Evidence map›Paper›PMID 38532447›Full record

ArticleArthritis research & therapy2024

Peptidoglycan in osteoarthritis synovial tissue is associated with joint inflammation.

Meaghan N Holub, Amanda Wahhab, Joseph R Rouse, Rebecca Danner, Lauren G Hackner, Christine B Duris, Mecaila E McClune, Jules M Dressler, Klemen Strle, Brandon L Jutras and 2 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-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

12 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Frontiers in immunology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The Role of the Gut Microbiome in Orthopedic Surgery-a Narrative Review.Current reviews in musculoskeletal medicine · 2024
    Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Meaghan N HolubDepartment of Orthopaedic Surgery, Medical College of Wisconsin, BSB room 2850, Milwaukee, WI, 53226, USA.
Amanda WahhabDepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
Joseph R RouseDepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
Rebecca DannerDepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
Lauren G HacknerDepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
Christine B DurisDepartment of Pathology, Children's Hospital of Wisconsin and the Medical College of Wisconsin, Milwaukee, WI, USA.
Mecaila E McCluneDepartment of Biochemistry, Virginia Tech, Blacksburg, VA, USA.
Jules M DresslerDepartment of Biochemistry, Virginia Tech, Blacksburg, VA, USA.
Klemen StrleDepartment of Molecular Biology and Microbiology, Tufts University, Boston, MA, USA.
Brandon L JutrasDepartment of Biochemistry, Virginia Tech, Blacksburg, VA, USA.
Adam I EdelsteinDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. aedelst1@nm.org.
Robert B LochheadDepartment of Orthopaedic Surgery, Medical College of Wisconsin, BSB room 2850, Milwaukee, WI, 53226, USA. rlochhead@mcw.edu.
Medical College of Wisconsin · USVirginia Tech · USChildren's Hospital of Wisconsin · USNorthwestern University · USTufts University · US

Funding

The natural release of unusual peptidoglycan fragments drives persistent Lyme disease symptoms in susceptible hostsR01AI178711 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI Booki Min · 2023 to 2026
$2.1M
Defining the host and pathogen determinants of peptidoglycan induced pathophysiology in Lyme diseaseR01AI173256 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI Brandon Lyon Jutras · 2023 to 2026
$2.0M
Detecting released peptidoglycan fragments as a biomarker for direct diagnosis of acute and chronic Lyme diseaseR21AI159800 · NIAID · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI JUTRAS, BRANDON LYON · 2021 to 2022
$441k
NIAID NIH HHS R01 AI173256NIAID NIH HHS R01 AI178711NIAID NIH HHS R21 AI159800
6 · The paper itself

Abstract

objectivesPeptidoglycan (PG) is an arthritogenic bacterial cell wall component whose role in human osteoarthritis is poorly understood. The purpose of this study was to determine if PG is present in synovial tissue of osteoarthritis patients at the time of primary total knee arthroplasty (TKA), and if its presence is associated with inflammation and patient reported outcomes.

methodsIntraoperative synovial tissue and synovial fluid samples were obtained from 56 patients undergoing primary TKA, none of whom had history of infection. PG in synovial tissue was detected by immunohistochemistry (IHC) and immunofluorescence microscopy (IFM). Synovial tissue inflammation and fibrosis were assessed by histopathology and synovial fluid cytokine quantification. Primary human fibroblasts isolated from arthritis synovial tissue were stimulated with PG to determine inflammatory cytokine response.

resultsA total of 33/56 (59%) of primary TKA synovial tissue samples were positive for PG by IHC, and PG staining colocalized with markers of synovial macrophages and fibroblasts by IFM. Synovial tissue inflammation and elevated IL-6 in synovial fluid positively correlated with PG positivity. Primary human fibroblasts stimulated with PG secreted high levels of IL-6, consistent with ex vivo findings. Interestingly, we observed a significant inverse correlation between PG and age at time of TKA, indicating younger age at time of TKA was associated with higher PG levels.

conclusionPeptidoglycan is commonly found in synovial tissue from patients undergoing TKA. Our data indicate that PG may play an important role in inflammatory synovitis, particularly in patients who undergo TKA at a relatively younger age.

Indexed as

OsteoarthritisPeptidoglycanCell WallCytokinesHumansInflammationInterleukin-6Synovial FluidSynovial MembraneCytokinesInterleukin-6PeptidoglycanInflammationOsteoarthritisPeptidoglycanSynovitis

Identifiers

PMID38532447
PMCPMC10967045
OpenAlexW4393231743

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.