Evidence map›Paper›PMID 38764077›Full record

ArticleStem cell research & therapy2024

Synergistic effect of umbilical cord extracellular vesicles and rhBMP-2 to enhance the regeneration of a metaphyseal femoral defect in osteoporotic rats.

Amelie Deluca, Andrea Wagner, Patrick Heimel, Christian Deininger, Florian Wichlas, Heinz Redl, Eva Rohde, Herbert Tempfer, Mario Gimona, Andreas Traweger

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  9. Anatomical implant region - a critical determinant for the osteogenic potency of small extracellular vesicles and rhBMP-2.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    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

10 authors.

Amelie DelucaInstitute of Tendon and Bone Regeneration, Salzburg, 5020, Austria. amelie.deluca@stud.pmu.ac.at.ORCID 0000-0002-8352-7371
Andrea WagnerInstitute of Tendon and Bone Regeneration, Salzburg, 5020, Austria.
Patrick HeimelAustrian Cluster for Tissue Regeneration, Vienna, 1200, Austria.
Christian DeiningerInstitute of Tendon and Bone Regeneration, Salzburg, 5020, Austria.
Florian WichlasDepartment of Orthopedics and Traumatology, Salzburg University Hospital, Paracelsus Medical University, Salzburg, 5020, Austria.
Heinz RedlAustrian Cluster for Tissue Regeneration, Vienna, 1200, Austria.
Eva RohdeGMP Unit, Spinal Cord Injury and Tissue Regeneration Centre Salzburg, Paracelsus Medical University, Salzburg, Austria.
Herbert TempferInstitute of Tendon and Bone Regeneration, Salzburg, 5020, Austria.
Mario GimonaGMP Unit, Spinal Cord Injury and Tissue Regeneration Centre Salzburg, Paracelsus Medical University, Salzburg, Austria.
Andreas TrawegerInstitute of Tendon and Bone Regeneration, Salzburg, 5020, Austria.

Funding

AO Foundation AO FoundationLorenz Böhler Lorenz Böhler Gesellschaft grant number 1-2
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate potential synergistic effects of a single, local application of human umbilical cord MSC-derived sEVs in combination with a low dose of recombinant human rhBMP-2 to promote the regeneration of a metaphyseal femoral defect in an osteoporotic rat model.

methods6 weeks after induction of osteoporosis by bilateral ventral ovariectomy and administration of a special diet, a total of 64 rats underwent a distal femoral metaphyseal osteotomy using a manual Gigli wire saw. Defects were stabilized with an adapted Y-shaped mini-locking plate and were subsequently treated with alginate only, or alginate loaded with hUC-MSC-sEVs (2 × 10

resultsNative radiographs and µCT analysis confirmed superior bony union with callus formation after treatment with hUC-MSC-sEVs in combination with a low dose of rhBMP-2. This finding was further substantiated by histology, showing robust defect consolidation 6 weeks after treatment. Torsion testing of the explanted femora revealed increased stiffness after application of both, rhBMP-2 alone, or in combination with sEVs, whereas torque was only significantly increased after treatment with rhBMP-2 together with sEVs.

conclusionThe present study demonstrates that the co-application of hUC-MSC-sEVs can improve the efficacy of rhBMP-2 to promote the regeneration of osteoporotic bone defects.

Indexed as

Bone Morphogenetic Protein 2Extracellular VesiclesFemurOsteoporosisRecombinant ProteinsUmbilical CordAnimalsBone RegenerationDisease Models, AnimalFemaleHumansMesenchymal Stem CellsRatsRats, Sprague-DawleyTransforming Growth Factor betaX-Ray MicrotomographyBone Morphogenetic Protein 2recombinant human bone morphogenetic protein-2Recombinant ProteinsTransforming Growth Factor betaBMP-2Drug delivery; osteoporosisExosomesExtracellular vesiclesMetaphyseal defect

Identifiers

PMID38764077
PMCPMC11103988

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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.