Evidence map›Paper›PMID 31982564›Full record

ArticleOsteoarthritis and cartilage2020

Microarray analyses of the dorsal root ganglia support a role for innate neuro-immune pathways in persistent pain in experimental osteoarthritis.

R E Miller, P B Tran, S Ishihara, D Syx, D Ren, R J Miller, A M Valdes, A M Malfait

Open access · bronzeAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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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

8 authors at 3 institutions in 3 countries.

R E MillerDivision of Rheumatology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA. Electronic address: Rachel_Miller@rush.edu.
P B TranDivision of Rheumatology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA.
S IshiharaDivision of Rheumatology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA.
D SyxCenter for Medical Genetics, Ghent University, Ghent, Belgium.
D RenDepartment of Pharmacology, Northwestern University, Chicago, IL, USA.
R J MillerDepartment of Pharmacology, Northwestern University, Chicago, IL, USA.
A M ValdesFaculty of Medicine & Health Sciences, University of Nottingham, Nottingham, UK.
A M MalfaitDivision of Rheumatology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA. Electronic address: anne-marie_malfait@rush.edu.
Northwestern University · USRush University Medical Center · USUniversity of Nottingham · GB

Funding

Osteoarthritis Progression And Sensory Pathway AlterationsR01AR064251 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MALFAIT, ANNE-MARIE, MILLER, RICHARD J · 2013 to 2025
$7.6M
Molecular Pathways of Pain Generation in OsteoarthritisR01AR060364 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MALFAIT, ANNE-MARIE · 2011 to 2025
$6.0M
Biomechanical Pathways Associated with Osteoarthritis PainK01AR070328 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MILLER, RACHEL ELIZABETH · 2016 to 2020
$547k
NIAMS NIH HHS K01 AR070328NIAMS NIH HHS R01 AR060364NIAMS NIH HHS R01 AR064251
6 · The paper itself

Abstract

objectiveFollowing destabilization of the medial meniscus (DMM), mice develop experimental osteoarthritis (OA) and associated pain behaviors that are dependent on the stage of disease. We aimed to describe changes in gene expression in knee-innervating dorsal root ganglia (DRG) after surgery, in order to identify molecular pathways associated with three pre-defined pain phenotypes: "post-surgical pain", "early-stage OA pain", and "persistent OA pain".

designWe performed DMM or sham surgery in 10-week old male C57BL/6 mice and harvested L3-L5 DRG 4, 8, and 16 weeks after surgery or from age-matched naïve mice (n = 3/group). RNA was extracted and an Affymetrix Mouse Transcriptome Array 1.0 was performed. Three pain phenotypes were defined: "post-surgical pain" (sham and DMM 4-week vs 14-week old naïve), "early OA pain" (DMM 4-week vs sham 4-week), and "persistent OA pain" (DMM 8- and 16-week vs naïve and sham 8- and 16-week). 'Top hit' genes were defined as P < 0.001. Pathway analysis (Ingenuity Pathway Analysis) was conducted using differentially expressed genes defined as P < 0.05. In addition, we performed qPCR for Ngf and immunohistochemistry for F4/80+ macrophages in the DRG.

resultsFor each phenotype, top hit genes identified a small number of differentially expressed genes, some of which have been previously associated with pain (7/67 for "post-surgical pain"; 2/14 for "early OA pain"; 8/37 for "persistent OA pain"). Overlap between groups was limited, with 8 genes differentially regulated (P < 0.05) in all three phenotypes. Pathway analysis showed that in the persistent OA pain phase many of the functions of differentially regulated genes are related to immune cell recruitment and activation. Genes previously linked to OA pain (CX3CL1, CCL2, TLR1, and NGF) were upregulated in this phenotype and contributed to activation of the neuroinflammation canonical pathway. In separate sets of mice, we confirmed that Ngf was elevated in the DRG 8 weeks after DMM (P = 0.03), and numbers of F4/80+ macrophages were increased 16 weeks after DMM (P = 0.002 vs Sham).

conclusionThese transcriptomics findings support the idea that distinct molecular pathways discriminate early from persistent OA pain. Pathway analysis suggests neuroimmune interactions in the DRG contribute to initiation and maintenance of pain in OA.

Indexed as

Gene ExpressionAnimalsArthralgiaArthritis, ExperimentalDisease ProgressionGanglia, SpinalGene Expression ProfilingImmunity, InnateMaleMenisci, TibialMiceMicroarray AnalysisNeuroimmunomodulationOsteoarthritisOsteoarthritis, KneePhenotypeRNA, MessengerInnate immunityNeuroinflammationOsteoarthritisPainSensitizationToll-like receptor

Identifiers

PMID31982564
PMCPMC7214125
OpenAlexW3002190229

What OpenQuestion holds

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Registered trials

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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.