Healing the tendon-to-bone attachment to reduce repair failures

Formation of a functional tendon enthesis during development and healing

NIH-funded research Columbia University Health Sciences · NIH-11259518

This work will learn how the specialized tendon-to-bone attachment forms and heals to help adults with tendon tears such as rotator cuff or ACL-related injuries.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11259518 on NIH RePORTER

What this research studies

Researchers will study the specific cells that build the enthesis (the tendon-to-bone connection) during development and after injury. They will examine the genes and signaling pathways, including hedgehog signaling, that tell those cells to mature and mineralize. Experiments will use laboratory models of enthesis formation and healing to map the transcriptional controls. The findings are intended to guide future stem-cell or biologic treatments to rebuild a functional attachment after surgical repair.

Who could benefit from this research

Good fit: Future trials based on this work would likely enroll adults with tendon-to-bone injuries such as rotator cuff tears or tendon injuries around the knee (ACL-related tendon problems).

Not a fit: People with conditions unrelated to tendon-to-bone healing or those needing immediate emergency surgery would not directly benefit from this basic research.

Why it matters

Potential benefit: If successful, this research could lead to therapies that rebuild a stronger tendon-to-bone attachment and lower pain and re-tear rates after repairs.

How similar studies have performed: Previous animal studies have identified enthesis stem cells and hedgehog's role in mineralization, but using transcriptional networks to guide patient therapies is relatively new and largely untested clinically.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions ACL injury
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.