Evidence map›Paper›PMID 34611516›Full record

ArticleJournal of orthopaedic translation2021

The effect of traumatic brain injury on bone healing from a novel exosome centered perspective in a mice model.

Chengyuan Yang, Cheng Gao, Naicheng Liu, Yitong Zhu, Xu Zhu, Xinlin Su, Qin Zhang, Yanglin Wu, Chenhui Zhang, Ang Liu and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic translation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Relationship between serum β-catenin mRNA expression and femoral fracture healing after head trauma: an experimental rat study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  4. Article
  5. Article
  6. Bidirectional Interaction Between the Brain and Bone in Traumatic Brain Injury.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. [Research progress on mechanism of traumatic brain injury promoting fracture healing].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
  16. Review
  17. Review
  18. Review
  19. 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

14 authors at 3 institutions in 2 countries.

Chengyuan YangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Cheng GaoDepartment of Forensic Medicine, Soochow University, Suzhou, China.
Naicheng LiuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yitong ZhuSuzhou Key Laboratory for Medical Biotechnology, Suzhou Vocational Health College, Suzhou, China.
Xu ZhuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xinlin SuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Qin ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Yanglin WuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Chenhui ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Ang LiuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Weifeng LinDepartment of Materials and Interfaces, Weizmann Institute of Science, Rehovot, 76100, Israel.
Luyang TaoDepartment of Forensic Medicine, Soochow University, Suzhou, China.
Huilin YangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jun LinDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Soochow University · CNSuzhou Vocational Health College · CNWeizmann Institute of Science · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with traumatic brain injury (TBI) combined with long bone fracture, the fracture healing is always faster than that of patients with single fracture, which is characterized by more callus growth at the fracture site and even ectopic ossification. Exosomes are nanoscale membrane vesicles secreted by cells, which contain cell-specific proteins, miRNAs, and mRNAs.

methodsIn this study, we used exosomes as the entry point to explore the mechanism of brain trauma promoting fracture healing. We established a model of tibia fracture with TBI in mice to observe the callus growth and expression of osteogenic factors at the fracture site. Blood samples of model mice were further collected, exosomes in plasma were extracted by ultra-centrifugation method, and then identified and acted on osteoblasts cultured in vitro. The effects of exosomes on osteoblast differentiation at the cell, protein and gene levels were investigated by Western Blot and q-PCR, respectively. Furthermore, miRNA sequencing of exosomes was performed to identify a pattern of miRNAs that were present at increased or decreased levels.

resultsThe results suggested that plasma exosomes after TBI had the ability to promote the proliferation and differentiation of osteoblasts, which might be due to the increased expression of osteoblast-related miRNA in exosomes. They were transmitted to the osteoblasts at the fracture site, so as to achieve the role of promoting osteogenic differentiation.

conclusionThe TBI-derived exosomes may have potential applications for promoting fracture healing in future. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Plasma exosomes early after TBI have the ability to promote osteoblast proliferation and differentiation. The mechanism may be achieved by miRNA in exosomes. Plasma exosomes may be used as breakthrough clinical treatment for delayed or non-union fractures.

Indexed as

Bone healingExosomesLiposomesmiRNAsOsteoblastsTraumatic brain injury

Identifiers

PMID34611516
PMCPMC8476897
OpenAlexW3203344782

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.