Evidence map›Paper›PMID 34714701›Full record

ArticleThe American journal of sports medicine2021

Transplant of Autologous Mesenchymal Stem Cells Halts Fatty Atrophy of Detached Rotator Cuff Muscle After Tendon Repair: Molecular, Microscopic, and Macroscopic Results From an Ovine Model.

Martin Flück, Stephanie Kasper, Mario C Benn, Flurina Clement Frey, Brigitte von Rechenberg, Marie-Noëlle Giraud, Dominik C Meyer, Karl Wieser, Christian Gerber

Open access · bronzeAbstract read
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Article in The American journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-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

9 citing papers in PubMed, 15 citations in OpenAlex.

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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 2 institutions in 1 country.

Martin FlückLaboratory of Muscle Plasticity, Department of Orthopedics, University of Zurich, Balgrist Campus, Zürich, Switzerland.ORCID 0000-0002-0479-7243
Stephanie KasperLaboratory of Muscle Plasticity, Department of Orthopedics, University of Zurich, Balgrist Campus, Zürich, Switzerland.
Mario C BennMusculoskeletal Research Unit, Center for Applied Biotechnology and Molecular Medicine, Department of Molecular Mechanisms, Vetsuisse Faculty, University of Zurich, Zürich, Switzerland.
Flurina Clement FreyMusculoskeletal Research Unit, Center for Applied Biotechnology and Molecular Medicine, Department of Molecular Mechanisms, Vetsuisse Faculty, University of Zurich, Zürich, Switzerland.
Brigitte von RechenbergMusculoskeletal Research Unit, Center for Applied Biotechnology and Molecular Medicine, Department of Molecular Mechanisms, Vetsuisse Faculty, University of Zurich, Zürich, Switzerland.
Marie-Noëlle GiraudCardiology, Faculty of Sciences and Medicine, University of Fribourg, Fribourg, Switzerland.
Dominik C MeyerAuthor deceased.
Karl WieserUniversity Hospital Balgrist, Department of Orthopedics, University of Zurich, Zürich, Switzerland.
Christian GerberUniversity Hospital Balgrist, Department of Orthopedics, University of Zurich, Zürich, Switzerland.ORCID 0000-0002-4624-8285
University of Zurich · CHUniversity of Fribourg · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe injection of mesenchymal stem cells (MSCs) mitigates fat accumulation in released rotator cuff muscle after tendon repair in rodents. PURPOSE: To investigate whether the injection of autologous MSCs halts muscle-to-fat conversion after tendon repair in a large animal model for rotator cuff tendon release via regional effects on extracellular fat tissue and muscle fiber regeneration. STUDY

designControlled laboratory study.

methodsInfraspinatus (ISP) muscles of the right shoulder of Swiss Alpine sheep (n = 14) were released by osteotomy and reattached 16 weeks later without (group T; n = 6) or with (group T-MSC; n = 8) electropulse-assisted injection of 0.9 Mio fluorescently labeled MSCs as microtissues with media in demarcated regions; animals were allowed 6 weeks of recovery. ISP volume and composition were documented with computed tomography and magnetic resonance imaging. Area percentages of muscle fiber types, fat, extracellular ground substance, and fluorescence-positive tissue; mean cross-sectional area (MCSA) of muscle fibers; and expression of myogenic (myogenin), regeneration (tenascin-C), and adipogenic markers (peroxisome proliferator-activated receptor gamma [PPARG2]) were quantified in injected and noninjected regions after recovery.

resultsAt 16 weeks after tendon release, the ISP volume was reduced and the fat fraction of ISP muscle was increased in group T (137 vs 185 mL; 49% vs 7%) and group T-MSC (130 vs 166 mL; 53% vs 10%). In group T-MSC versus group T, changes during recovery after tendon reattachment were abrogated for fat-free mass (-5% vs -29%, respectively;

conclusionIn a sheep model, injection of autologous MSCs in degenerated rotator cuff muscle halted muscle-to-fat conversion during recovery from tendon repair by preserving fat-free mass in association with extracellular reactions and stopping adjuvant-induced muscle fiber hypertrophy. CLINICAL RELEVANCE: A relatively small dose of MSCs is therapeutically effective to halt fatty atrophy in a large animal model.

Indexed as

Mesenchymal Stem CellsRotator Cuff InjuriesAnimalsAtrophyMuscular AtrophyRotator CuffSheepTendonsTenotomyatrophycell/molecular biologyextracellular matrixfatrotator cuffstem cell therapy

Identifiers

PMID34714701
PMCPMC8649427
OpenAlexW3210924297

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.