Evidence map›Paper›PMID 34736523›Full record

ArticleArthritis research & therapy2021

Immune cell profiles in synovial fluid after anterior cruciate ligament and meniscus injuries.

Sophia Y Kim-Wang, Abigail G Holt, Alyssa M McGowan, Stephanie T Danyluk, Adam P Goode, Brian C Lau, Alison P Toth, Jocelyn R Wittstein, Louis E DeFrate, John S Yi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. [Advances in immunomodulatory strategies for meniscal regeneration].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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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

11 authors at 1 institution in 1 country.

Sophia Y Kim-WangDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Abigail G HoltDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Alyssa M McGowanDepartment of Surgery, Duke University School of Medicine, Durham, NC, USA.
Stephanie T DanylukDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Adam P GoodeDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Brian C LauDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Alison P TothDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Jocelyn R WittsteinDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Louis E DeFrateDepartment of Biomedical Engineering, Duke University, Durham, NC, USA. lou.defrate@duke.edu.
John S Yi *Department of Surgery, Duke University School of Medicine, Durham, NC, USA.
Amy L McNulty *Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Duke University · US

Funding

In Vivo Knee Motion and ACL Biomechanics During Dynamic ActivitiesR01AR065527 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2014 to 2024
$4.8M
Mechanical Biomarkers of Chronic Low Back PainR01AR075399 · NIAMS · DUKE UNIVERSITY · PI Louis E. DeFrate, Adam Goode · 2019 to 2026
$3.7M
Biomechanical and Biological Predictors of Cartilage Health Following Meniscus InjuryR01AR079184 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E., GOODE, ADAM · 2021 to 2025
$3.5M
Mechanotransduction in Meniscus Health and RepairR01AR073221 · NIAMS · DUKE UNIVERSITY · PI MCNULTY, AMY L · 2019 to 2023
$2.1M
Weight loss, in vivo cartilage mechanics, and joint healthR01AR074800 · NIAMS · DUKE UNIVERSITY · PI DEFRATE, LOUIS E. · 2019 to 2023
$1.8M
Musculoskeletal Transplant Foundation Orthopaedic Research and Education FoundationNIAMS NIH HHS AR065527NIAMS NIH HHS AR073221NIAMS NIH HHS AR074800NIAMS NIH HHS AR075399NIAMS NIH HHS R01 AR065527NIAMS NIH HHS R01 AR073221NIAMS NIH HHS R01 AR074800NIAMS NIH HHS R01 AR075399NIAMS NIH HHS R01 AR079184
6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) and meniscus tears are common knee injuries. Despite the high rate of post-traumatic osteoarthritis (PTOA) following these injuries, the contributing factors remain unclear. In this study, we characterized the immune cell profiles of normal and injured joints at the time of ACL and meniscal surgeries.

methodsTwenty-nine patients (14 meniscus-injured and 15 ACL-injured) undergoing ACL and/or meniscus surgery but with a normal contralateral knee were recruited. During surgery, synovial fluid was aspirated from both normal and injured knees. Synovial fluid cells were pelleted, washed, and stained with an antibody cocktail consisting of fluorescent antibodies for cell surface proteins. Analysis of immune cells in the synovial fluid was performed by polychromatic flow cytometry. A broad spectrum immune cell panel was used in the first 10 subjects. Based on these results, a T cell-specific panel was used in the subsequent 19 subjects.

resultsUsing the broad spectrum immune cell panel, we detected significantly more total viable cells and CD3 T cells in the injured compared to the paired normal knees. In addition, there were significantly more injured knees with T cells above a 500-cell threshold. Within the injured knees, CD4 and CD8 T cells were able to be differentiated into subsets. The frequency of total CD4 T cells was significantly different among injury types, but no statistical differences were detected among CD4 and CD8 T cell subsets by injury type.

conclusionsOur findings provide foundational data showing that ACL and meniscus injuries induce an immune cell-rich microenvironment that consists primarily of T cells with multiple T helper phenotypes. Future studies investigating the relationship between immune cells and joint degeneration may provide an enhanced understanding of the pathophysiology of PTOA following joint injury.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionCartilage, ArticularMeniscusAnterior Cruciate LigamentHumansKnee JointMagnetic Resonance ImagingSynovial FluidB cellsCartilageMacrophagesMonocytes

Identifiers

PMID34736523
PMCPMC8567695
OpenAlexW3208450816

What OpenQuestion holds

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LicenceCC BY
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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.