Evidence map›Paper›PMID 37939302›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2023

Multi-Functional Small Molecule Alleviates Fracture Pain and Promotes Bone Healing.

Yu-Ru V Shih, David Kingsley, Hunter Newman, Jiaul Hoque, Ankita Gupta, B Duncan X Lascelles, Shyni Varghese

Open access · goldAbstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 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
2.1field-weighted citation impact, top 14% 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, 8 citations in OpenAlex.

  1. Article
  2. Extensive Periosteal Injury During Fracture Induces Long-Term Pain in Mice.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  3. Article
  4. Review
  5. Multi-Functional Small Molecule Alleviates Fracture Pain and Promotes Bone Healing.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 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

7 authors at 3 institutions in 1 country.

Yu-Ru V ShihDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, 27710, USA.ORCID 0000-0001-9143-9227
David KingsleyDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, 27710, USA.
Hunter NewmanDepartment of Mechanical Engineering and Materials Science, Duke University, Durham, NC, 27710, USA.
Jiaul HoqueDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, 27710, USA.
Ankita GuptaTranslational Research in Pain Program, Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, 27607, USA.
B Duncan X LascellesTranslational Research in Pain Program, Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, 27607, USA.
Shyni VargheseDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, 27710, USA.ORCID 0000-0002-0004-7947
Duke University · USNorth Carolina State University · USUniversity of North Carolina at Chapel Hill · US

Funding

Modulation of local adenosine signaling to attenuate fracture painR01AR079189 · NIAMS · DUKE UNIVERSITY · PI VARGHESE, SHYNI · 2021 to 2025
$2.8M
Adenosine A2B Receptor in Bone Health and OsteoporosisR01AR071552 · NIAMS · DUKE UNIVERSITY · PI VARGHESE, SHYNI · 2017 to 2021
$2.4M
NIAMS NIH HHS R01 AR071552NIAMS NIH HHS R01AR071552NIAMS NIH HHS R01 AR079189NIAMS NIH HHS R01AR079189
6 · The paper itself

Abstract

Bone injuries such as fractures are one major cause of morbidities worldwide. A considerable number of fractures suffer from delayed healing, and the unresolved acute pain may transition to chronic and maladaptive pain. Current management of pain involves treatment with NSAIDs and opioids with substantial adverse effects. Herein, we tested the hypothesis that the purine molecule, adenosine, can simultaneously alleviate pain and promote healing in a mouse model of tibial fracture by targeting distinctive adenosine receptor subtypes in different cell populations. To achieve this, a biomaterial-assisted delivery of adenosine is utilized to localize and prolong its therapeutic effect at the injury site. The results demonstrate that local delivery of adenosine inhibited the nociceptive activity of peripheral neurons through activation of adenosine A1 receptor (ADORA1) and mitigated pain as demonstrated by weight bearing and open field movement tests. Concurrently, local delivery of adenosine at the fracture site promoted osteogenic differentiation of mesenchymal stromal cells through adenosine A2B receptor (ADORA2B) resulting in improved bone healing as shown by histological analyses and microCT imaging. This study demonstrates the dual role of adenosine and its material-assisted local delivery as a feasible therapeutic approach to treat bone trauma and associated pain.

Indexed as

Fractures, BoneOsteogenesisAdenosineAnimalsFracture HealingMicePainAdenosineadenosineadenosine receptorsbiomaterialsdrug deliveryfracture healingfracture painphenylboronic acids

Identifiers

PMID37939302
PMCPMC10754086
OpenAlexW4388485282

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.