Evidence map›Paper›PMID 37903261›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2023

Hyaluronic acid-British anti-Lewisite as a safer chelation therapy for the treatment of arthroplasty-related metallosis.

Chinedu C Ude, Stephen J Schmidt, Samuel Laurencin, Shiv Shah, Jayson Esdaille, Ho-Man Kan, Brian D Holt, Anne M Arnold, Michelle E Wolf, Lakshmi S Nair and 2 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Cobalt complexes in biology and medicine: enzymatic functions, pharmacological applications, and health challenges.Journal of biological inorganic chemistry : JBIC : a publication of the Society of Biological Inorganic Chemistry · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Hyaluronic acid-British anti-Lewisite as a safer chelation therapy for the treatment of arthroplasty-related metallosis.Proceedings of the National Academy of Sciences of the United States of America · 2023
    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

12 authors at 2 institutions in 1 country.

Chinedu C Ude *The Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.ORCID 0000-0002-2315-4489
Stephen J Schmidt *Department of Chemistry, Carnegie Mellon University, Pittsburgh, PA 15213.
Samuel Laurencin *The Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.
Shiv ShahThe Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.
Jayson EsdailleThe Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.ORCID 0000-0002-9425-4954
Ho-Man KanThe Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.
Brian D HoltDepartment of Chemistry, Carnegie Mellon University, Pittsburgh, PA 15213.
Anne M ArnoldDepartment of Chemistry, Carnegie Mellon University, Pittsburgh, PA 15213.
Michelle E WolfDepartment of Chemistry, Carnegie Mellon University, Pittsburgh, PA 15213.ORCID 0000-0003-0578-7036
Lakshmi S NairThe Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.
Stefanie A SydlikDepartment of Chemistry, Carnegie Mellon University, Pittsburgh, PA 15213.
Cato T LaurencinThe Cato T. Laurencin Institute for Regenerative Engineering, University of Connecticut, Farmington, CT 06030.ORCID 0000-0001-6765-3047
University of Connecticut · USCarnegie Mellon University · US

Funding

Regenerative Engineering of Complex Musculoskeletal Tissues and JointsDP1AR068147 · NIAMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LAURENCIN, CATO T. · 2014 to 2018
$4.1M
Regenerative Engineering of Musculoskeletal Tissues- a Convergence Doctoral Training ProgramT32AR079114 · NIAMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LAURENCIN, CATO T. · 2021 to 2025
$1.1M
NIAMS NIH HHS DP1 AR068147NIAMS NIH HHS T32 AR079114
6 · The paper itself

Abstract

Cobalt-containing alloys are useful for orthopedic applications due to their low volumetric wear rates, corrosion resistance, high mechanical strength, hardness, and fatigue resistance. Unfortunately, these prosthetics release significant levels of cobalt ions, which was only discovered after their widespread implantation into patients requiring hip replacements. These cobalt ions can result in local toxic effects-including peri-implant toxicity, aseptic loosening, and pseudotumor-as well as systemic toxic effects-including neurological, cardiovascular, and endocrine disorders. Failing metal-on-metal (MoM) implants usually necessitate painful, risky, and costly revision surgeries. To treat metallosis arising from failing MoM implants, a synovial fluid-mimicking chelator was designed to remove these metal ions. Hyaluronic acid (HA), the major chemical component of synovial fluid, was functionalized with British anti-Lewisite (BAL) to create a chelator (BAL-HA). BAL-HA effectively binds cobalt and rescues in vitro cell vitality (up to 370% of cells exposed to IC

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisChelating AgentsChelation TherapyCobaltDimercaprolHumansHyaluronic AcidIonsMetalsProsthesis FailureChelating AgentsCobaltDimercaprolHyaluronic AcidIonsMetalsarthroplastyBritish anti-Lewisitechelatorcobaltimplant failure

Identifiers

PMID37903261
PMCPMC10636327
OpenAlexW4388017760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.