Evidence map›Paper›PMID 27048602›Full record

ArticleBMC musculoskeletal disorders2016

Stem cells and bFGF in tendon healing: Effects of lentiviral gene transfer and long-term follow-up in a rat Achilles tendon defect model.

T M Kraus, F B Imhoff, J Reinert, G Wexel, A Wolf, D Hirsch, A Hofmann, U Stöckle, S Buchmann, T Tischer and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Growth factors in the treatment of Achilles tendon injury.Frontiers in bioengineering and biotechnology · 2023
    Review
  6. Review
  7. Review
  8. In Vitro Innovation of Tendon Tissue Engineering Strategies.International journal of molecular sciences · 2020
    Review
  9. Article
  10. Article
  11. Tendon and Ligament Healing and Current Approaches to Tendon and Ligament Regeneration.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  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

14 authors at 4 institutions in 1 country.

T M KrausDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany. kraus.tobias@gmail.com.
F B ImhoffDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
J ReinertDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
G WexelDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
A WolfInstitute of Molecular Immunology/Experimental Oncology and Therapy Research, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
D HirschInstitute of Molecular Immunology/Experimental Oncology and Therapy Research, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
A HofmannDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
U StöckleBG Trauma Center, Eberhard Karls University Tübingen, Tübingen, Germany.
S BuchmannDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
T TischerDepartment of Orthopaedic Surgery, University of Rostock, Rostock, Germany.
A B ImhoffDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
S MilzAnatomische Anstalt, Ludwig Maximillians Universität, Munich, Germany.
M AntonInstitute of Molecular Immunology/Experimental Oncology and Therapy Research, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
S VogtDepartment for Sports Orthopaedics, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
Klinikum rechts der Isar · DELudwig-Maximilians-Universität München · DEUniversity of Rostock · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of stem cells and lentiviral expression of basic fibroblastic growth factor (bFGF) on tendon healing and remodelling was investigated in an in-vivo long-term (12 weeks) rat Achilles tendon defect model.

methodsIn sixty male Lewis rats, complete tendon defects (2.4 mm) were created and either left untreated (PBS) or treated by injection of stem cells lentivirally expressing the enhanced green fluorescence marker gene eGFP (MSC-LV-eGFP) or basic fibroblast growth factor bFGF (MSC-LV-bFGF). Tendons were harvested after 12 weeks and underwent biomechanical and (immuno)-histological analysis.

resultsAfter 12 weeks the mean ultimate load to failure ratio (treated side to contralateral side) in biomechanical testing reached 97 % in the bFGF-group, 103 % in the eGFP-group and 112 % in the PBS-group. Also in the stiffness testing both MSC groups did not reach the results of the PBS group. Histologically, the MSC groups did not show better results than the control group. There were clusters of ossifications found in all groups. In immunohistology, only the staining collagen-type-I was strongly increased in both MSC groups in comparison to PBS control group. However, there were no significant differences in the (immuno)-histological results between both stem cell groups.

conclusionThe biomechanical and (immuno)-histological results did not show positive effects of the MSC groups on tendon remodelling in a long-term follow-up. Interestingly, in later stages stem cells had hardly any effects on biomechanical results. This study inspires a critical and reflected use of stem cells in tendon healing.

Indexed as

Genetic VectorsMesenchymal Stem Cell TransplantationWound HealingAchilles TendonAnimalsBiomechanical PhenomenaDisease Models, AnimalFibroblast Growth Factor 2Genetic TherapyGene Transfer TechniquesLentivirusMaleMesenchymal Stem CellsRats, Inbred LewRecovery of FunctionTendon InjuriesFibroblast Growth Factor 2bFGFGrowth factorLentiviral vectorMesenchymal stem cells (MSCs)Tendon healing

Identifiers

PMID27048602
PMCPMC4822291
OpenAlexW2333953997

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.