Evidence map›Paper›PMID 41843903›Full record

ReviewAmerican journal of physiology. Cell physiology2026

The cellular basis of fibrotic tendon healing: now in higher definition.

Zoe J Chafouleas, Jessica E Ackerman, Alayna E Loiselle, Anne E C Nichols

Abstract readReview
In one paragraph

Review in American journal of physiology. Cell physiology, 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.

Zoe J ChafouleasCenter for Musculoskeletal Research, Department of Orthopedics & Physical Performance, University of Rochester Medical Center, Rochester, New York, United States.
Jessica E AckermanCenter for Musculoskeletal Research, Department of Orthopedics & Physical Performance, University of Rochester Medical Center, Rochester, New York, United States.
Alayna E LoiselleCenter for Musculoskeletal Research, Department of Orthopedics & Physical Performance, University of Rochester Medical Center, Rochester, New York, United States.ORCID 0000-0002-7548-6653
Anne E C NicholsCenter for Musculoskeletal Research, Department of Orthopedics & Physical Performance, University of Rochester Medical Center, Rochester, New York, United States.ORCID 0000-0001-8754-7735

Funding

Modulating Cell-fate to Promote Regenerative Tendon HealingR01AR077527 · NIAMS · UNIVERSITY OF ROCHESTER · PI LOISELLE, ALAYNA · 2021 to 2025
$2.0M
Orchestrating Tendon Regeneration through Nanoparticle Drug DeliveryR01AR085951 · NIAMS · UNIVERSITY OF OREGON · PI BENOIT, DANIELLE S., LOISELLE, ALAYNA · 2025 to 2025
$2.0M
Age-related mechanisms of altered tendon structure and functionR01AR082667 · NIAMS · UNIVERSITY OF ROCHESTER · PI LOISELLE, ALAYNA · 2023 to 2025
$1.6M
Epitenon-derived progenitor cells in tendon healing and adaptationR00AR080757 · NIAMS · UNIVERSITY OF ROCHESTER · PI Anne E.C. Nichols · 2024 to 2026
$727k
CTSA Predoctoral T32 Program at University of RochesterT32TR005439 · NCATS · UNIVERSITY OF ROCHESTER · PI Juilee Thakar · 2025 to 2026
$449k
HHS | NIH | National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) R01 AR0775727NCATS NIH HHS T32 TR005439NIAMS NIH HHS R00 AR080757NIAMS NIH HHS R01 AR077527NIAMS NIH HHS R01 AR082667NIAMS NIH HHS R01 AR085951
6 · The paper itself

Abstract

Tendon injuries are common and heal through the formation of a fibrotic scar rather than regeneration. This poor natural healing results in impaired function and increases the risk of reinjury. In 2019, we reviewed the current state of the field's understanding of the cellular basis of fibrotic tendon healing, focusing on the resident and infiltrating cell populations that appear at key stages and what was known about their role in tendon healing at the time. Since then, advances in transcriptomic technologies and widespread adoption of lineage tracing have refined our understanding of these processes. This updated review reexamines the key cellular players in tendon healing and summarizes new studies into their origins, dynamics, and potential interactions during healing. Specifically, we highlight recent insights into peripheral compartmental complexity, fibroblast heterogeneity, the emerging role of the adaptive immune system, and potential cellular cross talk in both tendon homeostasis and healing. We also discuss potential therapeutic targets aimed at modulating cell behavior to reduce fibrosis while promoting tendon regeneration and highlight new gaps in knowledge that are critical for continued progress in the field. This review serves as an updated guide to understanding the cellular drivers of fibrotic tendon healing and for informing the development of new therapeutic strategies to improve tendon healing outcomes.

Indexed as

Tendon InjuriesTendonsWound HealingAnimalsFibroblastsFibrosisHumansRegenerationfibrosisinjurytendon

Identifiers

PMID41843903
PMCPMC13220891

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.