Evidence map›Paper›PMID 25210571›Full record

ArticleEplasty2014

Sustained release of amnion-derived cellular cytokine solution facilitates achilles tendon healing in rats.

Maximilian Kueckelhaus, Justin Philip, Rami A Kamel, Jose A Canseco, Florian Hackl, Elizabeth Kiwanuka, Mi J Kim, Ryan Wilkie, Edward J Caterson, Johan P E Junker and 1 more

Open access · greenAbstract read
In one paragraph

Article in Eplasty, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 20% of its field
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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Amniotic Product Treatments: Clinical and Basic Science Evidence.Current reviews in musculoskeletal medicine · 2020
    Review
  6. Article
  7. Article
  8. Cell-based approaches for augmentation of tendon repair.Techniques in shoulder & elbow surgery · 2017
    Article
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

11 authors at 2 institutions in 2 countries.

Maximilian KueckelhausDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Justin PhilipDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Rami A KamelDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Jose A CansecoLaboratory for Tissue Engineering and Regenerative Medicine, Department of Anesthesiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass ; Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, Mass.
Florian HacklDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Elizabeth KiwanukaDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Mi J KimDepartment of Ophthalmology, Edward S Harkness Eye Institute, Columbia University College of Physicians and Surgeons, New York, Ny.
Ryan WilkieDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Edward J CatersonDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Johan P E JunkerDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Elof ErikssonDivision of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Brigham and Women's Hospital · USColumbia College · CA

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
NIGMS NIH HHS T32 GM007753
6 · The paper itself

Abstract

objectiveIn the United States, around 50% of all musculoskeletal injuries are soft tissue injuries including ligaments and tendons. The objective of this study is to assess the role of amnion-derived cellular cytokine solution (ACCS) in carboxy-methyl cellulose (CMC) gel in the healing of Achilles tendon in a rat model, and to examine its effects on mechanical properties and collagen content.

methodsAchilles tendons of Sprague-Dawley rats were exposed and transected. The distal and proximal ends were injected with either saline or ACCS in CMC, in a standardized fashion, and then sutured using a Kessler technique. Tendons from both groups were collected at 1, 2, 4, 6, and 8 weeks postoperatively and assessed for material properties. Collagen studies were performed, including collagen content, collagen cross-linking, tendon hydration, and immunohistochemistry. Tendons were also evaluated histologically for cross-sectional area.

resultsMechanical testing demonstrated that treatment with ACCS in CMC significantly enhances breaking strength, ultimate tensile strength, yield strength, and Young's modulus in the tendon repair at early time points. In context, collagen content, as well as collagen cross-linking, was also significantly affected by the treatment.

conclusionThe application of ACCS in CMC has a positive effect on healing tendons by improving mechanical properties at early time points. Previous studies on onetime application of ACCS (not in CMC) did not show significant improvement on tendon healing at any time point. Therefore, the delivery in a slow release media like CMC seems to be essential for the effects of ACCS demonstrated in this study.

Indexed as

Achilles tendonamnion-derived cytokine solutionmaterial testingsustained releasetendon healing

Identifiers

PMID25210571
PMCPMC4124919
OpenAlexW1878030634

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.