Evidence map›Paper›PMID 34826240›Full record

ArticleScience advances2021

Toughening mechanisms for the attachment of architectured materials: The mechanics of the tendon enthesis.

Mikhail Golman, Adam C Abraham, Iden Kurtaliaj, Brittany P Marshall, Yizhong Jenny Hu, Andrea G Schwartz, X Edward Guo, Victor Birman, Philipp J Thurner, Guy M Genin and 1 more

Abstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Prophage: agent provocateur?Archives of microbiology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Achieving tendon enthesis regeneration across length scales.Current opinion in biomedical engineering · 2024
    Article
  15. Interfacial Tissue Regeneration with Bone.Current osteoporosis reports · 2024
    Review
  16. [Research progress of magnesium and magnesium alloy implants in sports medicine].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  17. Article
  18. Hedgehog Activation for Enhanced Rotator Cuff Tendon-to-Bone Healing.The American journal of sports medicine · 2023
    Article
  19. 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
  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

11 authors.

Mikhail GolmanDepartment of Orthopedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0003-2042-0726
Adam C AbrahamDepartment of Orthopedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0003-2131-5178
Iden KurtaliajDepartment of Orthopedic Surgery, Columbia University, New York, NY 10032, USA.
Brittany P MarshallDepartment of Orthopedic Surgery, Columbia University, New York, NY 10032, USA.
Yizhong Jenny HuDepartment of Biomedical Engineering, Columbia University, New York, NY 10027, USA.ORCID 0000-0001-9766-1902
Andrea G SchwartzNSF Science and Technology Center for Engineering Mechanobiology, Washington University, St. Louis, MO 63130, USA.
X Edward GuoDepartment of Biomedical Engineering, Columbia University, New York, NY 10027, USA.ORCID 0000-0003-0804-7279
Victor BirmanMissouri University of Science and Technology, Rolla, MO 65409, USA.ORCID 0000-0001-5369-434X
Philipp J ThurnerInstitute of Lightweight Design and Structural Biomechanics, Vienna University of Technology, Vienna, Austria.ORCID 0000-0001-7588-9041
Guy M GeninNSF Science and Technology Center for Engineering Mechanobiology, Washington University, St. Louis, MO 63130, USA.ORCID 0000-0003-3612-4729
Stavros ThomopoulosDepartment of Orthopedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0003-1531-4849

Funding

Strain Analysis Software for Open ScienceR01AR077793 · NIAMS · WASHINGTON UNIVERSITY · PI Guy M Genin, Stavros Thomopoulos · 2020 to 2026
$5.2M
Tendon Enthesis Development and RegenerationR01AR055580 · NIAMS · WASHINGTON UNIVERSITY · PI THOMOPOULOS, STAVROS · 2009 to 2019
$4.0M
Cross-scale interactions between mineral and collagen for tendon-bone attachmentU01EB016422 · NIBIB · WASHINGTON UNIVERSITY · PI GENIN, GUY M, THOMOPOULOS, STAVROS · 2013 to 2017
$2.4M
NIAMS NIH HHS R01 AR055580NIAMS NIH HHS R01 AR077793NIBIB NIH HHS U01 EB016422
6 · The paper itself

Abstract

Architectured materials offer tailored mechanical properties but are limited in engineering applications due to challenges in maintaining toughness across their attachments. The enthesis connects tendon and bone, two vastly different architectured materials, and exhibits toughness across a wide range of loadings. Understanding the mechanisms by which this is achieved could inform the development of engineered attachments. Integrating experiments, simulations, and previously unexplored imaging that enabled simultaneous observation of mineralized and unmineralized tissues, we identified putative mechanisms of enthesis toughening in a mouse model and then manipulated these mechanisms via in vivo control of mineralization and architecture. Imaging uncovered a fibrous architecture within the enthesis that controls trade-offs between strength and toughness. In vivo models of pathology revealed architectural adaptations that optimize these trade-offs through cross-scale mechanisms including nanoscale protein denaturation, milliscale load-sharing, and macroscale energy absorption. Results suggest strategies for optimizing architecture for tough bimaterial attachments in medicine and engineering.

Identifiers

PMID34826240
PMCPMC8626067

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Registered trials

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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.