Evidence map›Paper›PMID 41465276›Full record

ArticleInternational journal of molecular sciences2025

Assessment of Collagen and Fibroblast Properties via Label-Free Higher Harmonic Generation Microscopy in Three-Dimensional Models of Osteogenesis Imperfecta and Ehlers-Danlos Syndrome.

Yuanyuan Ma, Qiyu Bo, Zhiqing Zhang, Ludo van Haasterecht, Peter Kloen, Thomas Rustemeyer, Laura Ventura, Lidiia Zhytnik, Elisabeth M W Eekhoff, Dimitra Micha and 1 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Posterior spinal fusion with pedicle screw-based constructs in osteogenesis imperfecta: a systematic review of surgical and radiographic outcomes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Pooled it
  2. 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.

Yuanyuan MaDepartment of Physics, LaserLab Amsterdam, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0009-0009-2744-3446
Qiyu BoInstitute of Modern Optics, Nankai University, Tianjin 300350, China.ORCID 0009-0001-6551-7196
Zhiqing ZhangInstitute of Modern Optics, Nankai University, Tianjin 300350, China.ORCID 0000-0003-2306-0340
Ludo van HaasterechtDepartment of Physics, LaserLab Amsterdam, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-3785-9217
Peter KloenDepartment of Orthopedic Surgery and Sports Medicine, Amsterdam University Medical Center, Location Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Thomas RustemeyerThe Netherlands Department of Dermato-Allergology and Occupational Health, Amsterdam University Medical Center, Location AMC, University of Amsterdam, 1000 GG Amsterdam, The Netherlands.
Laura VenturaAmsterdam Movement Sciences, 1081 BT Amsterdam, The Netherlands.ORCID 0009-0005-1732-6618
Lidiia ZhytnikAmsterdam Movement Sciences, 1081 BT Amsterdam, The Netherlands.ORCID 0000-0003-4682-0402
Elisabeth M W EekhoffRare Bone Disease Center Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0001-5399-676X
Dimitra MichaRare Bone Disease Center Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0001-7890-4411
Marie Louise GrootDepartment of Physics, LaserLab Amsterdam, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0001-5360-6987

Funding

China Scholarship Council CSC201808620228Project NL-BioImaging-AM of the National Roadmap research program, which is (partly) financed by the Dutch Research Council (NWO). project number 184.036.012
6 · The paper itself

Abstract

Osteogenesis imperfecta (OI) and Ehlers-Danlos syndrome (EDS) are inherited connective tissue disorders caused by diverse genetic defects, many of which affect collagen biosynthesis. However, the identified genetic variants do not always fully explain the clinical heterogeneity observed in patients, highlighting the need for advanced models and imaging techniques to assess collagen structure and fibroblast behavior at the microscopic level. In this study, we employed 5-week three-dimensional (3D) dermal fibroblast cultures derived from patients with haploinsufficient (HI) and dominant-negative (DN) OI, EDS, and healthy controls. Using label-free higher harmonic generation microscopy (HHGM), we visualized and quantified secreted collagen fibers and fibroblast morphology in situ. We analyzed fibroblast 3D orientation, collagen fiber diameter, collagen amount per cell, and the spatial alignment between fibroblasts and collagen fibers. HI OI fibroblasts secreted significantly less collagen than both control and EDS-derived cells, while EDS samples exhibited thinner collagen fibers compared to controls. Across all groups, collagen fiber orientation was strongly correlated with fibroblast alignment, in line with the role of fibroblasts in matrix organization. In healthy controls and HI OI samples, we observed a depth-dependent, counterclockwise rotation in fibroblast orientation from the culture bottom to the surface-a pattern that was less prominent in DN OI and EDS samples, potentially reflecting altered matrix guidance in diseased tissues. Overall, the quantity and quality of collagen, as well as fibroblast morphology and organization, were markedly altered in the OI and EDS model systems. These alterations may mirror tissue-level manifestations of the diseases, demonstrating the physiological relevance of patient-derived 3D fibroblast models for OI and EDS, as well as the power of harmonic generation microscopy in probing the cellular and extracellular consequences of disease-related gene defects in collagen or its biosynthetic pathways. Extensions of this methodological approach provide a way towards deeper understanding of tissue-level manifestations of collagen dysregulation in connective tissue disorders.

Indexed as

CollagenEhlers-Danlos SyndromeFibroblastsOsteogenesis ImperfectaSecond Harmonic Generation MicroscopyCells, CulturedFemaleHumansMaleCollagencollagenconnective tissue disordersdisease modelingEhlers–Danlos syndromefibroblasthigher harmonic generation microscopylabel-freeosteogenesis imperfectathree-dimensional

Identifiers

PMID41465276
PMCPMC12732449

What OpenQuestion holds

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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.