Evidence map›Paper›PMID 35690849›Full record

ArticleBiomaterials research2022

Peripheral nerve defects repaired with autogenous vein grafts filled with platelet-rich plasma and active nerve microtissues and evaluated by novel multimodal ultrasound techniques.

Yaqiong Zhu, Nan Peng, Jing Wang, Zhuang Jin, Lianhua Zhu, Yu Wang, Siming Chen, Yongqiang Hu, Tieyuan Zhang, Qing Song and 9 more

Open access · goldAbstract read
In one paragraph

Article in Biomaterials research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.6field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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  14. Nerve-on-a-Chip Derived Biomimicking Microfibers for Peripheral Nerve Regeneration.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
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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

19 authors at 4 institutions in 1 country.

Yaqiong Zhu *Departments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Nan Peng *Department of Geriatric Rehabilitation, The Second Center of Chinese PLA General Hospital, Beijing, China.
Jing WangDepartment of Orthopedic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui Province, China.
Zhuang JinGeneral hospital of Northern Theater Command, Liaoning, China.
Lianhua ZhuDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Yu WangBeijing Key Lab of Regenerative Medicine in Orthopedics, Chinese PLA General Hospital, Beijing, China.
Siming ChenDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Yongqiang HuDepartment of Anesthesiology, JiangXi PingXiang People's Hospital, Jiangxi, China.
Tieyuan ZhangBeijing Key Lab of Regenerative Medicine in Orthopedics, Chinese PLA General Hospital, Beijing, China.
Qing SongDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Fang XieDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Lin YanDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Yingying LiDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Jing XiaoDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Xinyang LiDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Bo JiangDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China.
Jiang PengBeijing Key Lab of Regenerative Medicine in Orthopedics, Chinese PLA General Hospital, Beijing, China. pengjiang301@126.com.
Yuexiang WangDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China. wangyuexiang1999@sina.com.
Yukun LuoDepartments of Ultrasound, The First Center of Chinese PLA General Hospital, Beijing, China. lyk_ultra@163.com.
Chinese PLA General Hospital · CNGeneral Hospital of Shenyang Military Region · CNJiangxi Pingxiang People's Hospital · CNUniversity of Science and Technology of China · CN

Funding

National Key Research & Development Program of China 2017YFA0104702Young Scientists Fund 82102079
6 · The paper itself

Abstract

backgroundDeveloping biocompatible nerve conduits that accelerate peripheral nerve regeneration, lengthening and functional recovery remains a challenge. The combined application of nerve microtissues and platelet-rich plasma (PRP) provides abundant Schwann cells (SCs) and various natural growth factors and can compensate for the deficiency of SCs in the nerve bridge, as well as the limitations of applying a single type of growth factor. Multimodal ultrasound evaluation can provide additional information on the stiffness and microvascular flow perfusion of the tissue. This study was designed to investigate the effectiveness of a novel tissue-engineered nerve graft composed of an autogenous vein, nerve microtissues and PRP in reconstructing a 12-mm tibial nerve defect and to explore the value of multimodal ultrasound techniques in evaluating the prognosis of nerve repair.

methodsIn vitro, nerve microtissue activity was first investigated, and the effects on SC proliferation, migration, factor secretion, and axonal regeneration of dorsal root ganglia (DRG) were evaluated by coculture with nerve microtissues and PRP. In vivo, seventy-five rabbits were equally and randomly divided into Hollow, PRP, Micro-T (Microtissues), Micro-T + PRP and Autograft groups. By analysing the neurological function, electrophysiological recovery, and the comparative results of multimodal ultrasound and histological evaluation, we investigated the effect of these new nerve grafts in repairing tibial nerve defects.

resultsOur results showed that the combined application of nerve microtissues and PRP could significantly promote the proliferation, secretion and migration of SCs and the regeneration of axons in the early stage. The Micro-T + PRP group and Autograft groups exhibited the best nerve repair 12 weeks postoperatively. In addition, the changes in target tissue stiffness and microvascular perfusion on multimodal ultrasound (shear wave elastography; contrast-enhanced ultrasonography; Angio PlaneWave UltrasenSitive, AngioPLUS) were significantly correlated with the histological results, such as collagen area percentage and VEGF expression, respectively.

conclusionOur novel tissue-engineered nerve graft shows excellent efficacy in repairing 12-mm defects of the tibial nerve in rabbits. Moreover, multimodal ultrasound may provide a clinical reference for prognosis by quantitatively evaluating the stiffness and microvescular flow of nerve grafts and targeted muscles.

Indexed as

Autogenous veinMicrotissuesMultimodality ultrasoundNerve defectPlatelet-rich plasma

Identifiers

PMID35690849
PMCPMC9188244
OpenAlexW4282947230

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LicenceCC BY
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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.