{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:23:50Z","timestamp":1789233830926,"version":"build-2803163510"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Bioeng. Biotechnol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Articular cartilage (AC) defects of the patellofemoral joint (PFJ) are clinically challenging and mechanically demanding. Osteochondral allograft (OCA) transplantation is the standard treatment for large cartilage injuries; however, little is known about intra-tissue mechanics after transplantation. Computational models suggest that cartilage thickness mismatch concentrates stresses at donor\u2013recipient interfaces in OCA-treated patella, but direct experimental evidence is scarce. Local cartilage strain is closely linked to tissue health; therefore, the goal of this work was to provide a preliminary, full volume assessment of patellar cartilage mechanics before and after OCA transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A displacement-encoded MRI sequence was used to quantify full volume displacement and strain fields in human patellar AC before and after OCA transplantation under controlled indentation. Intact cadaveric patellae (n = 4) were prepared, with three serving as recipients and one as donor. Samples were cyclically compressed in a custom-built rig using nominal displacements of 1 and 2\u00a0mm. The complex phase data were unwrapped and converted to displacements; the Green\u2013Lagrange strain tensor was computed using a finite element framework in FEniCS. Minimum principal strain (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"m1\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>E<\/mml:mi>\n                              <mml:mi mathvariant=\"italic\">min<\/mml:mi>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ) and maximum shear strain (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"m2\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>E<\/mml:mi>\n                              <mml:mrow>\n                                <mml:mi>m<\/mml:mi>\n                                <mml:mi>a<\/mml:mi>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mi>s<\/mml:mi>\n                                <mml:mi>h<\/mml:mi>\n                                <mml:mi>e<\/mml:mi>\n                                <mml:mi>a<\/mml:mi>\n                                <mml:mi>r<\/mml:mi>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      ) were analyzed. Donor\u2013recipient step-off distance, representing cartilage-level geometric mismatch, was measured at the graft interface.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Global displacement fields were similar between intact and OCA samples, with spherical indentation exhibiting through-thickness compression and lateral displacement in longitudinal and transverse directions.\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"m3\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>E<\/mml:mi>\n                              <mml:mi mathvariant=\"italic\">min<\/mml:mi>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      localized beneath the indenter, while\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"m4\">\n                          <mml:mrow>\n                            <mml:msub>\n                              <mml:mi>E<\/mml:mi>\n                              <mml:mrow>\n                                <mml:mi>m<\/mml:mi>\n                                <mml:mi>a<\/mml:mi>\n                                <mml:mi>x<\/mml:mi>\n                                <mml:mi>s<\/mml:mi>\n                                <mml:mi>h<\/mml:mi>\n                                <mml:mi>e<\/mml:mi>\n                                <mml:mi>a<\/mml:mi>\n                                <mml:mi>r<\/mml:mi>\n                              <\/mml:mrow>\n                            <\/mml:msub>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      concentrated near the articular surface. OCA-transplanted samples exhibited localized changes in strain distribution near portions of the graft rim, though these features varied across samples. Top-view percentile maps highlighted redistributed high-strain regions in some OCA samples. Exploratory step-off plots showed sample-specific directional trends between geometric mismatch and donor-recipient strain differences, though these trends were not consistent across all samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This exploratory study provides the first experimental full volume displacement and strain distributions of patellar cartilage after OCA transplantation. The localized strain variations observed after transplantation should be interpreted descriptively, given the single-donor design and sub-physiological loading. These results establish an experimental foundation for validating computational models of the donor-recipient cartilage interaction and geometric mismatch following OCA transplantation and work investigating OCA mechanics under physiological loading.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fbioe.2025.1701592","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T06:54:33Z","timestamp":1767768873000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Preliminary evaluation of full volume strain measurement in patellar cartilage following osteochondral allograft transplantation using magnetic resonance imaging"],"prefix":"10.3389","volume":"13","author":[{"given":"Michael A.","family":"Hern\u00e1ndez Lamberty","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla Nathaly","family":"Villac\u00eds N\u00fa\u00f1ez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Scheven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Grant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen M.","family":"Arruda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhima M.","family":"Coleman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2123","DOI":"10.1177\/0363546519851098","article-title":"Decreased graft thickness is associated with subchondral cyst formation after osteochondral allograft transplantation in the knee","volume":"47","author":"Ackermann","year":"2019","journal-title":"Am. J. Sports Med."},{"key":"B2","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1006\/jmre.1998.1676","article-title":"DENSE: displacement encoding with stimulated echoes in cardiac functional MRI","volume":"137","author":"Aletras","year":"1999","journal-title":"J. Magnetic Reson."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1145\/2566630","article-title":"Unified form language: a domain-specific language for weak formulations of partial differential equations","volume":"40","author":"Aln\u00e6s","year":"2014","journal-title":"ACM Trans. Math. Softw."},{"key":"B4","doi-asserted-by":"publisher","first-page":"57S","DOI":"10.1177\/1947603519893076","article-title":"Cartilage restoration of patellofemoral lesions: a systematic review","volume":"13","author":"Andrade","year":"2021","journal-title":"CARTILAGE"},{"key":"B5","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1177\/0363546503259345","article-title":"Articular cartilage lesions in 993 consecutive knee arthroscopies","volume":"32","author":"\u00c5r\u00f8en","year":"2004","journal-title":"Am. J. Sports Med."},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.5281\/zenodo.10447666","article-title":"DOLFINx: the next generation FEniCS problem solving environment","author":"Baratta","year":"2023"},{"key":"B7","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1016\/j.orthres.2004.08.003","article-title":"Patellofemoral joint contact area increases with knee flexion and weight-bearing","volume":"23","author":"Besier","year":"2005","journal-title":"J. Orthop. Res."},{"key":"B8","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1093\/bmb\/ldn025","article-title":"Articular cartilage: structure, injuries and review of management","volume":"87","author":"Bhosale","year":"2008","journal-title":"Br. Med. Bull."},{"key":"B9","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.jbiomech.2018.04.020","article-title":"Microscale frictional strains determine chondrocyte fate in loaded cartilage","volume":"74","author":"Bonnevie","year":"2018","journal-title":"J. Biomechanics"},{"key":"B10","doi-asserted-by":"publisher","first-page":"321","DOI":"10.5435\/JAAOS-D-15-00447","article-title":"Cartilage restoration techniques for the patellofemoral joint","volume":"25","author":"Brophy","year":"2017","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"B11","doi-asserted-by":"publisher","first-page":"3009","DOI":"10.1177\/0363546518814236","article-title":"Osteochondral allograft transplantation in the patellofemoral joint: a systematic review","volume":"47","author":"Chahla","year":"2019","journal-title":"Am. J. Sports Med."},{"key":"B12","doi-asserted-by":"publisher","first-page":"19220","DOI":"10.1038\/srep19220","article-title":"In vivo articular cartilage deformation: noninvasive quantification of intratissue strain during joint contact in the human knee","volume":"6","author":"Chan","year":"2016","journal-title":"Sci. Rep."},{"key":"B13","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1007\/BF02325092","article-title":"Applications of digital-image-correlation techniques to experimental mechanics","volume":"25","author":"Chu","year":"1985","journal-title":"Exp. Mech."},{"key":"B14","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1177\/0363546516629434","article-title":"Importance of donor chondrocyte viability for osteochondral allografts","volume":"44","author":"Cook","year":"2016","journal-title":"Am. J. Sports Med."},{"key":"B15","doi-asserted-by":"publisher","first-page":"1880","DOI":"10.1016\/j.arthro.2018.11.064","article-title":"Return to sport and sports-specific outcomes after osteochondral allograft transplantation in the knee: a systematic review of studies with at least 2 years\u2019 mean Follow-Up","volume":"35","author":"Crawford","year":"2019","journal-title":"Arthrosc. J. Arthrosc. and Relat. Surg."},{"key":"B16","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1016\/S0749-8063(97)90124-9","article-title":"Cartilage injuries: a review of 31,516 knee arthroscopies","volume":"13","author":"Curl","year":"1997","journal-title":"Arthrosc. J. Arthrosc. and Relat. Surg."},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1002\/VIW.20250062","article-title":"3D full\u2010field strain distribution across the osteochondral unit during osteoarthritis progression","volume":"17","author":"Davis","year":"2025","journal-title":"VIEW"},{"key":"B18","doi-asserted-by":"publisher","first-page":"e157","DOI":"10.1016\/j.eats.2015.10.015","article-title":"Fresh osteochondral allograft transplantation for treatment of articular cartilage defects of the knee","volume":"5","author":"Dean","year":"2016","journal-title":"Arthrosc. Tech."},{"key":"B19","doi-asserted-by":"publisher","first-page":"e851","DOI":"10.1016\/j.eats.2019.03.025","article-title":"Patellar fresh osteochondral allograft transplantation","volume":"8","author":"Dekker","year":"2019","journal-title":"Arthrosc. Tech."},{"key":"B20","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1249\/MSS.0b013e31818e7ead","article-title":"Patellofemoral joint force and stress during the wall squat and one-leg squat","volume":"41","author":"Escamilla","year":"2009","journal-title":"Med. and Sci. Sports and Exerc."},{"key":"B21","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1007\/s11340-020-00595-4","article-title":"MR-u: material characterization using 3D displacement-encoded magnetic resonance and the virtual fields method","volume":"60","author":"Estrada","year":"2020","journal-title":"Exp. Mech."},{"key":"B22","doi-asserted-by":"publisher","first-page":"3541","DOI":"10.1177\/0363546517732531","article-title":"Clinical outcomes and failure rates of osteochondral allograft transplantation in the knee: a systematic review","volume":"46","author":"Familiari","year":"2018","journal-title":"Am. J. Sports Med."},{"key":"B23","doi-asserted-by":"publisher","first-page":"1795","DOI":"10.1249\/MSS.0b013e3181d9eea0","article-title":"Prevalence of chondral defects in athletes\u2019 knees: a systematic review","volume":"42","author":"Flanigan","year":"2010","journal-title":"Med. and Sci. Sports and Exerc."},{"key":"B24","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1177\/1941738109350438","article-title":"The basic science of articular cartilage: structure, composition, and function","volume":"1","author":"Fox","year":"2009","journal-title":"Sports Health A Multidiscip. Approach"},{"key":"B25","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1016\/j.knee.2015.06.012","article-title":"MRI-based analysis of patellofemoral cartilage contact, thickness, and alignment in extension, and during moderate and deep flexion","volume":"22","author":"Freedman","year":"2015","journal-title":"Knee"},{"key":"B26","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1177\/0363546514564144","article-title":"Fresh osteochondral allograft transplantation for isolated patellar cartilage injury","volume":"43","author":"Gracitelli","year":"","journal-title":"Am. J. Sports Med."},{"key":"B27","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1177\/1947603514566298","article-title":"Osteochondral allograft transplantation for knee lesions after failure of cartilage repair surgery","volume":"6","author":"Gracitelli","year":"","journal-title":"Cartilage"},{"key":"B28","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.mporth.2023.03.004","article-title":"Osteochondral allograft transplantation of the knee: a review of indications, techniques, outcome and how to promote biology","volume":"37","author":"Haikal","year":"2023","journal-title":"Orthop. Trauma"},{"key":"B29","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1136\/bjsports-2021-104686","article-title":"The force be with you: understanding how patellofemoral joint reaction force compares across different activities and physical Interventions\u2014A systematic review and meta-analysis","volume":"56","author":"Hart","year":"2022","journal-title":"Br. J. Sports Med."},{"key":"B30","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1002\/mrm.1910390522","article-title":"An MR-Based technique for quantifying the deformation of articular cartilage during mechanical loading in an intact cadaver joint","volume":"39","author":"Herberhold","year":"1998","journal-title":"Magnetic Reson. Med."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1287","DOI":"10.1016\/S0021-9290(99)00130-X","article-title":"In situ measurement of articular cartilage deformation in intact femoropatellar joints under static loading","volume":"32","author":"Herberhold","year":"1999","journal-title":"J. Biomechanics"},{"key":"B32","doi-asserted-by":"publisher","first-page":"948S","DOI":"10.1177\/1947603519880330","article-title":"Fresh osteochondral allograft transplantation in the knee: a viability and histologic analysis for optimizing graft viability and expanding existing standard processed graft resources using a living donor cartilage program","volume":"13","author":"Hevesi","year":"2021","journal-title":"CARTILAGE"},{"key":"B33","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1053\/jars.2002.32839","article-title":"Articular cartilage defects in 1,000 knee arthroscopies","volume":"18","author":"Hjelle","year":"2002","journal-title":"Arthrosc. J. Arthrosc. and Relat. Surg."},{"key":"B34","doi-asserted-by":"publisher","first-page":"715","DOI":"10.2106\/00004623-198466050-00010","article-title":"Patellofemoral contact pressures. The influence of q-Angle and tendofemoral contact","volume":"66","author":"Huberti","year":"1984","journal-title":"JBJS"},{"key":"B35","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1186\/s13244-019-0755-1","article-title":"Patellar maltracking: an update on the diagnosis and treatment strategies","volume":"10","author":"Jibri","year":"2019","journal-title":"Insights Into Imaging"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e1010337","DOI":"10.1371\/journal.pcbi.1010337","article-title":"Injury-related cell death and proteoglycan loss in articular cartilage: numerical model combining necrosis, reactive oxygen species, and inflammatory cytokines","volume":"19","author":"Kosonen","year":"2023","journal-title":"PLOS Comput. Biol."},{"key":"B37","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1177\/03635465010290040301","article-title":"Articular cartilage contact pressure after tibial tuberosity transfer: a cadaveric study","volume":"29","author":"Kuroda","year":"2001","journal-title":"Am. J. Sports Med."},{"key":"B38","doi-asserted-by":"publisher","first-page":"263","DOI":"10.2147\/ORR.S253761","article-title":"Osteochondral allografts in knee surgery: narrative review of evidence to date","volume":"14","author":"Lai","year":"2022","journal-title":"Orthop. Res. Rev."},{"key":"B39","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1002\/mrm.29487","article-title":"High frame rate deformation analysis of knee cartilage by spiral dualMRI and relaxation mapping","volume":"89","author":"Lee","year":"2023","journal-title":"Magnetic Reson. Med."},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmps.2021.104577","article-title":"Constitutive modeling of the anterior cruciate ligament bundles and patellar tendon with full-field methods","volume":"156","author":"Luetkemeyer","year":"2021","journal-title":"J. Mech. Phys. Solids"},{"key":"B41","doi-asserted-by":"publisher","first-page":"1662","DOI":"10.1002\/mrm.25279","article-title":"Robust phase unwrapping for MR temperature imaging using a magnitude\u2010sorted list, multi\u2010clustering algorithm","volume":"73","author":"Maier","year":"2015","journal-title":"Magnetic Reson. Med."},{"key":"B42","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1007\/s12178-018-9474-3","article-title":"Patellofemoral cartilage repair","volume":"11","author":"Mestriner","year":"2018","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"B43","doi-asserted-by":"publisher","first-page":"21426","DOI":"10.1038\/s41598-025-05306-4","article-title":"MRI-derived articular cartilage strains predict patient-reported outcomes six months post anterior cruciate ligament reconstruction","volume":"15","author":"Miller","year":"2025","journal-title":"Sci. Rep."},{"key":"B44","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1177\/0363546513516747","article-title":"Osteochondral allograft transplantation of the knee in the pediatric and adolescent population","volume":"42","author":"Murphy","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"B45","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1002\/mrm.21464","article-title":"Displacement encoding for the measurement of cartilage deformation","volume":"59","author":"Neu","year":"2008","journal-title":"Magnetic Reson. Med."},{"key":"B47","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1177\/0363546509351496","article-title":"Chondrocyte viability is higher after prolonged storage at 37\u00b0C than at 4 C for osteochondral grafts","volume":"37","author":"Pallante","year":"2009","journal-title":"Am. J. Sports Med."},{"key":"B48","doi-asserted-by":"publisher","first-page":"1984","DOI":"10.2106\/JBJS.K.00439","article-title":"Treatment of articular cartilage defects in the goat with frozen versus fresh osteochondral allografts: effects on cartilage stiffness, zonal composition, and structure at six months","volume":"94","author":"Pallante","year":"2012","journal-title":"J. Bone Jt. Surg."},{"key":"B49","doi-asserted-by":"publisher","first-page":"2372","DOI":"10.1002\/jor.25569","article-title":"Cartilage thickness mismatches in patellar osteochondral allograft transplants affect local cartilage stresses","volume":"41","author":"Rosario","year":"2023","journal-title":"J. Orthop. Res."},{"key":"B50","doi-asserted-by":"publisher","first-page":"106620","DOI":"10.1016\/j.jmr.2019.106620","article-title":"Robust high resolution strain imaging by alternating pulsed field gradient stimulated echo imaging (APGSTEi) at 7 tesla","volume":"310","author":"Scheven","year":"2020","journal-title":"J. Magnetic Reson."},{"key":"B51","doi-asserted-by":"publisher","first-page":"2432","DOI":"10.1016\/j.jbiomech.2012.06.034","article-title":"In vivo patellar tracking and patellofemoral cartilage contacts during dynamic stair ascending","volume":"45","author":"Suzuki","year":"2012","journal-title":"J. Biomechanics"},{"key":"B46","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.actbio.2025.07.038","article-title":"Tear growth mechanisms in high-grade bursal-sided partial thickness tears in the rotator cuff measured with full volume magnetic resonance imaging methods","volume":"203","author":"Villac\u00eds N\u00fa\u00f1ez","year":"2025","journal-title":"Acta Biomater."},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmps.2021.104474","article-title":"Inference of deformation mechanisms and constitutive response of soft material surrogates of biological tissue by full-field characterization and data-driven variational system identification","volume":"153","author":"Wang","year":"2021","journal-title":"J. Mech. Phys. Solids"},{"key":"B53","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1186\/s12891-023-06882-0","article-title":"Contact area and pressure changes of patellofemoral joint during stair ascent and stair descent","volume":"24","author":"Wang","year":"2023","journal-title":"BMC Musculoskelet. Disord."},{"key":"B54","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.knee.2007.02.001","article-title":"Articular cartilage defects: study of 25,124 knee arthroscopies","volume":"14","author":"Widuchowski","year":"2007","journal-title":"Knee"}],"container-title":["Frontiers in Bioengineering and Biotechnology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fbioe.2025.1701592\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T06:54:35Z","timestamp":1767768875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fbioe.2025.1701592\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":54,"alternative-id":["10.3389\/fbioe.2025.1701592"],"URL":"https:\/\/doi.org\/10.3389\/fbioe.2025.1701592","relation":{},"ISSN":["2296-4185"],"issn-type":[{"value":"2296-4185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,7]]},"article-number":"1701592"}}