Evidence map›Paper›PMID 39820791›Full record

ArticleNature aging2025

Menopause-induced 17β-estradiol and progesterone loss increases senescence markers, matrix disassembly and degeneration in mouse cartilage.

Gabrielle Gilmer, Hirotaka Iijima, Zachary R Hettinger, Natalie Jackson, Juliana Bergmann, Allison C Bean, Nafiseh Shahshahan, Ekaterina Creed, Rylee Kopchak, Kai Wang and 7 more

Abstract read
In one paragraph

Article in Nature aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Women's musculoskeletal health: insights from the 2024 National Academies of Sciences, Engineering, and Medicine report on chronic conditions.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. [EstradiolZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  11. Article
  12. Osteoarthritis as a systemic disease.Nature reviews. Rheumatology · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. The Age-dependent Influence of the Infrapatellar Fat Pad on Chondrocyte Extracellular Matrix Production.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  20. Review
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

17 authors.

Gabrielle GilmerDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9039-4183
Hirotaka IijimaDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5504-1502
Zachary R HettingerDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6824-0463
Natalie JacksonDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.
Juliana BergmannDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.
Allison C BeanDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Nafiseh ShahshahanDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.
Ekaterina CreedDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.
Rylee KopchakDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.
Kai WangDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8447-6177
Hannah HoustonDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA.
Jonathan M FranksCenter for Biologic Imaging, Department of Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Michael J CalderonCenter for Biologic Imaging, Department of Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Claudette St CroixCenter for Biologic Imaging, Department of Cell Biology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Rebecca C ThurstonDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Christopher H EvansDepartment of Physical Medicine & Rehabilitation, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-5532-2347
Fabrisia AmbrosioDiscovery Center for Musculoskeletal Recovery, Schoen Adams Research Institute at Spaulding, Boston, MA, USA. fambrosio@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5497-5968

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
TrainingP41GM103422 · NIGMS · WASHINGTON UNIVERSITY · PI YARASHESKI, KEVIN E · 2012 to 2019
$12.0M
Technology Development P2CHD086843 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA · 2015 to 2024
$10.5M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Role of extracellular matrix in age-related declines of muscle regenerationR01AG061005 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA, LEDUC, PHILIP R · 2019 to 2023
$2.5M
The Anti-Aging Role of Klotho in Skeletal Muscle RegenerationR01AG052978 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSIO, FABRISIA · 2017 to 2020
$2.0M
Sex Dimorphism in Age-Related Knee OsteoarthritisR01AG089455 · NIA · SPAULDING REHABILITATION HOSPITAL · PI Fabrisia Ambrosio, Hirotaka Iijima · 2024 to 2026
$1.7M
Menopausal Knee-ds: Elucidating mechanisms and treatments for knee osteoarthritisF30AG084163 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GILMER, GABRIELLE · 2023 to 2024
$107k
NCATS NIH HHS KL2 TR001856NCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA091842NIA NIH HHS F30 AG084163NIA NIH HHS R01 AG052978NIA NIH HHS R01 AG061005NIA NIH HHS R01 AG089455NIA NIH HHS T32 AG021885NICHD NIH HHS P2C HD086843NIGMS NIH HHS P41 GM103422U.S. Department of Health & Human Services | NIH | Center for Information Technology (Center for Information Technology, National Institutes of Health) F30AG084163U.S. Department of Health & Human Services | NIH | Center for Information Technology (Center for Information Technology, National Institutes of Health) P2CHD086843U.S. Department of Health & Human Services | NIH | Center for Information Technology (Center for Information Technology, National Institutes of Health) R01AG052978U.S. Department of Health & Human Services | NIH | Center for Information Technology (Center for Information Technology, National Institutes of Health) R01AG061005U.S. Department of Health & Human Services | NIH | Center for Information Technology (Center for Information Technology, National Institutes of Health) T32AG021885
6 · The paper itself

Abstract

Female individuals who are post-menopausal present with higher incidence of knee osteoarthritis (KOA) than male counterparts; however, the mechanisms underlying this disparity are unknown. The most commonly used preclinical models lack human-relevant menopausal phenotypes, which may contribute to our incomplete understanding of sex-specific differences in KOA pathogenesis. Here we chemically induced menopause in middle-aged (14-16 months) C57/BL6N female mice. When we mapped the trajectory of KOA over time, we found that menopause aggravated cartilage degeneration relative to non-menopause controls. Network medicine analyses revealed that loss of 17β-estradiol and progesterone with menopause enhanced susceptibility to senescence and extracellular matrix disassembly. In vivo, restoration of 17β-estradiol and progesterone in menopausal mice protected against cartilage degeneration compared to untreated menopausal controls. Accordingly, post-menopausal human chondrocytes displayed decreased markers of senescence and increased markers of chondrogenicity when cultured with 17β-estradiol and progesterone. These findings implicate menopause-associated senescence and extracellular matrix disassembly in the sex-specific pathogenesis of KOA.

Indexed as

CartilageCartilage, ArticularCellular SenescenceEstradiolExtracellular MatrixMenopauseOsteoarthritis, KneeProgesteroneAnimalsBiomarkersChondrocytesDisease Models, AnimalFemaleHumansMaleMiceBiomarkersEstradiolProgesterone

Identifiers

PMID39820791
PMCPMC12999526

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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.