Evidence map›Paper›PMID 31985051›Full record

ArticleBiotechnology and bioengineering2020

Pulsed electromagnetic fields promote repair of focal articular cartilage defects with engineered osteochondral constructs.

Robert M Stefani, Sofia Barbosa, Andrea R Tan, Stefania Setti, Aaron M Stoker, Gerard A Ateshian, Ruggero Cadossi, Gordana Vunjak-Novakovic, Roy K Aaron, James L Cook and 2 more

Open access · greenAbstract read
In one paragraph

Article in Biotechnology and bioengineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  13. Advanced 3D-Printing Bioinks for Articular Cartilage Repair.International journal of bioprinting · 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

12 authors at 4 institutions in 2 countries.

Robert M StefaniDepartment of Biomedical Engineering, Columbia University, New York, NY.ORCID 0000-0001-9959-1709
Sofia BarbosaDepartment of Biomedical Engineering, Columbia University, New York, NY.
Andrea R TanDepartment of Biomedical Engineering, Columbia University, New York, NY.
Stefania SettiIGEA Clinical Biophysics, Carpi, Italy.
Aaron M StokerDepartment of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, MO.
Gerard A AteshianDepartment of Biomedical Engineering, Columbia University, New York, NY.
Ruggero CadossiIGEA Clinical Biophysics, Carpi, Italy.
Gordana Vunjak-NovakovicDepartment of Biomedical Engineering, Columbia University, New York, NY.
Roy K AaronDepartment of Orthopedics, Warren Alpert Medical School of Brown University, Providence, RI.
James L CookDepartment of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, MO.
J Chloë BulinskiDepartment of Biology, Columbia University, New York, NY.
Clark T HungDepartment of Biomedical Engineering, Columbia University, New York, NY.
Columbia University · USColumbia Orthopaedic Group · USIGEA Clinical Biophysics (Italy) · ITBrown University · US

Funding

Electrotherapeutic strategies for connective tissue repairR01AR061988 · NIAMS · TUFTS UNIVERSITY MEDFORD · PI HUNG, CLARK T., KAPLAN, DAVID L. · 2011 to 2015
$3.3M
Congressionally Directed Medical Research Programs CDMRP W81XWH-14-1-0591Johnson & Johnson Summer Research FellowshipNew York State Stem Cell Science DOH01-C30291GG-3450000NIAMS NIH HHS AR061988NIAMS NIH HHS R01 AR061988
6 · The paper itself

Abstract

Articular cartilage injuries are a common source of joint pain and dysfunction. We hypothesized that pulsed electromagnetic fields (PEMFs) would improve growth and healing of tissue-engineered cartilage grafts in a direction-dependent manner. PEMF stimulation of engineered cartilage constructs was first evaluated in vitro using passaged adult canine chondrocytes embedded in an agarose hydrogel scaffold. PEMF coils oriented parallel to the articular surface induced superior repair stiffness compared to both perpendicular PEMF (p = .026) and control (p = .012). This was correlated with increased glycosaminoglycan deposition in both parallel and perpendicular PEMF orientations compared to control (p = .010 and .028, respectively). Following in vitro optimization, the potential clinical translation of PEMF was evaluated in a preliminary in vivo preclinical adult canine model. Engineered osteochondral constructs (∅ 6 mm × 6 mm thick, devitalized bone base) were cultured to maturity and implanted into focal defects created in the stifle (knee) joint. To assess expedited early repair, animals were assessed after a 3-month recovery period, with microfracture repairs serving as an additional clinical control. In vivo, PEMF led to a greater likelihood of normal chondrocyte (odds ratio [OR]: 2.5, p = .051) and proteoglycan (OR: 5.0, p = .013) histological scores in engineered constructs. Interestingly, engineered constructs outperformed microfracture in clinical scoring, regardless of PEMF treatment (p < .05). Overall, the studies provided evidence that PEMF stimulation enhanced engineered cartilage growth and repair, demonstrating a potential low-cost, low-risk, noninvasive treatment modality for expediting early cartilage repair.

Indexed as

Electromagnetic FieldsAnimalsCartilage, ArticularCells, CulturedChondrocytesDogsMaleStifleTissue EngineeringWound Healingosteochondral repairpulsed electromagnetic fieldstissue engineering

Identifiers

PMID31985051
PMCPMC8845061
OpenAlexW3001076621

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.