Evidence map›Paper›PMID 39051479›Full record

ArticleEquine veterinary journal2025

Single injection of intra-articular autologous protein solution in horses with acute interleukin-1B-induced synovitis decreases joint pathology scores.

Alexandra Usimaki, Sarah A Ciamillo, Dhvani Barot, Renata L Linardi, Julie B Engiles, Kyla F Ortved

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Equine veterinary journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
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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

6 authors.

Alexandra UsimakiDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Sarah A CiamilloDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Dhvani BarotDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Renata L LinardiDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Julie B EngilesDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9057-2093
Kyla F OrtvedDepartment of Clinical Studies-New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-0398-2444

Funding

Zoetis
6 · The paper itself

Abstract

backgroundAutologous protein solution (APS) has been shown to decrease lameness in horses with osteoarthritis (OA). Synovitis is an early driver of OA, providing an opportunity to intervene in the progression of disease via intra-articular (IA) therapeutics.

objectivesThe objective of this study was to investigate the effects of a single IA APS injection in horses with interleukin-1β (IL-1β)-induced synovitis. We hypothesised that APS would decrease joint swelling and lameness, improve synovial fluid parameters and improve joint pathology scores in horses compared with untreated controls. STUDY

designRandomised controlled in vivo experiment.

methodsSynovitis was induced with IL-1β (65 ng) in one randomly selected tarsocrural joint. Twenty-four hours later, joints were treated with APS (Pro-Stride®) (n = 12) or left as untreated controls (n = 6). Lameness examinations and joint circumference measurements were performed on Days 0 (prior to IL-1β), 1 (prior to APS), 2, 4, 7 and 14. Synovial fluid, obtained on the same days, was analysed for protein concentration, nucleated cell count, and cytokine (IL-1β, TNF-α, IFN-γ, IL-6, IL-10) and prostaglandin E2 (PGE2) concentrations. Gross pathology and synovial membrane histopathology scoring was performed on APS-treated (n = 5), untreated control (n = 4) and normal (n = 9) tarsocrural joints.

resultsAPS did not decrease lameness or joint circumference compared with untreated controls. Synovial fluid parameters were not different between treatment groups. APS treatment did significantly decrease gross and histopathology scores. MAIN LIMITATIONS: Main limitations included the use of an induced model of the synovitis, inter-horse variability in the response to IL-1β and likely variability in the constituents of APS from individual horses.

conclusionsAPS treatment of tarsocrural joints with synovitis did not significantly improve lameness or alter synovial fluid parameters. APS did lead to significant improvement in gross joint appearance and synovial membrane histology suggesting that APS may have disease-modifying effects.

Indexed as

Horse DiseasesInterleukin-1betaProteinsSynovitisAnimalsFemaleHorsesInjections, Intra-ArticularLameness, AnimalMaleSynovial FluidInterleukin-1betaProteinsequine synovitishorsejoint treatmentosteoarthritispro‐strideregenerative medicine

Identifiers

PMID39051479
PMCPMC11982420

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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.