Evidence map›Paper›PMID 40022220›Full record

ArticleJournal of translational medicine2025

BMP9 enhances osteogenic differentiation in rheumatoid arthritis: a potential therapeutic approach.

Han Zhang, Zixian Dang, Xiangyu Wang, Changyao Wang, Haining Zhang, Yongtao Zhang

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

6 authors.

Han Zhang *Department of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Zixian Dang *Department of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Xiangyu Wang *Department of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Changyao WangDepartment of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Haining ZhangDepartment of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Yongtao ZhangDepartment of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China. drzhang215@163.com.ORCID 0000-0002-7537-9727

Funding

Qingdao Outstanding Health Professional Development Fund grant number 4355Young Elite Sponsorship Program of Shandong Provincial Medical Association grant number 2023_LC_0267
6 · The paper itself

Abstract

objectiveRheumatoid arthritis (RA) is a chronic inflammatory disorder that causes joint damage, including cartilage degradation and bone erosion. Bone morphogenetic protein 9 (BMP9), a member of the TGF-β superfamily, plays a key role in osteogenesis and tissue repair. However, its role in bone erosion and inflammation in RA remains underexplored. This study aims to evaluate BMP9's therapeutic potential in RA, focusing on its effects on bone destruction, osteogenesis, and inflammation. MATERIALS AND

methodsIn this study, BMP9 expression was analyzed in synovial tissues from RA and osteoarthritis patients and in the ankle joints of collagen-induced arthritis (CIA) mice using immunohistochemistry, qRT-PCR, and Western blotting. The therapeutic effect of BMP9 on bone destruction was evaluated in a CIA mouse model through micro-CT imaging, histological analysis, and clinical scoring. Osteogenic differentiation was assessed by alkaline phosphatase and Alizarin Red S staining, while osteoclast activity was examined through tartrate-resistant acid phosphatase staining. Fluorescence double-labeling was used to track new bone formation. Data were analyzed using (Statistical Package for the Social Sciences) SPSS, and appropriate statistical tests were performed to determine significance.

resultsIn this study, BMP9 expression was significantly down-regulated in the synovial tissue of RA patients and in the ankle joints of CIA mice. BMP9 treatment in CIA mice ameliorated joint inflammation, as shown by reduced limb swelling, lower arthritis index, and improved tissue morphology. Furthermore, BMP9 significantly alleviated bone loss, as evidenced by increased bone mineral density and trabecular structure. However, BMP9 treatment did not significantly impact osteoclastogenesis or bone resorption. BMP9 also enhanced bone mineralization and formation, as shown by increased mineral apposition rate and bone formation rate. Additionally, BMP9 promoted osteogenic differentiation of synovial cells, enhancing alkaline phosphatase activity and mineral nodule formation. These results suggest that BMP9 has a protective effect on joint inflammation and bone loss in RA, potentially through promoting bone formation without influencing osteoclast activity.

conclusionOur study concludes that targeting BMP9 alleviates inflammation and promotes osteogenic differentiation in RA, highlighting BMP9 as a promising therapeutic target for addressing bone destruction in RA.

Indexed as

Arthritis, RheumatoidCell DifferentiationGrowth Differentiation Factor 2OsteogenesisAnimalsArthritis, ExperimentalFemaleHumansInflammationMaleMiceMice, Inbred DBAMiddle AgedOsteoclastsSynovial MembraneX-Ray MicrotomographyGrowth Differentiation Factor 2BMP9Bone destructionInflammationOsteogenic differentiationRheumatoid arthritis

Identifiers

PMID40022220
PMCPMC11869551

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.