Evidence map›Paper›PMID 31700695›Full record

ArticleBone research2019

Osteocyte dysfunction promotes osteoarthritis through MMP13-dependent suppression of subchondral bone homeostasis.

Courtney M Mazur, Jonathon J Woo, Cristal S Yee, Aaron J Fields, Claire Acevedo, Karsyn N Bailey, Serra Kaya, Tristan W Fowler, Jeffrey C Lotz, Alexis Dang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Bone research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
10.9field-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

73 citing papers in PubMed, 112 citations in OpenAlex.

  1. Article
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  4. Review
  5. Alzheimer's Disease Risk Factor APOE4 Exerts Dimorphic Effects on Female Bone.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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13 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.

Courtney M Mazur1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Jonathon J Woo1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.ORCID 0000-0002-8996-6754
Cristal S Yee1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Aaron J Fields1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.ORCID 0000-0001-6460-4506
Claire Acevedo1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Karsyn N Bailey1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Serra Kaya1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Tristan W Fowler1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Jeffrey C Lotz1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Alexis Dang1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Alfred C Kuo1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Thomas P Vail1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
Tamara Alliston1Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 USA.
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

The mechanistic control of bone quality and joint crosstalk by osteocytesR01DE019284 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HERNANDEZ, CHRISTOPHER JOHN · 2009 to 2024
$7.6M
Skeletal Biology and Biomechanics (SBB) CoreP30AR075055 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Wenhan Chang · 2019 to 2026
$7.1M
UCSF Core Center for Musculoskeletal Biology and MedicineP30AR066262 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2014 to 2018
$3.0M
NIAMS NIH HHS P30 AR066262NIAMS NIH HHS P30 AR075055NIDCR NIH HHS R01 DE019284
6 · The paper itself

Abstract

Osteoarthritis (OA), long considered a primary disorder of articular cartilage, is commonly associated with subchondral bone sclerosis. However, the cellular mechanisms responsible for changes to subchondral bone in OA, and the extent to which these changes are drivers of or a secondary reaction to cartilage degeneration, remain unclear. In knee joints from human patients with end-stage OA, we found evidence of profound defects in osteocyte function. Suppression of osteocyte perilacunar/canalicular remodeling (PLR) was most severe in the medial compartment of OA subchondral bone, with lower protease expression, diminished canalicular networks, and disorganized and hypermineralized extracellular matrix. As a step toward evaluating the causality of PLR suppression in OA, we ablated the PLR enzyme MMP13 in osteocytes while leaving chondrocytic MMP13 intact, using Cre recombinase driven by the 9.6-kb DMP1 promoter. Not only did osteocytic MMP13 deficiency suppress PLR in cortical and subchondral bone, but it also compromised cartilage. Even in the absence of injury, osteocytic MMP13 deficiency was sufficient to reduce cartilage proteoglycan content, change chondrocyte production of collagen II, aggrecan, and MMP13, and increase the incidence of cartilage lesions, consistent with early OA. Thus, in humans and mice, defects in PLR coincide with cartilage defects. Osteocyte-derived MMP13 emerges as a critical regulator of cartilage homeostasis, likely via its effects on PLR. Together, these findings implicate osteocytes in bone-cartilage crosstalk in the joint and suggest a causal role for suppressed perilacunar/canalicular remodeling in osteoarthritis.

Indexed as

BoneBone quality and biomechanicsPathogenesis

Identifiers

PMID31700695
PMCPMC6828661
OpenAlexW2986392478

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.