Evidence map›Paper›PMID 36629031›Full record

SynthesisClinical and translational medicine2023

Prognostic and therapeutic potential of microRNAs for fracture healing processes and non-union fractures: A systematic review.

Franziska Lioba Breulmann, Luan Phelipe Hatt, Boris Schmitz, Esther Wehrle, Robert Geoff Richards, Elena Della Bella, Martin James Stoddart

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical and translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Isopsoralen Promotes Mandibular Fracture Healing by Regulating Autophagy.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. let-7c-5p promotes fracture healing by downregulating CDK8.Journal of orthopaedic surgery and research · 2026
    Article
  8. Article
  9. Review
  10. Identification of miRNA Biomarkers Associated With Staphylococcal Musculoskeletal Infections.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

7 authors at 3 institutions in 2 countries.

Franziska Lioba BreulmannAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0002-4162-1642
Luan Phelipe HattAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0001-5278-2209
Boris SchmitzDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.ORCID 0000-0001-7041-7424
Esther WehrleAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0003-2723-7342
Robert Geoff RichardsAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0002-7778-2480
Elena Della BellaAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0001-5151-7390
Martin James StoddartAO Research Institute Davos, Davos Platz, Switzerland.ORCID 0000-0002-9538-1517
AO Foundation · CHUniversity of Freiburg · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 10% of all bone fractures result in delayed fracture healing or non-union; thus, the identification of biomarkers and prognostic factors is of great clinical interest. MicroRNAs (miRNAs) are known to be involved in the regulation of the bone healing process and may serve as functional markers for fracture healing. AIMS AND

methodsThis systematic review aimed to identify common miRNAs involved in fracture healing or non-union fractures using a qualitative approach. A systematic literature search was performed with the keywords 'miRNA and fracture healing' and 'miRNA and non-union fracture'. Any original article investigating miRNAs in fracture healing or non-union fractures was screened. Eventually, 82 studies were included in the qualitative analysis for 'miRNA and fracture healing', while 19 were selected for the 'miRNA and fracture non-union' category. RESULTS AND

conclusionsOut of 151 miRNAs, miR-21, miR-140 and miR-214 were the most investigated miRNAs in fracture healing in general. miR-31-5p, miR-221 and miR-451-5p were identified to be regulated specifically in non-union fractures. Large heterogeneity was detected between studies investigating the role of miRNAs in fracture healing or non-union in terms of patient population, sample types and models used. Nonetheless, our approach identified some miRNAs with the potential to serve as biomarkers for non-union fractures, including miR-31-5p, miR-221 and miR-451-5p. We provide a discussion of involved pathways and suggest on alignment of future research in the field.

Indexed as

Fractures, BoneMicroRNAsBiomarkersFracture HealingHumansPrognosisBiomarkersMicroRNAsMirn140 microRNA, humanMIRN214 microRNA, humanbiomarkerbone healingfracture healingmicroRNAnon-union fractures

Identifiers

PMID36629031
PMCPMC9832434
OpenAlexW4315619583

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.