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Journal of Anatomy

Wiley

Preprints posted in the last 90 days, ranked by how well they match Journal of Anatomy's content profile, based on 29 papers previously published here. The average preprint has a 0.02% match score for this journal, so anything above that is already an above-average fit.

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Micro-CT: A reversible contrast-based protocol for non-destructive imaging of cardiac morphology in an avian model.

Durrans, J.; Aberdein, N.; Stafford, P.; Ridge, L.; Herigstad, M.

2026-07-15 developmental biology 10.64898/2026.07.15.737570 medRxiv
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Microcomputed tomography (micro-CT) is a useful tool that can be utilised for 3D structural characterisation and volumetric quantification of small biological specimens. Its potential application is particularly valuable within the field of cardiac development, where phenotypic profiling at the whole organ, cell, and molecular level is often most informative within the same sample. Consequently, this study sought to develop a multimodal imaging protocol to enable 3D phenotypic characterisation of embryonic avian hearts (iodine-based contrast X-ray imaging) prior to immunohistochemistry-based cell and molecular analysis. Micro-CT parameters were tested to establish an optimal protocol for 3D analysis of embryonic cardiac specimens across multiple developmental timepoints. Optimised parameters provided reliable and reproducible 3D analysis of cardiac macrostructures. Sodium thiosulphate treatment of X-ray imaged hearts effectively reversed the iodine-based contrast stain whilst maintaining antigen availability of nuclear, membranous, and cytoplasmic targets in traditional downstream imaging studies. Together, this study demonstrates a robust and highly efficient multimodal imaging strategy to comprehensively characterise cardiac morphology in avian embryos and may serve as a versatile foundation for a broad range of bioimaging applications within the wider scientific community.

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Specializations in Tail Anatomy of the Lesser Egyptian Jerboa (Jaculus jaculus) Compared with the Mouse and Rat

Miyamae, J. A.; Moore, T. Y.

2026-06-23 zoology 10.64898/2026.06.21.733634 medRxiv
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Mammal tails have long been recognized for their diversity of morphological form and function, however, there remains a substantial gap between the motivation to understand and emulate the various performance functions of the tail and what is known about tail anatomy. In this study, we were motivated to discover the anatomical foundations of the fast, whipping motions of the tail of the lesser Egyptian jerboa (Jaculus jaculus), which may aid in the quick changes of direction as the animal escapes from predators using ricochetal bipedal hopping. We employed microCT scans, dissections, and museum data to describe the musculoskeletal anatomy of the jerboa in comparison with the laboratory mouse (Mus musculus) and rat (Rattus norvegicus). While many aspects of tail anatomy are conserved across these species, the jerboa does possess unique characteristics such as an extremely long tail arising from caudal vertebral elongation, development of extensive dorsal musculature differentiated into lateral and medial components to increase points of skeletal attachment, and a novel anatomical feature - the bi-lobed cranial transverse process - which serves as a supernumerary dorsal tendon attachment site and possible brace to protect the ventral tendons and intrinsic muscles for a section of caudal vertebrae which likely experiences high mechanical stress.

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Region-specific patterns of sexual shape variation in the human bony labyrinth: 3D geometric morphometric analysis of a sample with known genomic sex

Menendez, L. P.; Lopez-Sosa, M. C.; Montiel Hernandez, G. D.; Siles, W.; Groh, H.; Rios, C.; Acosta Morano, C.; Guevara, D.; Novellino, P.; Mansegosa, D.; Chiavazza, H.; Giannotti, S.; Pastor, S.; Tissera, L.; Recalde, A.; Diaz, I.; Grimoldi, M. S.; Peralta, E.; Abbona, C.; Tappata, M. V.; Del Papa, M.; Beron, M.; Lucero, E.; Messineo, P.; Gonzalez, M.; Scheifler, N.; Solari, A.; Monteiro Da Silva, S.; Pessis, A.-M.; Barberena, R.; Rascovan, N.; Luisi, P.; Chappard, C.

2026-08-22 evolutionary biology 10.64898/2026.08.19.745177 medRxiv
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The human bony labyrinth has attracted increasing interest because of its taxonomic, evolutionary, and functional significance. Although sexual dimorphism has been reported in several aspects of the temporal bone, the extent to which sex, age, size, and allometry contribute to labyrinth shape variation remains poorly understood. Here, we investigated patterns of sexual shape variation in the human bony labyrinth using three-dimensional geometric morphometrics in a sample of 98 archaeological individuals from South America with known genomic sex. Centroid size and allometric effects were assessed in a subset of 90 individuals with comparable metric scaling. In addition to analysing the complete labyrinth, the cochlea and semicircular canals were examined separately to evaluate region-specific patterns of sexual shape variation. Principal Component Analysis showed extensive overlap between females and males, and overall labyrinth shape did not differ significantly between sexes. Males exhibited significantly larger labyrinths than females, and centroid size explained a small but significant proportion of overall shape variation. Regional analyses showed no evidence of significant sexual shape differences in the cochlea or in any individual semicircular canal when analysed separately. In contrast, the combined semicircular canal system exhibited subtle but significant sexual shape variation independent of centroid size, whereas morphological disparity did not differ between sexes. The geometric comparison of the female and male consensus configurations further showed that sexual shape variation was regionally heterogeneous. Whereas the cochlea exhibited a pattern of localized changes with low directional coherence, the semicircular canals displayed more coordinated regional shape changes. The male consensus also exhibited slightly higher canal circularity across all three semicircular canals, particularly the posterior canal, while differences in canal-plane orientation remained minimal. These findings demonstrate that sexual shape variation in the human bony labyrinth is subtle and anatomically partitioned among its components. Although significant sex differences in centroid size were detected across most anatomical regions, overall labyrinth shape and cochlear morphology were primarily influenced by allometry, whereas significant sex-related shape differences were detected only when the semicircular canals were considered as an integrated anatomical system. These findings demonstrate that sexual dimorphism in the human bony labyrinth is subtle but regionally heterogeneous, with the cochlea and semicircular canals exhibiting distinct patterns of shape variation, suggesting that these structures are influenced by different developmental, functional, and evolutionary processes.

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Early Ontogenetic Development of Tessellated Calcified Cartilage in Chondrichthyans

Byrne, H. M.; Breet, I.; van Heuven, B. J.; Dearden, R. P.; Sanchez, S.; Johanson, Z.; Dean, M.; Ruecklin, M.

2026-08-24 zoology 10.64898/2026.08.21.746214 medRxiv
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Tessellated calcified cartilage (TCC) is a hallmark of the chondrichthyan skeleton, yet its development early in ontogeny across the four major groups (batoids, galeomorphs, squalomorphs, and holocephalans) remains poorly understood. Specialised traits of TCC, such as multi-layered TCC and internal mineralised trabeculae, typically develop in response to feeding mechanics. In this study, we evaluated TCC morphology in the jaws of 12 representative taxa to observe its structure at an early ontogenetic stage to determine whether these specialised features had yet developed. Batoids consistently exhibited well-developed, homogeneous, polygonal tesserae early in ontogeny regardless of jaw morphology or feeding habit. In contrast, galeomorphs displayed high morphological heterogeneity. Notably, we document the first report of an extensive internal trabecular network in a non-batoid elasmobranch, observed in Ginglymostoma cirratum, which may serve to resist the mechanical pressures of specialised suction feeding. Furthermore, we identified voussoir tesserae in galeomorphs for the first time, extending their documented presence across all elasmobranch groups, where they display an inverted aspect ratio (wider than tall) compared to mature forms. The durophagous Mustelus mustelus exhibited surprisingly poor TCC development despite being a durophagous feeder, pointing to a pronounced ontogenetic lag. In Squatina oculata, TCC was characterised by large and thick tesserae and extensive fused tesseral regions which may relate to its explosive ambush predation mode, whereas the holocephalan Chimaera exhibited a poorly mineralized, mesh-like structure without resolvable discrete tesserae or trabeculae-matching findings from previous studies. Across all specimens, multi-layered TCC was absent, confirming that multi-layering develops later in ontogeny. These results demonstrate that generalised models of TCC development based on one group or a few taxa fail to capture the broader diversity of TCC morphology. It also opens up many exciting avenues for further study, and forms the basis for comparisons with fossil chondrichthyans, to investigate the evolution of TCC.

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An open-access CT-based 3D anatomical dataset of extant sharks across all major lineages

Yao, S.; Liu, X.; Hou, Y.; Yin, P.; Zhang, X.; Cui, X.; Lu, J.

2026-07-02 evolutionary biology 10.64898/2026.06.29.734410 medRxiv
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Sharks exhibit extraordinary morphological diversity across a wide range of ecological niches, yet large-scale, high-resolution digital datasets of their internal anatomy remain limited. Here we present an open-access 3D shark anatomical repository derived from published X-ray computed tomography (CT) data, featuring manually segmented and systematically annotated models of the chondrocranium, visceral arches, axial skeleton, musculature, and viscera in standard STL format. The dataset comprises 117 individuals, representing 72 species across 25 families and all nine extant shark orders, with 115 full-body reconstructions and two head-only models. This open-access dataset offers a comprehensive resource for comparative anatomy, biomechanical simulations, evolutionary developmental biology and biomimetics research of extant sharks.

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Evaluation of paraspinal muscle quality using Hounsfield unit in simple elliptical regions of interest: correlation with magnetic resonance imaging-based intramuscular fat infiltration in spine surgery patients

Segi, N.; Okada, Y.; Takeichi, Y.; Ito, S.; Ouchida, J.; Nagatani, Y.; Kagami, Y.; Tachi, H.; Ohshima, K.; Ogura, K.; Imagama, S.; Nakashima, H.

2026-09-04 orthopedics 10.64898/2026.08.31.26361574 medRxiv
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Study design Retrospective cohort study. Objectives To correlate Hounsfield unit (HU) values, using elliptical regions of interest (ROI), that can be easily defined in routine clinical practice with magnetic resonance imaging (MRI) T2-hyperintense area fraction, as a surrogate for paraspinal muscle fat infiltration and to establish specific HU screening thresholds that may be applied with standard picture archiving and communication system (PACS). Methods We included 136 patients (71 men; 61.0 {+/-} 15.4 years) who underwent preoperative computed tomography (CT) and MRI within an 8-week period. Elliptical ROI HU values were measured at L2/3 and L4/5 for erector spinae, multifidus, and psoas major. MRI T2-hyperintense area fraction (Otsu thresholding) served as the fat infiltration reference. Linear mixed-effects (LME) models were used to assess the HU-T2 association and level-specific receiver operating characteristic (ROC) analyses (lower HU value side; n=136 per muscle-level) to identify thresholds for [≥]30% and [≥]50% infiltration criteria. Results Intraclass coefficients = 0.709 (HU) and 0.857 (T2 fraction); Goutallier weighted kappa = 0.579. In the overall LME, {beta} was -0.880 HU per 1% T2-fraction increase (95% confidence interval -0.935 to -0.825; marginal R2 =0.502); the association was steeper in multifidus ({beta} = -1.020) than in erector spinae ({beta} = -0.753). Psoas major (R = -0.226) was excluded from ROC analyses. Difference between L2/3 and L4/5 HU cutoffs was ~20 HU. The [≥]50% criterion revealed higher discrimination. Conclusions Elliptical ROI-based HU measurements may reliably screen paraspinal muscle fat infiltration in erector spinae and multifidus using standard PACS. Specific thresholds may allow practical preoperative evaluation without additional costs or radiation.

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Diagnostic Accuracy of Dynamic Supine-to-Sitting Radiography for Acute Osteoporotic Vertebral Fractures. A Preliminary Single-Center Diagnostic Accuracy Study

Kimura, R.; Yamamoto, N.; Doi, K.

2026-08-10 orthopedics 10.64898/2026.08.06.26359902 medRxiv
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Background: Acute osteoporotic vertebral fractures (OVFs) may be difficult to detect on conventional radiographs, particularly before substantial vertebral collapse occurs. Comparing supine and sitting lateral radiographs may reveal load-dependent vertebral mobility. This preliminary study evaluated the diagnostic accuracy of supine to sitting dynamic radiography for detecting MRI confirmed acute OVFs. Methods: This retrospective, single center diagnostic accuracy study included consecutive patients who underwent paired supine and sitting lateral radiography and MRI of the same spinal region between April 2024 and July 2026. Dynamic radiographs were interpreted by a board certified orthopedic and spine surgeon who was blinded to the MRI findings. MRI was independently interpreted by a second board certified orthopedic surgeon and served as the reference standard. The primary outcome was patient-level sensitivity and specificity. Vertebra level diagnostic accuracy was evaluated secondarily, with patient cluster bootstrap confidence intervals used to account for within patient correlation. Results: Sixty three patients (mean age, 80.6 years; 51 women [81.0%]) and 490 evaluable vertebrae were analyzed. MRI identified acute OVFs in 34 patients and 36 vertebrae. At the patient level, dynamic radiography yielded 31 true positive, no false-positive, three false negative, and 29 true negative results. Sensitivity was 91.2% (95% confidence interval [CI], 76.3%-98.1%), specificity was 100.0% (95% CI, 88.1%-100.0%), positive predictive value was 100.0%, negative predictive value was 90.6%, and overall accuracy was 95.2%. At the vertebral level, sensitivity was 91.7% (33/36; patient cluster bootstrap 95% CI, 81.3%-100.0%) and specificity was 100.0% (454/454). The three missed fractures involved T9, L2, and L3. No false-positive vertebrae were observed. Conclusions: Supine to sitting dynamic radiography demonstrated high patient level sensitivity and no observed false positive findings for MRI confirmed acute OVFs. It may provide a practical complementary diagnostic option when MRI is not immediately available. However, a negative dynamic radiographic examination does not exclude an acute fracture, and the apparent perfect specificity requires validation in larger, prospective multi-reader studies.

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A novel machine-learning classification model detects oxidative fiber type transitions in a rabbit model of cerebral palsy

Kramer, C. A.; Reedich, E. J.; McCann, H.; Drouin, S.; Sanders, D.; Gonzalez, E.; Ung, T.; Mukisa, A.; Mena Avila, E.; Moline, B. C.; Genry, L. T.; Glennon, J. E.; Quiroga, C.; Dowaliby, L.; DiDonato, C. J.; Quinlan, K. A.; Manuel, M.

2026-06-14 neuroscience 10.64898/2026.06.11.731759 medRxiv
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The distribution of slow-and fast-twitch fiber types in a skeletal muscle heavily influences its physiology. Muscle biopsy studies indicate atypical fiber type composition and fiber size variation in children with cerebral palsy (CP), but subjects have variable treatment history and a variety of muscles affected, so uncertainties remain. In this study, we developed a novel machine-learning classification model to perform high-throughput fiber typing of complete transverse muscle sections. Our XGBoost algorithm-based prediction model yielded a balanced accuracy score of 0.89 and a macro F1-score of 0.89, reflecting its ability to robustly predict muscle fiber type from myosin heavy chain (MyHC) isoform immunofluorescence intensities and morphological descriptors. This is the first reported fiber type classifier to consider hybrid fibers, which is a major advance, considering at least 20% of myofibers are hybrid yet they are routinely overlooked due to difficulty in their detection. We used this classification model to define fiber types of more than 7 million myofibers from flexor-extensor muscle pairs in rabbits that experienced hypoxia-ischemia (HI) injury in utero (modeling CP), and typically developing sham rabbits. We observed an oxidative fiber type shift in flexor muscles (biceps brachii and tibialis anterior) of HI rabbits at postnatal day (P)14-20 and P30-32 (weaning age). This altered fiber type composition imparts reduced contractile force and is amenable to sustained muscle activity; it may reflect chronic low-frequency motor unit activation. This work supports prior clinical reports that developmental trajectories of muscle fibers are disrupted in CP.

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The Maine Coon Cat Harboring the MYBPC3-A31P Mutation: A Genotype-Stratified Phenotypic Characterization of Hypertrophic Cardiomyopathy

Shi, X.; Li, R.; Yang, Z.; Wang, Y.; Huang, J.; Liu, K.; Wang, J.; Liu, L.; Wang, B.

2026-08-19 genetics 10.64898/2026.08.13.744747 medRxiv
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Abstract Background: Most animal models of HCM are mouse-based, but the thin interventricular septum in mice makes it difficult to clearly distinguish pathological hypertrophy, which introduces substantial errors and constrains basic HCM research. Cats develop HCM spontaneously, and the common MYBPC3-A31P variant in cats is homologous to human mutations in both genetics and pathology, with a larger body size that makes them suitable as large-animal models. This study examines how heterozygosity or homozygosity for the p.A31P mutation (c.91G>C) in the MYBPC3 gene affects the phenotype and severity of HCM in affected cats, with the aim of establishing an ideal large-animal model for clinical risk stratification and precision diagnosis and treatment of human HCM. Methods: Forty-nine Maine Coon cats were enrolled and stratified into homozygous mutant (HOM, n=8), heterozygous mutant (HET, n=26), and wild-type (WT, n=15) groups. All cats underwent echocardiography, blood pressure measurement, physiological assessment, hematological and biochemical analyses, and cross-species sequence conservation analysis. Results: No significant differences in baseline characteristics including age and body weight were observed among groups (P>0.05). HOM cats exhibited significantly higher left ventricular outflow tract pressure gradients and greater basal septal thickness compared to WT cats (P<0.05), with HET cats showing intermediate values. Analysis of hematological and serum biochemical parameters revealed no evidence of systemic inflammation or hepatic injury. Sequence conservation analysis confirmed that the A31 residue is highly conserved across mammalian species. Conclusions: This study provides a phenotypic characterization of Maine Coon cats carrying the MYBPC3-A31P mutation, revealing marked gene-dose effects on cardiac structure and function, with homozygous individuals exhibiting more severe phenotypic features. This model serves as a large-animal translational platform that not only clarifies genotype-phenotype correlations but also supports risk stratification and precision therapeutic strategies in human HCM. Its spontaneous nature and genetic homology to human disease make it particularly valuable for bridging preclinical findings to clinical application.

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Comparative analysis of the neural and muscle systems in the subumbrella of hydrozoan jellyfish.

Norekian, T. P.; Moroz, L. L.

2026-08-31 zoology 10.64898/2026.08.30.748097 medRxiv
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Hydrozoa is a group of relatively simple animals with a well-developed nervous system. The nervous system in all hydrozoan medusae is highly conserved and includes outer and inner nerve rings at the bell margin, a neural network in the manubrium, and radial neural pathways that connect them. However, one element of the nervous system shows substantial variability among species: the subumbrella neural network. We examined the structure of the nervous and muscular systems in the subumbrella of 14 species of hydrozoan medusae. The main conclusion of this study is that the distribution of neural networks in the subumbrella strongly correlates with the distribution of smooth radial muscles. This correlation suggests that smooth radial muscles are the primary target of the subumbrella nervous system. Most species in the order Anthoathecata show a trend toward secondary loss of the neural networks and radial smooth muscle fibers in the subumbrella region, concentrating neural elements and smooth muscles only in the radial pathways along the radial canals. By contrast, all studied species in the order Leptothecata have neural networks in the subumbrella area, as well as radial smooth muscle fibers spread throughout the entire subumbrella region. The correlation between radial smooth muscles and the nervous system is also observed in the radial pathways along the radial canals. All species with thick bundles of smooth radial muscles along the radial canals have clearly defined, dense neural pathways running along or even embedded within the smooth muscle bundles.

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Delineating the posterior bank of the feline auditory cortex based on neurofilament proteins expressing SMI-32

Robertson, A.; Mellott, J. G.; Butler, B. E.

2026-08-01 neuroscience 10.64898/2026.07.28.741385 medRxiv
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The feline auditory cortex is understood to consist of 13 distinct subregions with unique anatomical and functional properties. Differential patterns of SMI-32 immunoreactivity are commonly used to identify the borders between these subregions; however, the detailed description of areal differences that is commonly cited did not include descriptions of the patterns observed along the posterior ectosylvian gyrus. Thus, the current manuscript aims to provide a more complete data set that can used to delineate the dorsal, intermediate, and ventral divisions of the posterior ectosylvian gyrus (auditory cortical regions dPE, iPE, and vPE, respectively) based on SMI-32 reactivity using the same methods and measures. Taken together, the current data and those published previously allow for a standardized approach to identifying all 13 auditory cortical subregions in this essential model of auditory cortical structure and function.

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The livebearers platyfish and swordtails partially regenerate their hearts with persistent scarring

Hisler, V.; Rees, L.; Blanchoud, S.; Lischer, H. E. L.; Bruggmann, R.; Jazwinska, A.

2026-07-31 developmental biology 10.1101/2025.09.23.678041 medRxiv
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Heart regeneration varies among vertebrates, with zebrafish serving as a reference species for efficient cardiac restoration. How this capacity diversified across teleosts is an emerging question, particularly following the recent identification of non-regenerative cardiac repair in medaka and cavefish. Here, we investigate heart restorative capacity following cryoinjury in two livebearers, platyfish and swordtails (Xiphophorus species), belonging to the Poeciliidae family. We demonstrate that their hearts lack the vascularized compact myocardium, a ventricular layer implicated in the restorative response in zebrafish. Following cryoinjury, both poeciliids failed to rapidly deposit fibrotic tissue that normally reinforces the damaged ventricle. This deficiency correlates with pronounced wound protrusion. Although the remaining myocardium displayed an initial proliferative response, subsequently deposited collagenous scar tissue permanently sealed the ventricular wall, precluding complete regeneration. Transcriptomic analysis identified several divergently regulated pathways between cryoinjured hearts of zebrafish and platyfish, most notably in immune response regulation. These differences were validated by delayed leukocyte infiltration and sustained inflammation in platyfish, contrasting with the rapid and self-resolving inflammatory response in zebrafish. Our findings demonstrate that Xiphophorus species have evolved hearts with compromised regenerative capacity, characterized by initial wound protrusion and permanent scarring. These results establish that lineage-specific evolutionary traits can profoundly shape regenerative competence across teleosts, with broad implications for understanding the mechanistic basis of cardiac repair. Highlights{middle dot} Viviparous poeciliids lack vascularized compact myocardium. {middle dot} Inflammation and fibrosis are delayed in the cryoinjured platyfish ventricle. {middle dot} Ventricular cryoinjury in Xiphophorus leads to transient bulging-type deformation. {middle dot} Failure to form a myocardial bridge results in permanent scarring.

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SCAMP - an open-source tool for the quantification of calcification in fish larvae

Czimer, D.; Kaluzsa, P.; Kövendi, J.; Li, K. L.; Kapusi, B.; Pomozi, V.; Fülöp, K.; Nagy, B.; Benedek, C.; Varadi, A.; Varga, M.

2026-07-27 developmental biology 10.64898/2026.07.25.740697 medRxiv
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Quantifying skeletal mineralization phenotypes in larval fish is complicated by the natural curvature of the notochord and by sample-to-sample variability in orientation, staining and imaging. Consequently, many studies rely on summary measures such as vertebral counts or total stain intensity. Here we present SCAMP (Spinal Calcification & Mineralization Profiler), an open-source, GUI-based Python tool that computationally straightens the curved notochord of Alizarin Red S-stained fish larvae and generates standardized mineralization profiles along the spinal axis. This approach reduces positional and shape variability, allowing direct, quantitative comparison of calcification patterns within and between experimental cohorts, without requiring programming expertise. We validate SCAMP using a zebrafish model of Pseudoxanthoma elasticum (abcc6aelu15/elu15), recovering genotype-specific differences in the intensity, extent and spatial distribution of ectopic calcification. Using SCAMP, we further show that inorganic pyrophosphate (PPi) supplementation of the medium suppresses ectopic notochord calcification, alters the anterior-posterior distribution of mineralized regions in homozygous mutants, and promotes mineralization at physiological vertebral sites. We also show that methylene blue, a routine antifungal additive in fish medium, reduces baseline calcification, with the most pronounced effects observed in heterozygous controls. SCAMP is freely available and has the potential to be adapted to other fish species used in skeletal and mineralization research.

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Ultrasound Detection of Early Callus Formation in Proximal Humerus Fractures: Protocol for a Pilot and Prospective Cohort Study

Blackman, B.; Fahey, N.; Dolan, S.; O'Reilly, M. K.; Cassidy, J. T.

2026-07-21 orthopedics 10.64898/2026.07.20.26358520 medRxiv
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Abstract Introduction: Proximal humerus fractures account for approximately 5-6% of all adult fractures and are primarily managed nonoperatively. Healing is conventionally monitored with radiographs, with radiopaque callus formation indicating healing. Visible radiographic callus appears weeks after biological union begins. Ultrasound provides a dynamic, radiation-free, and cost-effective method that can detect early callus formation before x-ray visibility. Although ultrasound has demonstrated utility for fracture healing in the clavicle and humeral shaft, its role in proximal humerus fractures remains unclear. Methods: This single-centre prospective study will be conducted in two phases. The pilot phase will measure inter-rater reliability for ultrasound detection of early callus formation at 2 and 4 weeks post-injury. Ten patients with proximal humerus fractures treated nonoperatively will undergo standardized anterior and lateral scans. Each patient will generate four saved images (short- and long-axis views), producing forty anonymized images independently reviewed by two raters. The prospective cohort phase will recruit approximately thirty additional patients. Results: Reliability will be quantified using Cohens kappa. A power calculation will be performed after pilot analysis. Results from the prospective cohort phase will help determine the association and predictive value of early ultrasound-detected bridging callus for radiographic and clinical union at three and six months. Patient reported outcome measures will be assessed using the Quick Disabilities of Arm, Shoulder and Hand (QuickDASH) questionnaire. Discussion: This study will develop and validate a standardized ultrasound protocol for assessing early fracture healing in proximal humerus fractures. By establishing both inter-rater reliability and predictive value, the findings may support ultrasound as a reproducible, radiation-free adjunct to conventional imaging and enable earlier identification of union status.

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The Role of Bone Marrow Microenvironment in Osteogenesis Imperfecta: Evidence from Single-Cell RNA Sequencing

Wu, Z.; den Haan, S. L.; Nijhuis, W. H.; Janda, C. Y.; Margaritis, T.; Weinans, H.; Sakkers, R. J. B.; Spaans, A. J.; Warmink, K.

2026-08-24 orthopedics 10.64898/2026.08.21.26361022 medRxiv
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INTRODUCTION: Osteogenesis imperfecta (OI) is a genetic disorder primarily due to mutations in collagen type I-encoding genes, resulting in fragile bones, frequent fractures, pain, and mobility issues. Disease severity and phenotype vary widely, even with the same mutation, suggesting the importance of other factors within the bone microenvironment that influence disease severity. To study the role of such factors, we analyzed bone samples from OI patients and healthy controls using single-cell RNA sequencing to reveal if RNA expression profiles may uncover mechanisms behind OI phenotype. METHODS: Bone samples from surgeries of OI patients and healthy individuals isolated and RNA single-cell sequencing was performed, followed by quality control and bioinformatics analysis. Two healthy and three OI patients were included: two with type-I OI, characterized by a mutation in COL1A1 (collagen type I), and another with type-VIII OI, associated with LEPRE1 mutations, which disrupt the 3-hydroxylation of type I collagen. RESULTS: Clustering and differential expression analysis showed distinct subpopulations in mesenchymal and immune cells. In all OI samples, mesenchymal stromal cell (MSC) proportions were reduced compared to healthy controls. OI type-I patients showed decreased osteoblast numbers alongside an increase in osteoclast precursor cells. Whereas in OI type-VIII, all bone turnover-related cells (osteoblast, osteoclast precursor, and osteoclast) were elevated. Notably, BMP5 and RUNX1 were downregulated in MSCs from both OI types. DISCUSSION: This study demonstrates that the bone marrow microenvironment in OI is significantly altered beyond the known collagen defects. Single-cell RNA sequencing revealed reduced MSC numbers and downregulated osteogenic gene expression. Furthermore, alterations are patient-specific: OI type-I is characterized by reduced osteoblast counts, whereas OI type-VIII exhibits increased osteoblasts and osteoclasts. These findings highlight the critical role of impaired osteogenic differentiation and an abnormal bone remodeling environment in the pathology of OI.

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The Leiden ex vivo human growth plate model in severe tall stature: a proof-of-concept study

Tuerlings, M.; Ramos, Y. F. M.; Suchiman, H. E. D.; Sayedipour, S.; Joustra, S. D.; Rabelink-Hoogenstraaten, A.; van Duyvenvoorde, H. A.; Kempink, D. R. J.; Bas de Witte, P.; Meulenbelt, I.; de Bruin, C.

2026-08-26 developmental biology 10.64898/2026.08.25.746685 medRxiv
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Background: Viable pediatric human growth plate (GP) tissue is rarely available for translational research, limiting direct investigation of human longitudinal bone growth and pediatric growth disorders. In this proof-of-concept study, we aimed to determine whether it is feasible to establish a clinically integrated ex vivo human GP model using tissue obtained during routine percutaneous epiphysiodesis (PE) procedures in adolescents treated for extreme tall stature or leg length difference due to trauma. Methods: GP tissue and cells were collected during PE and processed using protocols adapted from established methods of human osteoarthritic cartilage processing within the RAAK study. Feasibility was assessed by evaluating tissue collection, cell isolation, contamination rate, monolayer expansion, and generation of three-dimensional cartilage pellets. Proliferation of GP-derived chondrocytes was compared with osteoarthritis-derived articular chondrocytes, and histological assessment was performed to evaluate cartilage-like matrix formation. Results: Across consecutive surgical procedures, viable GP tissue could be obtained reproducibly, with only few samples failing to yield cells and no relevant contamination issues. Isolated GP chondrocytes expanded successfully in two-dimensional culture and showed a strong early proliferative response compared with RAAK-derived chondrocytes. In addition, GP-derived cells formed three-dimensional organoids and histology confirmed cartilage-like matrix deposition supporting their capacity to generate neo-cartilage tissue in vitro. Conclusion: This study demonstrates feasibility to obtain, culture, and functionally assess viable human GP tissue from routine PE surgery. As such, the Leiden ex vivo human GP model provides a unique platform to study local mechanisms of endochondral bone growth, link genetic determinants of height to functional GP biology, and support future therapeutic research in pediatric growth disorders.

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Nautilus shell morphomics reveals microstructural heterogeneity alongside structural continuity across component boundaries

Hirota, K.; Sasaki, T.; Setiamarga, D. H. E.

2026-08-05 evolutionary biology 10.64898/2026.07.31.742026 medRxiv
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The nautilus (Nautilus sp.) is an early-branching cephalopods. It retains several conchiferan synapomorphies, including an external planispiral biomineralized shell. The shells complex structure allows it to withstand hydrostatic pressure, control buoyancy, and protect against external hazards. In this study, we comprehensively examined shell microstructures across different shell components and regions representing various ontogenetic stages in two adult museum shell specimens. We found that the nautilus shell is composed of five microstructural types (spherulitic, prismatic, nacreous, semi-prismatic, and irregularly oriented prismatic structures) organized into layered architectures within individual shell components and coordinated across the shell as an integrated system. Our observations highlight transitions between distinct microstructures within and across shell components and local variation within individual components such as the dorsal and ventral shell walls, suggesting that these patterns may contribute to shell strength and overall mechanical performance. Variation in caecum morphology suggests that this structure may be developmentally plastic and subject to relatively relaxed structural constraints. These findings show that the Nautilus shell is an integrated biomineral system in which diverse microstructures are organized across shell components to meet functional demands and provide the mechanical strength needed for survival.

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Mapping feather vane structure across the avian wing: spatial variation, asymmetry, and the effect of flight style

Osvath, G.; David, D.-C.; Vargancsik, D.; Nagy, L. J.; Andrea Feher, A.; Zsolt Kovacs, Z.; Lendvai, A. Z.; Vincze, O.; Nudds, R. L.; Vagasi, C. I.; Pap, P. L.

2026-06-11 zoology 10.64898/2026.06.08.730791 medRxiv
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Flight feather vanes are the primary aerodynamic surface of the avian wing. Because loading varies across the wing, vane macrostructure should co-vary with local mechanical demands, yet comparative data on how barb and barbule traits change among remiges and between vane surfaces remain scarce. We quantified barb density, barbule density, barb angle, barb length, and vane width on both vanes at three measurement positions along the rachis of all remiges in four species with contrasting flight modes (white stork, common buzzard, house sparrow, pygmy cormorant), generating over 40,000 measurements across 15 response variables from 992 feathers of 41 individuals. Two complementary generalised additive models characterised variation along the spanwise, inter-vane, and longitudinal axes, and compared outer primaries, inner primaries, and secondaries as functional wing regions. Feather macrostructure varied along all three axes and outer primaries represent the most distinctive region, with lower leading-vane barb density, reduced barb angles, and vane width asymmetry two to three times higher than in inner primaries or secondaries. House sparrow exhibited the densest vane architecture and the highest vane width asymmetry, whereas the low wing-beat frequency species showed complex nonlinear spanwise patterns undetectable by single-feather sampling. Pygmy cormorant barbule density was 39-53% lower than in all other species, matching its wettable plumage strategy. Longitudinal gradients in barb density and barb angle (22-31% decline) were conserved across species. The avian wing is thus functionally regionalised at the macrostructural level, with vane architecture reflecting both aerodynamic and ecological pressures. Summary statementFine-scale vane measurements across all remiges in four species show macrostructural regionalisation of the avian wing, with outer primaries showing the most distinctive vane architecture.

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A canine brain bank for comparative neuroscience and brain aging research

Darcy, S.; Beck, A.; Garrood, M.; Slaughter, A.; Parra, A.; Paredes, L.; Farrell, K.; Crary, J. F.; McKenzie, A. T.

2026-07-14 neuroscience 10.64898/2026.07.11.737944 medRxiv
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Companion animal brain banking has been recognized as a valuable approach for translational aging and dementia research. However, realizing the full value of canine brain banks depends on optimizing the methods that are used to collect and preserve the tissue. Whole brain perfusion fixation is one promising approach, but it is not yet well described in dogs. Here we describe the development of methods for a canine brain bank (currently n = 55), including whole brain perfusion fixation via aortic cannulation and brain extraction. We assessed perfusion quality using gross examination, post-perfusion CT, and histological clearance of blood vessels. We found that body weight and average flow rate per body weight were each significantly correlated with perfusion quality in our cohort. To illustrate the kind of analysis the bank could facilitate, we next performed a preliminary study of brain aging, one of our primary planned research applications. Using a pixel classifier applied to whole slide images, we quantified lipofuscin burden, and in this preliminary cohort found that it increased strongly with age in both the thalamus and hippocampus. In the hippocampus, lipofuscin burden was also elevated in dogs with owner-reported cognitive dysfunction, although the current cohort is too small to determine to what extent this association is independent of age. Preliminary electron microscopy studies also confirmed that perfusion fixed tissue from the bank is amenable to ultrastructural analysis. This work describes one approach for canine brain perfusion fixation and introduces a brain tissue resource that may help support future neuroscience research.

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Recovery Trends Show Greater Quadriceps Weakness After Patellar Tendon Versus Hamstring Autografts in ACL Reconstruction

Wilebski, B.; Bond, C. W.; Noonan, B. C.

2026-06-10 sports medicine 10.64898/2026.06.08.26355177 medRxiv
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Context: Although knee extensor and flexor strength deficits are well-documented after anterior cruciate ligament reconstruction, limited data exist characterizing how strength recovery evolves over time. Understanding the temporal patterns of recovery, and how they differ by autograft type, is critical for optimizing rehabilitation and return-to-sport decision-making. Objective: To characterize temporal trends in knee extensor and flexor strength recovery during the first year post-ACLR and evaluate differences between patellar tendon and hamstring tendon autografts. Design: Case series. Setting: Sports physical therapy clinics within a large health system. Participants: Five hundred three patients (17.8 {+/-} 3.0 y) who underwent primary reconstruction with either patellar tendon or hamstring tendon autografts and completed a combined 730 return-to-sport tests within 12 months postoperatively. Main Outcome Measures: Normalized peak isokinetic concentric knee extension and flexion torques for involved and uninvolved limbs, and normalized symmetry indices for knee extension and flexion strength. Results: Knee extension strength on both limbs and extension strength symmetry improved over time. Patients with hamstring autografts demonstrated superior involved leg knee extension strength and better extension strength symmetry compared with those receiving patellar tendon autografts, although uninvolved leg strength was similar between autografts. Knee flexion strength on both limbs and flexion strength symmetry also improved over time. Patellar tendon autograft patients exhibited greater strength symmetry, despite no between autografts for flexion strength for the involved or uninvolved limb. Conclusions: Autograft significantly influences muscle strength recovery following anterior cruciate ligament reconstruction. Hamstring tendon autografts are associated with superior recovery of knee extension strength and strength symmetry compared to patellar tendon autografts. These findings underscore the need for graft-specific rehabilitation strategies and earlier identification of patients at risk for delayed recovery.