Evidence map›Paper›PMID 35099267›Full record

ArticleInfection and immunity2022

Staphylococcus aureus and Acinetobacter baumannii Inhibit Osseointegration of Orthopedic Implants.

Hyonmin Choe, Joscelyn M Tatro, Bryan S Hausman, Kristine M Hujer, Steve H Marshall, Ozan Akkus, Phillip N Rather, Zhenghong Lee, Robert A Bonomo, Edward M Greenfield

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Osteomyelitis.Nature reviews. Disease primers · 2026
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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

10 authors at 5 institutions in 2 countries.

Hyonmin ChoeDepartment of Orthopaedics, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.ORCID 0000-0003-4432-2303
Joscelyn M TatroDepartment of Orthopaedics, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.
Bryan S HausmanDepartment of Orthopaedics, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.
Kristine M HujerCWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES), Cleveland, Ohio, USA.
Steve H MarshallCWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES), Cleveland, Ohio, USA.
Ozan AkkusDepartment of Mechanical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Phillip N RatherDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, Georgia, USA.
Zhenghong LeeDepartment of Radiology, Case Western Reserve University, Cleveland, Ohio, USA.
Robert A BonomoCWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES), Cleveland, Ohio, USA.ORCID 0000-0002-3299-894X
Edward M GreenfieldDepartment of Orthopaedics, Case Western Reserve Universitygrid.67105.35, Cleveland, Ohio, USA.ORCID 0000-0002-0921-983X
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USEmory University · USGeriatric Research Education and Clinical Center · USIndiana University School of Medicine

Funding

Understanding B-Lactam Resistance in Acinetobacter baumanniiR01AI072219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI ROBERT A. BONOMO, Philip N. Rather · 2007 to 2026
$6.6M
The Continuing Challenge of Carbapenemases in K. pneumoniae: KPC-2 & NDM-1I01BX001974 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI BONOMO, ROBERT A. · 2013 to 2024
–
BLRD VA I01 BX001974HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) R01AI072219NIAID NIH HHS R01 AI072219
6 · The paper itself

Abstract

Bacterial infections routinely cause inflammation and thereby impair osseointegration of orthopedic implants. Acinetobacter spp., which cause osteomyelitis following trauma, on or off the battlefield, were, however, reported to cause neither osteomyelitis nor osteolysis in rodents. We therefore compared the effects of Acinetobacter strain M2 to those of Staphylococcus aureus in a murine implant infection model. Sterile implants and implants with adherent bacteria were inserted in the femur of mice. Bacterial burden, levels of proinflammatory cytokines, and osseointegration were measured. All infections were localized to the implant site. Infection with either S. aureus or Acinetobacter strain M2 increased the levels of proinflammatory cytokines and the chemokine CCL2 in the surrounding femurs, inhibited bone formation around the implant, and caused loss of the surrounding cortical bone, leading to decreases in both histomorphometric and biomechanical measures of osseointegration. Genetic deletion of TLR2 and TLR4 from the mice partially reduced the effects of Acinetobacter strain M2 on osseointegration but did not alter the effects of S. aureus. This is the first report that Acinetobacter spp. impair osseointegration of orthopedic implants in mice, and the murine model developed for this study will be useful for future efforts to clarify the mechanism of implant failure due to Acinetobacter spp. and to assess novel diagnostic tools or therapeutic agents.

Indexed as

Acinetobacter baumanniiOsteomyelitisStaphylococcal InfectionsAnimalsCytokinesMiceOsseointegrationStaphylococcus aureusCytokinesAcinetobacterbioluminescenceimplant infectionosseointegrationStaphylococcus

Identifiers

PMID35099267
PMCPMC8929340
OpenAlexW4210766938

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.