Evidence map›Paper›PMID 40538272›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2025

The Interplay of Angiogenesis and Osteogenesis in Non-Stabilized Incomplete Tibial Fractures: A Temporal Study in Rats.

Kyung Wook Kim, Andrew Reyes Padalhin, Hyun Seok Ryu, Celine Abueva, So Young Park, Jun Sang Bae, Seung Hyeon Yoo, Hwee Hyon Seo, Phil-Sang Chung, Hyun Sik Gong and 1 more

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Kyung Wook KimDepartment of Orthopaedic Surgery, Dankook University College of Medicine, Dankook University Hospital, Cheonan, Republic of Korea.ORCID 0000-0003-3879-0768
Andrew Reyes PadalhinDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0002-3869-5720
Hyun Seok RyuDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0002-9718-5501
Celine AbuevaDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0002-8402-7838
So Young ParkDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0002-4089-0103
Jun Sang BaeDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0003-2589-797X
Seung Hyeon YooSchool of Medical Laser, Dankook University Graduate School, Dankook University, Cheonan, Republic of Korea.ORCID 0009-0009-8980-4702
Hwee Hyon SeoSchool of Medical Laser, Dankook University Graduate School, Dankook University, Cheonan, Republic of Korea.ORCID 0009-0005-9153-2452
Phil-Sang ChungDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0003-4591-2276
Hyun Sik GongDepartment of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.ORCID 0000-0003-4028-1559
Seung Hoon WooDankook Institute of Medicine and Optics, Dankook University, Cheonan, Republic of Korea.ORCID 0000-0001-7560-1140

Funding

This study was supported by the National Research Foundation of Korea (MSIT) (RS-2023-00220408).
6 · The paper itself

Abstract

Prior research on angiogenesis and osteogenesis during bone fracture healing has primarily focused on stabilized models, often within controlled environments. However, the dynamic interplay of these processes in the context of long bone fractures without scaffolds or external factors remains poorly understood. This study investigated the temporal dynamics of angiogenesis and osteogenesis in a non-stabilized incomplete transverse tibia bone fracture model. Multi-modal observation approach was carried out using micro-CT analysis of bone mineral density, histological assessment of fracture healing, and confocal microscopy for visualization and co-localization of key angiogenic (CD31, endomucin) and osteogenic (collagen 1, osteocalcin, PDGFRB) markers. Our findings revealed a dynamic and interdependent relationship between these processes. H type blood vessels persisted throughout the healing process, and significant correlations were observed between the expression of angiogenic and osteogenic markers. The role of hypoxia, a critical regulator of both processes, was investigated by analyzing HIF1-α expression. Increased expression of SLIT3, a guidance molecule, was also observed at later stages of healing, suggesting its potential involvement in vascular remodeling. These findings provide crucial insights into the molecular mechanisms underlying bone fracture repair in the absence of additional supporting external elements such as scaffolds or stabilizers. By elucidating the temporal dynamics of these key processes, we identify potential targets for therapeutic interventions aimed at accelerating and optimizing bone regeneration. Consideration of these interactions can lead to the development of effective clinical strategies for enhancing bone healing in non-stabilized incomplete fractures.

Indexed as

Fracture HealingNeovascularization, PhysiologicOsteogenesisTibial FracturesAngiogenesisAnimalsHypoxia-Inducible Factor 1, alpha SubunitMaleRatsRats, Sprague-DawleyX-Ray MicrotomographyHypoxia-Inducible Factor 1, alpha Subunitangiogenesis‐osteogenesis couplingnon‐stabilized long bone fracturevascularization

Identifiers

PMID40538272
PMCPMC12329645

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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.