Evidence map›Paper›PMID 27942591›Full record

ArticleJCI insight2016

mTOR inhibition and BMP signaling act synergistically to reduce muscle fibrosis and improve myofiber regeneration.

Shailesh Agarwal, David Cholok, Shawn Loder, John Li, Christopher Breuler, Michael T Chung, Hsiao Hsin Sung, Kavitha Ranganathan, Joe Habbouche, James Drake and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  4. Fibroblasts in heterotopic ossification: mechanisms and therapeutic targets.International journal of biological sciences · 2025
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  14. Methods for the reliable induction of heterotopic ossification in the conditionalJournal of musculoskeletal & neuronal interactions · 2020
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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

15 authors at 2 institutions in 1 country.

Shailesh AgarwalDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
David CholokDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Shawn LoderDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
John LiDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Christopher BreulerDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Michael T ChungDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Hsiao Hsin SungDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Kavitha RanganathanDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Joe HabboucheDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
James DrakeDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Joshua PetersonDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Caitlin PriestDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Shuli LiDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
Yuji MishinaSchool of Dentistry, University of Michigan, Ann Arbor, Michigan, USA.
Benjamin LeviDepartment of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA.
University of Michigan–Ann Arbor · USMichigan Medicine · US

Funding

TRAINING PROGRAM IN ORGANOGENESIST32HD007505 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PASCA DI MAGLIANO, MARINA, SPENCE, JASON · 1997 to 2021
$6.9M
Molecular pathogenesis of craniosynostosis caused by enhanced BMP signalingR01DE020843 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MISHINA, YUJI · 2010 to 2019
$4.9M
Novel Pathway and Prevention Strategy for Heterotopic OssificationK08GM109105 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVI, BENJAMIN · 2014 to 2017
$785k
Targeting Heterotopic Ossification Induced Joint Contractures Before They Occur Through Early Detection and Angiogenic InhibitionF32AR068902 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RANGANATHAN, KAVITHA · 2015 to 2016
$116k
Howard Hughes Medical InstituteNIAMS NIH HHS F32 AR068902NICHD NIH HHS T32 HD007505NIDCR NIH HHS R01 DE020843NIGMS NIH HHS K08 GM109105
6 · The paper itself

Abstract

Muscle trauma is highly morbid due to intramuscular scarring, or fibrosis, and muscle atrophy. Studies have shown that bone morphogenetic proteins (BMPs) reduce muscle atrophy. However, increased BMP signaling at muscle injury sites causes heterotopic ossification, as seen in patients with fibrodysplasia ossificans progressiva (FOP), or patients with surgically placed BMP implants for bone healing. We use a genetic mouse model of hyperactive BMP signaling to show the development of intramuscular fibrosis surrounding areas of ectopic bone following muscle injury. Rapamycin, which we have previously shown to eliminate ectopic ossification in this model, also eliminates fibrosis without reducing osteogenic differentiation, suggesting clinical value for patients with FOP and with BMP implants. Finally, we use reporter mice to show that BMP signaling is positively associated with myofiber cross-sectional area. These findings underscore an approach in which 2 therapeutics (rapamycin and BMP ligand) can offset each other, leading to an improved outcome.

Indexed as

Signal TransductionAnimalsBone Morphogenetic ProteinsCell DifferentiationCells, CulturedFibroblastsFibrosisHumansMiceMice, TransgenicMuscle, SkeletalMyositis OssificansOssification, HeterotopicOsteogenesisRegenerationSirolimusBone Morphogenetic ProteinsmTOR protein, mouseSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID27942591
PMCPMC5135269
OpenAlexW2560619997

What OpenQuestion holds

Textmetadata
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.