Evidence map›Paper›PMID 34344474›Full record

ArticleStem cell research & therapy2021

Low level laser therapy promotes bone regeneration by coupling angiogenesis and osteogenesis.

Jie Bai, Lijun Li, Ni Kou, Yuwen Bai, Yaoyang Zhang, Yun Lu, Lu Gao, Fu Wang

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
11.0field-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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. The Role of Low-Level Laser Therapy in Bone Healing: Systematic Review.International journal of molecular sciences · 2023
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  15. The Interplay of Angiogenesis and Osteogenesis in Non-Stabilized Incomplete Tibial Fractures: A Temporal Study in Rats.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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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

8 authors at 1 institution in 1 country.

Jie Bai *School of Stomatology, Dalian Medical University, Dalian, 116044, China.
Lijun Li *School of Stomatology, Dalian Medical University, Dalian, 116044, China.
Ni Kou *School of Stomatology, Dalian Medical University, Dalian, 116044, China.
Yuwen BaiSchool of Stomatology, Dalian Medical University, Dalian, 116044, China.
Yaoyang ZhangSchool of Stomatology, Dalian Medical University, Dalian, 116044, China.
Yun LuSchool of Stomatology, Dalian Medical University, Dalian, 116044, China.
Lu GaoSchool of Stomatology, Dalian Medical University, Dalian, 116044, China. dygaolu@dmu.edu.cn.
Fu WangSchool of Stomatology, Dalian Medical University, Dalian, 116044, China. fuwang@dmu.edu.cn.ORCID 0000-0001-9615-1038
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBone tissue engineering is a new concept bringing hope for the repair of large bone defects, which remains a major clinical challenge. The formation of vascularized bone is key for bone tissue engineering. Growth of specialized blood vessels termed type H is associated with bone formation. In vivo and in vitro studies have shown that low level laser therapy (LLLT) promotes angiogenesis, fracture healing, and osteogenic differentiation of stem cells by increasing reactive oxygen species (ROS). However, whether LLLT can couple angiogenesis and osteogenesis, and the underlying mechanisms during bone formation, remains largely unknown.

methodsMouse bone marrow mesenchymal stem cells (BMSCs) combined with biphasic calcium phosphate (BCP) grafts were implanted into C57BL/6 mice to evaluate the effects of LLLT on the specialized vessel subtypes and bone regeneration in vivo. Furthermore, human BMSCs and human umbilical vein endothelial cells (HUVECs) were co-cultured in vitro. The effects of LLLT on cell proliferation, angiogenesis, and osteogenesis were assessed.

resultsLLLT promoted the formation of blood vessels, collagen fibers, and bone tissue and also increased CD31

conclusionsLLLT enhanced vascularized bone regeneration by coupling angiogenesis and osteogenesis. ROS/HIF-1α was necessary for these effects of LLLT. LLLT triggered a ROS-dependent increase of HIF-1α, VEGF, and TGF-β and resulted in subsequent formation of type H vessels and osteogenic differentiation of mesenchymal stem cells. As ROS also was a target of HIF-1α, there may be a positive feedback loop between ROS and HIF-1α, which further amplified HIF-1α induction via the LLLT-mediated ROS increase. This study provided new insight into the effects of LLLT on vascularization and bone regeneration in bone tissue engineering.

Indexed as

Low-Level Light TherapyOsteogenesisAnimalsBone RegenerationHumansHuman Umbilical Vein Endothelial CellsHydrogen PeroxideHypoxia-Inducible Factor 1, alpha SubunitMiceMice, Inbred C57BLNeovascularization, PhysiologicHydrogen PeroxideHypoxia-Inducible Factor 1, alpha SubunitAngiogenesisHypoxia-inducible factor 1αLow level laser therapyOsteogenesisReactive oxygen speciesType H vessels

Identifiers

PMID34344474
PMCPMC8330075
OpenAlexW3188990633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.