Evidence map›Paper›PMID 31611678›Full record

ArticleNature biomedical engineering2019

Aberrant mechanosensing in injured intervertebral discs as a result of boundary-constraint disruption and residual-strain loss.

Edward D Bonnevie, Sarah E Gullbrand, Beth G Ashinsky, Tonia K Tsinman, Dawn M Elliott, Pen-Hsiu Grace Chao, Harvey E Smith, Robert L Mauck

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Localized Delivery of a Small Molecule Hedgehog Agonist via Poly(ε-caprolactone) Scaffolds Enhances Tendon-to-Bone Integration.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
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  11. SiACS biomaterials science & engineering · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Programmable Tissue Folding Patterns in Structured Hydrogels.Advanced materials (Deerfield Beach, Fla.) · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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 4 institutions in 2 countries.

Edward D BonnevieUniversity of Pennsylvania, Philadelphia, PA, USA.
Sarah E GullbrandUniversity of Pennsylvania, Philadelphia, PA, USA.
Beth G AshinskyCMC VA Medical Center, Philadelphia, PA, USA.
Tonia K TsinmanUniversity of Pennsylvania, Philadelphia, PA, USA.
Dawn M ElliottUniversity of Delaware, Newark, DE, USA.
Pen-Hsiu Grace ChaoNational Taiwan University, Taipei City, Taiwan.ORCID http://orcid.org/0000-0001-8520-4800
Harvey E SmithUniversity of Pennsylvania, Philadelphia, PA, USA.
Robert L MauckUniversity of Pennsylvania, Philadelphia, PA, USA. lemauck@pennmedicine.upenn.edu.
Philadelphia VA Medical Center · USNational Taiwan University · TWPenn Center for AIDS Research · USUniversity of Delaware · 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 ELLIOTT, DAWN M · 2006 to 2015
$6.2M
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
Altered Mechanical Signaling in the Annulus Fibrosus in Intervertebral Disc DegenerationF32AR072478 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI BONNEVIE, EDWARD D · 2018 to 2019
$120k
The Role of the Endplate in Intervertebral Disc Degeneration and RegenerationIK1RX002445 · VA · PHILADELPHIA VA MEDICAL CENTER · PI GULLBRAND, SARAH E · 2018 to 2019
–
Tissue Engineered Total Disc Replacement in a Large Animal ModelI01RX002274 · VA · PHILADELPHIA VA MEDICAL CENTER · PI MAUCK, ROBERT L, SMITH, HARVEY E. · 2017 to 2025
–
NIAMS NIH HHS F32 AR072478NIAMS NIH HHS P30 AR050950NIAMS NIH HHS P30 AR069619NIAMS NIH HHS T32 AR053461NIBIB NIH HHS R01 EB002425RRD VA I01 RX002274RRD VA IK1 RX002445
6 · The paper itself

Abstract

In fibrous tissues, prestressed boundary constraints at bone interfaces instil residual strain throughout the tissue, even when unloaded. For example, internal swelling pressures in the central nucleus pulposus of the intervertebral disc generate prestrain in the outer annulus fibrosus. With injury and depressurization, these residual strains are lost. Here we show that the loss of residual strains in the intervertebral disc alters the microenvironment and instigates aberrant tissue remodelling and the adoption of atypical cellular phenotypes. By using puncture surgery of the annulus fibrosus in rabbits, ex vivo puncture experiments and electrospun nanofibrous scaffolds recapitulating these evolving boundary constraints, we show that the loss of residual strain promotes short-term apoptosis and the emergence of a fibrotic phenotype. We also show that local fibre organization and cellular contractility mediate this process and that the aberrant cellular changes could be abrogated by targeting the cell-mechanosensing machinery with small molecules. Our findings indicate that injury to dense connective tissues under prestrain alters boundary constraints and residual strain; this leads to aberrant mechanosensing, which in turn promotes disease progression.

Indexed as

AnimalsAnnulus FibrosusApoptosisBiomechanical PhenomenaDisease Models, AnimalIntervertebral DiscIntervertebral Disc DegenerationPhenotypeRabbitsStress, Mechanical

Identifiers

PMID31611678
PMCPMC6899202
OpenAlexW2979864881

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.