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Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears
The intra-articular synovial fluid environment in skeletally immature patients following an ACL tear is complex and remains undefined. Levels of inflammatory and anti-inflammatory cytokines change significantly in response to trauma and collectively define the inflammatory environment. Of these fact...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8208028/ https://www.ncbi.nlm.nih.gov/pubmed/34150787 http://dx.doi.org/10.3389/fmed.2021.610866 |
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author | Turati, Marco Franchi, Silvia Leone, Giulio Piatti, Massimiliano Zanchi, Nicolò Gandolla, Marta Rigamonti, Luca Sacerdote, Paola Rizzi, Laura Pedrocchi, Alessandra Omeljaniuk, Robert J. Zatti, Giovanni Torsello, Antonio Bigoni, Marco |
author_facet | Turati, Marco Franchi, Silvia Leone, Giulio Piatti, Massimiliano Zanchi, Nicolò Gandolla, Marta Rigamonti, Luca Sacerdote, Paola Rizzi, Laura Pedrocchi, Alessandra Omeljaniuk, Robert J. Zatti, Giovanni Torsello, Antonio Bigoni, Marco |
author_sort | Turati, Marco |
collection | PubMed |
description | The intra-articular synovial fluid environment in skeletally immature patients following an ACL tear is complex and remains undefined. Levels of inflammatory and anti-inflammatory cytokines change significantly in response to trauma and collectively define the inflammatory environment. Of these factors the resolvins, with their inherent anti-inflammatory, reparative, and analgesic properties, have become prominent. This study examined the levels of resolvins and other cytokines after ACL tears in skeletally immature and adult patients in order to determine if skeletal maturity affects the inflammatory pattern. Skeletally immature and adult patients with an anterior cruciate ligament injury and meniscal tears were prospectively enrolled over a 5-month period. Synovial fluid samples were obtained before surgery quantifying Resolvin E1, IL-1β, TNF-α, and IL-10 by ELISA. Comparisons between skeletally immature patients and adults, the influence of meniscal tear, growth plate maturity and time from trauma were analyzed. Skeletally immature patients had significantly greater levels of Resolvin E1 and IL-10 compared with adults with an isolated anterior cruciate ligament lesion. Among the injured skeletally immature patients Resolvin E1 levels were greater in the open growth plate group compared with those with closing growth plates. Moreover, levels of Resolvin E1 and IL-10 appeared to decrease with time. Our results suggest that skeletally immature patients have a stronger activation of the Resolvin pattern compared to adult patients and that synovial fluid Resolvins could play an antinflammatory role in the knee after anterior cruciate ligament lesion and that its activity may be synergistic with that of IL-10. |
format | Online Article Text |
id | pubmed-8208028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82080282021-06-17 Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears Turati, Marco Franchi, Silvia Leone, Giulio Piatti, Massimiliano Zanchi, Nicolò Gandolla, Marta Rigamonti, Luca Sacerdote, Paola Rizzi, Laura Pedrocchi, Alessandra Omeljaniuk, Robert J. Zatti, Giovanni Torsello, Antonio Bigoni, Marco Front Med (Lausanne) Medicine The intra-articular synovial fluid environment in skeletally immature patients following an ACL tear is complex and remains undefined. Levels of inflammatory and anti-inflammatory cytokines change significantly in response to trauma and collectively define the inflammatory environment. Of these factors the resolvins, with their inherent anti-inflammatory, reparative, and analgesic properties, have become prominent. This study examined the levels of resolvins and other cytokines after ACL tears in skeletally immature and adult patients in order to determine if skeletal maturity affects the inflammatory pattern. Skeletally immature and adult patients with an anterior cruciate ligament injury and meniscal tears were prospectively enrolled over a 5-month period. Synovial fluid samples were obtained before surgery quantifying Resolvin E1, IL-1β, TNF-α, and IL-10 by ELISA. Comparisons between skeletally immature patients and adults, the influence of meniscal tear, growth plate maturity and time from trauma were analyzed. Skeletally immature patients had significantly greater levels of Resolvin E1 and IL-10 compared with adults with an isolated anterior cruciate ligament lesion. Among the injured skeletally immature patients Resolvin E1 levels were greater in the open growth plate group compared with those with closing growth plates. Moreover, levels of Resolvin E1 and IL-10 appeared to decrease with time. Our results suggest that skeletally immature patients have a stronger activation of the Resolvin pattern compared to adult patients and that synovial fluid Resolvins could play an antinflammatory role in the knee after anterior cruciate ligament lesion and that its activity may be synergistic with that of IL-10. Frontiers Media S.A. 2021-06-02 /pmc/articles/PMC8208028/ /pubmed/34150787 http://dx.doi.org/10.3389/fmed.2021.610866 Text en Copyright © 2021 Turati, Franchi, Leone, Piatti, Zanchi, Gandolla, Rigamonti, Sacerdote, Rizzi, Pedrocchi, Omeljaniuk, Zatti, Torsello and Bigoni. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Turati, Marco Franchi, Silvia Leone, Giulio Piatti, Massimiliano Zanchi, Nicolò Gandolla, Marta Rigamonti, Luca Sacerdote, Paola Rizzi, Laura Pedrocchi, Alessandra Omeljaniuk, Robert J. Zatti, Giovanni Torsello, Antonio Bigoni, Marco Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title | Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title_full | Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title_fullStr | Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title_full_unstemmed | Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title_short | Resolvin E1 and Cytokines Environment in Skeletally Immature and Adult ACL Tears |
title_sort | resolvin e1 and cytokines environment in skeletally immature and adult acl tears |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8208028/ https://www.ncbi.nlm.nih.gov/pubmed/34150787 http://dx.doi.org/10.3389/fmed.2021.610866 |
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