Evidence map›Paper›PMID 28186682›Full record

ArticleStem cells translational medicine2017

Repair of Torn Avascular Meniscal Cartilage Using Undifferentiated Autologous Mesenchymal Stem Cells: From In Vitro Optimization to a First-in-Human Study.

Michael R Whitehouse, Nicholas R Howells, Michael C Parry, Eric Austin, Wael Kafienah, Kyla Brady, Allen E Goodship, Jonathan D Eldridge, Ashley W Blom, Anthony P Hollander

Open access · goldAbstract read
In one paragraph

Article in Stem cells translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
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  12. Article
  13. Biologic Augmentation of Isolated Meniscal Repair.Current reviews in musculoskeletal medicine · 2024
    Review
  14. Article
  15. Article
  16. [Research progress of knee meniscal repair techniques].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
  17. Allografts for partial meniscus repair: anFrontiers in bioengineering and biotechnology · 2023
    Article
  18. The Current Role of Biologics for Meniscus Injury and Treatment.Current reviews in musculoskeletal medicine · 2022
    Review
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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

10 authors at 6 institutions in 1 country.

Michael R WhitehouseMusculoskeletal Research Unit, School of Clinical Sciences.
Nicholas R HowellsMusculoskeletal Research Unit, School of Clinical Sciences.
Michael C ParryMusculoskeletal Research Unit, School of Clinical Sciences.
Eric AustinCMT Laboratory, NHS Blood and Transplant, Speke, Liverpool, United Kingdom.
Wael KafienahSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, United Kingdom.
Kyla BradyInstitute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom.
Allen E GoodshipInstitute of Orthopaedics, University College London, United Kingdom.
Jonathan D EldridgeAvon Orthopaedic Centre, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom.
Ashley W BlomMusculoskeletal Research Unit, School of Clinical Sciences.
Anthony P HollanderInstitute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom.
North Bristol NHS Trust · GBUniversity of Liverpool · GBNHS Blood and Transplant · GBRoyal Orthopaedic Hospital · GBUniversity College London · GBUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meniscal cartilage tears are common and predispose to osteoarthritis (OA). Most occur in the avascular portion of the meniscus where current repair techniques usually fail. We described previously the use of undifferentiated autologous mesenchymal stem cells (MSCs) seeded onto a collagen scaffold (MSC/collagen-scaffold) to integrate meniscal tissues in vitro. Our objective was to translate this method into a cell therapy for patients with torn meniscus, with the long-term goal of delaying or preventing the onset of OA. After in vitro optimization, we tested an ovine-MSC/collagen-scaffold in a sheep meniscal cartilage tear model with promising results after 13 weeks, although repair was not sustained over 6 months. We then conducted a single center, prospective, open-label first-in-human safety study of patients with an avascular meniscal tear. Autologous MSCs were isolated from an iliac crest bone marrow biopsy, expanded and seeded into the collagen scaffold. The resulting human-MSC/collagen-scaffold implant was placed into the meniscal tear prior to repair with vertical mattress sutures and the patients were followed for 2 years. Five patients were treated and there was significant clinical improvement on repeated measures analysis. Three were asymptomatic at 24 months with no magnetic resonance imaging evidence of recurrent tear and clinical improvement in knee function scores. Two required subsequent meniscectomy due to retear or nonhealing of the meniscal tear at approximately 15 months after implantation. No other adverse events occurred. We conclude that undifferentiated MSCs could provide a safe way to augment avascular meniscal repair in some patients. Registration: EU Clinical Trials Register, 2010-024162-22. Stem Cells Translational Medicine 2017;6:1237-1248.

Indexed as

AnimalsCartilage DiseasesCell- and Tissue-Based TherapyCells, CulturedFemaleHumansIn Vitro TechniquesMenisci, TibialMesenchymal Stem CellsSheepTibial Meniscus InjuriesTissue EngineeringTissue ScaffoldsWound HealingCell therapyMeniscal cartilageMesenchymal stem cellsTissue engineering

Identifiers

PMID28186682
PMCPMC5442845
OpenAlexW2591511172

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.