Evidence map›Paper›PMID 38511123›Full record

ArticleJournal of orthopaedic translation2024

Pentamidine-loaded gelatin decreases adhesion formation of flexor tendon.

Guidong Shi, Nakagawa Koichi, Rou Wan, Yicun Wang, Ramona Reisdorf, Abigayle Wilson, Tony C T Huang, Peter C Amadio, Alexander Meves, Chunfeng Zhao and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic translation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

11 authors at 1 institution in 2 countries.

Guidong ShiDepartment of Orthopaedics, Qilu Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Nakagawa KoichiDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Rou WanDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Yicun WangDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Ramona ReisdorfDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Abigayle WilsonDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Tony C T HuangDivision of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Peter C AmadioDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Alexander MevesDepartment of Dermatology, Mayo Clinic, Rochester, MN, USA.
Chunfeng ZhaoDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Steven L MoranDivision of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prevention of adhesion formation following flexor tendon repair is essential for restoration of normal finger function. Although many medications have been studied in the experimental setting to prevent adhesions, clinical application is limited due to the complexity of application and delivery in clinical translation. Methods: In this study, optimal dosages of gelatin and pentamidine were validated by gelatin concentration test. Following cell viability, cell migration, live and dead cell, and cell adhesion assay of the Turkey tenocytes, a model of Turkey tendon repair was established to evaluate the effectiveness of the Pentamidine-Gelatin sheet. Results: Pentamidine carried with gelatin, a Food and drug administration (FDA) approved material for drug delivery, showed good dynamic release, biocompatibility, and degradation. The optimal dose of pentamidine (25ug) was determined in the in vivo study using tenocyte viability, migration, and cell adhesion assays. Further biochemical analyses demonstrated that this positive effect may be due to pentamidine downregulating the Wnt signaling pathway without affecting collagen expression. Conclusions: We tested a FDA-approved antibiotic, pentamidine, for reducing adhesion formation after flexor tendon repair in both in vitro and in vivo using a novel turkey animal model. Compared with the non-pentamidine treatment group, pentamidine treated turkeys had significantly reduced adhesions and improved digit function after six weeks of tendon healing. The translational potential of this article: This study for the first time showed that a common clinical drug, pentamidine, has a potential for clinical application to reduce tendon adhesions and improve tendon gliding function without interfering with tendon healing.

Indexed as

AdhesionFlexor tendon repairGelatinPentamidineTurkey model

Identifiers

PMID38511123
PMCPMC10950576
OpenAlexW4392750917

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.