Evidence map›Paper›PMID 33753316›Full record

ArticleActa biomaterialia2021

Nanofibrous hyaluronic acid scaffolds delivering TGF-β3 and SDF-1α for articular cartilage repair in a large animal model.

Anthony R Martin, Jay M Patel, Ryan C Locke, Michael R Eby, Kamiel S Saleh, Matthew D Davidson, Mackenzie L Sennett, Hannah M Zlotnick, Andrew H Chang, James L Carey and 2 more

Open access · greenAbstract read
In one paragraph

Article in Acta biomaterialia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  14. A bioactive supramolecular and covalent polymer scaffold for cartilage repair in a sheep model.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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  16. [Advances in clinical repair techniques for localized knee cartilage lesions].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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 2 institutions in 1 country.

Anthony R MartinMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Jay M PatelMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States; Translational Musculoskeletal Research Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, 19104, United States.
Ryan C LockeMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Michael R EbyPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Kamiel S SalehMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Matthew D DavidsonDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Mackenzie L SennettMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Hannah M ZlotnickMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States; Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Andrew H ChangPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States.
James L CareyMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Jason A BurdickDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Robert L MauckMcKay Orthopedic Research Laboratory, University of Pennsylvania, Philadelphia, PA, 19104, United States; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States; Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, 19104, United States; Translational Musculoskeletal Research Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, 19104, United States. Electronic address: lemauck@mail.med.upenn.edu.
University of Pennsylvania · USPhiladelphia VA Medical Center · US

Funding

NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Dynamic Fibrous Scaffolds for Repairing Dense Connective TissuesR01AR056624 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Jason A Burdick, Robert L Mauck · 2009 to 2026
$7.5M
Tuning the Delivery and Response of Injectable Stem Cells for Cartilage RepairIK1RX003208 · VA · VETERANS HEALTH ADMINISTRATION · PI PATEL, JAY M · 2019 to 2020
–
RR&D Senior Research Career Scientist AwardIK6RX003416 · VA · PHILADELPHIA VA MEDICAL CENTER · PI Robert L Mauck · 2020 to 2026
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NCATS NIH HHS TL1 TR001880NIAMS NIH HHS R01 AR056624RRD VA IK1 RX003208RRD VA IK6 RX003416
6 · The paper itself

Abstract

Focal cartilage injuries have poor intrinsic healing potential and often progress to osteoarthritis, a costly disease affecting almost a third of adults in the United States. To treat these patients, cartilage repair therapies often use cell-seeded scaffolds, which are limited by donor site morbidity, high costs, and poor efficacy. To address these limitations, we developed an electrospun cell-free fibrous hyaluronic acid (HA) scaffold that delivers factors specifically designed to enhance cartilage repair: Stromal Cell-Derived Factor-1α (SDF-1α; SDF) to increase the recruitment and infiltration of mesenchymal stem cells (MSCs) and Transforming Growth Factor-β3 (TGF-β3; TGF) to enhance cartilage tissue formation. Scaffolds were characterized in vitro and then deployed in a large animal model of full-thickness cartilage defect repair. The bioactivity of both factors was verified in vitro, with both SDF and TGF increasing cell migration, and TGF increasing matrix formation by MSCs. In vivo, however, scaffolds releasing SDF resulted in an inferior cartilage healing response (lower mechanics, lower ICRS II histology score) compared to scaffolds releasing TGF alone. These results highlight the importance of translation into large animal models to appropriately screen scaffolds and therapies, and will guide investigators towards alternative growth factor combinations. STATEMENT OF SIGNIFICANCE: This study addresses an area of orthopaedic medicine in which treatment options are limited and new biomaterials stand to improve patient outcomes. Those suffering from articular cartilage injuries are often destined to have early onset osteoarthritis. We have created a cell-free nanofibrous hyaluronic acid (HA) scaffold that delivers factors specifically designed to enhance cartilage repair: Stromal Cell-Derived Factor-1α (SDF-1α; SDF) to increase the recruitment and infiltration of mesenchymal stem cells (MSCs) and Transforming Growth Factor-β3 (TGF-β3; TGF) to enhance cartilage tissue formation. To our knowledge, this study is the first to evaluate such a bioactive scaffold in a large animal model and demonstrates the capacity for dual growth factor release.

Indexed as

Cartilage, ArticularNanofibersAdultAnimalsChemokine CXCL12ChondrogenesisHumansHyaluronic AcidModels, AnimalTissue ScaffoldsTransforming Growth Factor beta3Chemokine CXCL12Hyaluronic AcidTransforming Growth Factor beta3CartilageElectrospinningGrowth factorsHyaluronic acid

Identifiers

PMID33753316
PMCPMC8314069
OpenAlexW3137523727

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.