 3 months. To evaluate their effect on pain and inflammation, TAA-loaded microspheres were intra-articularly delivered to the knee joint in a rat model of acute arthritis induced by intra-articular injection of streptococcal cell wall peptidoglycan-polysaccharide (PGPS) and subsequent flare-ups by intravenous PGPS injections. PEA-loaded microspheres were benchmarked with TAA-loaded PLGA microspheres and bolus TAA injection. TAA treatments were injected intra-articularly before the first induced flare-up. TAA-loaded PEA and PLGA microspheres reduced joint swelling and signs of pain-like behavior over the entire study period, as assessed by weight bearing and referred mechanical hypersensitivity, whereas bolus suspension was effective for a shorter time period. TAA-loaded PEA microspheres reduced lameness to a greater extent than TAA-loaded PLGA microspheres. In conclusion, a single intra-articular injection of TAA-loaded PEA microspheres reduced joint swelling and induced longer pain relief compared to bolus injection. Hence relief of inflammation and pain by PEA-based delivery of TAA may prove to be effective and durable.

Indexed as

Acrylic ResinsAnimalsBiocompatible MaterialsDisease Models, AnimalFemaleInflammationInjections, Intra-ArticularKnee JointMicrospheresOsteoarthritisPainPolylactic Acid-Polyglycolic Acid CopolymerRatsRats, Sprague-DawleySynovial MembraneTriamcinolone AcetonideAcrylic ResinsBiocompatible Materialspoly(ethylacrylate)Polylactic Acid-Polyglycolic Acid CopolymerTriamcinolone AcetonideArthritismicrospherespolyesteramidepolylactic-co-glycolic acidsynovitistriamcinolone acetonide

Identifiers

PMID30843733
PMCPMC6407600
OpenAlexW2920883437

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.