Evidence map›Paper›PMID 30334888›Full record

ArticleThe Journal of bone and joint surgery. American volume2018

Primary Cells Isolated from Human Knee Cartilage Reveal Decreased Prevalence of Progenitor Cells but Comparable Biological Potential During Osteoarthritic Disease Progression.

V P Mantripragada, W A Bova, C Boehm, N S Piuzzi, N A Obuchowski, R J Midura, G F Muschler

Abstract readComparative Study
In one paragraph

Article in The Journal of bone and joint surgery. American volume, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-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

10 citing papers in PubMed, 35 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

V P MantripragadaDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
W A BovaDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
C BoehmDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
N S PiuzziDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
N A ObuchowskiDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
R J MiduraDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
G F MuschlerDepartment of Biomedical Engineering, Lerner Research Institute (V.P.M., W.A.B., C.B., N.S.P., R.J.M., and G.F.M.), and Departments of Orthopedic Surgery (N.S.P. and G.F.M.) and Quantitative Health Science (N.A.O.), Cleveland Clinic, Cleveland, Ohio.
Cleveland Clinic Lerner College of Medicine · USHospital Italiano de Buenos Aires · AR

Funding

The Epidemiology of Human Chondrogenic Progenitor CellsR01AR063733 · NIAMS · CLEVELAND CLINIC LERNER COM-CWRU · PI MUSCHLER, GEORGE F · 2013 to 2016
$2.5M
NIAMS NIH HHS R01 AR063733
6 · The paper itself

Abstract

backgroundCurrent decisions on cellular therapies for osteoarthritis are based primarily on clinical experience or on assumptions about preferred cell sourcing. They have not been informed by rigorous standardized measurements of the chondrogenic connective-tissue progenitors (CTP-Cs) or their intrinsic diversity of chondrogenic potential. The goal of this study was to quantitatively define the CTP-Cs resident in cartilage of different grades of osteoarthritis and to compare their concentration, prevalence, and biological potential.

methodsTwenty-three patients who had varus malalignment of the knee and were scheduled to undergo elective total knee arthroplasty for idiopathic osteoarthritis and who had grade 1-2 osteoarthritis on the lateral femoral condyle and grade 3-4 osteoarthritis on the medial femoral condyle were recruited for study of the cartilage removed during surgery. CTP-Cs were assayed by a standardized colony-forming-unit assay using automated image-analysis software based on ASTM standard test method F2944-12.

resultsCell concentration was significantly greater (p < 0.001) in grade 3-4 cartilage than in grade 1-2 cartilage. The prevalence of CTP-Cs varied widely, but it trended lower in grade 3-4 cartilage than in grade 1-2 samples (p = 0.078). The biological performance of CTP-Cs from grade 1-2 and grade 3-4 cartilage was comparable. Increased cell concentration was a significant predictor of decreased CTP-C prevalence (p = 0.002).

conclusionsAlthough grade 3-4 cartilage showed fewer CTP-Cs than grade 1-2 cartilage, the range of biological performance was comparable, which suggests that either may be used as a source for potent CTP-Cs. However, the biological reason for the heterogeneity of CTP-Cs in cartilage and the biological implications of that heterogeneity are not well understood and require further study. CLINICAL RELEVANCE: In order to improve the efficacy of cartilage cell therapy procedures, it is key to characterize the quality and quantity of the cells and progenitors being administered. Additionally, understanding the heterogeneity in order to select appropriate subsets of populations will improve the rigor of decisions concerning cell sourcing and targeting for pharmacological and cellular therapies.

Indexed as

AdultAgedCartilage, ArticularCell- and Tissue-Based TherapyCells, CulturedDisease ProgressionFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneeStem Cells

Identifiers

PMID30334888
PMCPMC6636794
OpenAlexW2897566648

What OpenQuestion holds

Textmetadata
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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.