Long head of biceps tendon transposition for massive and irreparable rotator cuff tears:A systematic review and meta-analysis

BACKGROUND Superior capsular reconstruction(SCR)with long head of biceps tendon(LHBT)transposition was developed to massive and irreparable rotator cuff tears(MIRCTs);however,the outcomes of this technique remain unclear.AIM To perform a systematic review of biomechanical outcomes and a meta-analysis of clinical outcomes after LHBT transposition for MIRCTs.METHODS We performed a systematic electronic database search on PubMed,EMBASE,and Cochrane Library.Studies of SCR with LHBT transposition were included according to the inclusion and exclusion criteria.Biomechanical studies were assessed for main results and conclusions.Included clinical studies were evaluated for quality of methodology.Data including study characteristics,cohort demographics,and outcomes were extracted.A meta-analysis was conducted of the clinical outcomes.RESULTS According to our inclusion and exclusion criteria,a total of six biomechanical studies were identified and reported an overall improvement in subacromial contact pressures and prevention of superior humeral migration without limiting range of motion(ROM)after LHBT transposition for MIRCTs.A total of five clinical studies were included in the meta-analysis of LHBT transposition outcomes,consisting of 253 patients.The results indicated that compared to other surgical methods for MIRCTs,LHBT transposition had advantages of more significant improvement in ROM(forward flexion mean difference[MD]=6.54,95%confidence interval[CI]:3.07-10.01;external rotation[MD=5.15,95%CI:1.59-8.17];the acromiohumeral distance[AHD][MD=0.90,95%CI:0.21-1.59])and reducing retear rate(odds ratio=0.27,95%CI:0.15-0.48).No significant difference in American Shoulder and Elbow Surgeons score,visual analogue scale score,and University of California at Los Angles score was demonstrated between these two groups for MIRCTs.CONCLUSION In general,SCR with LHBT transposition was a reliable and economical technique for treating MIRCTs,both in terms of biomechanical and clinical outcomes,with comparable clinical outcomes,improved ROM,AHD,and reduced the retear rates compared to conventional SCR and other established techniques.More high-quality randomized controlled studies on the long-term outcomes of SCR with LHBT transposition are required to further assess.

Expression and functional characterization of odorant-binding protein genes in the endoparasitic wasp Cotesia vestalis

Odorant-binding proteins(OBPs)are crucial in insect's olfactory perception,which participate in the initial step of odorant molecules transporting from the external environment to olfactory receptor neurons.To better understand the roles for OBPs in olfactory perception in Cotesia vestalis,a solitary larval endoparasitoid of diamondback moth,Plutella xylostella,we have comprehensively screened the genome of C.vestalis,and obtained 20 CvesOBPs,including 18 classic OBPs and two minus-C OBPs.Motif-pattern analysis indicates that the motifs of C.vestalis OBPs are highly conserved in Hymenoptera.The results of tissue expression analysis show that five OBPs(CvesOBP1/11/12/14/16)are highly expressed in male antennae,whereas six other OBP genes(CvesOBP7/8/13/17/18/19)are significantly transcriptionally enriched in female antennae.The results of RNA interference experiments for three most highly expressed OBP genes(CvesOBP17/18/19)in female antennae demonstrate that they are likely involved in parasitic processes of female wasps,as the wasps take a longer time to target the hosts when they are knoc ked down.