Evidence map›Paper›PMID 23010646›Full record

ArticleJournal of orthopaedic trauma2012

Mesenchymal stem cells facilitate fracture repair in an alcohol-induced impaired healing model.

Thomas S Obermeyer, David Yonick, Kristen Lauing, Stuart R Stock, Rachel Nauer, Patrick Strotman, Ravi Shankar, Richard Gamelli, Michael Stover, John J Callaci

Abstract read
In one paragraph

Article in Journal of orthopaedic trauma, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

  1. Review
  2. Article
  3. Craniofacial Fracture and Secretome: A Systematic Review.Plastic and reconstructive surgery. Global open · 2026
    Article
  4. Article
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  6. Article
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  13. Review
  14. Innovative Biomaterials for Bone Regrowth.International journal of molecular sciences · 2019
    Review
  15. Review
  16. Article
  17. Article
  18. 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

10 authors.

Thomas S ObermeyerDepartment of Orthopaedic Surgery and Rehabilitation, Loyola University Stritch School of Medicine, Maywood, IL, USA.
David Yonick
Kristen Lauing
Stuart R Stock
Rachel Nauer
Patrick Strotman
Ravi Shankar
Richard Gamelli
Michael Stover
John J Callaci

Funding

Classifying Binge Alcohol-Induced Bone DamageR01AA016138 · NIAAA · LOYOLA UNIVERSITY CHICAGO · PI CALLACI, JOHN J. · 2006 to 2009
$987k
NIAAA NIH HHS AA016138NIAAA NIH HHS R01 AA016138
6 · The paper itself

Abstract

objectivesClinical studies have shown alcohol to be a risk factor for traumatic orthopaedic injuries and for nonunion. Data from animal studies suggest that alcohol exposure inhibits fracture healing. This report presents a novel rodent model of impaired fracture healing caused by repeated alcohol exposure. Using this model, we examined the regenerative effects of an intravenously administered population of isolated and expanded mesenchymal stem cells (MSCs) on fracture healing.

methodsBone marrow-derived MSC were isolated from transgenic green fluorescent protein C57BL/6 mice, and culture expanded using a lineage depletion protocol. Adult wild-type C57BL/6 mice were subjected to a 2-week binge alcohol exposure paradigm (3 days during which they received daily intraperitoneal injections of a 20% alcohol/saline solution followed by a 4-day rest period and another binge cycle for 3 consecutive days). At completion of the second binge cycle, mice were subjected to a mid-shaft tibia fracture while intoxicated. Twenty-four hours after the fracture, animals were administered an intravenous transplant of green fluorescent protein-labeled MSC. Two weeks after the fracture, animals were euthanized and injured tibiae were collected and subjected to biomechanical, histologic, and microcomputed tomography analysis.

resultsPre-injury binge alcohol exposure resulted in a significant impairment in biomechanical strength and decrease in callus volume. MSC transplants restored both fracture callus volume (P < 0.05) and biomechanical strength (P < 0.05) in animals with alcohol-impaired healing. In vivo imaging demonstrated a time-dependent MSC migration to the fracture site.

conclusionsThese data suggest that a 2-week binge alcohol exposure significantly impairs fracture healing in a murine tibia fracture model. Intravenously administered MSC were capable of specifically homing to the fracture site and of normalizing biomechanical, histologic, and microcomputed tomography parameters of healing in animals exposed to alcohol. Understanding MSC recruitment patterns and functional contributions to fracture repair may lead to their use in patients with impaired fracture healing and nonunion.

Indexed as

AnimalsCompressive StrengthEthanolFracture HealingFractures, MalunitedMaleMesenchymal Stem Cell TransplantationMiceMice, Inbred C57BLTensile StrengthTibial FracturesTreatment OutcomeEthanol

Identifiers

PMID23010646
PMCPMC3645443

What OpenQuestion holds

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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.