Evidence map›Paper›PMID 37866546›Full record

ArticleOsteoarthritis and cartilage2024

Modulating mechanobiology as a therapeutic target for synovial fibrosis to restore joint lubrication.

Edward D Bonnevie, Carla R Scanzello, Robert L Mauck

Open access · bronzeAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. MFAP5iScience · 2026
    Article
  2. Inhibition of PI3K/Akt/mTOR signaling by curcumin: a novel approach to mitigate synovial fibrosis in knee osteoarthritis.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
    Article
  3. Article
  4. Synovial fibroblasts modulate endothelial activation in an acute injury-on-a-chip model.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Pirfenidone Attenuates Fibrosis and Neovascularization in 3D Spheroid-Laden Hydrogel Culture.Journal of tissue engineering and regenerative medicine · 2026
    Article
  6. Article
  7. Article
  8. Medicina (Kaunas, Lithuania) · 2024
    Article
  9. 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

3 authors at 3 institutions in 1 country.

Edward D BonnevieTranslational Musculoskeletal Research Center, CMC VA Medical Center, United States; McKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, University of Pennsylvania, United States. Electronic address: edbon@pennmedicine.upenn.edu.
Carla R ScanzelloTranslational Musculoskeletal Research Center, CMC VA Medical Center, United States; Division of Rheumatology, Perelman School of Medicine, University of Pennsylvania, United States.
Robert L MauckTranslational Musculoskeletal Research Center, CMC VA Medical Center, United States; McKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, University of Pennsylvania, United States; Department of Bioengineering, University of Pennsylvania, United States. Electronic address: lemauck@pennmedicine.upenn.edu.
Orthopaedic Center · USTranslational Therapeutics (United States) · USUniversity of Pennsylvania · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
Dynamic Fibrous Scaffolds for Repairing Dense Connective TissuesR01AR056624 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Jason A Burdick, Robert L Mauck · 2009 to 2026
$7.5M
Modulation of Inflammation in Osteoarthritis via CD14-mediated pattern recognitionR01AR075737 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Carla Rose Scanzello · 2020 to 2026
$2.8M
Altered Mechanical Signaling in the Annulus Fibrosus in Intervertebral Disc DegenerationF32AR072478 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI BONNEVIE, EDWARD D · 2018 to 2019
$120k
Knee Joint Resurfacing with Anatomic Tissue Engineered Osteochondral ImplantsI01RX003375 · VA · PHILADELPHIA VA MEDICAL CENTER · PI MAUCK, ROBERT L, STEINBERG, DAVID · 2020 to 2024
–
Targeting Cellular Mechanosensing to Alleviate Joint Stiffness in Synovial FibrosisI21RX003854 · VA · PHILADELPHIA VA MEDICAL CENTER · PI SCANZELLO, CARLA ROSE · 2022 to 2024
–
NIAMS NIH HHS F32 AR072478NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R01 AR056624NIAMS NIH HHS R01 AR075737RRD VA I01 RX003375RRD VA I21 RX003854
6 · The paper itself

Abstract

objectivesFibroses are disorders linked to persistence of myofibroblasts due to biochemical (e.g., Transforming growth factor-β) and biophysical cues (e.g., a stiff microenvironment). In the context of osteoarthritis, fibrotic changes in the joint-lining synovium have been linked with disease progression. The objective of this study was to probe synovial fibroblast mechanobiology and how essential functions (i.e., lubrication) are altered in fibrotic environments.

designBoth ex vivo and in vitro synovium models were assessed for fibrotic and lubrication biomarkers to better understand the role of mechanobiology and lubrication. Additionally, in vitro, work on small molecules targeting mechanobiology was assessed.

resultsOur results indicated that modulating mechanobiology could rescue the fibrotic phenotype instigated by stiffening microenvironment that resulted in altered lubricant expression. A small molecule therapeutic, fasudil, blocked ROCK-mediated contractility and this inhibition of the fibrotic mechano-response of synovial fibroblasts restored proper lubrication function, providing insight into mechanisms of disease progression as well as a new avenue for therapeutic development.

conclusionThis study identifies synovial fibrosis as a condition that potentially has joint-wide deficits through inhibiting lubrication. Additionally, modulating mechanobiology (i.e., ROCK-mediated contractility) may pose a potential target for small molecule therapies that can be delivered to the joint space. CLASSIFICATION: Applied Biological Sciences.

Indexed as

Synovial MembraneBiophysicsDisease ProgressionFibrosisHumansLubricationArthritisFibrosisLubricationMechanobiology

Identifiers

PMID37866546
PMCPMC10880438
OpenAlexW4387807124

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.