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Advanced drug delivery reviews2014; 84; 257-277; doi: 10.1016/j.addr.2014.11.022

The past, present and future in scaffold-based tendon treatments.

Abstract: Tendon injuries represent a significant clinical burden on healthcare systems worldwide. As the human population ages and the life expectancy increases, tendon injuries will become more prevalent, especially among young individuals with long life ahead of them. Advancements in engineering, chemistry and biology have made available an array of three-dimensional scaffold-based intervention strategies, natural or synthetic in origin. Further, functionalisation strategies, based on biophysical, biochemical and biological cues, offer control over cellular functions; localisation and sustained release of therapeutics/biologics; and the ability to positively interact with the host to promote repair and regeneration. Herein, we critically discuss current therapies and emerging technologies that aim to transform tendon treatments in the years to come.
Publication Date: 2014-12-10 PubMed ID: 25499820DOI: 10.1016/j.addr.2014.11.022Google Scholar: Lookup
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Summary

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The research article discusses the development and potential of scaffold-based therapies for tendon injuries. The report critically analyzes the established treatments and promising technologies that aim to remodel tendon treatments in the future.

Overview of Tendon Injuries

  • Tendon injuries pose a substantial clinical burden on healthcare systems around the globe.
  • As the human lifespan extends and the population grows older, these types of injuries are expected to become more widespread, particularly among the younger generation with a considerable span of life ahead of them.

Scaffold-Based Intervention Strategies

  • Developments in the fields of engineering, chemistry, and biology have resulted in a wide range of three-dimensional scaffold-based treatment approaches. These scaffolds can be either naturally derived or synthetically made.
  • The use of these scaffolds in tendon injury repair provides a structural framework that supports tissue regeneration.

Functionalisation Strategies of Scaffolds

  • The article also delves into the functionalisation strategies of scaffolds based on biophysical, biochemical, and biological cues.
  • These strategies provide control over cell functions, allowing for the targeted and sustained release of therapeutics or biologics.
  • Notably, these functionally designed scaffolds have the capability to positively interact with the host (the patient’s body), that drives the repair and regrowth of tendons.

Therapies and Emerging Technologies

  • The authors offer a critical discussion on present therapies for tendon injuries and forthcoming technologies that can fundamentally alter tendon treatments in the future.
  • They take a keen interest in analyzing the strengths and weaknesses of current treatments and speculate on how cutting-edge technologies could potentially overcome these limitations.

Cite This Article

APA
Lomas AJ, Ryan CN, Sorushanova A, Shologu N, Sideri AI, Tsioli V, Fthenakis GC, Tzora A, Skoufos I, Quinlan LR, O'Laighin G, Mullen AM, Kelly JL, Kearns S, Biggs M, Pandit A, Zeugolis DI. (2014). The past, present and future in scaffold-based tendon treatments. Adv Drug Deliv Rev, 84, 257-277. https://doi.org/10.1016/j.addr.2014.11.022

Publication

ISSN: 1872-8294
NlmUniqueID: 8710523
Country: Netherlands
Language: English
Volume: 84
Pages: 257-277
PII: S0169-409X(14)00295-6

Researcher Affiliations

Lomas, A J
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Ryan, C N M
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Sorushanova, A
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Shologu, N
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Sideri, A I
  • Veterinary Faculty, University of Thessaly, Karditsa, Greece.
Tsioli, V
  • Veterinary Faculty, University of Thessaly, Karditsa, Greece.
Fthenakis, G C
  • Veterinary Faculty, University of Thessaly, Karditsa, Greece.
Tzora, A
  • Animal Production Division, Department of Agriculture Technology, TEI of Epirus, Arta, Greece.
Skoufos, I
  • Animal Production Division, Department of Agriculture Technology, TEI of Epirus, Arta, Greece.
Quinlan, L R
  • Department of Physiology, NUI Galway, Ireland.
O'Laighin, G
  • College of Engineering and Informatics, NUI Galway, Galway, Ireland.
Mullen, A M
  • Teagasc Research Centre, Ashtown, Ireland.
Kelly, J L
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland; Department of Surgery, NUI Galway, Galway, Ireland.
Kearns, S
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland; University College Hospitals Galway (UCHG), Galway, Ireland.
Biggs, M
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Pandit, A
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland.
Zeugolis, D I
  • Network of Excellence for Functional Biomaterials (NFB), Biosciences Research Building, National University of Ireland Galway (NUI Galway), Galway, Ireland. Electronic address: dimitrios.zeugolis@nuigalway.ie.

MeSH Terms

  • Humans
  • Regeneration / physiology
  • Tendons / physiology
  • Tissue Scaffolds / trends

Citations

This article has been cited 77 times.
  1. Jeannerat A, Meuli J, Peneveyre C, Jaccoud S, Chemali M, Thomas A, Liao Z, Abdel-Sayed P, Scaletta C, Hirt-Burri N, Applegate LA, Raffoul W, Laurent A. Bio-Enhanced Neoligaments Graft Bearing FE002 Primary Progenitor Tenocytes: Allogeneic Tissue Engineering & Surgical Proofs-of-Concept for Hand Ligament Regenerative Medicine. Pharmaceutics 2023 Jul 3;15(7).
    doi: 10.3390/pharmaceutics15071873pubmed: 37514060google scholar: lookup
  2. Vorrius B, Qiao Z, Ge J, Chen Q. Smart Strategies to Overcome Drug Delivery Challenges in the Musculoskeletal System. Pharmaceuticals (Basel) 2023 Jul 6;16(7).
    doi: 10.3390/ph16070967pubmed: 37513879google scholar: lookup
  3. Peserico A, Barboni B, Russo V, Bernabò N, El Khatib M, Prencipe G, Cerveró-Varona A, Haidar-Montes AA, Faydaver M, Citeroni MR, Berardinelli P, Mauro A. Mammal comparative tendon biology: advances in regulatory mechanisms through a computational modeling. Front Vet Sci 2023;10:1175346.
    doi: 10.3389/fvets.2023.1175346pubmed: 37180059google scholar: lookup
  4. Adjei-Sowah E, Benoit DSW, Loiselle AE. Drug Delivery Approaches to Improve Tendon Healing. Tissue Eng Part B Rev 2023 Aug;29(4):369-386.
    doi: 10.1089/ten.teb.2022.0188pubmed: 36888543google scholar: lookup
  5. Senesi L, De Francesco F, Marchesini A, Pangrazi PP, Bertolini M, Riccio V, Riccio M. Efficacy of Adipose-Derived Mesenchymal Stem Cells and Stromal Vascular Fraction Alone and Combined to Biomaterials in Tendinopathy or Tendon Injury: Systematic Review of Current Concepts. Medicina (Kaunas) 2023 Jan 31;59(2).
    doi: 10.3390/medicina59020273pubmed: 36837474google scholar: lookup
  6. Graça AL, Domingues RMA, Gomez-Florit M, Gomes ME. Platelet-Derived Extracellular Vesicles Promote Tenogenic Differentiation of Stem Cells on Bioengineered Living Fibers. Int J Mol Sci 2023 Feb 9;24(4).
    doi: 10.3390/ijms24043516pubmed: 36834925google scholar: lookup
  7. Hu J, Liu S, Fan C. Applications of functionally-adapted hydrogels in tendon repair. Front Bioeng Biotechnol 2023;11:1135090.
    doi: 10.3389/fbioe.2023.1135090pubmed: 36815891google scholar: lookup
  8. Luo W, Wang Y, Han Q, Wang Z, Jiao J, Gong X, Liu Y, Zhang A, Zhang H, Chen H, Wang J, Wu M. Advanced strategies for constructing interfacial tissues of bone and tendon/ligament. J Tissue Eng 2022 Jan-Dec;13:20417314221144714.
    doi: 10.1177/20417314221144714pubmed: 36582940google scholar: lookup
  9. Verges J, Martínez N, Pascual A, Bibas M, Santiña M, Rodas G. Psychosocial and individual factors affecting Quality of Life (QoL) in patients suffering from Achilles tendinopathy: a systematic review. BMC Musculoskelet Disord 2022 Dec 21;23(1):1114.
    doi: 10.1186/s12891-022-06090-2pubmed: 36544133google scholar: lookup
  10. Russo V, El Khatib M, Prencipe G, Mauro A, Di Giacinto O, Haidar-Montes AA, Pulcini F, Dufrusine B, Cerveró-Varona A, Faydaver M, Di Berardino C, Dainese E, Berardinelli P, Schnabelrauch M, Barboni B. Tendon 3D Scaffolds Establish a Tailored Microenvironment Instructing Paracrine Mediated Regenerative Amniotic Epithelial Stem Cells Potential. Biomedicines 2022 Oct 14;10(10).
    doi: 10.3390/biomedicines10102578pubmed: 36289840google scholar: lookup
  11. Liu X, Li Y, Wang S, Lu M, Zou J, Shi Z, Xu B, Wang W, Hu B, Jin T, Wu F, Liu S, Fan C. PDGF-loaded microneedles promote tendon healing through p38/cyclin D1 pathway mediated angiogenesis. Mater Today Bio 2022 Dec;16:100428.
    doi: 10.1016/j.mtbio.2022.100428pubmed: 36238965google scholar: lookup
  12. Xie Y, Zhang F, Akkus O, King MW. A collagen/PLA hybrid scaffold supports tendon-derived cell growth for tendon repair and regeneration. J Biomed Mater Res B Appl Biomater 2022 Dec;110(12):2624-2635.
    doi: 10.1002/jbm.b.35116pubmed: 35779243google scholar: lookup
  13. Khakpour E, Tavassoli A, Mahdavi-Shahri N, Matin MM. Assessing the biocompatibility of bovine tendon scaffold, a step forward in tendon tissue engineering. Cell Tissue Bank 2023 Mar;24(1):11-24.
    doi: 10.1007/s10561-022-10012-wpubmed: 35596907google scholar: lookup
  14. Rampin A, Skoufos I, Raghunath M, Tzora A, Diakakis N, Prassinos N, Zeugolis DI. Allogeneic Serum and Macromolecular Crowding Maintain Native Equine Tenocyte Function in Culture. Cells 2022 May 5;11(9).
    doi: 10.3390/cells11091562pubmed: 35563866google scholar: lookup
  15. Xue Y, Kim HJ, Lee J, Liu Y, Hoffman T, Chen Y, Zhou X, Sun W, Zhang S, Cho HJ, Lee J, Kang H, Ryu W, Lee CM, Ahadian S, Dokmeci MR, Lei B, Lee K, Khademhosseini A. Co-Electrospun Silk Fibroin and Gelatin Methacryloyl Sheet Seeded with Mesenchymal Stem Cells for Tendon Regeneration. Small 2022 May;18(21):e2107714.
    doi: 10.1002/smll.202107714pubmed: 35487761google scholar: lookup
  16. Graça AL, Domingues RMA, Calejo I, Gómez-Florit M, Gomes ME. Therapeutic Effects of Platelet-Derived Extracellular Vesicles in a Bioengineered Tendon Disease Model. Int J Mol Sci 2022 Mar 9;23(6).
    doi: 10.3390/ijms23062948pubmed: 35328370google scholar: lookup
  17. Russo V, El Khatib M, Prencipe G, Citeroni MR, Faydaver M, Mauro A, Berardinelli P, Cerveró-Varona A, Haidar-Montes AA, Turriani M, Di Giacinto O, Raspa M, Scavizzi F, Bonaventura F, Stöckl J, Barboni B. Tendon Immune Regeneration: Insights on the Synergetic Role of Stem and Immune Cells during Tendon Regeneration. Cells 2022 Jan 27;11(3).
    doi: 10.3390/cells11030434pubmed: 35159244google scholar: lookup
  18. Russo V, El Khatib M, Prencipe G, Cerveró-Varona A, Citeroni MR, Mauro A, Berardinelli P, Faydaver M, Haidar-Montes AA, Turriani M, Di Giacinto O, Raspa M, Scavizzi F, Bonaventura F, Liverani L, Boccaccini AR, Barboni B. Scaffold-Mediated Immunoengineering as Innovative Strategy for Tendon Regeneration. Cells 2022 Jan 13;11(2).
    doi: 10.3390/cells11020266pubmed: 35053383google scholar: lookup
  19. Liu H, Zhang M, Shi M, Zhang T, Lu W, Yang S, Cui Q, Li Z. Adipose-derived mesenchymal stromal cell-derived exosomes promote tendon healing by activating both SMAD1/5/9 and SMAD2/3. Stem Cell Res Ther 2021 Jun 10;12(1):338.
    doi: 10.1186/s13287-021-02410-wpubmed: 34112236google scholar: lookup
  20. Lu K, Chen X, Tang H, Zhou M, He G, Lu Z, Tang K. Bionic Silk Fibroin Film Promotes Tenogenic Differentiation of Tendon Stem/Progenitor Cells by Activating Focal Adhesion Kinase. Stem Cells Int 2020;2020:8857380.
    doi: 10.1155/2020/8857380pubmed: 33204279google scholar: lookup
  21. Chu J, Lu M, Pfeifer CG, Alt V, Docheva D. Rebuilding Tendons: A Concise Review on the Potential of Dermal Fibroblasts. Cells 2020 Sep 8;9(9).
    doi: 10.3390/cells9092047pubmed: 32911760google scholar: lookup
  22. Li X, Chen H, Xie S, Wang N, Wu S, Duan Y, Zhang M, Shui L. Fabrication of Photo-Crosslinkable Poly(Trimethylene Carbonate)/Polycaprolactone Nanofibrous Scaffolds for Tendon Regeneration. Int J Nanomedicine 2020;15:6373-6383.
    doi: 10.2147/IJN.S246966pubmed: 32904686google scholar: lookup
  23. Capella-Monsonís H, Kearns S, Kelly J, Zeugolis DI. Battling adhesions: from understanding to prevention. BMC Biomed Eng 2019;1:5.
    doi: 10.1186/s42490-019-0005-0pubmed: 32903353google scholar: lookup
  24. Wang W, Zhao J, Yao Z, Liu J, Shi Z, Li Y, Zou J, Ruan H. Oriented inner fabrication of bi-layer biomimetic tendon sheath for anti-adhesion and tendon healing. Ther Adv Chronic Dis 2020;11:2040622320944779.
    doi: 10.1177/2040622320944779pubmed: 32821363google scholar: lookup
  25. El Khatib M, Mauro A, Wyrwa R, Di Mattia M, Turriani M, Di Giacinto O, Kretzschmar B, Seemann T, Valbonetti L, Berardinelli P, Schnabelrauch M, Barboni B, Russo V. Fabrication and Plasma Surface Activation of Aligned Electrospun PLGA Fiber Fleeces with Improved Adhesion and Infiltration of Amniotic Epithelial Stem Cells Maintaining their Teno-inductive Potential. Molecules 2020 Jul 11;25(14).
    doi: 10.3390/molecules25143176pubmed: 32664582google scholar: lookup
  26. El Khatib M, Mauro A, Di Mattia M, Wyrwa R, Schweder M, Ancora M, Lazzaro F, Berardinelli P, Valbonetti L, Di Giacinto O, Polci A, Cammà C, Schnabelrauch M, Barboni B, Russo V. Electrospun PLGA Fiber Diameter and Alignment of Tendon Biomimetic Fleece Potentiate Tenogenic Differentiation and Immunomodulatory Function of Amniotic Epithelial Stem Cells. Cells 2020 May 13;9(5).
    doi: 10.3390/cells9051207pubmed: 32413998google scholar: lookup
  27. Tondelli T, Götschi T, Camenzind RS, Snedeker JG. Assessing the effects of intratendinous genipin injections: Mechanical augmentation and spatial distribution in an ex vivo degenerative tendon model. PLoS One 2020;15(4):e0231619.
    doi: 10.1371/journal.pone.0231619pubmed: 32294117google scholar: lookup
  28. Xu HT, Lee CW, Li MY, Wang YF, Yung PS, Lee OK. The shift in macrophages polarisation after tendon injury: A systematic review. J Orthop Translat 2020 Mar;21:24-34.
    doi: 10.1016/j.jot.2019.11.009pubmed: 32071872google scholar: lookup
  29. Russo V, El Khatib M, di Marcantonio L, Ancora M, Wyrwa R, Mauro A, Walter T, Weisser J, Citeroni MR, Lazzaro F, Di Federico M, Berardinelli P, Cammà C, Schnabelrauch M, Barboni B. Tendon Biomimetic Electrospun PLGA Fleeces Induce an Early Epithelial-Mesenchymal Transition and Tenogenic Differentiation on Amniotic Epithelial Stem Cells. Cells 2020 Jan 27;9(2).
    doi: 10.3390/cells9020303pubmed: 32012741google scholar: lookup
  30. Maaßen A, Gebauer JM, Theres Abraham E, Grimm I, Neudörfl JM, Kühne R, Neundorf I, Baumann U, Schmalz HG. Triple-Helix-Stabilizing Effects in Collagen Model Peptides Containing PPII-Helix-Preorganized Diproline Modules. Angew Chem Int Ed Engl 2020 Mar 27;59(14):5747-5755.
    doi: 10.1002/anie.201914101pubmed: 31944532google scholar: lookup
  31. Wu S, Zhou R, Zhou F, Streubel PN, Chen S, Duan B. Electrospun thymosin Beta-4 loaded PLGA/PLA nanofiber/ microfiber hybrid yarns for tendon tissue engineering application. Mater Sci Eng C Mater Biol Appl 2020 Jan;106:110268.
    doi: 10.1016/j.msec.2019.110268pubmed: 31753373google scholar: lookup
  32. Roth SP, Brehm W, Groß C, Scheibe P, Schubert S, Burk J. Transforming Growth Factor Beta 3-Loaded Decellularized Equine Tendon Matrix for Orthopedic Tissue Engineering. Int J Mol Sci 2019 Nov 3;20(21).
    doi: 10.3390/ijms20215474pubmed: 31684150google scholar: lookup
  33. Li W, Midgley AC, Bai Y, Zhu M, Chang H, Zhu W, Wang L, Wang Y, Wang H, Kong D. Subcutaneously engineered autologous extracellular matrix scaffolds with aligned microchannels for enhanced tendon regeneration: Aligned microchannel scaffolds for tendon repair. Biomaterials 2019 Dec;224:119488.
  34. Lin Y, Zhang L, Liu NQ, Yao Q, Van Handel B, Xu Y, Wang C, Evseenko D, Wang L. In vitro behavior of tendon stem/progenitor cells on bioactive electrospun nanofiber membranes for tendon-bone tissue engineering applications. Int J Nanomedicine 2019;14:5831-5848.
    doi: 10.2147/IJN.S210509pubmed: 31534327google scholar: lookup
  35. Lü J, Shi Y, Wang Y, Kang X, Bian X, Yuan B, Zhu M, Tang K. [Research progress of structured repair of tendon-bone interface]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Sep 15;33(9):1064-1070.
    doi: 10.7507/1002-1892.201811139pubmed: 31512444google scholar: lookup
  36. Costa-Almeida R, Calejo I, Gomes ME. Mesenchymal Stem Cells Empowering Tendon Regenerative Therapies. Int J Mol Sci 2019 Jun 19;20(12).
    doi: 10.3390/ijms20123002pubmed: 31248196google scholar: lookup
  37. Karathanasopoulos N, Ganghoffer JF. Exploiting Viscoelastic Experimental Observations and Numerical Simulations to Infer Biomimetic Artificial Tendon Fiber Designs. Front Bioeng Biotechnol 2019;7:85.
    doi: 10.3389/fbioe.2019.00085pubmed: 31134193google scholar: lookup
  38. Gao C, Li C, Xu Y, Wang Z, Li H, Luo X, Peng L, Zhang B, Shen S, Liu S, Sui X, Guo Q, Yang J. [Electrospun polycaprolactone/collagen type Ⅰnanofibers oriented patch for rotator cuff repairing]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 May 15;33(5):628-633.
    doi: 10.7507/1002-1892.201811034pubmed: 31090359google scholar: lookup
  39. Ban HY, Shin JW, Chun SI, Kang YG, Wu Y, Kim JE, Lee EJ, Kim MJ, Mun CW, Shin JW. Distinguishing tendon and ligament fibroblasts based on (1)H nuclear magnetic resonance spectroscopy. Tissue Eng Regen Med 2016 Dec;13(6):677-683.
    doi: 10.1007/s13770-016-0128-5pubmed: 30603448google scholar: lookup
  40. Sensini A, Gualandi C, Zucchelli A, Boyle LA, Kao AP, Reilly GC, Tozzi G, Cristofolini L, Focarete ML. Tendon Fascicle-Inspired Nanofibrous Scaffold of Polylactic acid/Collagen with Enhanced 3D-Structure and Biomechanical Properties. Sci Rep 2018 Nov 21;8(1):17167.
    doi: 10.1038/s41598-018-35536-8pubmed: 30464300google scholar: lookup
  41. Wang Z, Lee WJ, Koh BTH, Hong M, Wang W, Lim PN, Feng J, Park LS, Kim M, Thian ES. Functional regeneration of tendons using scaffolds with physical anisotropy engineered via microarchitectural manipulation. Sci Adv 2018 Oct;4(10):eaat4537.
    doi: 10.1126/sciadv.aat4537pubmed: 30345353google scholar: lookup
  42. Abat F, Alfredson H, Cucchiarini M, Madry H, Marmotti A, Mouton C, Oliveira JM, Pereira H, Peretti GM, Spang C, Stephen J, van Bergen CJA, de Girolamo L. Current trends in tendinopathy: consensus of the ESSKA basic science committee. Part II: treatment options. J Exp Orthop 2018 Sep 24;5(1):38.
    doi: 10.1186/s40634-018-0145-5pubmed: 30251203google scholar: lookup
  43. Rahman SU, Nagrath M, Ponnusamy S, Arany PR. Nanoscale and Macroscale Scaffolds with Controlled-Release Polymeric Systems for Dental Craniomaxillofacial Tissue Engineering. Materials (Basel) 2018 Aug 20;11(8).
    doi: 10.3390/ma11081478pubmed: 30127246google scholar: lookup
  44. Wu S, Peng H, Li X, Streubel PN, Liu Y, Duan B. Effect of scaffold morphology and cell co-culture on tenogenic differentiation of HADMSC on centrifugal melt electrospun poly (L‑lactic acid) fibrous meshes. Biofabrication 2017 Nov 14;9(4):044106.
    doi: 10.1088/1758-5090/aa8fb8pubmed: 29134948google scholar: lookup
  45. Costa-Almeida R, Domingues RMA, Fallahi A, Avci H, Yazdi IK, Akbari M, Reis RL, Tamayol A, Gomes ME, Khademhosseini A. Cell-laden composite suture threads for repairing damaged tendons. J Tissue Eng Regen Med 2018 Apr;12(4):1039-1048.
    doi: 10.1002/term.2605pubmed: 29115019google scholar: lookup
  46. Wu S, Wang Y, Streubel PN, Duan B. Living nanofiber yarn-based woven biotextiles for tendon tissue engineering using cell tri-culture and mechanical stimulation. Acta Biomater 2017 Oct 15;62:102-115.
    doi: 10.1016/j.actbio.2017.08.043pubmed: 28864251google scholar: lookup
  47. Lahiri A. CORR Insights(®): Combined Administration of ASCs and BMP-12 Promotes an M2 Macrophage Phenotype and Enhances Tendon Healing. Clin Orthop Relat Res 2017 Sep;475(9):2332-2334.
    doi: 10.1007/s11999-017-5411-9pubmed: 28620740google scholar: lookup
  48. Rothrauff BB, Yang G, Tuan RS. Tissue-specific bioactivity of soluble tendon-derived and cartilage-derived extracellular matrices on adult mesenchymal stem cells. Stem Cell Res Ther 2017 Jun 5;8(1):133.
    doi: 10.1186/s13287-017-0580-8pubmed: 28583182google scholar: lookup
  49. Rothrauff BB, Coluccino L, Gottardi R, Ceseracciu L, Scaglione S, Goldoni L, Tuan RS. Efficacy of thermoresponsive, photocrosslinkable hydrogels derived from decellularized tendon and cartilage extracellular matrix for cartilage tissue engineering. J Tissue Eng Regen Med 2018 Jan;12(1):e159-e170.
    doi: 10.1002/term.2465pubmed: 28486778google scholar: lookup
  50. Walden G, Liao X, Donell S, Raxworthy MJ, Riley GP, Saeed A. A Clinical, Biological, and Biomaterials Perspective into Tendon Injuries and Regeneration. Tissue Eng Part B Rev 2017 Feb;23(1):44-58.
    doi: 10.1089/ten.TEB.2016.0181pubmed: 27596929google scholar: lookup
  51. Wu Y, Wang Z, Fuh JY, Wong YS, Wang W, Thian ES. Mechanically-enhanced three-dimensional scaffold with anisotropic morphology for tendon regeneration. J Mater Sci Mater Med 2016 Jul;27(7):115.
    doi: 10.1007/s10856-016-5728-zpubmed: 27215211google scholar: lookup
  52. Abbah SA, Thomas D, Browne S, O'Brien T, Pandit A, Zeugolis DI. Co-transfection of decorin and interleukin-10 modulates pro-fibrotic extracellular matrix gene expression in human tenocyte culture. Sci Rep 2016 Feb 10;6:20922.
    doi: 10.1038/srep20922pubmed: 26860065google scholar: lookup
  53. Maleki E, Karimizade A, Esfandiary F, Karimpour Malekshah A, Mirzaei M, Talebpour Amiri F. Regenerative effects of secretome from tendon-derived stem cells and treadmill training on Achilles tendon healing in rats. Histochem Cell Biol 2026 Mar 4;164(1).
    doi: 10.1007/s00418-026-02460-2pubmed: 41779050google scholar: lookup
  54. Lin J, Yao X, Zhou H, Li Y, Liao J, Dong S, Hu W. Design Considerations, Formulation Approaches, and Strategic Advances of Hydrogel Platforms for Tendinopathy Management. Biomater Res 2026;30:0299.
    doi: 10.34133/bmr.0299pubmed: 41624177google scholar: lookup
  55. Rossoni A, Lauretta G, Kearns S, Zeugolis DI. Comparative analysis of different macromolecular crowding agents in human tenocyte cultures. Biomater Biosyst 2026 Mar;21:100127.
    doi: 10.1016/j.bbiosy.2026.100127pubmed: 41586349google scholar: lookup
  56. Djalali-Cuevas A, Rettel M, Stein F, Savitski M, Gkiatas I, Korompilias A, Skoufos I, Tzora A, Prassinos N, Diakakis N, Zeugolis DI. Multifactorial bioengineering in the tendon context to maintain tenocyte phenotype and to direct dermal fibroblasts towards tenogenic lineage. Bioact Mater 2026 Feb;56:743-755.
  57. Cai X, Zhou Y. [Key role of biomechanical properties and material selection in rotator cuff repair]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2025 Dec 15;39(12):1606-1614.
    doi: 10.7507/1002-1892.202506085pubmed: 41397807google scholar: lookup
  58. Kadkhodaei M, Karimi Rouzbahani A, Amiri B, Fereydoonnezhad T, Behzadi A, Marzban A. Anti-adhesive agents in tendon repair: mechanisms, preclinical evidence, clinical challenges, and future perspectives-a narrative review. J Orthop Surg Res 2025 Nov 14;20(1):998.
    doi: 10.1186/s13018-025-06436-1pubmed: 41239498google scholar: lookup
  59. Duan A, Lin B, Xiong Z, Shao X, Liu W, Zhao R, Deng X, Zhang C, Wang D, Ge Z, Hu X, Lin W, Hu S, Wang G. Sodium alginate piezoelectric hydrogel loaded with extracellular vesicles derived from bone marrow mesenchymal stem cells promotes repair of Achilles tendon rupture. J Nanobiotechnology 2025 Oct 1;23(1):625.
    doi: 10.1186/s12951-025-03606-5pubmed: 41035038google scholar: lookup
  60. Deng X, Zhuang Y, Cui J, Wang L, Zhan H, Wang X, Lin K, Yuan C. Open Challenges and Opportunities in Piezoelectricity for Tissue Regeneration. Adv Sci (Weinh) 2025 Oct;12(38):e10349.
    doi: 10.1002/advs.202510349pubmed: 40823709google scholar: lookup
  61. Wu H, Lyu H, Jiang H, Wang Y, Yang R, Tofail SAM, Xu H, Guo C, Mei D, Gazit E, Tao K. Bioinspired supramolecular fibrillization enables stretchable and biodegradable piezoelectric bioelectronics. Sci Adv 2025 Jun 20;11(25):eadu6759.
    doi: 10.1126/sciadv.adu6759pubmed: 40532002google scholar: lookup
  62. Zambroni ME, Bertone PA, Cabral AL, Boatti AS, Romanini SV, Martínez SR, Gómez ML. Easy-to-Apply Hydrogel Patch for Field Treatment and Monitoring of Equine Wounds. Gels 2025 Apr 27;11(5).
    doi: 10.3390/gels11050328pubmed: 40422348google scholar: lookup
  63. Chen M, Liu J, Lin J, Zhuang K, Shan Y, Tiwari S, Jiang L, Zhang J. Progress in Polysaccharide-Based Hydrogels for Preventing Postoperative Adhesions: A Review. Gels 2025 Mar 8;11(3).
    doi: 10.3390/gels11030188pubmed: 40136893google scholar: lookup
  64. Guillaumin S, Rossoni A, Zeugolis D. State-of the-art and future perspective in co-culture systems for tendon engineering. Biomater Biosyst 2025 Mar;17:100110.
    doi: 10.1016/j.bbiosy.2025.100110pubmed: 40130022google scholar: lookup
  65. Long Q, Liu C, Zheng H, Wang M, Liu H, Liu Y, Cao Z, Sun Y, Mo Q, Backman LJ, Zhu J, Hu L, Huang J, Zhang W, Chen J. Enhancing Tendon Regeneration: Investigating the Impact of Topography on the Secretome of Adipose-Derived Stem Cells. Adv Sci (Weinh) 2025 May;12(18):e2417447.
    doi: 10.1002/advs.202417447pubmed: 40091553google scholar: lookup
  66. Fernandez-Yague MA, Palma M, Tofail SAM, Duffy M, Quinlan LR, Dalby MJ, Pandit A, Biggs MJ. A Tympanic Piezo-Bioreactor Modulates Ion Channel-Associated Mechanosignaling to Stabilize Phenotype and Promote Tenogenesis in Human Tendon-Derived Cells. Adv Sci (Weinh) 2024 Dec;11(45):e2405711.
    doi: 10.1002/advs.202405711pubmed: 39439240google scholar: lookup
  67. Muscat S, Nichols AEC. Leveraging in vivo animal models of tendon loading to inform tissue engineering approaches. Front Bioeng Biotechnol 2024;12:1449372.
    doi: 10.3389/fbioe.2024.1449372pubmed: 39434716google scholar: lookup
  68. Faydaver M, Festinese V, Di Giacinto O, El Khatib M, Raspa M, Scavizzi F, Bonaventura F, Mastrorilli V, Berardinelli P, Barboni B, Russo V. Predictive Neuromarker Patterns for Calcification Metaplasia in Early Tendon Healing. Vet Sci 2024 Sep 19;11(9).
    doi: 10.3390/vetsci11090441pubmed: 39330820google scholar: lookup
  69. Dec P, Żyłka M, Burszewski P, Modrzejewski A, Pawlik A. Recent Advances in the Use of Stem Cells in Tissue Engineering and Adjunct Therapies for Tendon Reconstruction and Future Perspectives. Int J Mol Sci 2024 Apr 19;25(8).
    doi: 10.3390/ijms25084498pubmed: 38674084google scholar: lookup
  70. DiIorio SE, Young B, Parker JB, Griffin MF, Longaker MT. Understanding Tendon Fibroblast Biology and Heterogeneity. Biomedicines 2024 Apr 12;12(4).
    doi: 10.3390/biomedicines12040859pubmed: 38672213google scholar: lookup
  71. Wang Y, Lu X, Lu J, Hernigou P, Jin F. The role of macrophage polarization in tendon healing and therapeutic strategies: Insights from animal models. Front Bioeng Biotechnol 2024;12:1366398.
    doi: 10.3389/fbioe.2024.1366398pubmed: 38486869google scholar: lookup
  72. Russo V, Prencipe G, Mauro A, El Khatib M, Haidar-Montes AA, Cambise N, Turriani M, Stöckl J, Steinberger P, Lancia L, Schnabelrauch M, Berardinelli P, Barboni B. Assessing the functional potential of conditioned media derived from amniotic epithelial stem cells engineered on 3D biomimetic scaffolds: An in vitro model for tendon regeneration. Mater Today Bio 2024 Apr;25:101001.
    doi: 10.1016/j.mtbio.2024.101001pubmed: 38420144google scholar: lookup
  73. Djalali-Cuevas A, Rettel M, Stein F, Savitski M, Kearns S, Kelly J, Biggs M, Skoufos I, Tzora A, Prassinos N, Diakakis N, Zeugolis DI. Macromolecular crowding in human tenocyte and skin fibroblast cultures: A comparative analysis. Mater Today Bio 2024 Apr;25:100977.
    doi: 10.1016/j.mtbio.2024.100977pubmed: 38322661google scholar: lookup
  74. Faydaver M, El Khatib M, Russo V, Rigamonti M, Raspa M, Di Giacinto O, Berardinelli P, Mauro A, Scavizzi F, Bonaventura F, Mastrorilli V, Valbonetti L, Barboni B. Unraveling the link: locomotor activity exerts a dual role in predicting Achilles tendon healing and boosting regeneration in mice. Front Vet Sci 2023;10:1281040.
    doi: 10.3389/fvets.2023.1281040pubmed: 38179329google scholar: lookup
  75. Wang S, Sha P, Zhao X, Tao Z, Liu S. Peritendinous adhesion: Therapeutic targets and progress of drug therapy. Comput Struct Biotechnol J 2024 Dec;23:251-263.
    doi: 10.1016/j.csbj.2023.11.059pubmed: 38173878google scholar: lookup
  76. Rinoldi C, Kijeńska-Gawrońska E, Heljak M, Jaroszewicz J, Kamiński A, Khademhosseini A, Tamayol A, Swieszkowski W. Mesoporous Particle Embedded Nanofibrous Scaffolds Sustain Biological Factors for Tendon Tissue Engineering. ACS Mater Au 2023 Nov 8;3(6):636-645.
  77. Fernandez-Yague MA, Trotier A, Demir S, Abbah SA, Larrañaga A, Thirumaran A, Stapleton A, Tofail SAM, Palma M, Kilcoyne M, Pandit A, Biggs MJ. A Self-Powered Piezo-Bioelectric Device Regulates Tendon Repair-Associated Signaling Pathways through Modulation of Mechanosensitive Ion Channels. Adv Mater 2021 Oct;33(40):e2008788.
    doi: 10.1002/adma.202008788pubmed: 34423493google scholar: lookup