Evidence map›Paper›PMID 34325337›Full record

ArticleBiomaterials2021

Effects of purified exosome product on rotator cuff tendon-bone healing in vitro and in vivo.

Ye Ren, Shuwei Zhang, Yicun Wang, Daniel S Jacobson, Ramona L Reisdorf, Tomoyuki Kuroiwa, Atta Behfar, Steven L Moran, Scott P Steinmann, Chunfeng Zhao

Abstract 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 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Tendon-Derived Stem Cell Sheet Promotes Early-Stage Tendon-Bone Healing.Journal of musculoskeletal & neuronal interactions · 2025
    Article
  20. Review
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

10 authors.

Ye RenDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA; Department of Orthopedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Shuwei ZhangDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Yicun WangDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Daniel S JacobsonDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Ramona L ReisdorfDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Tomoyuki KuroiwaDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Atta BehfarDepartment of Cardiovascular Medicine, Center for Regenerative Medicine, William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic Rochester, MN, USA.
Steven L MoranDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA.
Scott P SteinmannDepartment of Orthopedic Surgery, University of Tennessee Health Science Center College of Medicine, Chattanooga, TN, USA.
Chunfeng ZhaoDepartment of Orthopedic Surgery, Mayo Clinic Rochester, Rochester, MN, USA. Electronic address: zhao.chunfeng@mayo.edu.

Funding

Engineering Tendon Grafts for Better OutcomesR01AR057745 · NIAMS · MAYO CLINIC ROCHESTER · PI ZHAO, CHUNFENG · 2010 to 2018
$3.5M
Flexor tendon intrinsic healing and intervention strategy developmentR01AR076339 · NIAMS · MAYO CLINIC ROCHESTER · PI ZHAO, CHUNFENG · 2021 to 2025
$2.5M
Tissue Engineered Tendon Complex for Rotator Cuff Repair and RegenerationR01AR073811 · NIAMS · MAYO CLINIC ROCHESTER · PI ZHAO, CHUNFENG · 2019 to 2023
$1.7M
NIAMS NIH HHS R01 AR057745NIAMS NIH HHS R01 AR073811NIAMS NIH HHS R01 AR076339
6 · The paper itself

Abstract

Exosomes have multiple therapeutic targets, but the effects on healing rotator cuff tear (RCT) remain unclear. As a circulating exosome, purified exosome product (PEP) has the potential to lead to biomechanical improvement in RCT. Here, we have established a simple and efficient approach that identifies the function and underlying mechanisms of PEP on cell-cell interaction using a co-culture model in vitro. In the in vivo trial, adult female Sprague-Dawley rats underwent unilateral surgery to transect and repair the supraspinatus tendon to its insertion site with or without PEP. PEP promoted the migration and confluence of osteoblast cells and tenocytes, especially during direct cell-cell contact. Expression of potential genes for RCT in vitro and in vivo models were consistent with biomechanical tests and semiquantitative histologic scores, indicating accelerated strength and healing of the RC in response to PEP. Our observations suggest that circulating exosomes provide an effective option to improve the healing speed of RCT after surgical repair. The regeneration of enthesis following PEP treatment appears to be related to a mutually reinforcing relationship between direct cell-cell contact and PEP activity, suggesting a dual approach to the healing process.

Indexed as

ExosomesRotator Cuff InjuriesAnimalsBiomechanical PhenomenaFemaleRatsRats, Sprague-DawleyRotator CuffTendonsWound HealingCell communicationCo-cultureExosomePEPRotator cuff tear

Identifiers

PMID34325337
PMCPMC9707649

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.