Evidence map›Paper›PMID 35944442›Full record

ArticleJournal of the mechanical behavior of biomedical materials2022

Ex vivo experimental characterizations for understanding the interrelationship between tissue mechanics and collagen microstructure of porcine mitral valve leaflets.

Daniel J Fitzpatrick, Kevin Pham, Colton J Ross, Luke T Hudson, Devin W Laurence, Yue Yu, Chung-Hao Lee

Abstract read
In one paragraph

Article in Journal of the mechanical behavior of biomedical materials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
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  7. The effects of leaflet material properties on the simulated function of regurgitant mitral valves.Journal of the mechanical behavior of biomedical materials · 2023
    Article
  8. Article
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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

7 authors.

Daniel J FitzpatrickBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA.
Kevin PhamBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA.
Colton J RossBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA.
Luke T HudsonBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA.
Devin W LaurenceBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA.
Yue YuDepartment of Mathematics, Lehigh University, USA.
Chung-Hao LeeBiomechanics & Biomaterials Design Lab, School of Aerospace & Mechanical Eng., University of Oklahoma, USA. Electronic address: ch.lee@ou.edu.

Funding

American Heart Association-American Stroke Association 16SDG27760143
6 · The paper itself

Abstract

Unidirectional blood flow in the left side of the heart is regulated by the mitral valve. To better understand the mitral valve function, researchers have examined the structural and mechanical properties of the mitral valve leaflets; however, limitations of the previous studies include the use of mechanics- and structure-altering tissue modifications (e.g., optical clearing) that limit the ability to quantify the unique load-dependent reorientation and realignment of the collagen fibers as well as their interrelation with the valve tissue mechanics. Herein, we aimed to circumvent these limitations by utilizing an integrated polarized-light imaging and biaxial testing system for understanding the mechanics-microstructure interrelationship for porcine mitral valve leaflets. We further performed constitutive modeling and evaluated the accuracy of the affine fiber kinematics theory. From the tissue mechanics perspective, the posterior leaflet was more extensible in the radial direction than the anterior leaflet (14.2% difference in radial tissue stretch), while exhibiting smaller collagen and elastin moduli based on the determined constitutive model parameters. From the collagen microstructure's standpoint, the posterior leaflet had smaller increases in optical anisotropy (closely related to the degree of fiber alignment) than the anterior leaflet (32.8±7.7% vs. 50.0±19.7%). Further, the leaflets were found to possess two distinct fiber families - one family oriented along the circumferential tissue direction, and another more disperse family with a 30°-40° offset from the first fiber family. Finally, affine fiber kinematics consistently underpredicted the collagen fiber reorientations Overall, this study improved our understanding of the mitral valve leaflets that is essential for facilitating tissue-emulated valve replacement and cardiac valve modeling frameworks.

Indexed as

CollagenMitral ValveAnimalsAnisotropyBiomechanical PhenomenaExtracellular MatrixSwineCollagenBiaxial mechanical testingCollagen fiber architectureConstitutive modelingPolarized spatial frequency domain imaging

Identifiers

PMID35944442
PMCPMC11980843

What OpenQuestion holds

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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.