Evidence map›Paper›PMID 41309500›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Advancing the Tendinopathy Triad: Comment on "Tendinopathy: The Interplay Between Mechanical Stress, Inflammation, and Vascularity".

DuJiang Yang, Jiexiang Yang, Shuang Wang, GuoYou Wang

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. 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. 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

4 authors.

DuJiang YangDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, NO.182, Chunhui Road, Longmatan District, Luzhou, Sichuan, 646000, P. R. China.ORCID https://orcid.org/0009-0004-8680-6802
Jiexiang YangDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, NO.182, Chunhui Road, Longmatan District, Luzhou, Sichuan, 646000, P. R. China.
Shuang WangDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, NO.182, Chunhui Road, Longmatan District, Luzhou, Sichuan, 646000, P. R. China.
GuoYou WangDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, NO.182, Chunhui Road, Longmatan District, Luzhou, Sichuan, 646000, P. R. China.ORCID https://orcid.org/0000-0003-0027-0572

Funding

Affiliated Traditional Chinese Medicine Hospital of Southwest Medical UniversityBiomechanical research on cartilage transplantation 2023ZYQJ02
6 · The paper itself

Abstract

Building upon the integrative framework of tendinopathy proposed by Gehwolf et al.-which elegantly connects mechanical stress, inflammation, and vascularity-this commentary extends the discussion by introducing novel mechanistic insights and future research directions that move beyond the established triad.</mark> A paradigm shift is proposed toward spatiotemporal multi-omics deconstruction of tendon pathology, emphasizing the role of epigenetically driven cellular re-programming in tendon stem/progenitor cells and the emergence of neuro-immune-vascular niches as functional units sustaining chronicity. Furthermore, redox-mechanobiological integration through sensors such as TNIK and the potential of 4D-bioprinted smart biomaterials for chrono-specific therapeutic delivery are explored. By incorporating advanced computational approaches, including AI-powered digital tendon twins, a transformative roadmap is outlined for translating the homeostatic failure model into precisely targeted, mechanism-based diagnostics and therapies. This perspective aims to stimulate interdisciplinary innovation and position tendinopathy research at the forefront of musculoskeletal science.

Indexed as

InflammationStress, MechanicalTendinopathyTendonsAnimalsHumansDigital tendon twins (AI‐driven models)Neuro‐immune‐vascular units (NIVUs)Novel therapeutic targetsSmart biomaterialsTendon stem/progenitor cells (TSPCs)

Identifiers

PMID41309500
PMCPMC12904011

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.