Evidence map›Paper›PMID 41656824›Full record

ArticleAdvanced materials (Deerfield Beach, Fla.)2026

Matrix Stiffness Governs Fibroblasts' Regulation of Gingival Immune Homeostasis.

Hardik Makkar, Nghi Tran, Yu-Chang Chen, Kang I Ko, Rebecca G Wells, Kyle H Vining

Abstract read
In one paragraph

Article in Advanced materials (Deerfield Beach, Fla.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. In Situ Programmable Modulation of Hydrogel Stiffness for Stage-Adaptive Bone Regeneration.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hardik MakkarCenter For Innovation & Precision Dentistry, University of Pennsylvania, Philadelphia, USA.
Nghi TranDepartment of Bioengineering, School of Engineering and Applied Sciences, University of Pennsylvania, Philadelphia, USA.
Yu-Chang ChenDepartment of Materials Science and Engineering, School of Engineering and Applied Sciences, University of Pennsylvania, Philadelphia, USA.
Kang I KoDepartment of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.
Rebecca G WellsCenter For Engineering Mechanobiology, University of Pennsylvania, Philadelphia, USA.
Kyle H ViningCenter For Innovation & Precision Dentistry, University of Pennsylvania, Philadelphia, USA.ORCID https://orcid.org/0000-0002-4009-879X

Funding

Immuno-mechanical regulation of monocytes in fibrotic nichesR35GM157079 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Kyle Holmberg Vining · 2025 to 2026
$813k
Advanced Training at the Interface of Engineering and Oral-Craniofacial SciencesR90DE031532 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI KOO, HYUN, STEBE, KATHLEEN J · 2021 to 2025
$505k
Graduate Research Fellowship from the National Science Foundation DGE-2236662National Institute of General Medical Sciences (NIGMS) R35GM157079NIDCR NIH HHS R90DE031532NIGMS NIH HHS R35 GM157079NIGMS NIH HHS R35GM157079NIH Office of the Director S10 OD032305-01A1
6 · The paper itself

Abstract

Periodontal disease is characterized by inflamed gingival tissues and degradation of the gingival extracellular matrix (ECM), yet the role of mechanical cues remains poorly understood. Gingival ECM in periodontal disease showed reduced fibrillar collagen compared to healthy samples. We hypothesized that ECM softening in periodontal disease contributes to inflammation by dysregulating gingival fibroblasts (GFs). A mechanically tunable hydrogel model of the gingival ECM was developed to investigate the mechano-immune crosstalk. Stiff and soft collagen-alginate hydrogels matched the rheological properties of healthy and diseased gingival biopsies respectively. Human donor GFs encapsulated in these stiff hydrogels showed significantly suppressed toll-like receptor-mediated inflammatory responses compared to those in soft hydrogels. The non-canonical NFκB pathway and epigenetic nuclear organization directed stiffness-dependent inflammatory responses of GFs. The direct impact of mechanical cues on immune responses was investigated ex vivo by co-culture of donor-derived human GFs with myeloid cells and in human gingival explants. Myeloid progenitors co-cultured with GFs in stiff hydrogels differentiated into immunomodulatory dendritic cells. Ex vivo crosslinking of human gingival tissue increased stiffness and reduced the production of inflammatory cytokines. Gingival mechano-immune regulation offers a novel approach to biomaterial-based treatments for periodontitis.

Indexed as

Extracellular MatrixFibroblastsGingivaHomeostasisAlginatesCollagenHexuronic AcidsHumansHydrogelsNF-kappa BAlginatesCollagenHexuronic AcidsHydrogelsNF-kappa Bfibroblast–immune crosstalkgingival extracellular matrixmatrix stiffnessmechanotransductionnuclear organizationperiodontal disease

Identifiers

PMID41656824
PMCPMC12983442

What OpenQuestion holds

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LicenceCC BY
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.