Evidence map›Paper›PMID 32075029›Full record

ArticleJournal of clinical medicine2020

Extracellular Vesicle Isolation and Characterization from Periprosthetic Joint Synovial Fluid in Revision Total Joint Arthroplasty.

Julian M Rüwald, Thomas M Randau, Cäcilia Hilgers, Werner Masson, Stephan Irsen, Robin L Eymael, Hendrik Kohlhof, Sascha Gravius, Christof Burger, Dieter C Wirtz and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Novel diagnostic markers for periprosthetic joint infection: a systematic review.Frontiers in cellular and infection microbiology · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Extracellular Vesicles in Musculoskeletal Pathologies and Regeneration.Frontiers in bioengineering and biotechnology · 2020
    Review
  7. Non-viral Gene Delivery Methods for Bone and Joints.Frontiers in bioengineering and biotechnology · 2020
    Review
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

11 authors at 4 institutions in 1 country.

Julian M RüwaldClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Thomas M RandauClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Cäcilia HilgersClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Werner MassonClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Stephan IrsenElectron Microscopy and Analytics, Center of Advanced European Studies and Research, 53175 Bonn, Germany.
Robin L EymaelMedical Faculty, University Hospital Essen, 45147 Essen, Germany.
Hendrik KohlhofClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Sascha GraviusDepartment of Orthopaedics and Trauma Surgery, University Medical Center Mannheim of University Heidelberg, 68167 Mannheim, Germany.
Christof BurgerClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Dieter C WirtzClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Frank A SchildbergClinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0003-0797-1945
University Hospital Bonn · DECenter of Advanced European Studies and Research · DEEssen University Hospital · DEHeidelberg University · DE

Funding

German Society for Orthopaedics and Orthopaedic Surgery N/A
6 · The paper itself

Abstract

Extracellular vesicles (EVs) comprise an as yet insufficiently investigated intercellular communication pathway in the field of revision total joint arthroplasty (RTJA). This study examined whether periprosthetic joint synovial fluid contains EVs, developed a protocol for their isolation and characterized them with respect to quantity, size, surface markers as well as documented their differences between aseptic implant failure (AIF) and periprosthetic joint infection (PJI). EV isolation was accomplished using ultracentrifugation, electron microscopy (EM) and nanoparticle tracking analysis evaluated EV presence as well as particle size and quantity. EV surface markers were studied by a bead-based multiplex analysis. Using our protocol, EM confirmed the presence of EVs in periprosthetic joint synovial fluid. Higher EV particle concentrations and decreased particle sizes were apparent for PJI. Multiplex analysis confirmed EV-typical surface epitopes and revealed upregulated CD44 and HLA-DR/DP/DQ for AIF, as well as increased CD40 and CD105. Our protocol achieved isolation of EVs from periprosthetic joint synovial fluid, confirmed by EM and multiplex analysis. Characterization was documented with respect to size, concentration and epitope surface signature. Our results indicate various differences between PJI and AIF EVs. This pilot study enables new research approaches and rising diagnostic opportunities in the field of RTJA.

Indexed as

aseptic implant failureEVsextracellular vesicle isolationperiprosthetic joint infectionperiprosthetic joint synovial fluid

Identifiers

PMID32075029
PMCPMC7074102
OpenAlexW3006071258

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.