Evidence map›Paper›PMID 40641359›Full record

SynthesisAnimal models and experimental medicine2025

Systematic review of the subcutaneous air pouch model using monosodium urate and calcium pyrophosphate and recommendations for studying crystal-related arthropathies.

Wenu Hewage, Josif Vidimce, Ryan G Shiels, Michael Morgan, Andrew C Bulmer

Abstract readSystematic Review
In one paragraph

Synthesis in Animal models and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Wenu HewageSchool of Pharmacy and Medical Science, Griffith University, Gold Coast, Queensland, Australia.ORCID 0009-0000-5747-4491
Josif VidimceSchool of Pharmacy and Medical Science, Griffith University, Gold Coast, Queensland, Australia.
Ryan G ShielsQueensland Alliance for Environmental Health Science, University of Queensland, Brisbane, Queensland, Australia.
Michael MorganDepartment of Anatomy and Physiology, University of Melbourne, Melbourne, Victoria, Australia.
Andrew C BulmerSchool of Pharmacy and Medical Science, Griffith University, Gold Coast, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The subcutaneous air pouch model has been used extensively to study the pathophysiology of inflammatory conditions such as joint diseases and the potential efficacy of pharmacological treatments in vivo. Delivery of air between the subcutaneous and dermal layer of the intra-scapular zone of the rodent generates an environment analogous to the synovial joint space. Introduction of monosodium urate crystals or calcium pyrophosphate crystals into the air space produces a sterile acute inflammatory response mimicking clinical gout and pseudogout, respectively. The inflammatory response can be quantitatively and robustly evaluated by measuring leukocyte infiltration, inflammatory cytokine production, eicosanoid release, complement activation and reactive oxygen species generation. Despite the utility of this model, great variation exists within the literature regarding the design, sampling time points, and endpoints measured. This systematic review summarizes the current literature on the subcutaneous air pouch model studying monosodium urate or calcium pyrophosphate crystals and provides recommendations for standardizing and improving the reliability and validity of this model. Standardizing the experimental approach would improve inter-study comparability, increase the internal validity of studies and reproducibility of results, and ultimately improve the understanding of gout and pseudogout and accelerate the discovery of new pharmacological therapies.

Indexed as

Calcium PyrophosphateCrystal ArthropathiesDisease Models, AnimalGoutAnimalsGuidelines as TopicUric AcidCalcium PyrophosphateUric Acidarthritis therapeuticsimmunologyinflammatory mediatorsjoint injurymurine modelrheumatic and musculoskeletal disease

Identifiers

PMID40641359
PMCPMC12531122

What OpenQuestion holds

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LicenceCC BY
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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.