Evidence map›Paper›PMID 40020990›Full record

ArticleOsteoarthritis and cartilage2026

Joint damage is more severe following a single bout than multiple bouts of high magnitude loading in mice.

Sophia N Ziemian, Adrien Y Antoinette, Ana Witkowski, Miguel Otero, Steven R Goldring, Mary B Goldring, Marjolein C H van der Meulen

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2026. 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. Review
  2. 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.

Sophia N ZiemianMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Adrien Y AntoinetteSibley School of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY, USA.
Ana WitkowskiMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Miguel OteroHospital for Special Surgery, New York, NY, USA; Weill Cornell Medicine, New York, NY, USA.
Steven R GoldringHospital for Special Surgery, New York, NY, USA; Weill Cornell Medicine, New York, NY, USA.
Mary B GoldringHospital for Special Surgery, New York, NY, USA; Weill Cornell Medicine, New York, NY, USA.
Marjolein C H van der MeulenMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA; Sibley School of Mechanical and Aerospace Engineering, Cornell University, Ithaca, NY, USA; Hospital for Special Surgery, New York, NY, USA. Electronic address: mcv3@cornell.edu.

Funding

ORTHOPAEDIC RESEARCH TRAININGT32AR007281 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI MAHER, SUZANNE A., VAN DER MEULEN, MARJOLEIN C · 1986 to 2018
$1.8M
Combined Engineering and Orthopaedics Training ProgramT32AR078751 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI MAHER, SUZANNE A., VAN DER MEULEN, MARJOLEIN C · 2021 to 2025
$1.7M
Modulating PTOA development with parathyroid hormoneR01AR081943 · NIAMS · CORNELL UNIVERSITY · PI Marjolein C van der Meulen · 2023 to 2026
$1.6M
NIAMS NIH HHS R01 AR081943NIAMS NIH HHS T32 AR007281NIAMS NIH HHS T32 AR078751
6 · The paper itself

Abstract

objectiveWhile physiological loads maintain cartilage health, both joint overload and abnormal joint mechanical loading contribute to osteoarthritis (OA) development. Here, we examined the role of abnormal mechanical loading on joint health by comparing the severity of OA development following a single overload event and repetitive joint overloads.

methodCyclic tibial compression was applied to the left limbs of 26-week-old male mice at a peak load of 9N for either a single bout or daily bouts to initiate OA disease. Joint damage severity was morphologically examined using histology and microcomputed tomography at 6 weeks following the start of loading. Early-stage transcriptomic responses to loading were evaluated.

resultsJoint damage was more severe at 6 weeks following a single bout of loading than after daily loading bouts. Severe cartilage damage, subchondral plate erosions, and soft tissue calcifications occurred following the single bout of loading. Daily loading bouts resulted in less severe cartilage damage and preserved subchondral plate integrity. A diverging transcriptomic response was identified in cartilage at 1 week with increased expression of fibrosis- and inflammation-related genes following a single bout of loading compared to daily loading.

conclusionsEven applied at hyperphysiological load magnitudes known to initiate cartilage damage, repetitive loading may induce protective effects in the joint and attenuate OA progression over time relative to a single bout of loading. Our findings suggest the potential of mechanotherapies that use repetitive loading as disease-modifying treatments for OA disease.

Indexed as

Cartilage, ArticularOsteoarthritisWeight-BearingAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLSeverity of Illness IndexStress, MechanicalTibiaTranscriptomeX-Ray MicrotomographyMechanical loadingOsteoarthritisPre-clinical modelTranscriptomics

Identifiers

PMID40020990
PMCPMC12257467

What OpenQuestion holds

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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.