Evidence map›Paper›PMID 30237713›Full record

ArticleInternational journal of nanomedicine2018

A novel bacterial cellulose membrane immobilized with human umbilical cord mesenchymal stem cells-derived exosome prevents epidural fibrosis.

Bo Wang, Peng Li, Lei Shangguan, Jun Ma, Kezheng Mao, Quan Zhang, Yiguo Wang, Zhongyang Liu, Keya Mao

Abstract read
In one paragraph

Article in International journal of nanomedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Antifibrotic Effect ofPolymers · 2021
    Article
  15. Bacterial Cellulose Membrane ContainingInternational journal of molecular sciences · 2021
    Article
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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.

Bo WangDepartment of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China, lzy_westlife@163.com, maokeya@sina.com.
Peng LiDepartment of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China, lzy_westlife@163.com, maokeya@sina.com.
Lei ShangguanDepartment of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China, lzy_westlife@163.com.
Jun MaDepartment of Orthopedics Trauma Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, China.
Kezheng MaoDepartment of Orthopedics, Orthopedics Hospital of Zhengzhou City, Zhengzhou, Henan, 450052, China.
Quan ZhangDepartment of Orthopedics, People's Hospital of Tianjin City, Tianjin, 300121, China.
Yiguo WangDepartment of Orthopedics, Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210000, China.
Zhongyang LiuDepartment of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China, lzy_westlife@163.com, maokeya@sina.com.
Keya MaoDepartment of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China, lzy_westlife@163.com, maokeya@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFailed back surgery syndrome is a situation where there is failure after lumbar surgery aimed at correcting lumbar disease that is characterized by continuous back and/or leg pain. Epidural fibrosis and adhesions are among the major causes of failed back surgery syndrome. In recent years, several biomaterials have been applied as barriers or deterrents to prevent the compression of neural structures by postsurgical fibrosis.

methodsIn this study, a new bacterial cellulose (BC) anti-adhesion membrane, composed of exosomes from human umbilical cord mesenchymal stem cells, was developed. Its structure and morphology, water content, thickness, and mechanical properties of elasticity were analyzed and characterized. The degradation of the BC+exosomes (BC+Exos) membrane in vitro was evaluated, and its in vitro cytotoxicity and in vivo biocompatibility were tested. The prevention effect of BC+Exos membrane on epidural fibrosis post-laminectomy in a rabbit model was investigated.

resultsThe BC+Exos membrane showed a three-dimensional network structure constituted of high-purity cellulose and moderate mechanical properties. No degeneration was observed. The BC+Exos membrane showed no cytotoxicity and displayed biocompatibility in vivo. The BC+Exos film was able to inhibit epidural fibrosis and peridural adhesions.

conclusionBased on the current findings, the BC+Exos membrane is a promising material to prevent postoperative epidural fibrosis and adhesion.

Indexed as

AnimalsBiocompatible MaterialsCell LineCelluloseEpidural SpaceExosomesFibrosisGene Expression RegulationHumansMagnetic Resonance ImagingMembranes, ArtificialMesenchymal Stem CellsMiceRabbitsRNA, MessengerTissue AdhesionsBiocompatible MaterialsCelluloseMembranes, ArtificialRNA, Messengeradhesionbacterial celluloseepidural fibrosisexosomefailed back surgery syndromehuman umbilical cord mesenchymal stem cell

Identifiers

PMID30237713
PMCPMC6136916

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.