Evidence map›Paper›PMID 39915758›Full record

ArticleBMC musculoskeletal disorders2025

Anti-inflammatory treatment using alpha melanocyte stimulating hormone (α-MSH) does not alter osteoblasts differentiation and fracture healing.

Johanna Graue, Melanie Timmen, Katharina Schmitz, Daniel Kronenberg, Markus Böhm, Kishor K Sivaraj, M Gabriele Bixel, Richard Stange

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Johanna GraueDepartment of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University of Muenster, Albert-Schweitzer-Campus 1, D3, 48149, Muenster, Germany.
Melanie TimmenDepartment of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University of Muenster, Albert-Schweitzer-Campus 1, D3, 48149, Muenster, Germany.
Katharina SchmitzDepartment of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University of Muenster, Albert-Schweitzer-Campus 1, D3, 48149, Muenster, Germany.
Daniel KronenbergDepartment of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University of Muenster, Albert-Schweitzer-Campus 1, D3, 48149, Muenster, Germany.
Markus BöhmDepartment of Dermatology, University Hospital Muenster, Von-Esmarch-Str. 58, 48149, Muenster, Germany.
Kishor K SivarajMax Planck Institute for Molecular Biomedicine, Röntgenstraße 20, 48149, Muenster, Germany.
M Gabriele BixelMax Planck Institute for Molecular Biomedicine, Röntgenstraße 20, 48149, Muenster, Germany.
Richard StangeDepartment of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University of Muenster, Albert-Schweitzer-Campus 1, D3, 48149, Muenster, Germany. Richard.Stange@ukmuenster.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlpha-melanocyte-stimulating-hormone (α-MSH) has been identified as a new anti-inflammatory treatment compound in rheumatoid arthritis (RA) and other inflammatory diseases. However, its direct effect on bone cell differentiation or on bone regeneration, which is an inflammatory process, too, has not been investigated, yet. Bone tissue is significantly affected in inflammatory joint diseases. Additionally, inflammatory signaling is essential -in bone regeneration during fracture healing. Therefore, we evaluated the impact of α-MSH-treatment on bone forming cells in an inflammatory setting in vitro and as a treatment approach in a murine fracture healing model in vivo.

methodsThe influence of α-MSH treatment and melanocortin-receptor expression patterns was investigated in vitro in the presence of either IL-1β or/and TNF-α as an inflammatory stimulus. Osteoblast cell function was evaluated by analyzing proliferation and mineralisation capacities. Using quantitative real time PCR, we analyzed mRNA expression of receptors. To explore the impact of α-MSH on bone regeneration in vivo, treatment with α-MSH or NaCl (control) was performed in a murine fracture-healing model using a closed femur fracture stabilized with an intramedullary implant (female, n = 6-8 mice per group).

resultsα-MSH-treatment did not impair either proliferation nor mineralisation of osteoblastic cells under native or inflammatory conditions (no significant differences found). All four melanocortin receptor-molecules were expressed in murine osteoblastic cells but in very limited amounts and this did not change upon treatment with inflammatory cytokines or α-MSH or both at the same time. Callus formation in fractured femurs of α-MSH-treated mice was slightly delayed at day 14 post fracture with regard to less cartilage formation (NaCl: 19.9%; α-MSH: 13.5%) and soft tissue remodeling (NaCl: 15.2%; α-MSH: 19.5%) but these results were not significantly different and fracture healing overall occurred in a regular way.

conclusionα-MSH has no negative impact on bone or bone-forming cells in native, inflammatory, or regenerative contexts. We can conclude from our results, that treatment of inflammatory diseases using α-MSH does not interfere significantly with bone regeneration in a murine fracture model and therefore treatment with α-MSH could be continued without negative effects on bone formation and bone regeneration in patients. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

alpha-MSHAnti-Inflammatory AgentsCell DifferentiationFemoral FracturesFracture HealingOsteoblastsAnimalsCells, CulturedDisease Models, AnimalMiceOsteogenesisalpha-MSHAnti-Inflammatory AgentsAlpha-MSHFracture healingInflammationMelanocortin receptorOsteoblast

Identifiers

PMID39915758
PMCPMC11800508

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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.