Evidence map›Paper›PMID 33407698›Full record

ArticleJournal of orthopaedic surgery and research2021

Homoharringtonine inhibits fibroblasts proliferation, extracellular matrix production and reduces surgery-induced knee arthrofibrosis via PI3K/AKT/mTOR pathway-mediated apoptosis.

Yu Sun, Jihang Dai, Rui Jiao, Qing Jiang, Jingcheng Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 18 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

5 authors at 3 institutions in 1 country.

Yu SunDepartment of Orthopedics, Clinical medical college of Yangzhou University, Northern Jiangsu People's Hospital, Yangzhou, 225001, Jiangsu, China.
Jihang DaiDalian medical university, Dalian, 116044, Liaoning, China.
Rui JiaoDepartment of Orthopedics, Clinical medical college of Yangzhou University, Northern Jiangsu People's Hospital, Yangzhou, 225001, Jiangsu, China.
Qing JiangSchool of Medicine, Nanjing University, Nanjing, 210008, Jiangsu, China. qingj@nju.edu.cn.
Jingcheng WangDepartment of Orthopedics, Clinical medical college of Yangzhou University, Northern Jiangsu People's Hospital, Yangzhou, 225001, Jiangsu, China. jingchengwangyz@163.com.
Northern Jiangsu People's Hospital · CNDalian Medical University · CNNanjing University · CN

Funding

Jiangsu Provincial 333 Project Foundation BRA2018194Jiangsu Provincial Medical Innovation Team CXTDB2017004Jiangsu Provincial Medical Youth Talent QNRC2016343National Natural Science Foundation of China 81772331National Natural Science Foundation of China 81772332Postdoctoral Research Foundation of China 2016M590431Six Talent Peaks Project in Jiangsu Province (CN) 2015-WSN-108Social Development Projects of Yangzhou Science and Technology Bureau YZ2017073
6 · The paper itself

Abstract

backgroundThe prevention of surgery-induced intraarticular fibrosis remains a challenge following orthopedic surgery. Homoharringtonine (HHT) has been reported to have positive effects in preventing various kinds of fibrosis. However, little is known regarding its effect as well as the potential mechanism of HHT in preventing surgery-induced intraarticular fibrosis.

methodsVarious concentrations of HHTs were locally applied in vivo to reduce knee intraarticular fibrosis in rabbits. Histological macroscopic assessments such as hematoxylin and eosin (HE) staining, Masson's trichrome staining, and Picric-sirius red polarized light were used to evaluate the effect of HHT in reducing intraarticular fibrosis. CCK-8, cell cycle assay, and EdU incorporation assay were used in vitro to detect HHT's effect on inhibiting fibroblast viability and proliferation. The effect of HHT on fibroblast differentiation, extracellular matrix production, and apoptosis were evaluated by western blot, flow cytometry, immunofluorescent staining, and TUNEL analysis. Moreover, the expressions of PI3K/AKT/mTOR signaling pathway were detected.

resultsThe results demonstrated that HHT could reduce the formation of intraarticular fibrosis. HHT was also found to induce fibroblast apoptotic cell death in a dose- and time-dependent manner in vitro. Moreover, HHT could effectively inhibit the production of the extracellular matrix secreted by fibroblasts and inhibited the expression of p-PI3K, p-AKT, and p-mTOR in a dose-dependent manner. After treating with insulin-like growth factor-1 (IGF-1), an activator of the PI3K/AKT axis, the expressions of pro-apoptosis-related proteins were decreased, and the fibroblast apoptosis rate was also inhibited.

conclusionsIn conclusion, this study demonstrated that HHT could reduce the formation of intraarticular fibrosis through the inhibition of fibroblast proliferation, extracellular matrix production, and the induction of fibroblast apoptotic cell death. Furthermore, its potential mechanism may be through the suppression of the PI3K/AKT/mTOR signaling pathway.

Indexed as

ApoptosisCell LineCell ProliferationDepression, ChemicalExtracellular MatrixFibroblastsFibrosisHomoharringtonineHumansKnee JointPhosphatidylinositol 3-KinasesPostoperative ComplicationsProto-Oncogene Proteins c-aktSignal TransductionTOR Serine-Threonine KinasesHomoharringtonineMTOR protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesFibroblast apoptosisFibroblasts proliferationHomoharringtonineIntraarticular fibrosisPI3K/AKT/mTOR signaling pathway

Identifiers

PMID33407698
PMCPMC7789651
OpenAlexW3118884673

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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.