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International Journal of Bioprinting                                 3D scaffold prevents tendon ossification




            biodegradability, achieving an elastic modulus of 85 MPa   References
            and a porosity of 91%. In vitro studies demonstrated that
            SF–HPC scaffolds significantly enhanced TSPCs viability,   1.   Traweger A, Scott A, Kjaer M, et al. Achilles tendinopathy.
            migration, proliferation, and tenogenic differentiation.   Nat Rev Dis Primers. 2025;11(1):20.
            In vivo evaluations confirmed the scaffolds’ superior      doi: 10.1038/s41572-025-00602-9
            biocompatibility, as they elicited no detectable systemic   2.   Fischer S. Acute rupture of the Achilles tendon: diagnostics,
            inflammatory or immune responses. Importantly, the SF–  treatment  and  aftercare.  Unfallchirurgie  (Heidelb).
            HPC scaffolds effectively prevented HO in our rat Achilles   2024;127(8):597-606.
            tendon injury model.                                  doi: 10.1007/s00113-024-01454-w
                                                               3.   Geuskens W, Caekebeke P, VAN Riet R. Prevalence and
            Acknowledgments                                       clinical implications of heterotopic ossification after distal
                                                                  biceps tendon repair. Acta Orthop Belg. 2023;89(4):695-700.
            None.
                                                                  doi: 10.52628/89.4.12447
            Funding                                            4.   Fischer CS, Porsche J, Leyder D, Schüll D, Histing T, Ziegler
                                                                  P.  Heterotopic  ossification following severe  radial  head
            This work was supported by the National Major Research   fractures: clinical outcome and associated factors.  Jt Dis
            Plan of the National Natural Science Foundation of    Relat Surg. 2025;36(1):47-55.
            China (NSFC) (92368201), the National Key Research      doi: 10.52312/jdrs.2025.1992
            and Development Project (2021YFA1201404), the Major   5.   Dai G, Li Y, Liu J, et al. Higher BMP Expression in
            Project of NSFC (81991514), and the Jiangsu Province   tendon stem/progenitor cells contributes to the increased
            Medical Innovation Center of Orthopedic Surgery       heterotopic ossification in achilles tendon with aging. Front
            (CXZX202214).                                         Cell Dev Biol. 2020;8:570605.
                                                                  doi: 10.3389/fcell.2020.570605
            Conflict of interest                               6.   Yu T, Zhang J, Zhu W, et  al. Chondrogenesis mediates

            The authors declare that they have no competing interests.  progression of ankylosing spondylitis through heterotopic
                                                                  ossification. Bone Res. 2021;9(1):19.
            Author contributions                                  doi: 10.1038/s41413-021-00140-6
            Conceptualization: Kai Yan, Xianzong Ning          7.   Wang Z, Yi X, Liu Y, Liu Q, Li Z, Yu A. Differential expression
                                                                  profiles  and functional prediction of circRNA in  mice
            Formal analysis: Minghao Zhang, Yutao Yang            with traumatic heterotopic ossification.  Front Immunol.
            Funding acquisition: Xianzong Ning, Kai Yan           2022;13:1090529.
            Investigation: Xianzong Ning, Kai Yan, Rui Du         doi: 10.3389/fimmu.2022.1090529
            Methodology: Kai Yan, Rui Du
            Visualization: Kai Yan, Xiaoming Xu, Baoyuan Meng  8.   Xu L, Xu K, Wu Z, et al. Pioglitazone attenuates advanced
            Writing–original draft: Kai Yan, Rui Du               glycation end products-induced apoptosis and calcification
                                                                  by modulating autophagy in tendon-derived stem cells.
            Writing–review & editing: Kai Yan, Fei Yu             J Cell Mol Med. 2020;24(3):2240-2251.
                                                                  doi: 10.1111/jcmm.14901
            Ethics approval and consent to participate
                                                               9.   Tachibana N, Chijimatsu R, Okada H, et al. RSPO2 defines
            All animal experiments in this study were conducted in   a  distinct undifferentiated  progenitor  in  the  tendon/
            accordance with standard procedures and approved by   ligament and suppresses ectopic ossification.  Sci Adv.
            the Ethics Committee of Nanjing Drum Tower Hospital   2022;8(33):eabn2138.
            Affiliated with Nanjing University Medical School      doi: 10.1126/sciadv.abn2138
            (Approval No.: 2021AE01031).                       10.  Wang T, Chen P, Chen L, et al. Reduction of mechanical
                                                                  loading in tendons induces heterotopic ossification and
            Consent for publication                               activation of the β-catenin signaling pathway.  J Orthop
                                                                  Transl. 2021;29:42-50.
            Not applicable.
                                                                  doi: 10.1016/j.jot.2021.03.004
            Availability of data                               11.  Pierantoni M, Hammerman M, Silva Barreto I, et al.
                                                                  Spatiotemporal and microstructural characterization of
            The data supporting the findings of this study are    heterotopic ossification in healing rat Achilles tendons.
            available on request from the corresponding author upon   FASEB J. 2023;37(6).
            reasonable request.                                   doi: 10.1096/fj.202201018RRR

            Volume 11 Issue 4 (2025)                       311                            doi: 10.36922/IJB025210203
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