Evidence map›Paper›PMID 36289197›Full record

ArticleBone research2022

Fetuin-A is an immunomodulator and a potential therapeutic option in BMP4-dependent heterotopic ossification and associated bone mass loss.

Chen Kan, Jiazhao Yang, Haitao Fan, Yuanjuan Dai, Xingxing Wang, Rui Chen, Jia Liu, Xiangyue Meng, Wei Wang, Guiling Li and 8 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Bone research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-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

14 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Chen Kan *Department of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.ORCID http://orcid.org/0000-0003-1205-7410
Jiazhao Yang *Department of Orthopaedics, The First Affiliated Hospital of USTC, Hefei, China.
Haitao Fan *Department of Orthopaedics, Fuyang Hospital of Anhui Medical University, Fuyang, China.
Yuanjuan DaiDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Xingxing WangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Rui ChenDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Jia LiuDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Xiangyue MengDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Wei WangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Guiling LiDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Jiao ZhouDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Ya ZhangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Wanbo ZhuDepartment of Orthopaedics, The First Affiliated Hospital of USTC, Hefei, China.
Shiyuan FangDepartment of Orthopaedics, The First Affiliated Hospital of USTC, Hefei, China.
Haiming WeiDepartment of Hematology, The First Affiliated Hospital of USTC, The CAS Key Laboratory of Innate Immunity and Chronic Disease, School of Basic Medical Sciences, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Hong ZhengDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China. zhenghong@ahmu.edu.cn.ORCID http://orcid.org/0000-0002-4048-6530
Siying WangDepartment of Pathophysiology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China. sywang@ahmu.edu.cn.
Fang NiDepartment of Hematology, The First Affiliated Hospital of USTC, The CAS Key Laboratory of Innate Immunity and Chronic Disease, School of Basic Medical Sciences, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. fangni@ustc.edu.cn.ORCID http://orcid.org/0000-0003-3680-8856
Anhui Medical University · CNUniversity of Science and Technology of China · CN

Funding

National Natural Science Foundation of China (National Science Foundation of China) 32070916National Natural Science Foundation of China (National Science Foundation of China) 81670097National Natural Science Foundation of China (National Science Foundation of China) 81870085National Natural Science Foundation of China (National Science Foundation of China) 82102573Natural Science Foundation of Anhui Province (Anhui Provincial Natural Science Foundation) 1508085MC45Natural Science Foundation of Anhui Province (Anhui Provincial Natural Science Foundation) 1908085QH359
6 · The paper itself

Abstract

Heterotopic ossification (HO) is the abnormal formation of bone in extraskeletal sites. However, the mechanisms linking HO pathogenesis with bone mass dysfunction remain unclear. Here, we showed that mice harboring injury-induced and BMP4-dependent HO exhibit bone mass loss similar to that presented by patients with HO. Moreover, we found that injury-induced hyperinflammatory responses at the injury site triggered HO initiation but did not result in bone mass loss at 1 day post-injury (dpi). In contrast, a suppressive immune response promoted HO propagation and bone mass loss by 7 dpi. Correcting immune dysregulation by PD1/PDL1 blockade dramatically alleviated HO propagation and bone mass loss. We further demonstrated that fetuin-A (FetA), which has been frequently detected in HO lesions but rarely observed in HO-adjacent normal bone, acts as an immunomodulator to promote PD1 expression and M2 macrophage polarization, leading to immunosuppression. Intervention with recombinant FetA inhibited hyperinflammation and prevented HO and associated bone mass loss. Collectively, our findings provide new insights into the osteoimmunological interactions that occur during HO formation and suggest that FetA is an immunosuppressor and a potential therapeutic option for the treatment of HO.

Identifiers

PMID36289197
PMCPMC9605967
OpenAlexW4307772943

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.