Evidence map›Paper›PMID 29519673›Full record

ArticleJournal of biomechanics2018

Fatigue loading of tendon results in collagen kinking and denaturation but does not change local tissue mechanics.

Spencer E Szczesny, Céline Aeppli, Alexander David, Robert L Mauck

Open access · greenAbstract read
In one paragraph

Article in Journal of biomechanics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Collagen Mechanics.Sub-cellular biochemistry · 2026
    Review
  4. The LINC Complex Regulates Tendon Elastic Modulus, Collagen Crimp, and Lateral Expansion During Early Postnatal Development.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Chemistry and Biology of Collagen Hybridization.Journal of the American Chemical Society · 2023
    Review
  15. Article
  16. Article
  17. Frontiers in bioengineering and biotechnology · 2022
    Review
  18. Review
  19. Article
  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

4 authors at 3 institutions in 2 countries.

Spencer E SzczesnyDepartment of Orthopaedic Surgery, University of Pennsylvania, 110 Stemmler Hall, 36th Street & Hamilton Walk, Philadelphia, PA 19104, United States; Department of Biomedical Engineering, Department of Orthopaedics and Rehabilitation, Pennsylvania State University, 205 Hallowell Building, University Park, PA 16802, United States. Electronic address: ses297@psu.edu.
Céline AeppliEidgenössische Technische Hochschule, Rämistrasse 101, 8092 Zürich, Switzerland.
Alexander DavidDepartment of Bioengineering, 240 Skirkanich Hall, 210 South 33rd Street, University of Pennsylvania, Philadelphia, PA 19104, United States.
Robert L MauckDepartment of Orthopaedic Surgery, University of Pennsylvania, 110 Stemmler Hall, 36th Street & Hamilton Walk, Philadelphia, PA 19104, United States; Department of Bioengineering, 240 Skirkanich Hall, 210 South 33rd Street, University of Pennsylvania, Philadelphia, PA 19104, United States; Translational Musculoskeletal Research Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, 3900 Woodland Avenue, Philadelphia, PA 19104, United States.
University of Pennsylvania · USBoard of the Swiss Federal Institutes of Technology · CHPennsylvania State University · US

Funding

Training in Muscle Biology and Muscle DiseaseT32AR053461 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI OSTAP, E. MICHAEL · 2006 to 2025
$4.9M
Multi-scale biomechanics of engineered and native fibrous load-bearing tissueR01EB002425 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI ELLIOTT, DAWN M, MAUCK, ROBERT L · 2003 to 2017
$4.1M
Role of Mechanical Loading and Stem Cell Mechanotransduction in Tendon DegenerationF32AR070562 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SZCZESNY, SPENCER · 2016 to 2017
$65k
NIAMS NIH HHS F32 AR070562NIAMS NIH HHS T32 AR053461NIBIB NIH HHS R01 EB002425
6 · The paper itself

Abstract

Fatigue loading is a primary cause of tendon degeneration, which is characterized by the disruption of collagen fibers and the appearance of abnormal (e.g., cartilaginous, fatty, calcified) tissue deposits. The formation of such abnormal deposits, which further weakens the tissue, suggests that resident tendon cells acquire an aberrant phenotype in response to fatigue damage and the resulting altered mechanical microenvironment. While fatigue loading produces clear changes in collagen organization and molecular denaturation, no data exist regarding the effect of fatigue on the local tissue mechanical properties. Therefore, the objective of this study was to identify changes in the local tissue stiffness of tendons after fatigue loading. We hypothesized that fatigue damage would reduce local tissue stiffness, particularly in areas with significant structural damage (e.g., collagen denaturation). We tested this hypothesis by identifying regions of local fatigue damage (i.e., collagen fiber kinking and molecular denaturation) via histologic imaging and by measuring the local tissue modulus within these regions via atomic force microscopy (AFM). Counter to our initial hypothesis, we found no change in the local tissue modulus as a consequence of fatigue loading, despite widespread fiber kinking and collagen denaturation. These data suggest that immediate changes in topography and tissue structure - but not local tissue mechanics - initiate the early changes in tendon cell phenotype as a consequence of fatigue loading that ultimately culminate in tendon degeneration.

Indexed as

AnimalsBiomechanical PhenomenaCollagenMaleRats, Sprague-DawleyStress, MechanicalTendonsWeight-BearingCollagenAtomic force microscopyFatigueMicroscale mechanicsSecond harmonic generation imagingTendon

Identifiers

PMID29519673
PMCPMC6590695
OpenAlexW2791129176

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.