Evidence map›Paper›PMID 39854225›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

A tough soft-hard interface in the human knee joint driven by multiscale toughening mechanisms.

Wenyue Li, Xiaozhao Wang, Renwei Mao, Dong Li, Hongxu Meng, Ru Zhang, Jinghua Fang, Zhengzhong Kang, Boxuan Wu, Weiwei Ma and 10 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

20 authors.

Wenyue Li *Department of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Xiaozhao Wang *Department of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Renwei Mao *Department of Engineering Mechanics, Zhejiang University, Hangzhou 310027, China.
Dong Li *School of Materials Science and Engineering, Nanyang Technological University, Singapore 639798, Singapore.ORCID 0000-0002-4484-8738
Hongxu MengDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.ORCID 0009-0008-1867-5301
Ru ZhangDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Jinghua FangDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Zhengzhong KangBeijing Life Science Academy, Beijing 102200, China.
Boxuan WuDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Weiwei MaDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Xudong YaoInternational lnstitutes of Medicine, The Fourth Affiliated Hospital of Zhejiang University School of Medicine, Yiwu 322000, China.
Chang XieDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Rui LiDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Jin WangSchool of Materials Science and Engineering, Zhejiang University, Hangzhou 310058, China.
Xiao ChenDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Xihao PanDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.
Weiqiu ChenDepartment of Engineering Mechanics, Zhejiang University, Hangzhou 310027, China.ORCID 0000-0003-0655-3303
Wangping DuanDepartment of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030001, China.
Huajian GaoMechano-X Institute, Applied Mechanics Laboratory, Department of Engineering Mechanics, Tsinghua University, Beijing 100084, China.ORCID 0000-0002-8656-846X
Hongwei OuyangDepartment of Sports Medicine of the Second Affiliated Hospital, and Liangzhu Laboratory, Zhejiang University School of Medicine, Hangzhou 311113, China.

Funding

AI Singapore AISG2-GC-2023-010Key Research and Development Program of Zhejiang Province (Key R&D plan of Zhejiang Province) 2024SSYS0026MOST | National Key Research and Development Program of China (NKPs) 2023YFB3813000MOST | National Natural Science Foundation of China (NSFC) 32371411MOST | National Natural Science Foundation of China (NSFC) T2121004 82394441 92268203
6 · The paper itself

Abstract

Joining heterogeneous materials in engineered structures remains a significant challenge due to stress concentration at interfaces, which often leads to unexpected failures. Investigating the complex, multiscale-graded structures found in animal tissue provides valuable insights that can help address this challenge. The human meniscus root-bone interface is an exemplary model, renowned for its exceptional fatigue resistance, toughness, and interfacial adhesion properties throughout its lifespan. Here, we investigated the multiscale graded mineralization structure and their strengthening mechanisms within the 30-micron soft-hard interface at the root-bone junction. This graded interface, featuring interdigitated structures and an exponential increase in modulus, undergoes a phase transition from amorphous calcium phosphate (ACP) to gradually matured hydroxyapatite (HAP) crystals, regulated by location-specific distributed biomolecules. In coordination with collagen fibril deformation and reorientation, the in situ tensile mechanical experiments and molecular dynamic simulations revealed that immature ACP particles debond from the collagenous matrix and translocate to dissipate energy, while the progressively matured HAP crystals with high stiffness pins propagating cracks, thereby enhancing both the toughness and fatigue resistance of the interface. To further validate our findings, we built biomimetic soft-hard interfaces with phase-transforming mineralization which exhibited boosted strength, toughness, and interface adhesion. This interface model is generalizable to other material joints and provides a blueprint for developing robust soft-hard composites across various applications.

Indexed as

Knee JointMeniscusBiomechanical PhenomenaCalcium PhosphatesCollagenDurapatiteHumansMolecular Dynamics SimulationTensile Strengthamorphous calcium phosphateCalcium PhosphatesCollagenDurapatitebio-inspiredbiomineralizationmultiscale structuresoft–hard interfacetoughening mechanisms

Identifiers

PMID39854225
PMCPMC11789015

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.