Evidence map›Paper›PMID 36099022›Full record

ArticleJCI insight2022

Macrophage TGF-β signaling is critical for wound healing with heterotopic ossification after trauma.

Nicole K Patel, Johanna H Nunez, Michael Sorkin, Simone Marini, Chase A Pagani, Amy L Strong, Charles D Hwang, Shuli Li, Karthik R Padmanabhan, Ravi Kumar and 8 more

Abstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
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

43 citing papers in PubMed.

  1. Article
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  9. Macrophages on demand: How tissue trauma shapes their role.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Review
  10. Macrophages and TGFB signaling regulate fibrosis in theAmerican journal of physiology. Renal physiology · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Review
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  16. Article
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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

18 authors.

Nicole K PatelSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Johanna H NunezDepartment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.
Michael SorkinSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Simone MariniDepartment of Epidemiology and Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.
Chase A PaganiSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Amy L StrongSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Charles D HwangSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Shuli LiSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Karthik R PadmanabhanEpigenomics Core, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Ravi KumarAcceleron Pharma, Inc., Cambridge, Massachusetts, USA.
Alec C BancroftDepartment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.
Joey A GreensteinSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Reagan NelsonSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Husain A RasheedSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Nicholas LivingstonDepartment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.
Kaetlin VasquezSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Amanda K HuberSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Benjamin LeviSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Funding

Targeting jmjd3 mitigates heterotopic ossificationR01AR079863 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Katherine Ann Gallagher, Benjamin Levi · 2021 to 2026
$3.0M
Impact of peripheral nerves on mesenchymal cell fate in extremity traumaR01AR079171 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI JAMES, AARON W, LEVI, BENJAMIN · 2021 to 2024
$3.0M
NIAMS NIH HHS R01 AR079171NIAMS NIH HHS R01 AR079863
6 · The paper itself

Abstract

Transforming growth factor-β1 (TGF-β1) plays a central role in normal and aberrant wound healing, but the precise mechanism in the local environment remains elusive. Here, using a mouse model of aberrant wound healing resulting in heterotopic ossification (HO) after traumatic injury, we find autocrine TGF-β1 signaling in macrophages, and not mesenchymal stem/progenitor cells, is critical in HO formation. In-depth single-cell transcriptomic and epigenomic analyses in combination with immunostaining of cells from the injury site demonstrated increased TGF-β1 signaling in early infiltrating macrophages, with open chromatin regions in TGF-β1-stimulated genes at binding sites specific for transcription factors of activated TGF-β1 (SMAD2/3). Genetic deletion of TGF-β1 receptor type 1 (Tgfbr1; Alk5), in macrophages, resulted in increased HO, with a trend toward decreased tendinous HO. To bypass the effect seen by altering the receptor, we administered a systemic treatment with TGF-β1/3 ligand trap TGF-βRII-Fc, which resulted in decreased HO formation and a delay in macrophage infiltration to the injury site. Overall, our data support the role of the TGF-β1/ALK5 signaling pathway in HO.

Indexed as

Ossification, HeterotopicTransforming Growth Factor beta1ChromatinHumansLigandsMacrophagesReceptor, Transforming Growth Factor-beta Type ITransforming Growth Factor betaWound HealingChromatinLigandsReceptor, Transforming Growth Factor-beta Type ITransforming Growth Factor betaTransforming Growth Factor beta1Bone BiologyGrowth factorsImmunologyMacrophages

Identifiers

PMID36099022
PMCPMC9714796

What OpenQuestion holds

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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.