Evidence map›Paper›PMID 40159624›Full record

ArticleJournal of cellular and molecular medicine2025

Sodium Hyaluronate-PDGF Repairs Cartilage and Subchondral Bone Microenvironment via HIF-1α-VEGF-Notch and SDF-1-CXCR4 Inhibition in Osteoarthritis.

Zhengchao Wang, Pengfei Zhu, Hongmei Li, Bo Ye, Qiong Luo, Jiangxia Cheng, Yu Cai

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

7 authors.

Zhengchao WangDepartment of Sports Medicine, Wuhan Fourth Hospital, Wuhan, China.
Pengfei ZhuHubei Provincial Sports Medicine Center, Wuhan, China.
Hongmei LiZibo First Hospital, Zibo Prevention and Treatment Hospital for Occupation Diseases, Zibo, China.
Bo YeHubei Provincial Sports Medicine Center, Wuhan, China.
Qiong LuoHubei Provincial Sports Medicine Center, Wuhan, China.
Jiangxia ChengHubei Provincial Sports Medicine Center, Wuhan, China.
Yu CaiHubei Provincial Sports Medicine Center, Wuhan, China.ORCID 0000-0003-3967-8727

Funding

Natural Science Foundation of Wuhan 2024020801020398The Funding of Scientific Research Projects from Wuhan Municipal Health Commission WX23Q03
6 · The paper itself

Abstract

Chronic degenerative changes in cartilage and subchondral bone that lead to instability of the cartilage microenvironment are essential for the development of osteoarthritis (OA) in the old. Synchronous repair of cartilage and subchondral bone may be a key strategy for OA treatment. PDGF-BB effectively promoted chondrocyte regeneration and angiogenesis. However, the mechanisms by which PDGF-BB affects subchondral bone and the delivery of PDGF-BB to the joint cavity need to be further explored. In this study, we used sodium hyaluronate to deliver PDGF-BB (SH-PDGF) to the joint space and aimed to determine the mechanisms of SH-PDGF in repairing cartilage and subchondral bone and stabilising the cartilage microenvironment. In this research, we determined the pharmacokinetics of PDGF-BB and SH-PDGF in cartilage. Moreover, we investigated the effects of PDGF-BB and SH-PDGF on cartilage and the subchondral bone microenvironment by identifying changes in the HIF-VEGF-Notch axis and SDF-1-CXCR4 axis in an OA rat model. The results showed that PDGF-BB increased cell viability, decreased HIF-1α levels, inhibited inflammation and improved matrix metabolism in osteoarthritic chondrocytes under hyperoxic or hypoxic conditions. We also found that PDGF-BB and SH-PDGF showed similar effects on repairing cartilage and subchondral bone simultaneously. However, SH-PDGF had some advantages over PDGF-BB in prolonging the injection interval and decreasing the injection time. These protective effects were mediated by the inhibition of both the HIF-1α-VEGF-Notch axis and the SDF-1-CXCR4 axis. The underlying mechanisms include the inhibition of HIF-1α-VEGF-Notch-mediated vessel invasion and SDF-1-CXCR4 axis-mediated crosstalk between cartilage and subchondral tissue.

Indexed as

BecaplerminHyaluronic AcidOsteoarthritisPlatelet-Derived Growth FactorAnimalsBone and BonesCartilage, ArticularCellular MicroenvironmentChemokine CXCL12ChondrocytesDisease Models, AnimalHumansHypoxia-Inducible Factor 1, alpha SubunitMaleRatsRats, Sprague-DawleyBecaplerminChemokine CXCL12Hif1a protein, ratHyaluronic AcidHypoxia-Inducible Factor 1, alpha SubunitPlatelet-Derived Growth FactorReceptors, CXCR4Receptors, NotchVascular Endothelial Growth Factor Acartilagemicroenvironmentosteoarthritisplatelet‐derived growth factorsubchondral bone

Identifiers

PMID40159624
PMCPMC11955409

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Registered trials

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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.