Effects of cyclic hydraulic pressure on osteocytes
Open accessAbstract
Bone is able to adapt its composition and structure in order to suit its mechanical environment. Osteocytes, bone cells embedded in the calcified matrix, are believed to be the mechanosensors and responsible for orchestrating the bone remodeling process. Recent in vitro studies have shown that osteocytes are able to sense and respond to substrate strain and fluid shear. However the capacity of osteocytes to sense cyclic hydraulic pressure (CHP) associated with physiological mechanical loading is not well understood. In this study, we subjected osteocyte-like MLO-Y4 cells to controlled CHP of 68 kPa at 0.5 Hz, and investigated the effects of CHP on intracellular calcium concentration, cytoskeleton organization, mRNA expression of genes related to bone remodeling, and osteocyte apoptosis. We found that osteocytes were able to sense CHP and respond by increased intracellular calcium concentration, altered microtubule organization, a time-dependent increase in COX-2 mRNA level and RANKL/OPG mRNA ratio, and decreased apoptosis. These findings support the hypothesis that loading induced cyclic hydraulic pressure in bone serves as a mechanical stimulus to osteocytes and may play a role in regulating bone remodeling in vivo.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In addition to gravity, mechanotransduction in bone is mediated by fluid shear stresses, hydrostatic pressures, and the force of muscular contraction.
“In addition to the force of gravity, mechanotransduction in bone is mediated by fluid shear stresses [50], hydrostatic pressures [51], and the force of muscular contraction [52].”
From Osteoclasts and Microgravity (2020) · cites this paper as [51]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Osteoclast differentiation and activation
Boyle, W. J., Simonet, W. S., & Lacey, D. L. (2003) · Nature · doi:10.1038/nature01658 · Cited by 6,670 · cited 1× · see citing works
“The rate of bone resorption is dependent on the RANKL/OPG ratio [35].”
The versatility and universality of calcium signalling
Berridge, M. J., Lipp, P., & Bootman, M. D. (2000) · Nature Reviews Molecular Cell Biology · doi:10.1038/35036035 · Cited by 5,701 · see citing works
Aguirre, J. I., Plotkin, L. I., Stewart, S. A., Weinstein, R. S., Parfitt, A. M., Manolagas, S. C., & Bellido, T. (2006) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.060107 · Cited by 494 · see citing works
Cherian, P. P., Siller-Jackson, A. J., Gu, S., Wang, X., Bonewald, L. F., Sprague, E., & Jiang, J. X. (2005) · Molecular Biology of the Cell · doi:10.1091/mbc.e04-10-0912 · Cited by 481 · see citing works
Primary cilia mediate mechanosensing in bone cells by a calcium-independent mechanism
Malone, A. M. D., Anderson, C. T., Tummala, P., Kwon, R. Y., Johnston, T. R., Stearns, T., & Jacobs, C. R. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0700636104 · Cited by 477 · see citing works
Osteocyte Apoptosis Controls Activation of Intracortical Resorption in Response to Bone Fatigue
Cardoso, L., Herman, B. C., Verborgt, O., Laudier, D., Majeska, R. J., & Schaffler, M. B. (2009) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.081210 · Cited by 340 · see citing works
Xiao, Z., Zhang, S., Mahlios, J., Zhou, G., Magenheimer, B. S., Guo, D., Dallas, S. L., Maser, R., Calvet, J. P., Bonewald, L., et al. (2006) · Journal of Biological Chemistry · doi:10.1074/jbc.m604772200 · Cited by 254 · see citing works
Osteocyte apoptosis and control of bone resorption following ovariectomy in mice
Emerton, K. B., Hu, B., Woo, A. A., Sinofsky, A., Hernandez, C., Majeska, R. J., Jepsen, K. J., & Schaffler, M. B. (2010) · Bone · doi:10.1016/j.bone.2009.11.006 · Cited by 220 · see citing works
From streaming‐potentials to shear stress: 25 years of bone cell mechanotransduction
Riddle, R. C., & Donahue, H. J. (2009) · Journal of Orthopaedic Research · doi:10.1002/jor.20723 · Cited by 157 · see citing works
Flagged first, then by citations
Research works printed but not linked: 71
- [1]Frost HM Skeletal structural adaptations to mechanical usage (SATMU): 1. Redefining Wolff’s law: The bone modeling problem Anatomical Record 1990 226 403 413 2184695
- [2]Aguirre JI Plotkin LI Berryhill SB Shelton RS Steward SA Vyas K Weinstein RS Parfitt AM Manolagas SC Bellido T Increased prevalence of osteocyte apoptosis precedes osteoclastic bone resorption and the loss of bone mineral and strength induced by lack of mechanical forces in a murine model of unloading Journal of bone and mineral research 2004 19 S137 S137
- [4]Kim CH Kim KH Jacobs CR Effects of high frequency loading on RANKL and OPG mRNA expression in ST-2 murine stromal cells BMC Musculoskeletal Disorders 2009 10 19728893 PMC2742507
- [5]Bonivtch AR Bonewald LF Ling J Jiang JX Nicolella DP Direct Correlation of Osteocyte Deformation with Calcium Influx in Response to Fluid Flow Shear Stress Journal of bone and mineral research 2008 23 S145 S145
- [6]Robling AG Niziolek PJ Baldridge LA Condon KW Allen MR Alam I Mantila SM Gluhak-Heinrich J Bellido TM Harris SE Turner CH Mechanical stimulation of bone in vivo reduces osteocyte expression of Sost/sclerostin Journal of Biological Chemistry 2008 283 5866 5875 18089564
- [7]Siller-Jackson AJ Burra S Gu S Xia X Bonewald LF Sprague E Jiang JX Adaptation of connexin 43-hemichannel prostaglandin release to mechanical loading Journal of Biological Chemistry 2008 283 26374 26382 18676366 PMC2546557
- [8]Ponik SM Triplett JW Pavalko FM Osteoblasts and osteocytes respond differently to oscillatory and unidirectional fluid flow profiles Journal of Cellular Biochemistry 2007 100 794 807 17031855
- [9]Bourret LA Rodan GA The role of calcium in the inhibition of cAMP accumulation in epiphyseal cartilage cells exposed to physiological pressure Journal of cellular physiology 1976 88 353 361 178677
- [10]Bagi C Burger EH Mechanical stimulation by intermittent compression stimulates sulfate incorporation and matrix mineralization in fetal mouse long-bone rudiments under serum-free conditions Calcified Tissue International 1989 45 342 347 2509024
- [11]Imamura K Ozawa H Hiraide T Takahashi N Shibasaki Y Fukuhara T Suda T Continuously applied compressive pressure induces bone resorption by a mechanism involving prostaglandin E2 synthesis Journal of cellular physiology 1990 144 222 228 2166056
- [12]Burger EH Klein-Nulend J Veldhuijzen JP Mechanical stress and osteogenesis in vitro Journal of bone and mineral research 1992 7 1485547
- [13]Brighton CT Fisher JRS Jr Levine SE Corsetti JR Reilly T Landsman AS Williams JL Thibault LE The biochemical pathway mediating the proliferative response of bone cells to a mechanical stimulus Journal of Bone and Joint Surgery -Series A 1996 78 1337 1347 8816648
- [14]Kelly PJ Bronk JT Venous pressure and bone formation Microvascular Research 1990 39 364 375 2362558
- [15]Qin YX Kaplan T Saldanha A Rubin C Fluid pressure gradients, arising from oscillations in intramedullary pressure, is correlated with the formation of bone and inhibition of intracortical porosity Journal of Biomechanics 2003 36 1427 1437 14499292
- [16]Klein-Nulend J Increased calcification of growth plate cartilage as a result of compressive force in vitro Arthritis and rheumatism 1986 29 1002 3741510
- [17]Klein-Nulend J Inhibition of osteoclastic bone resorption by mechanical stimulation in vitro Arthritis and rheumatism 1990 33 66 2302269
- [18]Tanck E Van Driel WD Hagen JW Burger EH Blankevoort L Huiskes R Why does intermittent hydrostatic pressure enhance the mineralization process in fetal cartilage? Journal of Biomechanics 1999 32 153 161 10052920
- [19]Myers KA Rattner JB Shrive NG Hart DA Hydrostatic pressure sensation in cells: Integration into the tensegrity model Biochemistry and cell biology 2007 85 543 551 17901896
- [20]Wu MJ Effects of hydrostatic pressure on cytoskeleton and BMP-2, TGF-beta, SOX-9 production in rat temporomandibular synovial fibroblasts Osteoarthritis and Cartilage 2008 16 41 17631391
- [21]Gardinier JD Majumdar S Duncan RL Wang L Cyclic Hydraulic Pressure and Fluid Flow Differentially Modulate Cytoskeleton Re-Organization in MC3T3 Osteoblasts Cellular and Molecular Bioengineering 2009 2 133 143 20161062 PMC2747752
- [22]Turner CH Warden SJ Bellido T Plotkin LI Kumar N Jasiuk I Danzig J Robling AG Mechanobiology of the skeleton Science signaling 2009 2 19401590 PMC3412128
- [23]Burger EH Klein-Nulend J Mechanotransduction in bone -Role of the lacunocanalicular network Faseb Journal 1999 13 10352151
- [24]Zhang D Weinbaum S Cowin SC Estimates of the peak pressures in bone pore water Journal of biomechanical engineering 1998 120 697 10412451
- [25]Cowin SC Gailani G Benalla M Hierarchical poroelasticity: movement of interstitial fluid between porosity levels in bones Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 2009 367 3401 3444 19657006
- [26]Gailani GB Benalla M Mahamud R Cowin SC Cardoso LL Experimental protocol for the measurement of the permeability of a single osteon J Biomech Eng 2009 in press PMC2821594 19831477
- [27]Garidinier JD Townend CW Jen K-P Duncan RL Wang L In situ permeability measurement of the mammalian lacunar-canalicular system Bone 2009 Submitted PMC2842454 20080221
- [29]Hung CT Pollack SR Reilly TM Brighton CT Real-time calcium response of cultured bone cells to fluid flow Clinical Orthopaedics and Related Research 1995 256 269 7641488
- [30]Adachi T Aonuma Y Tanaka M Hojo M Takano-Yamamoto T Kamioka H Calcium response in single osteocytes to locally applied mechanical stimulus: Differences in cell process and cell body Journal of Biomechanics 2009 42 1989 1995 19625024
- [31]Myers KA Rattner JB Shrive NG Hart DA Osteoblast-like cells and fluid flow: Cytoskeleton-dependent shear sensitivity Biochemical and biophysical research communications 2007 364 214 219 17942076
- [32]Pavalko FM Chen NX Turner CH Burr DB Atkinson S Hsieh YF Qiu J Duncan RL Fluid shear-induced mechanical signaling in MC3T3-E1 osteoblasts requires cytoskeleton-integrin interactions American Journal of Physiology-Cell Physiology 1998 275 1591 1601 9843721
- [33]Kawata A Mikuni-Takagaki Y Mechanotransduction in stretched osteocytes -temporal expression of immediate early and other genes Biochemical and biophysical research communications 1998 246 404 408 9610372
- [34]Tian XY Zhang Q Zhao R Setterberg RB Zeng QQ Iturria SJ Ma YF Jee WSS Continuous PGE2 leads to net bone loss while intermittent PGE2 leads to net bone gain in lumbar vertebral bodies of adult female rats Bone 2008 42 914 920 18316259
- [36]Burger EH Klein-Nulend J Smit TH Strain-derived canalicular fluid flow regulates osteoclast activity in a remodelling osteon -A proposal Journal of Biomechanics 2003 36 1453 1459 14499294
- [38]Aguirre J Plotkin L Vyas K Stewart S O’Brien C Parfitt A Weinstein R Manolagas S Bellido T Osteocyte apoptosis and the loss of bone mineral and strength induced by tail suspension in mice is entirely caused by reduced mechanical strains, whereas osteoblast apoptosis is due to endogenous glucocorticoid actions Journal of bone and mineral research 2005 20 S24 S24
- [39]Hung CT Allen FD Pollack SR Brighton CT Intracellular Ca2+ stores and extracellular Ca2+ are required in the real-time Ca2+ response of bone cells experiencing fluid flow Journal of Biomechanics 1996 29 1411 1417 8894921
- [40]Klein-Nulend J Mechanical stimulation of osteopontin mRNA expression and synthesis in bone cell cultures Journal of cellular physiology 1997 170 174 9009146
- [41]Nagatomi J Arulanandam BP Metzger DW Meunier A Bizios R Frequency-and duration-dependent effects of cyclic pressure on select bone cell functions Tissue Engineering 2001 7 717 728 11749729
- [42]Roelofsen J Mechanical stimulation by intermittent hydrostatic compression promotes bone-specific gene expression in vitro Journal of Biomechanics 1995 28 1493 8666589
- [43]Takai E Mauck RL Hung CT Guo XE Osteocyte viability and regulation of osteoblast function in a 3D trabecular bone explant under dynamic hydrostatic pressure Journal of bone and mineral research 2004 19 1403 15312240
- [44]Klein-Nulend J Van der Plas A Semeins CM Ajubi NE Frangos JA Nijweide PJ Burger EH Sensitivity of osteocytes to biomechanical stress in vitro FASEB Journal 1995 9 441 445 7896017
- [45]Jacobs CR Yellowley CE Davis BR Zhou Z Cimbala JM Donahue HJ Differential effect of steady versus oscillating flow on bone cells Journal of Biomechanics 1998 31 969 976 9880053 PMC3057628
- [46]Awrangjeb M Lu G Robust image corner detection based on the chord-to-point distance accumulation technique IEEE Transactions on Multimedia 2008 10 1059 1072
- [47]Zhou Q Zhao J Stout JG Luhm RA Wiedmer T Sims PJ Molecular cloning of human plasma membrane phospholipid scramblase Journal of Biological Chemistry 1997 272 18240 18244 9218461
- [48]Murakami M Naraba H Tanioka T Semmyo N Nakatani Y Kojima F Ikeda T Fueki M Ueno A Oh-ishi S Kudo I Regulation of prostaglandin E2 biosynthesis by inducible membrane-associated prostaglandin E2 synthase that acts in concert with cyclooxygenase-2 Journal of Biological Chemistry 2000 275 32783 32792 10869354
- [49]Langenbach R Morham SG Tiano HF Loftin CD Ghanayem BI Chulada PC Mahler JF Lee CA Goulding EH Kluckman KD Kim HS Smithies O Prostaglandin synthase 1 gene disruption in mice reduces arachidonic acid-induced inflammation and indomethacin-induced gastric ulceration Cell 1995 83 483 492 8521478
- [50]Dinchuk JE Car BD Focht RJ Johnston JJ Jaffee BD Covington MB Contel NR Eng VM Collins RJ Czerniak PM Gorry SA Trzaskos JM Renal abnormalities and an altered inflammatory response in mice lacking cyclooxygenase II Nature 1995 378 406 409 7477380
- [51]Kamioka H Sugawara Y Murshid SA Ishihara Y Honjo T Takano-Yamamoto T Fluid shear stress induces less calcium response in a single primary osteocyte than in a single osteoblast: Implication of different focal adhesion formation Journal of bone and mineral research 2006 21 1012 1021 16813522
- [52]Gomis A Soriano S Belmonte C Viana F Hypoosmotic-and pressure-induced membrane stretch activate TRPC5 channels Journal of Physiology 2008 586 5633 5649 18832422 PMC2655392
- [53]You J Reilly GC Zhen X Yellowley CE Chen Q Donahue HJ Jacobs CR Osteopontin Gene Regulation by Oscillatory Fluid Flow via Intracellular Calcium Mobilization and Activation of Mitogen-activated Protein Kinase inMC3T3-E1 Osteoblasts Journal of Biological Chemistry 2001 276 13365 13371 11278573
- [54]Chen NX Geist DJ Genetos DC Pavalko FM Duncan RL Fluid shear-induced NFκB translocation in osteoblasts is mediated by intracellular calcium release Bone 2003 33 399 410 13678782
- [55]Buljan V Ivanova EP Cullen KM How calcium controls microtubule anisotropic phase formation in the presence of microtubule-associated proteins in vitro Biochemical and biophysical research communications 2009 381 224 228 19338777
- [56]Brangwynne CP MacKintosh FC Kumar S Geisse NA Talbot J Mahadevan L Parker KK Ingber DE Weitz DA Microtubules can bear enhanced compressive loads in living cells because of lateral reinforcement Journal of Cell Biology 2006 173 733 741 16754957 PMC2063890
- [57]Gross M Jaenicke R Proteins under pressure. The influence of high hydrostatic pressure on structure, function and assembly of proteins and protein complexes European Journal of Biochemistry 1994 221 617 630 8174542
- [58]O’Brien ET Salmon ED Erickson HP How calcium causes microtubule depolymerization Cell Motility and the Cytoskeleton 1997 36 125 135 9015201
- [59]McGarry JG Klein-Nulend J Prendergast PJ The effect of cytoskeletal disruption on pulsatile fluid flow-induced nitric oxide and prostaglandin E2 release in osteocytes and osteoblasts Biochemical and biophysical research communications 2005 330 341 348 15781270
- [60]Staves MP Wayne R Leopold AC Hydrostatic pressure mimics gravitational pressure in characean cells Protoplasma 1992 168 141 152 11540076
- [61]Bonewald LF Johnson ML Osteocytes, mechanosensing and Wnt signaling Bone 2008 42 606 615 18280232 PMC2349095
- [62]Gao Q Zhan P Alander CB Kream BE Hao C Breyer MD Pilbeam CC Raisz LG Effects of global or targeted deletion of the EP4 receptor on the response of osteoblasts to prostaglandin in vitro and on bone histomorphometry in aged mice Bone 2009 19344793
- [63]Jee WSS Ke HZ Li XJ Long-term anabolic effects of prostaglandin-E2 on tibial diaphyseal bone in male rats Bone and mineral 1991 15 33 55 1747567
- [64]Minamizaki T Yoshiko Y Kozai K Aubin JE Maeda N EP2 and EP4 receptors differentially mediate MAPK pathways underlying anabolic actions of prostaglandin E2 on bone formation in rat calvaria cell cultures Bone 2009 44 1177 1185 19233324
- [65]Jee WSS Ma YF The in vivo anabolic actions of prostaglandins in bone Bone 1997 21 297 304 9315332
- [66]Gao Q Xu M Alander CB Choudhary S Pilbeam CC Raisz LG Effects of prostaglandin E2 on bone in mice in vivo Prostaglandins and Other Lipid Mediators 19464663
- [67]Hughes-Fulford M Signal transduction and mechanical stress Science’s STKE [electronic resource]: signal transduction knowledge environment 2004 2004 15353762
- [68]Zhao S Kato Y Zhang Y Harris S Ahuja SS Bonewald LF MLO-Y4 osteocyte-like cells support osteoclast formation and activation Journal of bone and mineral research 2002 17 2068 2079 12412815
- [69]Silvestrini G Ballanti P Patacchioli F Leopizzi M Gualtieri N Monnazzi P Tremante E Sardella D Bonucci E Detection of osteoprotegerin (OPG) and its ligand (RANKL) mRNA and protein in femur and tibia of the rat Journal of Molecular Histology 2005 36 59 67 15704000
- [70]Glass Ii DA Bialek P Ahn JD Starbuck M Patel MS Clevers H Taketo MM Long F McMahon AP Lang RA Karsenty G Canonical Wnt signaling in differentiated osteoblasts controls osteoclast differentiation Developmental Cell 2005 8 751 764 15866165
- [71]You L Temiyasathit S Lee P Kim CH Tummala P Yao W Kingery W Malone AM Kwon RY Jacobs CR Osteocytes as mechanosensors in the inhibition of bone resorption due to mechanical loading Bone 2008 42 172 179 17997378 PMC2583402
- [72]Tan SD Kuijpers-Jagtman AM Semeins CM Bronckers ALJJ Maltha JC Von den Hoff JW Everts V Klein-Nulend J Fluid shear stress inhibits TNF alpha-induced osteocyte apoptosis Journal of Dental Research 2006 85 905 909 16998129
- [73]Plotkin LI Mathov I Aguirre JI Parfitt AM Manolagas SC Bellido T Mechanical stimulation prevents osteocyte apoptosis: requirement of integrins, Src kinases, and ERKs American Journal of Physiology-Cell Physiology 2005 289 C633 C643 15872009
- [74]Kitase Y Johnson ML Bonewald LF The protective effects of mechanical strain on osteocyte viability is mediated by the effects of prostaglandin on the cAMP/PKA and the beta-catenin pathways Journal of bone and mineral research 2007 22 S178 S179
- [75]Gardinier JD Townend CW Jen K-P Wu Q Duncan RL Wang L In situ permeability measurement of the mammalian lacunar-canalicular system Bone 2010 In press PMC2842454 20080221
Cited by
Sorted by citations
Mechanosensation and transduction in osteocytes
Klein-Nulend, J., Bakker, A. D., Bacabac, R. G., Vatsa, A., & Weinbaum, S. (2013) · Bone · doi:10.1016/j.bone.2012.10.013 · Cited by 528 · see citing works
Osteocytes: master orchestrators of bone
Schaffler, M. B., Cheung, W.-Y., Majeska, R., & Kennedy, O. (2014) · Calcified Tissue International · doi:10.1007/s00223-013-9790-y · Cited by 514 · see citing works
Self-citationSmith, J. K. (2020) · Life · doi:10.3390/life10090207 · Cited by 52 · see citing works
- Authors
- Liu, C., Zhao, Y., Cheung, W.-Y., Gandhi, R., Wang, L., & You, L.
- Affiliations
- University of Toronto (CA)
- University of Delaware (US)
- Corresponding author
- You, Lidan
- Venue
- Bone
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 46
- Issue
- 5
- Pages
- 1449-1456
- ISSN
- 1873-2763 (ISSN-L)
- 8756-3282
- PMC
- PMC3417308
- OpenAlex
- W2046832422
- Cited by
- 88
- References
- 9
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 10 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 9 · 2012: 6
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Bone (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- TSpace (University of Toronto) (submittedVersion, cc-by-nc-nd)
- Library and Archives Canada (Government of Canada) (submittedVersion)
- Funders
- NSERC
- CFI
- National Institute of Health (AR054385)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- osteocytes, mechanotransduction, bone remodeling, intracellular calcium, microtubule organization, cytoskeleton, cyclooxygenase-2, RANKL/OPG ratio, osteocyte apoptosis, MLO-Y4 cells, mechanical loading, fluid shear
- MeSH terms
- Animals, Calcium, Cell Line, Cytoskeleton, Microtubules, Models, Theoretical, Osteocytes, Pressure, Bone Remodeling, Apoptosis, Shear Strength, Mice, Cyclooxygenase 2, RANK Ligand
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review