Acta Biomaterialia

Many animals rely on specialised mouthparts to process food. Because this is a mechanically demanding task, mouthparts often wear, with potentially serious consequences for feeding performance and thus fitness. The biomechanics of wear are therefore of clear biological relevance, but remain poorly understood, especially in insects, where conventional engineering wear tests are hard to implement. Here, we present a nanomechanical characterisation of the mandibular epicuticle of three insect species: two leaf-cutting specialists, one with and one without transition-metal inclusions, and an omnivore. Contrary to predictions from simple engineering wear theory, wear resistance was neither directly proportional to indentation hardness nor inversely proportional to wear load. We suggest that this discrepancy arises in part from the high hardness-to-modulus ratio of mandibular epicuticle, which renders indentation hardness a poor proxy for resistance to plastic deformation. A simple elasto-plastic wear model qualitatively captures the main discrepancies between experiment and theory, and points to a revised set of wear proxies that may allow at least a qualitative ranking of biological materials via iso-performance lines on Ashby plots. Yet, as with most wear models, the wear coefficient remains unpredictable, a limitation strikingly illustrated by the increase in epicuticular wear resistance upon hydration despite a decrease in both hardness and modulus. Together, these observations suggest that purely plastic wear models may often be inadequate for biological materials with a high hardness-to-modulus ratio, and that even elasto-plastic models require careful validation against experimental wear assays. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=78 SRC="FIGDIR/small/731969v1_ufig1.gif" ALT="Figure 1"> View larger version (21K): org.highwire.dtl.DTLVardef@13e958org.highwire.dtl.DTLVardef@13ca5fdorg.highwire.dtl.DTLVardef@b585adorg.highwire.dtl.DTLVardef@15b3be3_HPS_FORMAT_FIGEXP M_FIG C_FIG

Pressure ulcers arise from sustained mechanical loading that impairs perfusion and damages skin tissues, yet the coupled mechanical and biological mechanisms of their formation and healing remain poorly characterized. We addressed this gap using a mouse model in which dorsal skin underwent 72 hours of magnet-induced ischemia followed by reperfusion, with tissue collected at 0, 3, 6, and 9 days and compared with baseline controls. From each mouse, we obtained paired samples from pressure ulcer and remote control (non-loaded) sites, mapped thickness by tissue profilometry, and performed equibiaxial testing with full-field digital image correlation and inverse finite element analysis to estimate regional material parameters. In parallel, we quantified CD31+ vasculature, F4/80+ macrophages, collagen content, and key cytokines. Pressure ulcer sites were compressed and thinner at Day 0, developed ulcers by Day 3, and continued to remodel through Day 9. Mechanical tests revealed heterogeneous strain fields with elevated deformation along ulcer borders, while remote control tissue deformed more homogeneously. These mechanical changes evolved alongside dynamic vessel and macrophage repopulation, increased collagen content at early time points, and cytokine upregulation within pressure ulcer tissue. Collectively, our data define the spatiotemporal co-evolution of tissue geometry, mechanics, collagen remodeling, and inflammation in pressure ulcers and provide a quantitative foundation for predictive mechanobiological models.

The foreign body response (FBR) is an immune mediated event that occurs with every material implant. The extent of the fibrosis is dependent on many factors including the biomaterial design, tissue location, and host factors such as age, sex, ancestry, diet. There are known clinical outcomes of implants dependent on age and sex, including increased fibrosis and implant failure in aged and female patients. As the population ages, there is a growing need to understand how aging affects the FBR, and how preclinical models can capture this to guide biomaterial design. Here, we investigated how chronic fibrosis in a murine model of the FBR is altered by two biological factors: age and sex. We investigated changes in fibrosis using a volumetric muscle loss (VML) injury model coupled with polycaprolactone (PCL) or polyethylene (PE) microparticle implants. Fibrosis was quantified through gene expression, microscopic analysis of histologic sections, and the corresponding immune response measured via gene expression and flow cytometry data. We found gene expression differences with immune pathways enriched in female mice, and microscopy revealed collagen birefringence area increased in young male mice. Both the innate and adaptive immune response were altered by age and sex via T cell and macrophage phenotype, and the effects of aging differed between sexes. These results reveal both variables contribute to discrepant outcomes in both fibrosis and the local immune response to synthetic material implants. This demonstrates a clear need to understand and account for the influence of biological factors in biomaterial design.

Pancreatic ductal adenocarcinoma (PDAC) is characterized by a dense desmoplastic extracellular matrix (ECM) that contributes to tumor progression, therapeutic resistance, and poor patient survival. However, the relationship between in vivo imaging-derived mechanical properties, ex vivo tissue biomechanics, ECM architecture, and cellularity remains incompletely understood. Here, we combined pre-operative in vivo clinical magnetic resonance elastography (MRE) with ex vivo biomechanical testing of fresh human PDAC tissue and histopathological analyses. Nine patients undergoing pancreatic resection were prospectively enrolled. Quantitative MRE was performed pre-operatively to assess tissue stiffness through shear wave speed (c) and relative viscosity or fluidity through the loss angle ({varphi}). Fresh tumor and adjacent non-malignant tissue biopsies were subsequently analyzed ex vivo by unconfined uniaxial compression testing to determine elastic moduli and stress relaxation halftime. Histological analyses quantified collagen-rich fibrous tissue area, cell nuclei density, and nuclear morphology. Tumor tissue exhibited significantly increased stiffness and collagen fraction compared with adjacent non-malignant tissue, together with reduced cellularity, smaller nuclear area and more elongated nuclei. Ex vivo stiffness positively correlated with collagen content and negatively correlated with patient survival. Reduced stress relaxation halftime, indicative of increased tissue viscosity, was associated with lower cellularity and elongated nuclei. Importantly, pre-operative MRE parameters of the intact surrounding environment correlated significantly with ex vivo tumor mechanics, cellular organization, and survival. Specifically, a softer and less viscous surrounding environment was associated with stiffer and more viscous tumors, with lower cellularity and elongated nuclei, and poorer prognosis. These findings demonstrate that MRE-derived mechanical biomarkers reflect underlying ECM remodeling and tumor mechanobiology in PDAC. Integrating in vivo imaging with ex vivo tissue mechanics and histopathology may improve non-invasive disease characterization and support biomechanically-informed therapeutic strategies.

Granular extracellular matrix (gECM)-based biomaterials commonly contain polymer components to improve scaffold cohesion and handling during fabrication and use. However, these polymer hydrogel components may dilute ECM content and increase fabrication and regulatory complexity. This study evaluated whether particle-only gECM wafers could serve as a simplified alternative to hydrogel-based gECM scaffolds while maintaining structural, mechanical, and biological performance. Decellularized human cartilage and skin tissues were processed and fabricated into three scaffold formats: gECM hydrogels, freeze-dried gECM hydrogel wafers, and freeze-dried particle-only gECM wafers. Across fabrication methods, scaffold swelling, volume fraction, and stiffness were strongly influenced by both tissue type and fabrication approach. gECM hydrogels exhibited the greatest swelling and lowest stiffness, while gECM wafers displayed higher volume fractions and greater mechanical stiffness. Notably, gECM particle-only wafers achieved performance comparable to gECM hydrogel wafers despite the absence of a secondary polymer network. Particle-only wafers also maintained swelling behavior and structural properties over 3 months of dry storage at room temperature, with only modest decreases in stiffness. In vitro studies showed sustained cell viability over 14 days on particle-only wafers, with chondrocytes infiltrating cartilage wafers and fibroblasts remaining primarily surface-localized on skin wafers. In addition, particle-only wafers remained cohesive during implantation into a bovine cartilage defect model. These findings demonstrate that particle-only gECM wafers can achieve structural integrity, mechanical performance, and cytocompatibility without the need for an additional polymer network, highlighting a simplified and ECM-rich biomaterial platform. By eliminating polymer carriers and enabling dry storage with preserved function, this approach supports the development of off-the-shelf, translationally accessible gECM particle-only wafers for tissue engineering applications.

The macroscopic biomechanical characteristics of soft and ultrasoft tissues, such as articular cartilage and vocal folds, significantly determine their physiological function. Treatments of widespread tissue degradations due to osteoarthritis in the knee or vocal fold impairment remain an unresolved challenge. For the design of implants for tissue repair after injury or disease, it is key to thoroughly understand the unique biomechanical properties of native tissues and potential substitute materials. We use multimodal mechanical testing methods combined with hyperelastic nonlinear continuum mechanics modeling, and finite element simulations to determine the macroscopic behavior of surrogate materials for human articular cartilage in the knee and human vocal folds. Our cyclic loading experiments reveal qualitative similarities for both tissues and their surrogates, including a nonlinear stress-strain behavior, hysteresis, and conditioning. We demonstrate the tunability of biomimetic and biosimilar stiffnesses of synthetic articular cartilage and vocal fold surrogates through tissue-specific process-material combinations. Our results demonstrate the feasibility of synthetic metamaterials in replicating essential passive biomechanical functions with great potential for future treatment options.

Osteochondral defects remain a major clinical challenge due to the limited regenerative capacity of cartilage and the complexity of the osteochondral interface. Here, we present a human-derived granular extracellular matrix (gECM) hydrogel platform designed for translational osteochondral repair. Using otherwise discarded human donor tissues, we developed cartilage and bone gECM hydrogels under current good manufacturing practice workflows. These materials are shear-thinning, immediately hold their form, and crosslink under physiological conditions to form stable constructs. Proteomic analysis confirmed that cartilage and bone gECM retain distinct tissue-specific biochemical signatures, while mechanical characterization demonstrated tissue-relevant stiffness, with bone gECM hydrogels exhibiting greater stiffness than cartilage gECM hydrogel. Particle packing density primarily governed viscosity, whereas tissue type contributed strongly to bulk stiffness. Together, these findings establish a scalable, human-derived gECM platform that integrates tissue-specific structural and mechanical cues, and advances a clinically translatable strategy for osteochondral repair.

Current clinical treatments for meniscal injuries remain limited and are associated with an increased risk of developing osteoarthritis (OA). This has motivated the development of tissue engineering (TE) strategies to engineer more biomimetic meniscal grafts capable of promoting functional joint regeneration. Existing approaches typically fail to recapitulate the zonal heterogeneity of the native meniscus, which contains distinct inner and outer regions with unique extracellular matrix (ECM) composition and organization. Here, we introduce a novel bioprinting strategy using spatially patterned growth factors and mesenchymal stromal/stem cell (MSC)-derived microtissues ({micro}Ts) to engineer meniscal constructs with zonally defined structure and composition. We first investigated the effects of different growth factor regimes, specifically connective tissue growth factor (CTGF) and transforming growth factor-{beta}3 (TGF-{beta}3), on fibrochondrogenesis of MSC-derived {micro}Ts. While TGF-{beta}3 alone promoted a more inner-zone meniscus phenotype, stimulation of {micro}Ts with a combination of TGF-{beta}3 and CTGF supported the development of tissues that more closely mimicked the outer zone of the meniscus. Using laponite to control the release of these growth factors, it was also possible to bioprint zonally defined meniscal tissue within a methacrylate xanthan gum (XG-MA) support bath. A fibro-ink containing {micro}Ts, CTGF and TGF-{beta}3 supported higher collagen type I deposition and lower collagen type II deposition, while a chondro-ink containing {micro}Ts and TGF-{beta}3 promoted higher collagen type II deposition. Based on these findings, dual-cartridge bioprinting was next used to spatially pattern {micro}Ts with CTGF + TGF-{beta}3 (fibro-ink) or TGF-{beta}3 (chondro-ink) to generate regionally defined, meniscal-like engineered tissues. This approach enabled the bioprinting of scaffold-free constructs with aligned collagen and zone-specific ECM depositions, with an inner region consisting of sGAG and collagen types I and II, and an outer region rich in sGAG and collagen type I. These findings highlight the potential of co-printing both growth factors and MSC-derived {micro}Ts for engineering scaffold-free, zonally defined meniscal tissues.

The human spine is a complex, coordinated biomechanical system. Physiologically, its tissues are also highly interdependent in terms of function and viability. The interaction between mechanical stress and biological/biochemical activity over time constitutes a key driver of spinal degeneration. Research to date providing mechanistic insights into this process has focused on individual components (vertebra and disc tissue analogues), in isolation or as basic functional units. However, many observations from individual units will not translate to whole spine behaviour. The intricate complexity of the spine requires novel experimental models (synthetic and biotic), which must consider the spine at an organ level and adopt an integrative approach that can capture the dynamics which govern its function. Here, we report the development of a biomimetic spinal model prototype, amenable to cellular integration, which is miniaturised to the in vitro scale to provide a controlled environment and testbed for axial biological mechanics. The research presented here encompasses more than a decade of systematic investigations during which the gradual emergence of key manufacturing innovations progressively enabled addressing an exceptionally complex bioengineering challenge - organotypic spine engineering. The model comprises the full anatomical range of spinal vertebrae/bones (C1 to Sacrum & Coccyx), reproduced using bioceramic materials, assembled in sequence into a relevant columnar architecture and mechanically connected end-to-end by biochemically active interfaces. A range of assessments examining anatomical design, material behaviour and manufacturing processes is presented. The work explores concepts such as longitudinal mechanobiology and multi-segment coupling as well as manufacturing strategies using autonomous materials and instrumentation. This prototype introduces for the first time columnar level behaviour and the ability to study time dependent adaptations. This model is important because it can support tissue maturation, evolving mechanical properties and adaptive behaviour and it represents an intermediate step between isolated skeletal tissue models and future organ-level spinal constructs.

The primary source of strength in ligaments and tendons are hierarchically organized collagen fibers. These fibers largely do not regenerate after injury, with repair, nor in engineered replacements, limiting treatment options. Previously, we developed a culture system which guides ACL fibroblasts in high-density collagen gels to form native-size hierarchical fibers over 6 weeks, and demonstrated that intermittent cyclic stretch further improves maturation. However, additional maturation is needed for clinical relevance. Interestingly, we found cyclic load affected cells differentially depending on the degree of organization, with 10% cyclic strain driving early improvements in unorganized gels and 5% strain being more beneficial later in culture once cells were on aligned fibers. Here, we explored whether a stepped cyclic load, that increased or decreased in strain magnitude as collagen fibers developed, further improved maturation. We hypothesized that progressively decreasing cyclic strain as organization increases would drive cells to produce more mature hierarchical fibers, resulting in stronger replacements. Controls had intermittent cyclic stretch at 0, 5, 7, or 10% strain throughout culture, while stepped load constructs were cyclically loaded with a strain that increased or decreased by 2-3% every 2 weeks as constructs matured. Contrary to our hypothesis, neither decreasing nor increasing load led to further tissue maturation. We hypothesize stepped cyclic load may disrupt cellular tensional homeostasis, leading to repeated remodeling of collagen and shifted proteoglycan accumulation. This study provides insight into how stepped cyclic loading affects hierarchical fiber formation and maturation, which will help to engineer stronger replacements and better rehabilitation protocols.

Pelvic organ prolapse (POP) reconstruction is increasingly performed utilizing knitted silk meshes (KSM), yet tracking in vivo degradation kinetics remains challenging due to complex host tissue integration. This study developed an AI-driven semi-empirical framework utilizing Gaussian Process Regression (GPR) to bridge the kinetic mismatch between in vitro and in vivo environments. KSM scaffolds underwent 32 weeks of accelerated in vitro enzymatic degradation, with morphology (SEM), molecular conformation (FTIR), and mass loss being coupled with mechanical decay to train the GPR model. In vitro results revealed a multi-stage physical disintegration via a topochemical erosion pathway that preserved crystalline {beta}-sheet structures despite macro-scale mass and mechanical loss. When validated in a rat abdominal wall defect model, traditional tracking metrics encountered severe bottlenecks. Heterogeneous dye labeling caused premature fluorescence quenching by Week 16, while extensive tissue ingrowth masked gravimetric and SEM signatures. Intriguingly, a bi-phasic in vivo mechanical trajectory was identified, where initial degradation-led failure was followed by a secondary mechanical recovery driven by biomechanical synergy with neo-muscular tissue. Importantly, despite premature quenching, this work presents the first optical imaging approach to visually mapping the complete chronological breakdown of the scaffolds peripheral boundary layer in vivo, proving that outer functionalized layers eroded prior to internal silk cores. Furthermore, our GPR framework elegantly resolved the perennial technical barrier of tissue-mesh overlapping. By mathematically decoupling intrinsic polymer degradation from confounding tissue ingrowth, the model successfully achieved a first-of-its-kind prediction of the bare scaffolds long-term structural fate in a non-adhered state, providing a robust digital twin methodology for lifetime predictions of degradable biomaterials.

Magnetic biofabrication enables rapid assembly of multicellular spheroids but still lacks a basis for predictive control over structure and mechanical environment. Here, we combine experiments and an individual spheroid-based model to study magnetic assembly of periosteum-derived spheroids. Spheroids are treated as discrete particles interacting through magnetic forces, contact mechanics, and interfacial friction, with parameters obtained from independent measurements. This model quantitatively captures assembly dynamics arising from magnetic force patterns and viscous drag with the well surface. The spatial distribution of magnetic forces, determined by magnet geometry and positioning, predicts the size and morphology of magnetic assembloids, including disk- and ring-like structures. Magnetic assembly further generates heterogeneous compressive stresses that depend on magnet geometry and spheroid number. Radial stresses arise collectively through inter-spheroid interactions, whereas vertical stresses are mainly determined by magnetic loading of individual spheroids. These results establish a minimal physical framework for magnetic biofabrication and provide a basis for predictive control of both tissue structure and mechanical microenvironment.

Purpose: Fibrotic remodeling of the uterus, associated with aging, disease, and environmental exposures, alters collagen organization and tissue stiffness, yet how these changes influence organ-level mechanical behavior remains poorly understood. Glutaraldehyde (GA)-induced collagen crosslinking was used as a controlled surrogate for fibrotic remodeling to determine whether image-informed inverse finite element analysis (iFEA), combined with inflation testing and micro-computed tomography (microCT), could detect and quantify the resulting changes in uterine constitutive behavior. Methods: Murine uteri (n = 6 untreated, n = 6 GA-crosslinked) underwent volume-controlled balloon inflation with simultaneous microCT imaging to quantify deformation of the inner and outer wall boundaries for iFEA. Specimen-specific Gasser-Ogden-Holzapfel (GOH) finite element models were optimized by adjusting model parameters to reproduce experimentally measured wall contours throughout inflation. Model performance was evaluated using contour root mean square error (RMSE), and parameter identifiability was assessed through sensitivity analyses. Results: GA treatment significantly increased inflation work, linear stiffness, and maximum inflation resistance (p < 0.001). The iFEA framework accurately reproduced experimental deformation (RMSE < 3%) and revealed significant increases in the estimated GOH parameters C10 (9.2-fold), k1 (2.0-fold), and k2 (2.7-fold), consistent with increased effective tissue stiffness and a shift toward earlier collagen fiber recruitment. Sensitivity analyses demonstrated unique, well-defined minima for all parameter combinations. Conclusion: Image-informed iFEA provides a quantitative framework for relating collagen remodeling to organ-level uterine mechanics through specimen-specific constitutive parameter estimation. This approach establishes a foundation for investigating the mechanical consequences of uterine fibrosis and other remodeling processes.

The pulmonary artery undergoes measurable structural and mechanical deterioration with age, but whether these changes can be integrated into a quantitative normative aging prediction model has not been demonstrated. Using two-photon imaging and paired vascular mechanical measurements from C57BL6 mice spanning 6 to 24 months, we developed a multimodal support vector regression (SVR) model integrating collagen fiber orientation, straightness, and hemodynamic mechanical parameters to predict normative age. Fiber orientation was encoded via the von Mises probability density function referenced to the circumferential and axial vessel wall axes providing a principled circular-variable encoding of both mean direction and concentration. The microstructure-only model achieved leave-one-out (LOO) R{superscript 2} = 0.596, Mean Absolute Error (MAE) = 3.43 months. Adding vascular mechanical parameters (PWV) raised a combined LOO R{superscript 2} to 0.834 (MAE = 2.26 months), a 40.1% improvement. Because pulmonary vascular and parenchymal aging are mechanistically coupled, lung mechanics were included as a complementary readout to assess whether airway mechanics contribute independent predictive signal beyond vascular microstructure alone. A sex dimorphism was observed, where females drove the majority of the collagen-based predictive signal (female-only R{superscript 2} = 0.960 vs. male-only R{superscript 2} = 0.658). These results establish a multimodal framework for vascular biological age quantification that integrates structural and mechanical aging signatures.

BackgroundDural defects, either from trauma, tumor resection, surgical approaches, genetics, or spontaneously represent a significant clinical challenge in neurosurgery. Given the established efficacy of riboflavin-sensitized ultraviolet-A (UVA) photo-crosslinking in ophthalmology, this study investigated its feasibility and dose-response characteristics as a novel strategy to biochemically augment the mechanical integrity and strength of ex-vivo bovine dura mater. MethodsForty bovine dura mater specimens were treated ex vivo using riboflavin concentrations of 2, 4, or 8 mM combined with UVA irradiation at 0.3 or 3 mW/cm{superscript 2}. PBS-treated specimens exposed to UVA served as controls. Atomic force microscopy nanoindentation was used to measure the local elastic modulus in matched regions before and after treatment, enabling paired assessment of treatment-induced mechanical changes while minimizing inter-sample variability. Post-treatment stiffness, fold-change from baseline, and riboflavin dose-response relationships were analyzed statistically. ResultsBaseline elastic moduli were equivalent across all groups (mean approximately 52 kPa, p=0.92). While UVA alone caused a modest approximately 2- to 3-fold stiffness increase, riboflavin-UVA treatment produced a dramatic, concentration-dependent effect. The highest treatment (8 mM RF, 3 mW/cm{superscript 2} UVA) increased the elastic modulus 150-fold, from approximately 53 kPa to approximately 8,000 kPa. Post-UV stiffness exhibited a strong linear relationship with riboflavin concentration (R{superscript 2} = 0.994), indicating a precisely titratable crosslinking effect. All treatment conditions were statistically distinguishable (p < 0.001). ConclusionRiboflavin-sensitized UVA crosslinking substantially increases the nanomechanical strength of ex vivo bovine dura mater in a controllable, dose-dependent manner. These findings establish a proof of concept for biochemical reinforcement of dural tissue that might be used clinically. As a next step evaluation using human dura, macroscopic biomechanical testing, penetration-depth analysis, and safety assessment is warranted.

The human masseter muscle is one of the primary muscles responsible for mastication and mandibular movement; however, its intrinsic mechanical properties remain insufficiently characterized. In this experimental study, the nonlinear, viscoelastic, and history-dependent behaviour of the human masseter muscle was investigated using ex vivo uniaxial cyclic tensile tests. The masseter muscle samples prepared from fresh and formalin-preserved cadavers were tested under two loading protocols: a continuous stretch protocol with increasing stretch levels and a constant stretch protocol with repeated loading to a fixed maximum stretch. Tests were conducted at two strain rates, and their influences on the mechanical behaviour of the tissue were examined. The effect of formalin preservation was also investigated. The results showed that the stiffness of the tissue increases for formalin-preserved samples. Under cyclic loading, the features including energy dissipation, stress-softening, residual deformation, and cyclic conditioning progressively changed during the initial loading cycles and reached stabilization during the final cycle. These findings provide experimental evidence that the human masseter muscle exhibits nonlinear, viscoelastic, and history-dependent mechanical behaviour under cyclic tensile loading. The experimental data obtained in this study may be used for biomechanical modelling of the human masticatory system and the development of constitutive models for cranio-maxillofacial surgical simulation, prosthetic design, and facial soft-tissue biomechanics. Statement of significanceThe masseter muscle is one of the primary muscles of mastication. To address the current gap in craniofacial biomechanics that has largely focused on the mechanical characterization of the masseter muscle based on imaging techniques or monotonic loading, this study quantifies the nonlinear and viscoelastic mechanical response of masseter tissue under cyclic continuous and constant stretch loading, including strain-rate and preservation effects. The results show that the mechanical behaviour of the masseter muscle, including stiffness, hysteresis, stress-softening, and residual strain behaviour, is strongly influenced by strain-rate and formalin preservation. The experimental results provide mechanical data for constitutive modelling of the masticatory system with applications in cranio-maxillofacial surgical simulation, prosthetic design, and facial soft tissue modelling.

Injuries to musculoskeletal tissue junctions are exceedingly common and notoriously difficult to repair due to the inability to restore overlapping gradations of structural, biochemical, and mechanical signals critical to tissue interfacial integrity. This work introduces a multicompartment scaffold for muscle-tendon junction (MTJ) tissue engineering, containing distinct muscle and tendon compartments joined at a continuous interface, recapitulating the structural anisotropy, graded collagen content, and electrical excitability of the native MTJ. Collagen suspensions with or without electrically conductive poly(3,4-ethylenedioxythiophene) (PEDOT) particles representing muscle and tendon compartments respectively were carefully layered and directionally freeze-dried to form an integrated multicompartment scaffold with aligned pores mimicking the MTJ. Scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) confirmed the formation of a structurally anisotropic scaffold with stratified conductive polymer content, and importantly, a smooth continuous interfacial region joining the two compartments of similar scale to native MTJ. In contrast to multicompartment materials with abrupt interfaces, mechanical testing confirmed no decrease in multicompartment scaffold tensile properties relative to single compartment controls. Myoblasts and fibroblasts were successfully seeded on multicompartment scaffolds in a stratified manner while uniformly conforming to aligned scaffold contact guidance cues and maintaining metabolic activity over a week in culture. Myoblasts underwent compartment-specific differentiation while fibroblasts remained viable, even under myogenic differentiation conditions. Together, this work presents a scaffold platform integrating key structural, biochemical, and mechanical features necessary for MTJ tissue engineering.

Diseases of the (mitral and tricuspid) atrioventricular valves (AVV), which regulate inflow from the atria to the ventricles, can result in severe obstruction to inflow (stenosis) or valvular leakage (regurgitation), requiring surgical intervention. In patients with small annulus diameters (< 19 mm), valve replacement is a clinical challenge limited by prosthesis size constraints, lack of growth potential, suboptimal durability, and elevated thrombosis and bleeding risk. While living valve transplantation (LVT) has re-opened the possibility of using allogeneic valve tissue capable of growth and remodeling, translating this to the AVV has been challenging given the anatomical complexity of the sub-valvular apparatus. Here, we propose a strategy using a replacement bi-leaflet cylindrical valve fabricated from donor AVV tissue and artificial chordae, with a geometry designed to mimic the native AVV and engineered to satisfy predefined clinical targets. Pulse duplicator experiments allowed characterization of valve dynamics in terms of clinically important attributes framed as dimensionless parameters. A multi-objective optimization allowed us to identify an optimal design which we implemented in porcine AVV replacements (n=6). Our results demonstrated favorable hemodynamics with minimal regurgitation and stenosis, suggesting a promising method for patient-optimized valve replacements.

Epithelial sheets must maintain robust barrier function while enduring severe mechanical deformations across various physiological environments. While baseline actomyosin contractility is understood to stabilize intercellular junctions and hence cell-cell contact integrity, how cell-generated active forces interact with external physical strain to dictate contact integrity remains poorly understood. In this study, we investigated the biophysical trade-offs between actomyosin contractility and barrier resilience when Madin-Darby Canine Kidney (MDCK) cell islands are subject to large stretch. In contrast to a high concentration (50 M) of the non-muscle myosin II inhibitor blebbistatin that disrupted cell-cell contacts, we first identified a lower concentration (10 M) that maintained cell-cell contact integrity in the absence of any stretch. Such moderate inhibition of non-muscle myosin II reduced, but preserved some level of actin bundle organization. Remarkably, when challenged with a pathological 38% linear stretch using a custom-built biaxial stretching device, 10 M blebbistatin treated epithelial islands exhibited significantly fewer cell-cell contact ruptures than untreated controls, demonstrating a potent protective effect against mechanical strain. Traction force microscopy revealed diminished cell-generated strain energy by over 60% indicating a partial but significant reduction in contractility upon 10 M blebbistatin treatment. Nanoindentation measurements revealed that moderate contractility inhibition decreased the cellular Young's modulus by more than 40%. Consequently, moderate contractility inhibition safeguards epithelial junctions through a dual mechanical effect: it simultaneously reduces baseline active tensile stresses due to cell contractility and lowers the passive elastic forces generated within the softened cell island during external stretch. Our findings indicate that this systemic reduction in forces dominates over any loss of biochemical adhesion strength at cell-cell contacts. We propose that shifting the epithelium from a rigid, highly stressed continuum to a more compliant, relaxed state by moderate contractility inhibition can serve as a general biophysical mechanism to preserve barrier integrity under severe mechanical challenge.

Objective: To evaluate the effect of residual hair (RH) biomaterial particulates, biphasic electrical stimulation (ES), and their combination (RHES) on the kinetics and quality of skin wound healing. Method: Eighteen adult albino mice received bilateral, splinted 10-mm full-thickness dorsal excisional wounds and were randomly assigned to one of three animal groups producing four wound-level treatment conditions: untreated control (-) (n = 12), RH (n = 12), ES (n = 6), and combined RHES (n = 6 wounds). Daily wound images were segmented using an AI-assisted workflow: a U-Net (ResNet34 encoder, ImageNet-pretrained, trained on a parallel single-expert tracing study with held-out validation Dice = 0.906) generated initial boundary predictions, each reviewed and corrected as needed. Wound size measures (perimeter, area, equivalent diameter [D_eq], circularity, aspect ratio) were normalized to the day-0 value of each wound and analyzed by linear mixed-effects regression with mouse identity as a random intercept and mouse body weight as a covariate. On day 7, wounds were excised, fixed, processed for histology, and analyzed by Masson's trichrome (collagen content in granulation tissue) and GAP-43 immunohistochemistry (a marker of regenerative cellular activity). Results: All three treatments significantly accelerated wound closure compared to (-) (Day x Treatment interaction {chi}2(3) = 36.4, ***p < 0.0001). The closure-rate advantages on the log-D_eq scale were ES -0.047/day (***p < 0.0001), RHES -0.029/day (***p = 0.0005), and RH -0.022/day (**p = 0.0015). By day 7, mean D_eq had decreased to 0.58 of the day-0 value in ES, 0.69 in RHES, 0.73 in RH, and 0.79 in (-). Tissue analyses revealed treatment-specific differences in healing quality: RH and RHES wounds contained 6.1x and 8.5x more collagen in granulation tissue than (-) (both **p = 0.002 vs (-); both **p = 0.009 vs ES), and showed approximately 16x and 27x greater mean GAP-43 expression than (-), respectively; the RHES increase remained significant after Bonferroni correction (adjusted *p = 0.042), whereas the RH increase did not (adjusted p = 0.058). ES alone did not significantly increase either collagen content or GAP-43 expression. Wound shape was more circular and more stable across days in RH-containing groups. Mouse body weight did not predict closure, whereas image-derived dryness, eschar coverage, and wound contraction were significant negative predictors of measured wound size. Conclusion: ES, RH, and RHES each significantly improve wound closure kinetics. The improvement appears mechanistically distinct: ES principally accelerates closure rate, while RH principally enhances tissue-level regenerative markers (collagen deposition and GAP-43 expression). RHES combines both advantages.