Evidence map›Paper›PMID 30946695›Full record

ArticleThe Journal of clinical investigation2019

Macrophage-lineage TRAP+ cells recruit periosteum-derived cells for periosteal osteogenesis and regeneration.

Bo Gao, Ruoxian Deng, Yu Chai, Hao Chen, Bo Hu, Xiao Wang, Shouan Zhu, Yong Cao, Shuangfei Ni, Mei Wan and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
11.6field-weighted citation impact, top 1% 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

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 174 citations in OpenAlex.

  1. Pooled it
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  8. GPNMBCell reports. Medicine · 2026
    Article
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  11. A BioLiving Periosteum Evokes Centripetal Regeneration in Challenging Bone Defects.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  18. Emerging roles of the metabolite succinate in bone-related diseases.Journal of Zhejiang University. Science. B · 2025
    Review
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59 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

13 authors at 2 institutions in 2 countries.

Bo GaoDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ruoxian DengDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yu ChaiDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Hao ChenDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Bo HuDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Xiao WangDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Shouan ZhuDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yong CaoDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Shuangfei NiDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mei WanDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Liu YangInstitute of Orthopaedic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Zhuojing LuoInstitute of Orthopaedic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Xu CaoDepartment of Orthopaedic Surgery, Institute of Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USXijing Hospital · CN

Funding

Trap+ Mononuclear Cells in Periosteal Bone FormationR01AR071432 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CAO, XU · 2017 to 2021
$2.2M
NIAMS NIH HHS R01 AR071432
6 · The paper itself

Abstract

The periosteum, a thin tissue that covers almost the entire bone surface, accounts for more than 80% of human bone mass and is essential for bone regeneration. Its osteogenic and bone regenerative abilities are well studied, but much is unknown about the periosteum. In this study, we found that macrophage-lineage cells recruit periosteum-derived cells (PDCs) for cortical bone formation. Knockout of colony stimulating factor-1 eliminated macrophage-lineage cells and resulted in loss of PDCs with impaired periosteal bone formation. Moreover, macrophage-lineage TRAP+ cells induced transcriptional expression of periostin and recruitment of PDCs to the periosteal surface through secretion of platelet-derived growth factor-BB (PDGF-BB), where the recruited PDCs underwent osteoblast differentiation coupled with type H vessel formation. We also found that subsets of Nestin+ and LepR+ PDCs possess multipotent and self-renewal abilities and contribute to cortical bone formation. Nestin+ PDCs are found primarily during bone development, whereas LepR+ PDCs are essential for bone homeostasis in adult mice. Importantly, conditional knockout of Pdgfrβ (platelet-derived growth factor receptor beta) in LepR+ cells impaired periosteal bone formation and regeneration. These findings uncover the essential role of periosteal macrophage-lineage cells in regulating periosteum homeostasis and regeneration.

Indexed as

Bone RegenerationOsteogenesisAnimalsCortical BoneMacrophagesMiceMice, KnockoutOsteoblastsPeriosteumTartrate-Resistant Acid PhosphataseAcp5 protein, mouseTartrate-Resistant Acid PhosphataseBone BiologyBone development

Identifiers

PMID30946695
PMCPMC6538344
OpenAlexW2930212016

What OpenQuestion holds

Textmetadata
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.