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容积性失神经肌肉萎缩大鼠模型的回顾性特征描述。

Retrospective characterization of a rat model of volumetric muscle loss.

机构信息

DoD-VA Extremity Trauma and Amputation Center of Excellence, Bethesda, MD, USA.

Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MD, USA.

出版信息

BMC Musculoskelet Disord. 2022 Aug 26;23(1):814. doi: 10.1186/s12891-022-05760-5.

Abstract

Volumetric muscle loss (VML) is a pervasive injury within contemporary combat and a primary driver of disability among injured Service members. As such, VML has been a topic of investigation over the past decade as the field has sought to understand the pathology of these injuries and to develop treatment strategies which restore the form and function of the involved musculature. To date, much of this work has been performed in disparate animal models that vary significantly in terms of the species utilized, the muscle (or muscle group) affected, and the volume of muscle lost. Moreover, variation exists in the reporting of anatomical and functional outcomes within these models. When taken together, the ability to successfully assess comparative efficacy of promising therapies is currently limited. As such, greater scrutiny on the characterization of these VML models is needed to better assess the quality of evidence supporting further translation of putative therapies. Thus, the objective of this study was to retrospectively characterize anatomical and functional outcomes associated with one such VML model - the 6 mm biopsy punch model of the rat tibialis anterior muscle. Through these efforts, it was shown that this model is highly reproducible and consistent across a large number of experiments. As such, the data presented herein represent a reasonable benchmark for the expected performance of this model with utility for drawing inferences across studies and identifying therapies which have shown promise within the preclinical domain, and thus are ready for further translation towards the clinic.

摘要

体积性肌肉损失(VML)是当代战斗中普遍存在的损伤,也是受伤军人残疾的主要原因。因此,在过去十年中,该领域一直在研究 VML,试图了解这些损伤的病理学,并开发恢复受累肌肉形态和功能的治疗策略。迄今为止,这项工作主要在不同的动物模型中进行,这些模型在所用物种、受影响的肌肉(或肌肉群)以及失去的肌肉体积方面存在显著差异。此外,这些模型中解剖学和功能结果的报告也存在差异。综合来看,目前成功评估有前途的治疗方法的比较疗效的能力受到限制。因此,需要更仔细地研究这些 VML 模型的特点,以更好地评估支持进一步转化潜在治疗方法的证据质量。因此,本研究的目的是回顾性描述一种 VML 模型(即大鼠胫骨前肌 6mm 活检穿孔模型)的解剖学和功能结果。通过这些努力,表明该模型在大量实验中具有高度可重复性和一致性。因此,本文所呈现的数据代表了该模型预期性能的合理基准,可用于在研究之间进行推断,并确定在临床前领域显示出前景的治疗方法,从而为进一步向临床转化做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edf3/9414143/f48bd324d178/12891_2022_5760_Fig1_HTML.jpg

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