Evidence map›Paper›PMID 34645791›Full record

ArticleCell death & disease2021

PARK7 promotes repair in early steroid-induced osteonecrosis of the femoral head by enhancing resistance to stress-induced apoptosis in bone marrow mesenchymal stem cells via regulation of the Nrf2 signaling pathway.

Fei Zhang, Yanglin Yan, Wuxun Peng, Lei Wang, Tao Wang, Zhihong Xie, Hong Luo, Jian Zhang, Wentao Dong

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
9.6field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  11. Advances in Stem Cell Therapy for Diabetic Foot Ulcers.Diabetes, metabolic syndrome and obesity : targets and therapy · 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

9 authors at 1 institution in 1 country.

Fei ZhangDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Yanglin YanDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Wuxun PengDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. 903463644@qq.com.ORCID 0000-0001-9468-2580
Lei WangDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.ORCID 0000-0002-4535-0384
Tao WangDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.ORCID 0000-0002-4918-3915
Zhihong XieSchool of Clinical Medicine, Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Hong LuoSchool of Clinical Medicine, Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Jian ZhangDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Wentao DongDepartment of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China.
Guiyang Medical University · CN

Funding

Department of Education of Guizhou Province (Guizhou Provincial Department of Education) Qianjiaohe YJSCXJH[2020]141Department of Health of Guizhou Province (Guizhou Provincial Department of Health) gzwjkj2020-1-130Department of Health of Guizhou Province (Guizhou Provincial Department of Health) gzwkj2021-232Department of Health of Guizhou Province (Guizhou Provincial Department of Health) gzwkj2021-234National Natural Science Foundation of China (National Science Foundation of China) 81902226National Natural Science Foundation of China (National Science Foundation of China) 82060397, 81860387Natural Science Foundation of Guizhou Province (Guizhou Natural Science Foundation) Qiankehejichu[2020]1Y311
6 · The paper itself

Abstract

Novel therapies for the treatment of early steroid-induced osteonecrosis of the femoral head (SONFH) are urgently needed in orthopedics. Transplantation of bone marrow mesenchymal stem cells (BMSCs) provides new strategies for treating this condition at the early stage. However, stress-induced apoptosis of BMSCs transplanted into the femoral head necrotic area limits the efficacy of BMSC transplantation. Inhibiting BMSC apoptosis is key to improving the efficacy of this procedure. In our previous studies, we confirmed that Parkinson disease protein 7 (PARK7) is active in antioxidant defense and can clear reactive oxygen species (ROS), protect the mitochondria, and impart resistance to stress-induced apoptosis in BMSCs. In this study, we investigated the mechanism driving this PARK7-mediated resistance to apoptosis in BMSCs. Our results indicate that PARK7 promoted the disintegration of nuclear factor (erythroid-derived 2)-like 2 (Nrf2)/Kelch-like echinacoside-associated protein 1 (Keap1) complex. The free Nrf2 then entered the nucleus and activated the genetic expression of manganese superoxide dismutase (MnSOD), catalase (CAT), glutathione peroxidase (GPx), and other antioxidant enzymes that clear excessive ROS, thereby protecting BMSCs from stress-induced apoptosis. To further explore whether PARK7-mediated resistance to stress-induced apoptosis could improve the efficacy of BMSC transplantation in early-stage SONFH, we transplanted BMSCs-overexpressing PARK7 into rats with early-stage SONFH. We then evaluated the survival of transplanted BMSCs and bone regeneration in the femoral head necrotic area of these rats. The results indicated that PARK7 promoted the survival of BMSCs in the osteonecrotic area and improved the transplantation efficacy of BMSCs on early-stage SONFH. This study provides new ideas and methods for resisting the stress-induced apoptosis of BMSCs and improving the transplantation effect of BMSCs on early-stage SONFH.

Indexed as

ApoptosisOxidative StressAnimalsCell SurvivalCellular MicroenvironmentFemur Head NecrosisKelch-Like ECH-Associated Protein 1LentivirusMaleMesenchymal Stem CellsMethylprednisoloneNF-E2-Related Factor 2Protein BindingProtein Deglycase DJ-1RatsRats, Sprague-DawleyKelch-Like ECH-Associated Protein 1MethylprednisoloneNF-E2-Related Factor 2PARK7 protein, ratProtein Deglycase DJ-1Steroids

Identifiers

PMID34645791
PMCPMC8514492
OpenAlexW3207631461

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.