Evidence map›Paper›PMID 40386186›Full record

ArticleDrug design, development and therapy2025

Enhancing Cartilage Repair in Osteoarthritis Using Platelet Lysates and Arthroscopic Microfracture.

Haiyan Zhang, Dipeng Li, Wei Zheng, Jiaqing Hua, Zuxiang Chen, Wenting Xu, Jianing Zhu, Yue Wang, Xiaotian Chen, Huixin Chen and 4 more

Abstract read
In one paragraph

Article in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

14 authors.

Haiyan Zhang *The Second Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Dipeng Li *Department of Orthopaedics, Hangzhou Ninth People's Hospital, Hangzhou, Zhejiang, People's Republic of China.
Wei Zheng *College of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.ORCID 0009-0009-3786-6020
Jiaqing Hua *College of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Zuxiang ChenThe First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, People's Republic of China.ORCID 0000-0002-3546-8979
Wenting XuThe First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, People's Republic of China.
Jianing ZhuThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Yue WangCollege of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.ORCID 0009-0002-4473-5167
Xiaotian ChenCollege of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Huixin ChenCollege of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Le GuoCollege of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Qiang YuanCollege of Pharmaceutical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.
Li ZhouThe First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang, People's Republic of China.ORCID 0000-0003-1083-0211
Letian ShanThe Second Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, People's Republic of China.ORCID 0000-0003-4926-0527

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteoarthritis (OA) is the most prevalent joint degenerative disease. MF is considered as a first-line treatment for OA. In the long term, the cartilage tissue regenerated after MF is fibrocartilage. In this study, we examine whether combined treatment of MF and Platelet lysate (PL) can inhibit promotion of cartilage repair and antifibrosis. Methods: OA rat model established by the modified Hulth method. Rat PL injected into treated knee joints after MF surgery. The expression levels of metabolic and fibrosis molecules (Col2, Mmp13, Col1, Col3, α-SMA, and Ctgf) of chondrocytes were examined by immunohistochemistry. Cell immunofluorescence was used to assess bone marrow MSCs (BMSCs) proliferation. Transwell assays evaluated BMSCs migration, and qPCR and Western blot analyzed the mechanisms of PL. Moreover, a retrospective analysis was conducted to determine the clinical efficacy and safety of the combined treatment of MF and PL on OA patients. Results: In vivo data showed that the combined treatment of MF and PL significantly alleviated joint pain, protected chondrocytes and inhibited synovial fibrosis on OA rats, as was confirmed by upregulation of Collagen II and downregulation of Mmp13, Col1, Col3, α-SMA, and Ctgf. Such anti-OA and antifibrosis effects of the combined treatment of MF and PL were superior to MF alone. In vitro data showed that PL induced cellular chondrogenic differentiation and migration of BMSCs, suggesting that PL facilitated stem cell homing to the cartilage injury sites and promoted cartilage repair and regeneration. Furthermore, the clinical data showed significant improvements of pain reduction and cartilage repair in OA patients. Conclusion: This study demonstrated the anti-OA and antifibrosis effects of the combination of MF and PL, providing a promising synergistic therapeutic option for the treatment of OA.

Indexed as

ArthroscopyBlood PlateletsCartilage, ArticularOsteoarthritisAnimalsCells, CulturedDisease Models, AnimalFemaleHumansMaleRatsRats, Sprague-Dawleyantifibrosisbone marrow mesenchymal stem cellsmicrofractureosteoarthritisplatelet lysate

Identifiers

PMID40386186
PMCPMC12085145

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.