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HISTOCHEMICAL ANALYSIS OF GAGS IN ALTERED TENDON: A MEANS TO EVALUATE THE DEGREE OF PATHOLOGY

2013· article· en· W2032391149 on OpenAlexaff
Mohamed Attia, Gilles Carpentier, S. Étienne, S Thierart, Alex Scott, L Oystein, Dulce Papy-García, Marie‐Claude Tassoni, Isabelle Martelly

Bibliographic record

VenueBritish Journal of Sports Medicine · 2013
Typearticle
Languageen
FieldMedicine
TopicTendon Structure and Treatment
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsAggrecanDecorinVersicanTendonChondroitin sulfateBiglycanGlycosaminoglycanChondroitinFibrocartilageProteoglycanMedicinePathologyDermatan sulfateTendinopathyKeratan sulfatePatellar tendonAnatomyCartilageOsteoarthritisArticular cartilage

Abstract

fetched live from OpenAlex

Introduction The social and economic consequences of injured tendons have long been recognised. In particular, patellar tendinopathy is often recalcitrant to standard treatment, highlighting the need for prevention and therapeutic strategies that aim at minimising tissue alteration and protecting tendon structure and function. This relies on a pertinent diagnostic of the degree of pathology. A means to correlate anatomical and biochemical properties of injured tendon to the extent of the pathology is thus important to acquire. Sulfated glycosaminoglycans (GAGs), along with the proteoglycan aggrecan, are known to increase with tendon pathology, indicating a shift of tenocytes towards a chondroïd phenotype. It could be postulated that the amount of GAGs correlates with the degree of pathology of patellar tendon assessed by the VISA Score. Methods Analysis of total and specific GAGs using a DiMethyl Methylene Blue histochemical technique and immuno-histological technique with antibodies against Dermatan Sulfate, Chondroitin Sulfate, Heparan Sulfate and proteoglycans (PG) (decorin, versican and aggrecan) respectively were performed on normal and pathological tendon sections from rat supraspinatus and human patellar tendons. Results As observed in rat overused supraspinatus tendon, total GAGs as well as Dermatan and Chondroitin sulfate were increased in human pathological patellar tendon. Correlatively, PGs such as decorin, and above all versican and aggrecan were also enhanced. Amounts of GAGs and aggrecan found in tendons changed with the Visa score of patellar tendons. A correlation was established between VISA score and the amount of GAGs. This correlation allowed us to verify the correct sampling of patient tendons and was predictive for the extent of pathology of unclassified tendon samples. Conclusion This study underscores the importance of excessive GAGs in relation to tendon pain and function. Accurate GAG assessment would represent a help in establishing a reliable diagnostic of patellar tendinopathy as a complement of the Visa score. This knowledge may be useful in stimulating the development of more sensitive imaging modalities capable of detecting early changes in the composition of tendon extracellular matrix.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.795
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.030
GPT teacher head0.292
Teacher spread0.262 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations1
Published2013
Admission routes1
Has abstractyes

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