Evidence map›Paper›PMID 30463917›Full record

ArticleScience translational medicine2018

Long-term mechanical function and integration of an implanted tissue-engineered intervertebral disc.

Sarah E Gullbrand, Beth G Ashinsky, Edward D Bonnevie, Dong Hwa Kim, Julie B Engiles, Lachlan J Smith, Dawn M Elliott, Thomas P Schaer, Harvey E Smith, Robert L Mauck

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
7.0field-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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Sarah E GullbrandTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA.ORCID 0000-0001-7806-6606
Beth G AshinskyTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA.
Edward D BonnevieTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA.
Dong Hwa KimTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA.ORCID 0000-0001-6618-3055
Julie B EngilesDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19348, USA.
Lachlan J SmithTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA.
Dawn M ElliottDepartment of Biomedical Engineering, University of Delaware, Newark, DE 19716, USA.
Thomas P SchaerDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19348, USA.ORCID 0000-0002-4340-8212
Harvey E SmithTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA. lemauck@pennmedicine.upenn.edu harvey.smith@uphs.upenn.edu.ORCID 0000-0003-0488-2541
Robert L MauckTranslational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA 19104, USA. lemauck@pennmedicine.upenn.edu harvey.smith@uphs.upenn.edu.ORCID 0000-0001-7806-6606
Philadelphia VA Medical Center · USUniversity of Pennsylvania · USUniversity of Delaware · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
Altered Mechanical Signaling in the Annulus Fibrosus in Intervertebral Disc DegenerationF32AR072478 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI BONNEVIE, EDWARD D · 2018 to 2019
$120k
Tissue Engineered Total Disc Replacement in a Large Animal ModelI01RX002274 · VA · PHILADELPHIA VA MEDICAL CENTER · PI MAUCK, ROBERT L, SMITH, HARVEY E. · 2017 to 2025
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The Role of the Endplate in Intervertebral Disc Degeneration and RegenerationIK1RX002445 · VA · PHILADELPHIA VA MEDICAL CENTER · PI GULLBRAND, SARAH E · 2018 to 2019
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Tissue-Engineered Constructs for Treatment of Intervertebral Disc DegenerationIK2RX001476 · VA · PHILADELPHIA VA MEDICAL CENTER · PI SMITH, HARVEY E. · 2015 to 2020
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NIAMS NIH HHS F32 AR072478NIAMS NIH HHS P30 AR069619RRD VA I01 RX001321RRD VA I01 RX002274RRD VA IK1 RX002445RRD VA IK2 RX001476
6 · The paper itself

Abstract

Tissue engineering holds great promise for the treatment of advanced intervertebral disc degeneration. However, assessment of in vivo integration and mechanical function of tissue-engineered disc replacements over the long term, in large animal models, will be necessary to advance clinical translation. To that end, we developed tissue-engineered, endplate-modified disc-like angle ply structures (eDAPS) sized for the rat caudal and goat cervical spines that recapitulate the hierarchical structure of the native disc. Here, we demonstrate functional maturation and integration of these eDAPS in a rat caudal disc replacement model, with compressive mechanical properties reaching native values after 20 weeks in vivo and evidence of functional integration under physiological loads. To further this therapy toward clinical translation, we implanted eDAPS sized for the human cervical disc space in a goat cervical disc replacement model. Our results demonstrate maintenance of eDAPS composition and structure up to 8 weeks in vivo in the goat cervical disc space and maturation of compressive mechanical properties to match native levels. These results demonstrate the translational feasibility of disc replacement with a tissue-engineered construct for the treatment of advanced disc degeneration.

Indexed as

Prostheses and ImplantsAnimalsBiomechanical PhenomenaGoatsIntervertebral DiscMaleProsthesis ImplantationRatsTime FactorsTissue Engineering

Identifiers

PMID30463917
PMCPMC7380504
OpenAlexW2901735136

What OpenQuestion holds

Textmetadata
LicenceTDM
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.