Evidence map›Paper›PMID 38782253›Full record

ArticleOsteoarthritis and cartilage2024

Shedding light on the effects of blood on meniscus tissue: the role of mononuclear leukocytes in mediating meniscus catabolism.

Kevin Betsch, Vianna G Martinez, Lucas P Lyons, J Brice Weinberg, Jocelyn R Wittstein, Amy L McNulty

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2024. 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
–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

5 citing papers in PubMed.

  1. Review
  2. [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
    Review
  3. Biologic Augmentation for Meniscus Repair: A Narrative Review.Bioengineering (Basel, Switzerland) · 2026
    Review
  4. Review
  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

6 authors.

Kevin BetschDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA. Electronic address: kevin.betsch@duke.edu.
Vianna G MartinezDepartment of Pathology, Duke University School of Medicine, Durham, NC, USA. Electronic address: vianna.martinez@duke.edu.
Lucas P LyonsDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA. Electronic address: lyonsl@upstate.edu.
J Brice WeinbergDepartment of Medicine, VA Medical Center, Durham, NC, USA; Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Electronic address: brice@duke.edu.
Jocelyn R WittsteinDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA. Electronic address: jocelyn.wittstein@duke.edu.
Amy L McNultyDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA; Department of Pathology, Duke University School of Medicine, Durham, NC, USA; Department of Biomedical Engineering, Duke University, Durham, NC, USA. Electronic address: alr@duke.edu.

Funding

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
NIAMS NIH HHS R01 AR073221NIAMS NIH HHS R01 AR079184
6 · The paper itself

Abstract

objectiveTraumatic meniscal injuries can cause acute pain, hemarthrosis (bleeding into the joint), joint immobility, and post-traumatic osteoarthritis (PTOA). However, the exact mechanism(s) by which PTOA develops following meniscal injuries is unknown. Since meniscus tears commonly coincide with hemarthrosis, investigating the direct effects of blood and its constituents on meniscus tissue is warranted. The goal of this study was to determine the direct effects of blood and blood components on meniscus tissue catabolism.

methodsPorcine meniscus explants or primary meniscus cells were exposed to whole blood or various fractions of blood for 3 days to simulate blood exposure following injury. Explants were then washed and cultured for an additional 3 days prior to collection for biochemical analyses.

resultsWhole blood increased matrix metalloproteinase (MMP) activity. Fractionation experiments revealed blood-derived red blood cells did not affect meniscus catabolism. Conversely, viable mononuclear leukocytes induced MMP activity, nitric oxide (NO) production, and loss of tissue sulfated glycosaminoglycan (sGAG) content, suggesting that these cells are mediating meniscus catabolism.

conclusionsThese findings highlight the potential challenges of meniscus healing in the presence of hemarthrosis and the need for further research to elucidate the in vivo effects of blood and blood-derived mononuclear leukocytes due to both hemarthrosis and blood-derived therapeutics.

Indexed as

Leukocytes, MononuclearMenisci, TibialAnimalsBloodCells, CulturedGlycosaminoglycansMatrix MetalloproteinasesMeniscusNitric OxideSwineTibial Meniscus InjuriesGlycosaminoglycansMatrix MetalloproteinasesNitric OxideCartilageErythrocyteHemophilic arthropathyLymphocyteMeniscus repairMonocyte

Identifiers

PMID38782253
PMCPMC11254574

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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.