Evidence map›Paper›PMID 39279114›Full record

ArticleCurrent molecular medicine2025

Extracorporeal Shock Wave and Melatonin Alleviate Joint Capsule Fibrosis after Knee Trauma in Rats by Regulating Autophagy.

Jing Mao, Jin-Niu Zhang, Quan-Bing Zhang, De-Ting Zhu, Xue-Ming Li, Han Xiao, Xiu-Li Kan, Run Zhang, Yun Zhou

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Article in Current molecular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

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4 · The record

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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

9 authors.

Jing MaoDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Jin-Niu ZhangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Quan-Bing ZhangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
De-Ting ZhuDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Xue-Ming LiDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Han XiaoDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiu-Li KanDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Run ZhangDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Yun ZhouDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.

Funding

Health Research Project of Anhui Province AHWJ2022b063National Natural Science Foundation Incubation Program of The Second Affiliated Hospital of Anhui Medical University 2022GMFY05Summit Discipline Construction Project of Anhui Medical University (Clinical Medicine) 2022GFXKEFY08
6 · The paper itself

Abstract

backgroundJoint contracture is a common clinical problem affecting joint function. Capsule fibrosis plays a pivotal role in the progression of joint contracture. Previous studies have reported that autophagy plays a regulatory role in visceral fibrosis.

objectiveThis study aimed to investigate whether extracorporeal shock wave therapy (ESWT) and melatonin alleviate joint capsule fibrosis in rats with extended knee joint contracture by regulating autophagy.

methodsA rat traumatic knee joint extension contracture model was made. Then, the rats were treated with ESWT, melatonin, ESWT + melatonin, or ESWT + melatonin + mTOR agonist for 4 weeks. The range of motion (ROM) of the knee joints was measured. Joint capsules were collected and observed for pathological changes by H&E and Masson staining. LC3B protein expression was evaluated by immunofluorescence staining. TGF-β1, MMP-1, Col-Ⅰ, Col-Ⅲ, LC3, ATG7, Beclin1, p-AMPK, p-mTOR and p-ULK1 protein expressions were measured by Western blot assay.

resultsThe intervention groups had significantly improved ROM of knee joint (P < 0.05), significantly improved pathological changes on HE and Masson staining, significantly decreased protein expressions of TGF-β1, MMP-1, Col-Ⅰ, Col-Ⅲ and pmTOR (P < 0.05), and significantly increased protein expressions of LC3B, LC3II/LC3I ratio, ATG7, Beclin1, p-AMPK, and p-ULK1 (P < 0.05). Among these groups, the effects demonstrated by the ESWT + melatonin group were the best. With the mTOR agonist supplement, the therapeutic effects of extracorporeal shock waves and melatonin were significantly reduced.

conclusionESWT plus melatonin alleviated knee joint capsule fibrosis in rats by regulating autophagy.

Indexed as

AutophagyExtracorporeal Shockwave TherapyJoint CapsuleKnee InjuriesMelatoninAnimalsDisease Models, AnimalFibrosisKnee JointMaleRatsRats, Sprague-DawleyMelatoninautophagyextracorporeal shock wave therapyfibrosisJoint contractureknee joint.melatonin

Identifiers

PMID39279114

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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.