Evidence map›Paper›PMID 26173400›Full record

ArticleStem cells (Dayton, Ohio)2015

Brief Report: Human Perivascular Stem Cells and Nel-Like Protein-1 Synergistically Enhance Spinal Fusion in Osteoporotic Rats.

Soonchul Lee, Xinli Zhang, Jia Shen, Aaron W James, Choon G Chung, Reef Hardy, Chenshuang Li, Caroline Girgius, Yulong Zhang, David Stoker and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Stem cells (Dayton, Ohio), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

32 citing papers in PubMed, 53 citations in OpenAlex.

  1. NELL-1: role and mechanisms in disease pathogenesis and development.Frontiers in cell and developmental biology · 2026
    Review
  2. Role of NEL‑like molecule‑1 in osteogenesis/chondrogenesis (Review).International journal of molecular medicine · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Genetically modified mesenchymal stem cells promote spinal fusion through polarized macrophages.Laboratory investigation; a journal of technical methods and pathology · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Frontiers in surgery · 2020
    Article
  15. Article
  16. Review
  17. Perivascular Mesenchymal Progenitors for Bone Regeneration.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019
    Review
  18. Article
  19. Article
  20. 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

15 authors at 5 institutions in 4 countries.

Soonchul LeeDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Gyeonggi-do, Republic of Korea.
Xinli ZhangDivision of Growth and Development, School of Dentistry, University of California, Los Angeles, California, USA.
Jia ShenDivision of Growth and Development, School of Dentistry, University of California, Los Angeles, California, USA.
Aaron W JamesDepartment of Pathology and Laboratory Medicine, University of California, Los Angeles, California, USA.
Choon G ChungDivision of Growth and Development, School of Dentistry, University of California, Los Angeles, California, USA.
Reef HardyUCLA and Orthopaedic Hospital Department of Orthopaedic Surgery and the Orthopaedic Hospital Research Center, University of California, Los Angeles, California, USA.
Chenshuang LiDivision of Growth and Development, School of Dentistry, University of California, Los Angeles, California, USA.
Caroline GirgiusDivision of Growth and Development, School of Dentistry, University of California, Los Angeles, California, USA.
Yulong ZhangDepartment of Bioengineering, University of California, Los Angeles, California, USA.
David StokerMarina Plastic Surgery Associates, Marina del Rey, California, USA.
Huiming WangAffiliated Hospital of Stomatology, Medical College, Zhejiang University, Hangzhou, People's Republic of China.
Benjamin M WuUCLA and Orthopaedic Hospital Department of Orthopaedic Surgery and the Orthopaedic Hospital Research Center, University of California, Los Angeles, California, USA.
Bruno PeaultUCLA and Orthopaedic Hospital Department of Orthopaedic Surgery and the Orthopaedic Hospital Research Center, University of California, Los Angeles, California, USA.
Kang TingUCLA and Orthopaedic Hospital Department of Orthopaedic Surgery and the Orthopaedic Hospital Research Center, University of California, Los Angeles, California, USA.
Chia SooUCLA and Orthopaedic Hospital Department of Orthopaedic Surgery and the Orthopaedic Hospital Research Center, University of California, Los Angeles, California, USA.
University of California, Los Angeles · USOrthopaedic Hospital · USCHA University · KRMarina Del Rey Hospital · USZhejiang University Medical College Affiliated Stomatological Hospital · CN

Funding

NELL-1 Systemic Therapy for OsteoporosisR01AR066782 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EASLEY, JEREMIAH, TING, KANG · 2014 to 2018
$2.0M
Wnt and PPARy Signaling in Nell-1 and BMP2 Mediated Bone RegenerationR01AR061399 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SOO, CHIA · 2012 to 2016
$1.7M
Medical Research Council G1000816NIAMS NIH HHS AR066782-01NIAMS NIH HHS R01 AR061399NIAMS NIH HHS R01 AR061399-01A1NIAMS NIH HHS R01 AR066782
6 · The paper itself

Abstract

Autologous bone grafts (ABGs) are considered as the gold standard for spinal fusion. However, osteoporotic patients are poor candidates for ABGs due to limited osteogenic stem cell numbers and function of the bone microenvironment. There is a need for stem cell-based spinal fusion of proven efficacy under either osteoporotic or nonosteoporotic conditions. The purpose of this study is to determine the efficacy of human perivascular stem cells (hPSCs), a population of mesenchymal stem cells isolated from adipose tissue, in the presence and absence of NELL-1, an osteogenic protein, for spinal fusion in the osteoporosis. Osteogenic differentiation of hPSCs with and without NELL-1 was tested in vitro. The results indicated that NELL-1 significantly increased the osteogenic potential of hPSCs in both osteoporotic and nonosteoporotic donors. Next, spinal fusion was performed by implanting scaffolds with regular or high doses of hPSCs, with or without NELL-1 in ovariectomized rats (n = 41). Regular doses of hPSCs or NELL-1 achieved the fusion rates of only 20%-37.5% by manual palpation. These regular doses had previously been shown to be effective in nonosteoporotic rat spinal fusion. Remarkably, the high dose of hPSCs+NELL-1 significantly improved the fusion rates among osteoporotic rats up to approximately 83.3%. Microcomputed tomography imaging and quantification further confirmed solid bony fusion with high dose hPSCs+NELL-1. Finally, histologically, direct in situ involvement of hPSCs in ossification was shown using undecalcified samples. To conclude, hPSCs combined with NELL-1 synergistically enhances spinal fusion in osteoporotic rats and has great potential as a novel therapeutic strategy for osteoporotic patients.

Indexed as

Mesenchymal Stem Cell TransplantationAnimalsCell DifferentiationDisease Models, AnimalHumansMesenchymal Stem CellsNerve Tissue ProteinsOsteogenesisOsteoporosisRatsSpinal FusionNell1 protein, ratNerve Tissue ProteinsBone morphogenetic protein-2NEL-like protein-1OsteoporosisPerivascular stem cellsSpinal fusion

Identifiers

PMID26173400
PMCPMC4831713
OpenAlexW1927718608

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Registered trials

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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.