2019
DOI: 10.1002/jor.24499
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Sulfasalazine Resolves Joint Stiffness in a Rabbit Model of Arthrofibrosis

Abstract: Joint stiffness due to fibrosis/capsule contracture is a seriously disabling complication of articular injury that surgical interventions often fail to completely resolve. Fibrosis/contracture is associated with the abnormal persistence of myofibroblasts, which over‐produce and contract collagen matrices. We hypothesized that intra‐articular therapy with drugs targeting myofibroblast survival (sulfasalazine), or collagen production (β‐aminopropionitrile and cis‐hydroxyproline), would reduce joint stiffness in … Show more

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Cited by 12 publications
(6 citation statements)
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References 42 publications
(111 reference statements)
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“…To test first for an increase in functional contractility, we performed a gel compaction assay ( Fig. 2A) where we exposed fibroblast-populated fibrin gels to ACM or PCM for 48 hours, released the gel from the edges of the well, and measured the change in gel area 40,41 . All samples rapidly decreased in area post-release, with compaction in control and PCM samples proceeding for approximately seven hours before plateauing.…”
Section: Acm Increased Fibrin Gel Compaction and Fibroblast Contractimentioning
confidence: 99%
“…To test first for an increase in functional contractility, we performed a gel compaction assay ( Fig. 2A) where we exposed fibroblast-populated fibrin gels to ACM or PCM for 48 hours, released the gel from the edges of the well, and measured the change in gel area 40,41 . All samples rapidly decreased in area post-release, with compaction in control and PCM samples proceeding for approximately seven hours before plateauing.…”
Section: Acm Increased Fibrin Gel Compaction and Fibroblast Contractimentioning
confidence: 99%
“…ECM remodeling in the sclera can trigger fibroblast-to-myofibroblast differentiation 6 . Studies indicate that fibroblasts transform into myofibroblasts and upregulate α-SMA, which augments their ability to generate contractile force and increase ECM stiffness in myopic eyes 7 9 . Because the sclera undergoes remodeling throughout life, it is possible that the composition of scleral cell types and cell biology change during maturation and as sclera ages.…”
Section: Introductionmentioning
confidence: 99%
“…[13][14][15] However, in vivo models of arthrofibrosis are costly, and the ability to control specific regulatory molecular pathways that contribute to the disease process is limited. To date, there are few in vitro options that are suitable to study myofibroblastogenesis, and these utilize fibroblasts derived from unknown sources, 16,17 cells from human tissues not associated with the local knee environment, 18 knee fibroblasts isolated from animals, 19 or primary cells isolated from the human knee environment with only partial phenotypic characterization. [20][21][22][23][24] Therefore, a well-characterized cell culture model for in vitro myofibroblastogenesis based on primary cultures of knee fibroblasts is essential for controlled experimentation to investigate arthrofibrotic processes at cellular, molecular, and biochemical levels.…”
Section: Introductionmentioning
confidence: 99%