Mass Spectrometry Characterization of the Human Ankle and Hindfoot Fracture Microenvironment in Young and Aged Subjects.

Background: Bone regeneration following a fracture is dependent on multiple factors including skeletal stem cells (SSCs). Recruitment, proliferation, and differentiation of the SSCs is guided by the proteins and metabolites found within the fracture microenvironment. Understanding how intrinsic fact...

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Publicado en:Indian Journal of Orthopaedics Vol. 58; no. 12; pp. 1871 - 1883
Autores principales: Dankert, John F., Mehta, Devan D., Rodrick, Tori C., Kanshin, Evgeny, Parola, Rown, Ueberheide, Beatrix M., Jones, Drew R., Egol, Kenneth A., Leucht, Philipp
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 58
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s43465-024-01284-3
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        atl: Mass Spectrometry Characterization of the Human Ankle and Hindfoot Fracture Microenvironment in Young and Aged Subjects.
      aug:
        au:
          Dankert, John F.
          Mehta, Devan D.
          Rodrick, Tori C.
          Kanshin, Evgeny
          Parola, Rown
          Ueberheide, Beatrix M.
          Jones, Drew R.
          Egol, Kenneth A.
          Leucht, Philipp
        affil: Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, 550 First Avenue, MSB 251, 10016, New York, NY, USA
      sug:
        subj:
          Aging
          Mass Spectrometry
          Ankle Fractures
          Foot Fractures
          Metabolites
          Proteins
          Proteomics
          Age Factors
          Hematoma
          Fracture Healing
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Metabolomics
          Liquid Chromatography-Mass Spectrometry
          Creatine
          Carnitine
          Biological Products
          Fractures, Ununited
          Funding Source
          Descriptive Statistics
          Osteogenesis
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Bone regeneration following a fracture is dependent on multiple factors including skeletal stem cells (SSCs). Recruitment, proliferation, and differentiation of the SSCs is guided by the proteins and metabolites found within the fracture microenvironment. Understanding how intrinsic factors affect the fracture microenvironment has been a topic of ongoing investigation. This study sought to determine whether the levels of select proteins and metabolites within the fracture hematoma would be differentially expressed depending on the age of the patient. We hypothesized that a distinct set of proteins and metabolites found within the fracture hematoma microenvironment would be present at varying levels depending on patient age. Methods: The research study was reviewed and approved by an Institutional Review Board. Hematomas were collected from subjects aged 18 years old or older undergoing surgical intervention for a fracture. Hematoma samples were selected from the biorepository and assigned to one of two fracture groups including young ankle/hindfoot and aged ankle/hindfoot. Protein and metabolite levels within each hematoma were analyzed by liquid chromatography-mass spectrometry. Results: A total of seven hematomas were included in each the young ankle/hindfoot and aged ankle/hindfoot groups. From the global metabolomic analysis, creatine, 2-methylindoline, and acetyl-L-carnitine were identified as being differentially expressed between both groups. An untargeted metabolomic analysis of the two groups identified significant differences in the levels of an additional 66 metabolites. Proteomic analysis identified 34 proteins that were expressed at significantly different levels. Conclusions: The level of metabolites and proteins found within the local fracture environment vary by patient age. Future investigations will focus on identifying a role for these proteins and metabolites in bone homeostasis and fracture healing. Level of Evidence: N/A, basic science investigation.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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