Evidence map›Paper›PMID 38584416›Full record

ArticleJournal of biomechanical engineering2024

Aged Tendons Exhibit Altered Mechanisms of Strain-Dependent Extracellular Matrix Remodeling.

Anthony N Aggouras, Emma J Stowe, Samuel J Mlawer, Brianne K Connizzo

Open access · greenAbstract read
In one paragraph

Article in Journal of biomechanical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.3field-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

16 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Regulators of ECM structure enable functional adaptation to tensile loading in tendon explants.Matrix biology : journal of the International Society for Matrix Biology · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Estrogen and Progesterone Exhibit Distinct Yet Coordinated Roles in the Regulation of Tendon Extracellular Matrix Remodeling.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Loss ofMatrix biology plus · 2025
    Article
  14. Tendon mechanobiology in the context of tendon biofabrication.Frontiers in bioengineering and biotechnology · 2025
    Review
  15. Loss ofbioRxiv : the preprint server for biology · 2024
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Anthony N Aggouras *Department of Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, MA 02115.
Emma J Stowe *Department of Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, MA 02115.
Samuel J MlawerDepartment of Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, MA 02115.
Brianne K ConnizzoDepartment of Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, MA 02115.ORCID 0000-0002-7818-0537
Boston University · US

Funding

Development of In Vitro Compression-Induced Rotator Cuff Injury Model: Aging and Inflammation in Tendon DegenerationR00AG063896 · NIA · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI CONNIZZO, BRIANNE KATHRYN · 2021 to 2023
$830k
NIA NIH HHS R00 AG063896NIA NIH HHS R00-AG063896
6 · The paper itself

Abstract

Aging is a primary risk factor for degenerative tendon injuries, yet the etiology and progression of this degeneration are poorly understood. While aged tendons have innate cellular differences that support a reduced ability to maintain mechanical tissue homeostasis, the response of aged tendons to altered levels of mechanical loading has not yet been studied. To address this question, we subjected young and aged murine flexor tendon explants to various levels of in vitro tensile strain. We first compared the effect of static and cyclic strain on matrix remodeling in young tendons, finding that cyclic strain is optimal for studying remodeling in vitro. We then investigated the remodeling response of young and aged tendon explants after 7 days of varied mechanical stimulus (stress deprivation, 1%, 3%, 5%, or 7% cyclic strain) via assessment of tissue composition, biosynthetic capacity, and degradation profiles. We hypothesized that aged tendons would show muted adaptive responses to changes in tensile strain and exhibit a shifted mechanical setpoint, at which the remodeling balance is optimal. Interestingly, we found that 1% cyclic strain best maintains native physiology while promoting extracellular matrix (ECM) turnover for both age groups. However, aged tendons display fewer strain-dependent changes, suggesting a reduced ability to adapt to altered levels of mechanical loading. This work has a significant impact on understanding the regulation of tissue homeostasis in aged tendons, which can inform clinical rehabilitation strategies for treating elderly patients.

Indexed as

Tendon InjuriesTendonsAgedAgingAnimalsExtracellular MatrixHumansMiceStress, Mechanicalagingexplantextracellular matrixremodelingstraintendon

Identifiers

PMID38584416
PMCPMC11080950
OpenAlexW4394573109

What OpenQuestion holds

Textmetadata
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.