scholarly journals Intrinsic Tendon Regeneration After Application of Purified Exosome Product: An In Vivo Study

2021 ◽  
Vol 9 (12) ◽  
pp. 232596712110629
Author(s):  
Elizabeth P. Wellings ◽  
Tony Chieh-Ting Huang ◽  
Jialun Li ◽  
Timothy E. Peterson ◽  
Alexander W. Hooke ◽  
...  
Keyword(s):  
Tensile Stress ◽  
Collagen Scaffold ◽  
Ultimate Tensile Stress ◽  
Cross Sectional Area ◽  
Suture Repair ◽  
Sectional Area ◽  
Cross Sectional ◽  
Achilles Tenotomy ◽  
Tendon Regeneration

Background: Tendons are primarily acellular, limiting their intrinsic regenerative capabilities. This limited regenerative potential contributes to delayed healing, rupture, and adhesion formation after tendon injury. Purpose: To determine if a tendon’s intrinsic regenerative potential could be improved after the application of a purified exosome product (PEP) when loaded onto a collagen scaffold. Study Design: Controlled laboratory study. Methods: An in vivo rabbit Achilles tendon model was used and consisted of 3 groups: (1) Achilles tenotomy with suture repair, (2) Achilles tenotomy with suture repair and collagen scaffold, and (3) Achilles tenotomy with suture repair and collagen scaffold loaded with PEP at 1 × 1012 exosomes/mL. Each group consisted of 15 rabbits for a total of 45 specimens. Mechanical and histologic analyses were performed at both 3 and 6 weeks. Results: The load to failure and ultimate tensile stress were found to be similar across all groups ( P ≥ .15). The tendon cross-sectional area was significantly smaller for tendons treated with PEP compared with the control groups at 6 weeks, which was primarily related to an absence of external adhesions ( P = .04). Histologic analysis confirmed these findings, demonstrating significantly lower adhesion grade both macroscopically ( P = .0006) and microscopically ( P = .0062) when tendons were treated with PEP. Immunohistochemical staining showed a greater intensity for type 1 collagen for PEP-treated tendons compared with collagen-only or control tendons. Conclusion: Mechanical and histologic results suggested that healing in the PEP-treated group favored intrinsic healing (absence of adhesions) while control animals and animals treated with collagen only healed primarily via extrinsic scar formation. Despite a smaller cross-sectional area, treated tendons had the same ultimate tensile stress. This pilot investigation shows promise for PEP as a means of effectively treating tendon injuries and enhancing intrinsic healing. Clinical Relevance: The production of a cell-free, off-the-shelf product that can promote tendon regeneration would provide a viable solution for physicians and patients to enhance tendon healing and decrease adhesions as well as shorten the time required to return to work or sports.

scholarly journals Rectus Femoris Mimicking Ultrasound Phantom for Muscle Mass Assessment: Design, Research, and Training Application

2021 ◽  
Vol 10 (12) ◽  
pp. 2721
Author(s):  
Nobuto Nakanishi ◽  
Shigeaki Inoue ◽  
Rie Tsutsumi ◽  
Yusuke Akimoto ◽  
Yuko Ono ◽  
...  
Keyword(s):  
Measurement Accuracy ◽  
Rectus Femoris ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Phantom Model ◽  
Ultrasound Measurements ◽  
Ultrasound Phantom

Ultrasound has become widely used as a means to measure the rectus femoris muscle in the acute and chronic phases of critical illness. Despite its noninvasiveness and accessibility, its accuracy highly depends on the skills of the technician. However, few ultrasound phantoms for the confirmation of its accuracy or to improve technical skills exist. In this study, the authors created a novel phantom model and used it for investigating the accuracy of measurements and for training. Study 1 investigated how various conditions affect ultrasound measurements such as thickness, cross-sectional area, and echogenicity. Study 2 investigated if the phantom can be used for the training of various health care providers in vitro and in vivo. Study 1 showed that thickness, cross-sectional area, and echogenicity were affected by probe compression strength, probe angle, phantom compression, and varying equipment. Study 2 in vitro showed that using the phantom for training improved the accuracy of the measurements taken within the phantom, and Study 2 in vivo showed the phantom training had a short-term effect on improving the measurement accuracy in a human volunteer. The new ultrasound phantom model revealed that various conditions affected ultrasound measurements, and phantom training improved the measurement accuracy.

Role of superoxide anion in regulating pressor and vascular hypertrophic response to angiotensin II

2002 ◽  
Vol 282 (5) ◽  
pp. H1697-H1702 ◽  
Author(s):  
Hui Di Wang ◽  
Douglas G. Johns ◽  
Shanqin Xu ◽  
Richard A. Cohen
Keyword(s):  
Superoxide Anion ◽  
Pressor Response ◽  
Cross Sectional Area ◽  
Ang Ii ◽  
Sectional Area ◽  
Wild Type ◽  
Cross Sectional ◽  
Hypertrophic Response

Our purpose was to address the role of NAPDH oxidase-derived superoxide anion in the vascular response to ANG II. Blood pressure, aortic superoxide anion, 3-nitrotyrosine, and medial cross-sectional area were compared in wild-type mice and in mice that overexpress human superoxide dismutase (hSOD). The pressor response to ANG II was significantly less in hSOD mice. Superoxide anion levels were increased twofold in ANG II-treated wild-type mice but not in hSOD mice. 3-Nitrotyrosine increased in aortic endothelium and adventitia in wild-type but not hSOD mice. In contrast, aortic medial cross-sectional area increased 50% with ANG II in hSOD mice, comparable to wild-type mice. The lower pressor response to ANG II in the mice expressing hSOD is consistent with a pressor role of superoxide anion in wild-type mice, most likely because it reacts with nitric oxide. Despite preventing the increase in superoxide anion and 3-nitrotyrosine, the aortic hypertrophic response to ANG II in vivo was unaffected by hSOD.

Muscle fiber number in biceps brachii in bodybuilders and control subjects

1984 ◽  
Vol 57 (5) ◽  
pp. 1399-1403 ◽  
Author(s):  
J. D. MacDougall ◽  
D. G. Sale ◽  
S. E. Alway ◽  
J. R. Sutton
Keyword(s):  
Muscle Fiber ◽  
Biceps Brachii ◽  
Cross Sectional Area ◽  
Muscle Size ◽  
Sectional Area ◽  
Cross Sectional ◽  
Trained Subjects ◽  
Fiber Area ◽  
Muscle Cross Sectional Area

Muscle fiber numbers were estimated in vivo in biceps brachii in 5 elite male bodybuilders, 7 intermediate caliber bodybuilders, and 13 age-matched controls. Mean fiber area and collagen volume density were calculated from needle biopsies and muscle cross-sectional area by computerized tomographic scanning. Contralateral measurements in a subsample of seven subjects indicated the method for estimation of fiber numbers to have adequate reliability. There was a wide interindividual range for fiber numbers in biceps (172,085–418,884), but despite large differences in muscle size both bodybuilder groups possessed the same number of muscle fibers as the group of untrained controls. Although there was a high correlation between average cross-sectional fiber area and total muscle cross-sectional area within each group, many of the subjects with the largest muscles also tended to have a large number of fibers. Since there were equally well-trained subjects with fewer than normal fiber numbers, we interpret this finding to be due to genetic endowment rather than to training-induced hyperplasia. The proportion of muscle comprised of connective and other noncontractile tissue was the same for all subjects (approximately 13%), thus indicating greater absolute amounts of connective tissue in the trained subjects. We conclude that in humans, heavy resistance training directed toward achieving maximum size in skeletal muscle does not result in an increase in fiber numbers.

Isometric tension and myofilamental cross-sectional area in striated muscle

1962 ◽  
Vol 202 (5) ◽  
pp. 824-826 ◽  
Author(s):  
Einar Helander ◽  
Carl-Axel Thulin
Keyword(s):  
Striated Muscle ◽  
Protein Composition ◽  
Isometric Tension ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Experimental Conditions ◽  
Cross Sectional ◽  
Total N ◽  
Calf Muscles

Isometric tension in tetanically stimulated calf muscles was examined in vivo in 3 rabbits and 18 cats. In two cats the gastrocnemius and soleus muscles were studied separately. After determination of the isometric tension the muscles were dissected and their water content, total N content, and protein composition were analyzed. On this basis it was possible to calculate that part of the cross-sectional area of the muscle fibers which consisted of myofilaments. The recorded maximum isometric tension was related to the myofilamental cross-sectional area. Under the given experimental conditions, the calf muscles developed a tension of 108 ± 5 g/mm2 cross-sectional area. Higher values resulted from tests of individual calf muscles than from combined muscles.

Influence of site of tracheal pressure measurement on in situ estimation of endotracheal tube resistance

1994 ◽  
Vol 77 (6) ◽  
pp. 2899-2906 ◽  
Author(s):  
P. Navalesi ◽  
P. Hernandez ◽  
D. Laporta ◽  
J. S. Landry ◽  
F. Maltais ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Fluid Dynamic ◽  
Reference Value ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Tracheal Pressure

In situ measurement of distal tracheal pressure (Ptr) via an intraluminal side-hole catheter (IC) has been used to determine endotracheal tube (Rett) and intrinsic patient (Rpt) resistances in intubated subjects. Because of differences in cross-sectional area between the endotracheal tube (ETT) and trachea, fluid dynamic principles predict that IC position should critically influence these results. Accordingly, the aim of this study was to determine the effect of IC position on Rett. Ptr was recorded in vitro through an IC from 2 cm inside, at the tip of, or 2 cm outside an ETT (7, 8, and 9 mm ID) situated within an artificial trachea (13, 18, and 22 mm ID). A reference value of Rett was also obtained. Results were unaffected by IC position during inspiration, overestimating Rett by 7.9 +/- 0.7% (SE). In contrast, during expiration, Rett fell as IC position changed from outside to inside the ETT and was underestimated by 41.3 +/- 3.6% with Ptr recorded inside the ETT. Varying ETT or tracheal size had little effect on the relative error in Rett. The IC itself did increase Rett due to a reduction in effective cross-sectional area, the change varying directly with IC size and inversely with ETT caliber. In vivo values in 11 intubated patients were comparable to in vitro results. In summary, IC position and size can have important consequences on in situ measurements of Ptr and should be considered when clinically monitoring Rett or Rpt.

Analysis of pulmonary vascular interdependence in excised dog lobes

1980 ◽  
Vol 48 (3) ◽  
pp. 450-467 ◽  
Author(s):  
J. C. Smith ◽  
W. Mitzner
Keyword(s):  
Cross Sectional Area ◽  
Sectional Area ◽  
Mechanical Interaction ◽  
Elasticity Solution ◽  
Cross Sectional ◽  
Lung Inflation ◽  
Residual Capacity ◽  
Stress And Deformation ◽  
Arteries And Veins

The pressure-volume behavior of intraparenchymal extra-alveolar arteries and veins was measured at various lung inflation states by inflating and deflating the vasculatures with air. The vascular volumes at specific vascular pressures (Pv) and transpulmonary pressures (Ptp) were partitioned into components of axial length and cross-sectional area. An analysis of the interrelationships between the perivascular pressure (Px), the vascular pressure vs. cross-sectional area behavior, and the Ptp is presented. For in vivo values of Pv, at functional residual capacity, the vascular-parenchymal mechanical interaction was small and values of arterial and venous Px approximately Ppl. With increasing Ptp to 30 cmH2O, values of both the arterial and venous Px relative to Ppl (Px - Ppl) decreased to approximately -5 cmH2O, indicating that the magnitude of the vascular-parenchymal interaction with increasing Ptp is similar for both arteries and veins in the in vivo state. At any fixed Ptp, values of arterial and venous Px - Ppl decreased nearly linearly with decreasing vascular cross-sectional area. These results were generally consistent with a linear continuum elasticity solution relating stress and deformation in the perivascular parenchyma.

Implications of complex anatomical junctions on conductance catheter measurements of coronary arteries

2013 ◽  
Vol 114 (5) ◽  
pp. 656-664 ◽  
Author(s):  
Hyo Won Choi ◽  
Zhen-Du Zhang ◽  
Neil D. Farren ◽  
Ghassan S. Kassab
Keyword(s):  
Measurement Accuracy ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Conductance Catheter ◽  
Cross Sectional ◽  
In Vivo Experiments ◽  
Conductance Method ◽  
Vessel Curvature

In vivo, the position of the conductance catheter to measure vessel lumen cross-sectional area may vary depending on where the conductance catheter is deployed in the complex anatomical geometry of arteries, including branches, bifurcations, or curvatures. The objective here is to determine how such geometric variations affect the cross-sectional area (CSA) estimates obtained using the cylindrical model. Computer simulations and in vitro and in vivo experiments were used to assess how the electric field and associated CSA measurement accuracy are affected by three typical in vivo conditions: 1) a vessel with abrupt change in lumen diameter (e.g., transition from aorta to coronary ostia); 2) a vessel with a T-bifurcation or a Y-bifurcation; and 3) a vessel curvature, such as in the right coronary artery, aorta, or pulmonary artery. The error in diameter from simulation results was shown to be relatively small (<7%), unless the detection electrodes were placed near the junction between two different lumen diameters or at a bifurcation junction. Furthermore, the present findings show that the effect of misaligned catheter-vessel geometrical configuration and vessel curvature on measurement accuracy is negligible. Collectively, the findings support the accuracy of the conductance method for sizing blood vessels, despite the geometric complexities of the cardiovascular system, as long as the detection electrodes are not placed at a large discontinuity in diameter or at bifurcation junctions.

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