Evidence map›Paper›PMID 30038250›Full record

ArticleScientific reports2018

The effect of adipose-derived stem cell sheets and CTGF on early flexor tendon healing in a canine model.

Hua Shen, Rohith Jayaram, Susumu Yoneda, Stephen W Linderman, Shelly E Sakiyama-Elbert, Younan Xia, Richard H Gelberman, Stavros Thomopoulos

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.0field-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

31 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Journal of orthopaedic translation · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. The effects of NF-κB suppression on the early healing response following intrasynovial tendon repair in a canine model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  12. Review
  13. Recent advances in tendon tissue engineering strategy.Frontiers in bioengineering and biotechnology · 2023
    Review
  14. Article
  15. Review
  16. The use of connective tissue growth factor mimics for flexor tendon repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  17. Article
  18. Oxo-M and 4-PPBP DeliveryFrontiers in bioengineering and biotechnology · 2022
    Article
  19. Comparison of Tendon Development Versus Tendon Healing and Regeneration.Frontiers in cell and developmental biology · 2022
    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

8 authors at 4 institutions in 2 countries.

Hua ShenDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
Rohith JayaramDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
Susumu YonedaDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
Stephen W LindermanDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.ORCID 0000-0002-1797-5870
Shelly E Sakiyama-ElbertDepartment of Biomedical Engineering, University of Texas, Austin, TX, USA.ORCID 0000-0003-4832-5851
Younan XiaDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Richard H GelbermanDepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, USA. gelberman@wudosis.wustl.edu.
Stavros ThomopoulosDepartment of Orthopedic Surgery, Department of Biomedical Engineering, Columbia University, New York, NY, USA. sat2@columbia.edu.ORCID 0000-0003-1531-4849
Washington University in St. Louis · USColumbia University · USGeorgia Institute of Technology · USThe University of Texas at Austin · US

Funding

The Role of the Osteoblast Secretome in Bone FormationP30AR057235 · NIAMS · WASHINGTON UNIVERSITY · PI ORNITZ, DAVID M · 2009 to 2018
$5.7M
Enhanced Tendon Healing Through Growth Factor and Cell TherapiesR01AR062947 · NIAMS · WASHINGTON UNIVERSITY · PI GELBERMAN, RICHARD H, THOMOPOULOS, STAVROS · 2012 to 2022
$5.5M
Skeletal Disorders Training ProgramT32AR060719 · NIAMS · WASHINGTON UNIVERSITY · PI Roberto Civitelli · 2011 to 2026
$4.6M
Improved orthopaedic repairs through mechanically optimized, adhesive biomaterialsF30AR069491 · NIAMS · WASHINGTON UNIVERSITY · PI LINDERMAN, STEPHEN W · 2016 to 2018
$140k
NIAMS NIH HHS P30 AR057235NIAMS NIH HHS R01 AR062947NIAMS NIH HHS T32 AR060719
6 · The paper itself

Abstract

Intrasynovial tendon injuries are among the most challenging in orthopedics. Despite significant improvements in operative and rehabilitation methods, functional outcomes continue to be limited by adhesions, gap formation, and rupture. Adhesions result from excessive inflammation, whereas tendon gapping and rupture result from inflammation-induced matrix degradation and insufficient regeneration. Therefore, this study used a combined treatment approach to modulate inflammation with adipose-derived mesenchymal stromal cells (ASCs) while stimulating tendon regeneration with connective tissue growth factor (CTGF). ASCs were applied to the repair surface via cell sheets and CTGF was delivered to the repair center via porous sutures. The effect of the combined treatment was assessed fourteen days after repair in a canine flexor tendon injury model. CTGF, either alone or with ASCs, reduced inflammatory (IL1B and IL6) and matrix degrading (MMP3 and MMP13) gene expression, while increasing anti-inflammatory gene (IL4) expression and collagen synthesis compared to control repairs. The combined treatment was more effective than CTGF treatment alone, reducing the inflammatory IFNG and scar-associated COL3A1 gene expression and increasing CD146

Indexed as

Mesenchymal Stem Cell TransplantationWound HealingAnimalsCell DifferentiationCell ProliferationConnective Tissue Growth FactorDisease Models, AnimalDogsExtracellular MatrixFemaleInflammationMesenchymal Stem CellsPorositySuturesTendonsConnective Tissue Growth Factor

Identifiers

PMID30038250
PMCPMC6056475
OpenAlexW2883501038

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.