Evidence map›Paper›PMID 27068389›Full record

ArticleJournal of shoulder and elbow surgery2016

Inhibition of p38 mitogen-activated protein kinase signaling reduces fibrosis and lipid accumulation after rotator cuff repair.

Jeffrey M Wilde, Jonathan P Gumucio, Jeremy A Grekin, Dylan C Sarver, Andrew C Noah, David G Ruehlmann, Max E Davis, Asheesh Bedi, Christopher L Mendias

Abstract read
In one paragraph

Article in Journal of shoulder and elbow surgery, 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
5.3field-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, 34 citations in OpenAlex.

  1. Review
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  7. Supraspinatus muscle architecture and physiology in a rabbit model of tenotomy and repair.Journal of applied physiology (Bethesda, Md. : 1985) · 2021
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  11. The MRL/MpJ Mouse Strain Is Not Protected From Muscle Atrophy and Weakness After Rotator Cuff Tear.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Article
  12. Transcriptomic Analysis of Cellular Pathways in Healing Flexor Tendons of Plasminogen Activator Inhibitor 1 (PAI-1/Serpine1) Null Mice.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Article
  13. Reduced mitochondrial lipid oxidation leads to fat accumulation in myosteatosis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
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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

9 authors at 1 institution in 1 country.

Jeffrey M WildeDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Jonathan P GumucioDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Molecular and Integrative Physiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Jeremy A GrekinDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Dylan C SarverDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Andrew C NoahDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
David G RuehlmannDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Max E DavisDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Asheesh BediDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Christopher L MendiasDepartment of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Molecular and Integrative Physiology, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address: cmendias@umich.edu.
University of Michigan · US

Funding

Sex Differences in Tendon Growth and RemodelingR01AR063649 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RODEO, SCOTT A · 2013 to 2022
$3.6M
Fatty Macrophage Regulation of Atrophy and Inflammation in Rotator Cuff TearsF31AR065931 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GUMUCIO, JONATHAN PAUL · 2014 to 2016
$103k
NIAMS NIH HHS F31 AR065931NIAMS NIH HHS R01 AR063649
6 · The paper itself

Abstract

backgroundThe repair of rotator cuff tears is often complicated by fatty degeneration, which is the combination of lipid accumulation, fibrosis, inflammation, and muscle weakness. A signaling molecule that plays a central role in these processes is p38 mitogen-activated protein kinase (MAPK). The purpose of this study was to evaluate the ability of a small molecule inhibitor of p38 MAPK, SB203580, to reduce fatty degeneration in a preclinical model of rotator cuff injury and repair. MATERIALS AND

methodsAdult rats underwent a bilateral supraspinatus tenotomy that was repaired 30 days later. Rats were treated with SB203580 or vehicle every 2 days, with injections beginning 3 days before surgery and continuing until 7 days after surgery. Two weeks after surgical repair, muscles were analyzed using histology, lipid profiling, gene expression, and permeabilized muscle fiber contractility.

resultsInhibition of p38 MAPK resulted in a nearly 49% reduction in fat accumulation and a 29% reduction in collagen content, along with changes in corresponding genes regulating adipogenesis and matrix accumulation. There was also a marked 40% to 80% decrease in the expression of several proinflammatory genes, including IL1B, IL6, and COX2, and a 360% increase in the anti-inflammatory gene IL10. No differences were observed for muscle fiber force production.

conclusionInhibition of p38 MAPK was found to result in a significant decrease in intramuscular lipid accumulation and fibrosis that is usually seen in the degenerative cascade of rotator cuff tears, without having negative effects on the contractile properties of the rotator cuff muscle tissue.

Indexed as

AnimalsCyclooxygenase 2Enzyme InhibitorsFibrosisImidazolesInterleukin-10Interleukin-1betaInterleukin-6Lipid MetabolismModels, Animalp38 Mitogen-Activated Protein KinasesPyridinesRats, Sprague-DawleyRNARotator CuffCyclooxygenase 2Enzyme InhibitorsIL1B protein, ratImidazolesInterleukin-10Interleukin-1betaInterleukin-6p38 Mitogen-Activated Protein KinasesPtgs2 protein, ratPyridinesRNASB 203580atrophyFatty degenerationfibrosisinflammationmyosteatosisp38 MAPKrotator cuff

Identifiers

PMID27068389
PMCPMC4992438
OpenAlexW2318349718

What OpenQuestion holds

Textmetadata
LicenceTDM
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.