Evidence map›Paper›PMID 41066485›Full record

ArticlePloS one2025

Evaluation of bone regenerative and bioactive potential of β-TCP/PLLA/PGA nanobiomaterial in conjunction with concentrated conditioned media from rapidly expanding clone (REC) of mesenchymal stem cells: A pilot animal study.

Ankhtsetseg Shijirbold, Mrunalini Ramanathan, Masako Fujioka-Kobayashi, Nithish Sankepally, Yuhei Matsuda, Yumi Matsuzaki, Yuki Fujita, Takahiro Kanno

Abstract read
In one paragraph

Article in PloS one, 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Ankhtsetseg ShijirboldDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Mrunalini RamanathanDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Masako Fujioka-KobayashiDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Nithish SankepallyDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Yuhei MatsudaDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Yumi MatsuzakiDepartment of Life Science, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Yuki FujitaDepartment of Developmental Biology, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Takahiro KannoDepartment of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.ORCID https://orcid.org/0009-0008-4594-1628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maxillofacial bone defects present substantial challenges in reconstruction because of their impact on function and aesthetics. Mesenchymal stem cells (MSCs) have been used for therapeutic purposes; however, various technical issues limit their application. A variant of MSCs called "rapidly expanding clone" (REC) was introduced using the superselection method. Conditioned media (CM) from stem cells have shown promising regenerative efficacy and can prevent host immunogenic reactions. We hypothesized that the bone regeneration potential of β-TCP/PLLA/PGA nanobiomaterial scaffold combined with concentrated CM-derived REC MSCs could enhance the regeneration process. For comparative evaluation, plain CM, 1 time concentrated REC-CM (1 × REC-CM), and 10 times concentrated REC-CM (10 × REC-CM) subgroups were generated. The quantity of growth factors in each CM group was assessed using enzyme-linked immunosorbent assay. β-TCP/PLLA/PGA scaffold implantation with REC-CM was performed in rats with critical-sized mandibular defects. Newly regenerated bone was evaluated using the bone volume-to-total volume (BV/TV) ratio, bone mineral density (BMD), and defect margin regrowth, and bioactivity was checked for Runx2, LepR, osteocalcin, periostin accumulation, and deposition at weeks 1 and 4. 10 × REC-CM promoted angiogenesis by significantly elevating TGF-β1 (p = 0.0002) and VEGF (p = 0.007) levels, facilitating vascularization and matrix deposition. The 10 × REC-CM group demonstrated substantially higher BV/TV at week 4 and new bone regeneration in the inner defect region at both time points (p = 0.002; p = 0.04) than the other groups. Significant elevation in the levels of osteogenic markers, such as Runx2 (p = 0.001; p = 0.05), LepR (p = 0.002; p = 0.001), osteocalcin (p = 0.001), and periostin, was observed in the 10 × REC-CM group, indicating good osteoinductivity. These findings highlight the synergistic effect of β-TCP/PLLA/PGA scaffold and REC-CM in promoting effective bone regeneration. The therapeutic potential of REC-CM-enhanced scaffolds in maxillofacial and bone reconstruction is supported by the findings presented in this study. This study demonstrates the upregulation and early phase bone regeneration upon application of 10x REC-CM with β-TCP/PLLA/PGA nanobiomaterial.

Indexed as

Bone RegenerationCalcium PhosphatesMesenchymal Stem CellsPolyestersAnimalsCulture Media, ConditionedMaleOsteogenesisPilot ProjectsRatsRats, Sprague-DawleyTissue Scaffoldsbeta-tricalcium phosphateCalcium PhosphatesCulture Media, ConditionedPolyesterspoly(lactide)

Identifiers

PMID41066485
PMCPMC12510494

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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.