1,097 results match your criteria: "Center for Musculoskeletal Research[Affiliation]"

Heat stress inhibits cellular proliferation and differentiation through the production of reactive oxygen species. Under stress conditions, antioxidant drugs promote stable cellular function by reducing the stress level. We sought to demonstrate 9-mer disulfide dimer peptide (COPA3) supplementation stabilizes fibroblast proliferation and differentiation even under heat stress conditions.

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Tendon injuries disrupt the transmission of forces from muscle to bone, leading to chronic pain, disability, and a large socioeconomic burden. Tendon injuries are prevalent; there are over 300,000 tendon repair procedures a year in the United States to address acute trauma or chronic tendinopathy. Successful restoration of function after tendon injury remains challenging clinically.

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Article Synopsis
  • The study focuses on understanding factors that influence the 12-month mJOA scores, which gauge the severity of cervical myelopathy, and aims to develop a prediction model based on these factors.
  • Key findings revealed that initial mJOA scores, particularly symptoms like leg numbness and walking ability, were significant predictors of outcomes, alongside demographic and clinical variables such as age and mental health.
  • The authors list appears to have two entries for Jacquelyn S. Pennings and claims Kristin R. Archer as the last author, suggesting a need for accuracy in author representation.
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Cellular senescence plays important roles in age-related diseases, including musculoskeletal disorders. Senescent cells (SCs) exert a senescence-associated secretory phenotype (SASP) by producing SASP factors, some of which overlap with factors produced by inflammatory cells (Inf-Cs). However, the differences between SCs and Inf-Cs and how they interact with each other during fracture repair have not been well studied.

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Effect of ribose incubation on physical, chemical, and mechanical properties of human cortical bone.

J Mech Behav Biomed Mater

April 2023

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, 1215 21st Ave. S, Suite 4200, Nashville, TN, 37232, USA; Vanderbilt Center for Bone Biology, Vanderbilt University Medical Center, 2215B Garland Ave, Nashville, TN, 37212, USA; Department of Veterans Affairs, Tennessee Valley Healthcare System, 1310 24th Ave. S, Nashville, TN, 37212, USA; Vanderbilt Center for Musculoskeletal Research, Vanderbilt University Medical Center, 2525 West End Avenue, Suite 1200, Nashville, TN, 37203, USA. Electronic address:

Raman spectroscopy (RS) is sensitive to the accumulation of advanced glycation end-products (AGEs), and it measures matrix-sensitive properties that correlate with the fracture toughness of human cortical bone. However, it is unclear whether sugar-mediated accumulation of AGEs affects the fracture toughness of human cortical bone in a manner that is consistent with the negative correlations between amide I sub-peak ratios and fracture toughness. Upon machining 64 single-edge notched beam (SENB) specimens from cadaveric femurs (8 male and 7 female donors between 46 years and 61 years of age), pairs of SENB specimens were incubated in 15 mL of phosphate buffered saline with or without 0.

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Endoscopic transforaminal treatment of a thoracic perineural cyst: a case report.

Eur Spine J

August 2023

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Medical Center East, South Tower, Suite 4200, Nashville, TN, 37232-8774, USA.

Background And Importance: To describe the first case of a thoracic perineural cyst successfully treated using a direct thoracic transforaminal endoscopic approach.

Methods: Case report.

Clinical Presentation: A 66-year-old male presented with right-sided radicular pain in a T4 distribution.

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Mutations in the TRPV4 ion channel can lead to a range of skeletal dysplasias. However, the mechanisms by which TRPV4 mutations lead to distinct disease severity remain unknown. Here, we use CRISPR-Cas9-edited human-induced pluripotent stem cells (hiPSCs) harboring either the mild V620I or lethal T89I mutations to elucidate the differential effects on channel function and chondrogenic differentiation.

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Collecting lymphatic vessel (CLV) dysfunction has been implicated in various diseases, including rheumatoid arthritis (RA). RA patients with active hand arthritis exhibit significantly reduced lymphatic clearance of the web spaces adjacent to the metacarpophalangeal (MCP) joints and a reduction in total and basilic-associated CLVs on the dorsal surface of the hand by near-infrared (NIR) imaging of indocyanine green (ICG). In this pilot study, we assessed direct lymphatic drainage from MCP joints and aimed to visualize the total lymphatic anatomy using novel dual-agent relaxation contrast magnetic resonance lymphography (DARC-MRL) in the upper extremity of healthy human subjects.

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Article Synopsis
  • - Cells depend on antioxidants like glutathione (GSH) for survival, with GSH being the most abundant antioxidant regulated by the enzyme GCLC.
  • - A study involving the deletion of GSH in adult animals revealed its crucial role in maintaining lipid levels, particularly in the liver, which is key for lipid production.
  • - The absence of GSH led to decreased expression of lipogenic enzymes, lower triglyceride levels, and reduced fat stores, highlighting GSH's role in balancing oxidative stress and lipid production through the repression of the transcription factor NRF2.
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The epigenome of stem cells occupies a critical interface between genes and environment, serving to regulate expression through modification by intrinsic and extrinsic factors. We hypothesized that aging and obesity, which represent major risk factors for a variety of diseases, synergistically modify the epigenome of adult adipose stem cells (ASCs). Using integrated RNA- and targeted bisulfite-sequencing in murine ASCs from lean and obese mice at 5- and 12-months of age, we identified global DNA hypomethylation with either aging or obesity, and a synergistic effect of aging combined with obesity.

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Background: Although treatment options and algorithms for rheumatoid arthritis (RA) have improved remarkably in recent decades, there continues to be no definitive cure or pharmacologic intervention with reliable long-term efficacy. For this reason, the combination of medications and healthy lifestyle modifications are essential for controlling joint disease, and extra-articular manifestations of RA, such as interstitial lung disease (ILD) and other lung pathologies, which greatly impact morbidity and mortality. Generally, exercise has been deemed beneficial in RA patients, and both patients and clinicians are motivated to incorporate effective non-pharmacologic interventions.

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The signal modelling framework JimenaE simulates dynamically Boolean networks. In contrast to SQUAD, there is systematic and not just heuristic calculation of all system states. These specific features are not present in CellNetAnalyzer and BoolNet.

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The gut microbiota regulates multiple facets of host metabolism and immunity through the production of signaling metabolites, such as polyamines which are small organic compounds that are essential to host cell growth and lymphocyte activation. Polyamines are most abundant in the intestinal lumen, where their synthesis by the gut microbiota is influenced by microbiome composition and host diet. Disruption of the host gut microbiome in metabolic syndrome and obesity-related type 2 diabetes (obesity/T2D) results in potential dysregulation of polyamine synthesis.

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Lymphatic muscle cell (LMC) contractility and coverage of collecting lymphatic vessels (CLVs) are integral to effective lymphatic drainage and tissue homeostasis. In fact, defects in lymphatic contractility have been identified in various conditions, including rheumatoid arthritis, inflammatory bowel disease, and obesity. However, the fundamental role of LMCs in these pathologic processes is limited, primarily due to the difficulty in directly investigating the enigmatic nature of this poorly characterized cell type.

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Article Synopsis
  • Aged tendons experience disrupted balance, leading to higher injury risk and poor healing, highlighting the need to explore the underlying mechanisms for future treatments.
  • Researchers created a new model using young mice (Scx-DTR) to mimic tendon aging, revealing similarities in cell loss and changes in the structure and composition of the tendon’s extracellular matrix (ECM).
  • Findings show that while aged tenocytes become inflammatory and lose their ability to maintain protein balance, tenocytes from the Scx-DTR model can remodel effectively, suggesting potential targets for interventions to support tendon health throughout life.
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TGFβ1 induces age-related bone loss by promoting degradation of TNF receptor-associated factor 3 (TRAF3), levels of which decrease in murine and human bone during aging. We report that a subset of neutrophils (TGFβ1CCR5) is the major source of TGFβ1 in murine bone. Their numbers are increased in bone marrow (BM) of aged wild-type mice and adult mice with TRAF3 conditionally deleted in mesenchymal progenitor cells (MPCs), associated with increased expression in BM of the chemokine, CCL5, suggesting that TRAF3 in MPCs limits TGFβ1CCR5 neutrophil numbers in BM of young mice.

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Targeting Synovial Lymphatic Function as a Novel Therapeutic Intervention for Age-Related Osteoarthritis in Mice.

Arthritis Rheumatol

June 2023

Department of Pathology and Laboratory Medicine, and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, New York.

Article Synopsis
  • The study investigates the role of the synovial lymphatic system (SLS) and VEGF-C/VEGFR-3 in age-related osteoarthritis (OA) using a mouse model.
  • Aged mice showed significantly impaired SLS function, indicated by reduced joint clearance and lower levels of VEGF-C and VEGFR-3 signaling.
  • Treatment with VEGF-C improved SLS function and cartilage health in aged mice, suggesting potential therapeutic benefits for age-related OA.
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Study Design: Qualitative interview study.

Objective: The aim was to develop a conceptual model for Spine Surgery Recovery in order to better understand why patients undergo lumbar spine surgery and what factors influence patient satisfaction.

Summary Of Background Data: Quantitative studies have assessed patients' expectations for lumbar spine surgery outcomes, with greater expectation fulfillment leading to higher satisfaction.

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Article Synopsis
  • The study examines wound complications in patients undergoing elective posterior cervical spine surgery using either barbed or traditional interrupted sutures.
  • No significant differences in postoperative wound complications (like infections or dehiscence) were found between the two suture methods.
  • Additionally, there were no notable differences in pain improvement or recovery outcomes between the groups, indicating that barbed sutures may be as effective as traditional sutures for this surgery.
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Importance: Low back and neck pain are often self-limited, but health care spending remains high.

Objective: To evaluate the effects of 2 interventions that emphasize noninvasive care for spine pain.

Design, Setting, And Participants: Pragmatic, cluster, randomized clinical trial conducted at 33 centers in the US that enrolled 2971 participants with neck or back pain of 3 months' duration or less (enrollment, June 2017 to March 2020; final follow-up, March 2021).

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Acute Lower Extremity Fracture Management in Chronic Spinal Cord Injury: 2022 Delphi Consensus Recommendations.

JB JS Open Access

December 2022

Center for Musculoskeletal Research, Division of Orthopaedic Trauma, Vanderbilt Orthopaedic Institute, Vanderbilt University Medical Center, Nashville, Tennessee.

Article Synopsis
  • The study aimed to create guidelines for treating acute lower extremity fractures in patients with chronic spinal cord injuries (SCI), using existing research and expert insights.
  • Recommendations highlight the importance of educating patients on treatment options and fostering shared decision-making, as surgical methods are becoming more viable with advancements in techniques and rehabilitation.
  • A focus on the involvement of physical and occupational therapists is crucial for assessing patient needs and managing complications, with an overarching goal of restoring the patient’s mobility and independence post-fracture.
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Article Synopsis
  • The vascular system is essential in managing inflammation, and the role of the vascular endothelium can differ based on the tissue type and disease stage.
  • Advances in tissue chip models are providing new ways to investigate human diseases and enhance personalized medicine, but many current models use generic endothelial cells, limiting valuable insights.
  • Understanding leukocyte movement in different vascular tissues is crucial, and the paper highlights the importance of using tissue-specific endothelial and immune cells for creating more accurate and effective tissue chip models.
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Objective: The objective of this study is to understand the role of altered mechanical environments in knee joints post anterior cruciate ligament (ACL)-injury in chondrocyte vulnerability against mechanical stimuli and in the progression of post-traumatic osteoarthritis (PT-OA).

Methods: Differential mechanical environments were induced by unilateral ACL-injury (uni-ACL-I) and bilateral ACL-injury (bi-ACL-I) in 8-week-old female C57BL/6 mice. The gait parameters, the mechano-vulnerability of chondrocytes, Young's moduli of cartilage extracellular matrix (ECM), and the histological assessment of OA severity (OARSI score) were compared between control and experimental groups at 0∼8-weeks post-ACL-injury.

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Abstract: The cervicothoracic junction (CTJ) is the site of transition in biomechanical, osseous, and alignment properties of the spine. The interface between the highly mobile, lordotic cervical spine and the rigid, kyphotic thoracic spine results increased the biomechanical stress experienced at this junction. The concentration of stress at this level has led to high rates of failure when instrumenting near or across the CTJ.

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This series of FactFinders presents a brief summary of the evidence and outlines recommendations regarding the use of antibiotics for disc access and spinal cord stimulation trials. The evidence in support of the following facts is presented: (1) There is a low but nonzero risk of discitis due to percutaneous intervertebral disc access. Strategies to mitigate this risk include use of strict aseptic technique, use of a needle stylet, and prophylactic intravenous or intra-discal antibiotics.

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