Evidence map›Paper›PMID 34153127›Full record

ArticleThe Laryngoscope2022

Tracheal Macrophages During Regeneration and Repair of Long-Segment Airway Defects.

Zheng Hong Tan, Sayali Dharmadhikari, Lumei Liu, Gabrielle Wolter, Kimberly M Shontz, Susan D Reynolds, Jed Johnson, Christopher K Breuer, Tendy Chiang

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Successful Early Neovascularization in Composite Tracheal Grafts.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
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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

9 authors at 3 institutions in 1 country.

Zheng Hong TanCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0003-1571-464X
Sayali DharmadhikariCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.
Lumei LiuCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-9849-6881
Gabrielle WolterCollege of Medicine, The Ohio State University, Columbus, Ohio, USA.
Kimberly M ShontzCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.
Susan D ReynoldsCenter for Perinatal Research, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0003-4754-7858
Jed JohnsonNanofiber Solutions, Hillard, Ohio, USA.
Christopher K BreuerCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.
Tendy ChiangCenter of Regenerative Medicine, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0003-1448-5873
Nationwide Children's Hospital · USNanofiber Solutions (United States) · USThe Ohio State University · US

Funding

Tissue-engineered trachea composites for long-segment airway replacement (DIVERSITY SUPP - Hussein)R01HL157039 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Tendy Chiang · 2021 to 2026
$4.4M
Mechanisms of regeneration in tissue engineered tracheal graftsK08HL138460 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI CHIANG, TENDY · 2017 to 2021
$788k
NHLBI NIH HHS K08 HL138460NHLBI NIH HHS R01 HL157039
6 · The paper itself

Abstract

objectives/hypothesisTissue-engineered tracheal grafts (TETGs) offer a potential solution for repair of long-segment airway defects. However, preclinical and clinical TETGs have been associated with chronic inflammation and macrophage infiltration. Macrophages express great phenotypic heterogeneity (generally characterized as classically activated [M1] vs. alternatively activated [M2]) and can influence tracheal repair and regeneration. We quantified and characterized infiltrating host macrophages using mouse microsurgical tracheal replacement models. STUDY

designTranslational research, animal model.

methodsWe assessed macrophage infiltration and phenotype in animals implanted with syngeneic tracheal grafts, synthetic TETGs, or partially decellularized tracheal scaffolds (DTSs).

resultsMacrophage infiltration was observed following tracheal replacement with syngeneic trachea. Both M1 and M2 macrophages were present in native trachea and increased during early tracheal repair (P = .014), with an M1/M2 ratio of 0.48 ± 0.15. In contrast, orthotopic implantation of synthetic TETGs resulted in a shift to M1 predominant macrophage phenotype with an increased M1/M2 ratio of 1.35 ± 0.41 by 6 weeks following implant (P = .035). Modulation of the synthetic scaffold with the addition of polyglycolic acid (PGA) resulted in a reduction of M1/M2 ratio due to an increase in M2 macrophages (P = .006). Using systemic macrophage depletion, the M1/M2 ratio reverted to native values in synthetic TETG recipients and was associated with an increase in graft epithelialization. Macrophage ratios seen in DTSs were similar to native values.

conclusionsM1 and M2 macrophages are present during tracheal repair. Poor epithelialization with synthetic TETG is associated with an elevation of the M1/M2 ratio. Macrophage phenotype can be altered with scaffold composition and host-directed systemic therapies. DTSs exhibit M1/M2 ratios similar to those seen in native trachea and syngeneic tracheal replacement. LEVEL OF EVIDENCE: NA Laryngoscope, 132:737-746, 2022.

Indexed as

MacrophagesTracheaAnimalsHumansInflammationMicePolyglycolic AcidRegenerationPolyglycolic Acidmacrophagesregenerative medicinetracheal replacementtracheal tissue engineeringTracheal transplant

Identifiers

PMID34153127
PMCPMC8688581
OpenAlexW3173875425

What Socratic holds

Textmetadata
LicenceTDM
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.