Evidence map›Paper›PMID 33023659›Full record

ArticleArthritis research & therapy2020

Ectopic bone formation and systemic bone loss in a transmembrane TNF-driven model of human spondyloarthritis.

Eleni Christodoulou-Vafeiadou, Christina Geka, Lydia Ntari, Ksanthi Kranidioti, Eleni Argyropoulou, Florian Meier, Marietta Armaka, Iordanis Mourouzis, Constantinos Pantos, Maritina Rouchota and 4 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. eLife · 2024
    Article
  5. Article
  6. Uncovering the Underworld of Axial Spondyloarthritis.International journal of molecular sciences · 2023
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Lessons on SpA pathogenesis from animal models.Seminars in immunopathology · 2021
    Review
  13. Review
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

14 authors at 4 institutions in 2 countries.

Eleni Christodoulou-VafeiadouBiomedcode Hellas SA, Vari, Greece.
Christina GekaBiomedcode Hellas SA, Vari, Greece.
Lydia NtariBiomedcode Hellas SA, Vari, Greece.
Ksanthi KranidiotiBiomedcode Hellas SA, Vari, Greece.
Eleni ArgyropoulouBiomedcode Hellas SA, Vari, Greece.
Florian MeierDivision of Rheumatology, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Marietta ArmakaInstitute of Immunology, Biomedical Sciences Research Center (BSRC), 'Alexander Fleming', 34 Alexander Fleming Street, 16672, Vari, Greece.
Iordanis MourouzisDepartment of Pharmacology, School of Medicine, National Kapodistrian University, Athens, Greece.
Constantinos PantosDepartment of Pharmacology, School of Medicine, National Kapodistrian University, Athens, Greece.
Maritina RouchotaBioEmission Technology Solutions (BIOEMTECH), Attica Technology Park N.C.S.R. "DEMOKRITOS", Athens, Greece.
George LoudosBioEmission Technology Solutions (BIOEMTECH), Attica Technology Park N.C.S.R. "DEMOKRITOS", Athens, Greece.
Maria C DenisBiomedcode Hellas SA, Vari, Greece.
Niki KaragianniBiomedcode Hellas SA, Vari, Greece.
George KolliasInstitute of Immunology, Biomedical Sciences Research Center (BSRC), 'Alexander Fleming', 34 Alexander Fleming Street, 16672, Vari, Greece. kollias@fleming.gr.ORCID 0000-0003-1867-3150
National and Kapodistrian University of Athens · GRNational Centre of Scientific Research "Demokritos" · GRAlexander Fleming Biomedical Sciences Research Center · GRGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transmembrane-TNF transgenic mouse, TgA86, has been shown to develop spontaneously peripheral arthritis with signs of axial involvement. To assess similarity to human spondyloarthritis, we performed detailed characterization of the axial, peripheral, and comorbid pathologies of this model.

methodsTgA86 bone pathologies were assessed at different ages using CT imaging of the spine, tail vertebrae, and hind limbs and characterized in detail by histopathological and immunohistochemical analysis. Cardiac function was examined by echocardiography and electrocardiography and bone structural parameters by μCT analysis. The response of TgA86 mice to either early or late anti-TNF treatment was evaluated clinically, histopathologically, and by μCT analysis.

resultsTgA86 mice developed with 100% penetrance spontaneous axial and peripheral pathology which progressed with time and manifested as reduced body weight and body length, kyphosis, tail bendings, as well as swollen and distorted hind joints. Whole-body CT analysis at advanced ages revealed bone erosions of sacral and caudal vertebrae as well as of sacroiliac joints and hind limbs and, also, new ectopic bone formation and eventually vertebral fusion. The pathology of these mice highly resembled that of SpA patients, as it evolved through an early inflammatory phase, evident as enthesitis and synovitis in the affected joints, characterized by mesenchymal cell accumulation, and neutrophilic infiltration. Subsequently, regression of inflammation was accompanied by ectopic bone formation, leading to ankylosis. In addition, both systemic bone loss and comorbid heart valve pathology were evident. Importantly, early anti-TNF treatment, similar to clinical treatment protocols, significantly reduced the inflammatory phase of both the axial and peripheral pathology of TgA86 mice.

conclusionsThe TgA86 mice develop a spontaneous peripheral and axial biphasic pathology accompanied by comorbid heart valvular dysfunction and osteoporosis, overall reproducing the progression of pathognomonic features of human spondyloarthritis. Therefore, the TgA86 mouse represents a valuable model for deciphering the role of transmembrane TNF in the pathogenic mechanisms of spondyloarthritis and for assessing the efficacy of human therapeutics targeting different phases of the disease.

Indexed as

OsteogenesisSpondylarthritisAnimalsHumansInflammationMagnetic Resonance ImagingMiceSacroiliac JointTumor Necrosis Factor InhibitorsTumor Necrosis Factor InhibitorsAnimal disease modelAnkylosisAnti-TNF treatmentComorbiditiesEctopic bone formationInflammationSpondyloarthritisTransmembrane TNFVertebral fusion

Identifiers

PMID33023659
PMCPMC7542121
OpenAlexW3092121321

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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.