Evidence map›Paper›PMID 40342549›Full record

ReviewJournal of orthopaedic translation2025

Neuromuscular electrical stimulation alleviates stroke-related sarcopenia by promoting satellite cells myogenic differentiation via AMPK-ULK1-Autophagy axis.

Xingdong Xiang, Lei Huang, Wenchen Luo, Lieyang Qin, Mengxuan Bian, Weisin Chen, Guanjie Han, Ning Wang, Guokang Mo, Cheng Zhang and 5 more

Abstract readReview
In one paragraph

Review in Journal of orthopaedic translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

15 authors.

Xingdong XiangDepartment of Rehabilitation Medicine, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Lei HuangDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Wenchen LuoDepartment of Anesthesiology, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Lieyang QinDepartment of Cardiovascular Surgery, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Mengxuan BianDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Weisin ChenDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Guanjie HanDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Ning WangDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Guokang MoDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Cheng ZhangDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Yongxing ZhangDepartment of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Huilin YangDepartment of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, 215123, China.
Shunyi LuDepartment of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, 215123, China.
Jian ZhangDepartment of Rehabilitation Medicine, Zhongshan Hospital Fudan University, Shanghai, 200032, China.
Tengfei FuDepartment of Rehabilitation Medicine, Zhongshan Hospital Fudan University, Shanghai, 200032, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke-related sarcopenia can result in muscle mass loss and muscle fibers abnormality, significantly affecting muscle function. The clinical management of stroke-related sarcopenia still requires further research and investigation. This study aims to explore a promising therapy to restore muscle function and promote muscle regeneration in stroke-related sarcopenia, providing a new theory for stroke-related sarcopenia treatment. Methods: Stroke-related sarcopenia rat model was established by using permanent middle cerebral artery occlusion (pMCAO) rat and treated with neuromuscular electrical stimulation (NMES). Electrical stimulation (ES) treatment Results: After NMES treatment, muscle mass and myogenic differentiation were significantly increased in stroke-related sarcopenia rats. The NMES group had more stable gait, neater footprints, higher muscle wet weight, more voluminous morphology and more regenerated muscle fibers. Additionally, ES treatment induced myogenic differentiation in rat MuSCs Conclusion: NMES not only restores muscle function but also enhances myogenic activity and muscle regeneration via AMPK-ULK1 autophagy in stroke-related sarcopenia rats. Our study provides a promising strategy for the treatment of stroke-related sarcopenia. The translational potential of this article: This study first demonstrates that NMES alleviates stroke-related sarcopenia by promoting MuSCs differentiation through AMPK-ULK1-autophagy axis. The findings reveal a novel therapeutic mechanism, suggesting that NMES can restore muscle function and enhance regeneration in stroke patients. By combining NMES with MuSCs-based therapies, this approach offers a promising strategy for clinical rehabilitation, potentially improving muscle mass and function in stroke survivors. The translational potential lies in its applicability to non-invasive, cost-effective treatments for sarcopenia, enhancing patients' quality of life.

Indexed as

AutophagyMyogenic differentiationNeuromuscular electrical stimulationSatellite cellsStroke-related sarcopenia

Identifiers

PMID40342549
PMCPMC12059223

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.