Evidence map›Paper›PMID 36648754›Full record

ArticleJournal of cellular biochemistry2023

The epigenetic regulator BRD4 is required for myofibroblast differentiation of knee fibroblasts.

Amel Dudakovic, Banu Bayram, Jacob W Bettencourt, Afton K Limberg, M Lizeth Galvan, Margarita E Carrasco, Britta Stans, Roman Thaler, Mark E Morrey, Joaquin Sanchez-Sotelo and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cellular biochemistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. New Clues to the Challenge of Knee Arthrofibrosis: From Molecules to Therapies.The Journal of the American Academy of Orthopaedic Surgeons · 2026
    Review
  3. Article
  4. Article
  5. Article
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

13 authors at 2 institutions in 1 country.

Amel DudakovicDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Banu BayramDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Jacob W BettencourtDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Afton K LimbergDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
M Lizeth GalvanDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Margarita E CarrascoDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Britta StansDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Roman ThalerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mark E MorreyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Joaquin Sanchez-SoteloDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Daniel J BerryDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Andre J van WijnenDepartment of Biochemistry, University of Vermont College of Medicine, Burlington, Vermont, USA.
Matthew P AbdelDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-2398-1724
Mayo Clinic · USUniversity of Vermont · US

Funding

Pathologic Role of Inflammation and Mechanistic Analysis of Myofibroblastogenesis in ArthrofibrosisR01AR072597 · NIAMS · MAYO CLINIC ROCHESTER · PI ABDEL, MATTHEW P · 2018 to 2022
$1.7M
NIAMS NIH HHS R01 AR072597
6 · The paper itself

Abstract

Arthrofibrosis, which is characterized by excessive scar tissue and limited motion, can complicate the daily functioning of patients after total knee arthroplasty (TKA). Molecular hallmarks of arthrofibrosis include pathologic accumulation of myofibroblasts and disproportionate collagen deposition. Epigenetic mechanisms, including posttranslation modification of histones, control gene expression and may regulate fibrotic events. This study assessed the role of the bromodomain and extra-terminal (BET) proteins on myofibroblast differentiation. This group of epigenetic regulators recognize acetylated lysines and are targeted by a class of drugs known as BET inhibitors. RNA-seq analysis revealed robust mRNA expression of three BET members (BRD2, BRD3, and BRD4) while the fourth member (BRDT) is not expressed in primary TKA knee outgrowth fibroblasts. RT-qPCR and western blot analyses revealed that BET inhibition with the small molecule JQ1 impairs TGFβ1-induced expression of ACTA2, a key myofibroblast marker, in primary outgrowth knee fibroblasts. Similarly, JQ1 administration also reduced COL3A1 mRNA levels and collagen deposition as monitored by picrosirius red staining. Interestingly, the inhibitory effects of JQ1 on ACTA2 mRNA and protein expression, as well as COL3A1 expression and collagen deposition, were paralleled by siRNA-mediated depletion of BRD4. Together, these data reveal that BRD4-mediated epigenetic events support TGFβ1-mediated myofibroblast differentiation and collagen deposition as seen in arthrofibrosis. To our knowledge, these are the first studies that assess epigenetic regulators and their downstream events in the context of arthrofibrosis. Future studies may reveal clinical utility for drugs that target epigenetic pathways, specifically BET proteins, in the prevention and treatment of arthrofibrosis.

Indexed as

KneeMyofibroblastsTranscription FactorsAzepinesBromodomain Containing ProteinsCell Cycle ProteinsCollagenEpigenesis, GeneticFibroblastsHumansNuclear ProteinsRNA, MessengerTriazolesAzepinesBRD4 protein, humanBromodomain Containing ProteinsCell Cycle ProteinsCollagen(+)-JQ1 compoundNuclear ProteinsRNA, MessengerTranscription FactorsTriazolesarthrofibrosisBRD4bromodomainepigeneticsfibroblastmyofibroblasttotal knee arthroplasty (TKA)

Identifiers

PMID36648754
PMCPMC9990907
OpenAlexW4316928601

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.