Evidence map›Paper›PMID 26825318›Full record

ArticleMatrix biology : journal of the International Society for Matrix Biology

Tendon mineralization is progressive and associated with deterioration of tendon biomechanical properties, and requires BMP-Smad signaling in the mouse Achilles tendon injury model.

Kairui Zhang, Shuji Asai, Michael W Hast, Min Liu, Yu Usami, Masahiro Iwamoto, Louis J Soslowsky, Motomi Enomoto-Iwamoto

Open access · greenAbstract read
In one paragraph

Article in Matrix biology : journal of the International Society for Matrix Biology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Comparative Analysis of Tendon Healing in a Clinically Relevant Mouse Model of Achilles Tendon Repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  3. Article
  4. Article
  5. Achilles tendinopathy.Nature reviews. Disease primers · 2025
    Review
  6. Article
  7. Article
  8. Preclinical tendon and ligament models: Beyond the 3Rs (replacement, reduction, and refinement) to 5W1H (why, who, what, where, when, how).Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Inhibition of glucose use improves structural recovery of injured Achilles tendon in mice.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  13. Article
  14. Article
  15. Hedgehog signaling underlying tendon and enthesis development and pathology.Matrix biology : journal of the International Society for Matrix Biology · 2022
    Review
  16. Article
  17. Article
  18. Macrophage depletion impairs neonatal tendon regeneration.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2021
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 3 countries.

Kairui ZhangDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States; Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shuji AsaiDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Michael W HastMcKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, United States.
Min LiuDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Yu UsamiDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Masahiro IwamotoDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Louis J SoslowskyMcKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, United States.
Motomi Enomoto-IwamotoDivision of Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States. Electronic address: iwamotom1@email.chop.edu.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
The Role of Hyaluronic Acid Receptors in Tendon HealingP30AR050950 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI PIGNOLO, ROBERT JOHN · 2006 to 2015
$6.2M
Stimulation of tendon repair by retinoid nuclear receptor agonistsR21AR062193 · NIAMS · CHILDREN'S HOSP OF PHILADELPHIA · PI ENOMOTO-IWAMOTO, MOTOMI · 2013 to 2014
$408k
NIAMS NIH HHS P30 AR050950NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R21 AR062193
6 · The paper itself

Abstract

Ectopic tendon mineralization can develop following tendon rupture or trauma surgery. The pathogenesis of ectopic tendon mineralization and its clinical impact have not been fully elucidated yet. In this study, we utilized a mouse Achilles tendon injury model to determine whether ectopic tendon mineralization alters the biomechanical properties of the tendon and whether BMP signaling is involved in this condition. A complete transverse incision was made at the midpoint of the right Achilles tendon in 8-week-old CD1 mice and the gap was left open. Ectopic cartilaginous mass formation was found in the injured tendon by 4weeks post-surgery and ectopic mineralization was detected at 8 to 10weeks post-surgery. Ectopic mineralization grew over time and volume of the mineralized materials of 25-weeks samples was about 2.5 fold bigger than that of 10-weeks samples, indicating that injury-induced ectopic tendon mineralization is progressive. In vitro mechanical testing showed that max force, max stress and mid-substance modulus in the 25-weeks samples were significantly lower than the 10-weeks samples. We observed substantial increases in expression of bone morphogenetic protein family genes in injured tendons 1week post-surgery. Immunohistochemical analysis showed that phosphorylation of both Smad1 and Smad3 was highly increased in injured tendons as early as 1week post-injury and remained high in ectopic chondrogenic lesions 4-weeks post-injury. Treatment with the BMP receptor kinase inhibitor (LDN193189) significantly inhibited injury-induced tendon mineralization. These findings indicate that injury-induced ectopic tendon mineralization is progressive, involves BMP signaling and associated with deterioration of tendon biomechanical properties.

Indexed as

Achilles TendonAnimalsBiomechanical PhenomenaBone Morphogenetic ProteinsCalcinosisDisease Models, AnimalGene Expression RegulationHumansMicePhosphorylationSignal TransductionSmad ProteinsTendon InjuriesWound HealingBone Morphogenetic ProteinsSmad ProteinsAchilles tendonBiomechanicsBMPEctopic mineralizationInjurySmad

Identifiers

PMID26825318
PMCPMC4875838
OpenAlexW2282141885

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.