Evidence map›Paper›PMID 34186237›Full record

ArticleBiomaterials2021

The efficacy of lapine preconditioned or genetically modified IL4 over-expressing bone marrow-derived mesenchymal stromal cells in corticosteroid-associated osteonecrosis of the femoral head in rabbits.

Masahiro Maruyama, Seyedsina Moeinzadeh, Roberto Alfonso Guzman, Ning Zhang, Hunter W Storaci, Takeshi Utsunomiya, Elaine Lui, Elijah Ejun Huang, Claire Rhee, Qi Gao and 4 more

Open access · greenAbstract read
In one paragraph

Article in Biomaterials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. [Advances in application of hydrogels for treatment of osteonecrosis of the femoral head].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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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

14 authors at 3 institutions in 2 countries.

Masahiro MaruyamaDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Seyedsina MoeinzadehDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Roberto Alfonso GuzmanDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Ning ZhangDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Hunter W StoraciDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Takeshi UtsunomiyaDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Elaine LuiDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA; Mechanical Engineering, Stanford University School of Medicine, Stanford, CA, USA.
Elijah Ejun HuangDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Claire RheeDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Qi GaoDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Zhenyu YaoDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Michiaki TakagiDepartment of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
Yunzhi Peter YangDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA; Material Science and Engineering, Stanford University School of Medicine, Stanford, CA, USA; Bioengineering, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: ypyang@stanford.edu.
Stuart B GoodmanDepartment of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA; Bioengineering, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: goodbone@stanford.edu.
Stanford University · USStanford Medicine · USYamagata University · JP

Funding

Microengineered Osteons for Bone Tissue EngineeringR01AR057837 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI YANG, YUNZHI · 2010 to 2018
$5.1M
Wear Particle Disease and NF-kappa B SignalingR01AR063717 · NIAMS · STANFORD UNIVERSITY · PI GOODMAN, STUART B · 2012 to 2021
$3.5M
Systems Modeling Guided Bone regenerationU01AR069395 · NIAMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI YANG, YUNZHI, ZHOU, XIAOBO · 2016 to 2021
$3.4M
Tissue Engineering Approaches for Improved Treatment of Early Stage Osteonecrosis of the HipR01AR072613 · NIAMS · STANFORD UNIVERSITY · PI GOODMAN, STUART B, YANG, YUNZHI · 2018 to 2022
$2.2M
Engineering Vascularized Bone Tissues By Microfabrication And ScaffoldingR01DE021468 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI YANG, YUNZHI · 2011 to 2014
$1.8M
Vascularization in bone tissue engineering constructsR01AR074458 · NIAMS · STANFORD UNIVERSITY · PI YANG, YUNZHI · 2019 to 2023
$1.7M
NIAMS NIH HHS R01 AR057837NIAMS NIH HHS R01 AR063717NIAMS NIH HHS R01 AR072613NIAMS NIH HHS R01 AR074458NIAMS NIH HHS U01 AR069395NIDCR NIH HHS R01 DE021468
6 · The paper itself

Abstract

Cell-based therapy for augmentation of core decompression (CD) using mesenchymal stromal cells (MSCs) is a promising treatment for early stage osteonecrosis of the femoral head (ONFH). Recently, the therapeutic potential for immunomodulation of osteogenesis using preconditioned (with pro-inflammatory cytokines) MSCs (pMSCs), or by the timely resolution of inflammation using MSCs that over-express anti-inflammatory cytokines has been described. Here, pMSCs exposed to tumor necrosis factor-alpha and lipopolysaccharide for 3 days accelerated osteogenic differentiation in vitro. Furthermore, injection of pMSCs encapsulated with injectable hydrogels into the bone tunnel facilitated angiogenesis and osteogenesis in the femoral head in vivo, using rabbit bone marrow-derived MSCs and a model of corticosteroid-associated ONFH in rabbits. In contrast, in vitro and in vivo studies demonstrated that genetically-modified MSCs that over-express IL4 (IL4-MSCs), established by using a lentiviral vector carrying the rabbit IL4 gene under the cytomegalovirus promoter, accelerated proliferation of MSCs and decreased the percentage of empty lacunae in the femoral head. Therefore, adjunctive cell-based therapy of CD using pMSCs and IL4-MSCs may hold promise to heal osteonecrotic lesions in the early stage ONFH. These interventions must be applied in a temporally sensitive fashion, without interfering with the mandatory acute inflammatory phase of bone healing.

Indexed as

Femur Head NecrosisMesenchymal Stem CellsAdrenal Cortex HormonesAnimalsBone MarrowFemur HeadInterleukin-4OsteogenesisRabbitsAdrenal Cortex HormonesInterleukin-4Core decompressionIL4ImmunomodulationMesenchymal stromal cellsOsteonecrosisPreconditioning

Identifiers

PMID34186237
PMCPMC9175182
OpenAlexW3175747377

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.