Evidence map›Paper›PMID 40943488›Full record

ReviewInternational journal of molecular sciences2025

Musculoskeletal Complications in COVID-19: Exploring the Role of Key Biomarkers.

Sagar Patel, Cameron Foster, Kamal Patel, Monte Hunter, Carlos M Isales, Sadanand Fulzele

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 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

6 authors.

Sagar PatelDepartment of Medicine, Augusta University, Augusta, GA 30912, USA.
Cameron FosterDepartment of Orthopaedic Surgery, College of Medicine, University of Florida, Jacksonville, FL 32209, USA.ORCID 0009-0004-8736-4292
Kamal PatelSchool of Dentistry, University of Alabama at Birmingham, 1919 7th Ave S, Birmingham, AL 35233, USA.
Monte HunterDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA 30912, USA.
Carlos M IsalesDepartment of Medicine, Augusta University, Augusta, GA 30912, USA.ORCID 0000-0002-4480-3484
Sadanand FulzeleDepartment of Medicine, Augusta University, Augusta, GA 30912, USA.

Funding

THE LEPTIN-IGF1 AXIS IN MUSCULOSKELETAL AGINGP01AG036675 · NIA · AUGUSTA UNIVERSITY · PI CARLOS M. ISALES · 2011 to 2026
$31.5M
NIA NIH HHS P01 AG036675NIH HHS 3P01AG036675-03
6 · The paper itself

Abstract

The COVID-19 pandemic has revealed significant secondary complications affecting musculoskeletal (MSK) health, especially in patients with pre-existing conditions. This review synthesizes data from clinical and experimental studies on key MSK biomarkers, including cartilage oligomeric matrix protein (COMP), hyaluronic acid (HA), osteocalcin, alkaline phosphatase (ALP), procollagen type I N-terminal peptide (PINP), osteopontin (OPN), matrix metalloproteinases (MMP-3 and MMP-9), myostatin, IGF-1, follistatin, and creatine kinase. COVID-19 is associated with decreased COMP and osteocalcin levels, indicating cartilage degradation and impaired bone formation, alongside elevated HA, ALP, PINP, OPN, and MMPs, reflecting increased joint inflammation, bone remodeling, and tissue breakdown. Changes in myostatin, IGF-1, follistatin, and creatine kinase levels have been shown to be linked with COVID-19-related sarcopenia. These biomarker alterations provide insight into the underlying mechanisms of MSK damage in COVID-19 patients and highlight the potential for using these markers in early diagnosis and management of post-COVID musculoskeletal disorders. Further longitudinal research is essential to develop targeted therapies aimed at mitigating long-term MSK complications in affected individuals.

Indexed as

BiomarkersCOVID-19Musculoskeletal DiseasesCartilage Oligomeric Matrix ProteinHumansHyaluronic AcidSARS-CoV-2BiomarkersCartilage Oligomeric Matrix ProteinHyaluronic AcidbiomarkersboneCOVID-19musculoskeletal

Identifiers

PMID40943488
PMCPMC12429647

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.