{"id":6746,"date":"2025-08-15T15:03:01","date_gmt":"2025-08-15T19:03:01","guid":{"rendered":"https:\/\/www.med.unc.edu\/ortho\/?p=6746"},"modified":"2025-08-15T15:03:01","modified_gmt":"2025-08-15T19:03:01","slug":"unlocking-the-ankles-regenerative-secrets","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/ortho\/2025\/08\/unlocking-the-ankles-regenerative-secrets\/","title":{"rendered":"Unlocking the Ankle&#8217;s Regenerative Secrets"},"content":{"rendered":"<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6316 alignright\" src=\"https:\/\/www.med.unc.edu\/ortho\/wp-content\/uploads\/sites\/406\/2024\/09\/Ming-Feng-202x300.jpg\" alt=\"Image of Ming-Feng Hsueh\" width=\"145\" height=\"215\" srcset=\"https:\/\/www.med.unc.edu\/ortho\/wp-content\/uploads\/sites\/406\/2024\/09\/Ming-Feng-202x300.jpg 202w, https:\/\/www.med.unc.edu\/ortho\/wp-content\/uploads\/sites\/406\/2024\/09\/Ming-Feng-150x223.jpg 150w, https:\/\/www.med.unc.edu\/ortho\/wp-content\/uploads\/sites\/406\/2024\/09\/Ming-Feng.jpg 314w\" sizes=\"auto, (max-width: 145px) 100vw, 145px\" \/><a href=\"https:\/\/www.med.unc.edu\/ortho\/directory\/ming-feng-hsueh-phd\/\">Ming-Feng Hsueh, PhD<\/a>, Assistant Professor in the Department of Orthopaedics at the UNC School of Medicine, is leading innovative research entitled \u201c<\/span><a href=\"https:\/\/www.science.org\/doi\/10.1126\/sciadv.adu8440\"><span style=\"font-weight: 400\">Anabolic indices of matrix proteins identify regenerative small RNA intrinsic to human cartilage<\/span><\/a><span style=\"font-weight: 400\">\u201d<\/span><span style=\"font-weight: 400\">\u2014recently published in <\/span><i><span style=\"font-weight: 400\">Science Advances<\/span><\/i><span style=\"font-weight: 400\">\u2014that reveals the human ankle\u2019s remarkable ability to regenerate cartilage, an ability previously thought to be unique to regenerative species like salamanders and zebrafish. This discovery is especially significant given that osteoarthritis (OA), a degenerative joint disease, affects more than 7.6% of the global population and is a leading cause of disability. While current OA treatments focus on managing pain, they do little to repair the underlying joint damage.<\/span><\/p>\n<p><span style=\"font-weight: 400\">To uncover these findings, Dr. Hsueh and his team used advanced mass spectrometry to analyze cartilage proteins and identify newly synthesized molecules. This approach enabled them to observe active tissue-building (anabolism) in ankle cartilage and to identify a key role played by small RNAs (smRNAs)\u2014tiny molecular regulators that act like conductors of a biological orchestra, coordinating the repair process. By comparing the activity of these molecules in the ankle to those in the knee and hip, the researchers revealed why ankles are less susceptible to OA and possess superior regenerative capacity.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The research aims to translate the ankle\u2019s natural healing mechanisms to other joints, like the knee and hip, which are more prone to degeneration. Dr. Hsueh&#8217;s long-term goal is to develop biological therapies that mimic or activate these smRNA pathways in less regenerative joints, enabling non-invasive treatments that stimulate natural repair. When asked about the future of this project and where he hopes it will, Dr. Hsueh said, \u201cThis research could revolutionize how we treat arthritis\u2014shifting from symptom management to curative, regenerative medicine.&#8221;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ming-Feng Hsueh, PhD, Assistant Professor in the Department of Orthopaedics at the UNC School of Medicine, is leading innovative research entitled \u201cAnabolic indices of matrix proteins identify regenerative small RNA intrinsic to human cartilage\u201d\u2014recently published in Science Advances\u2014that reveals the human ankle\u2019s remarkable ability to regenerate cartilage, an ability previously thought to be unique to &hellip; <a href=\"https:\/\/www.med.unc.edu\/ortho\/2025\/08\/unlocking-the-ankles-regenerative-secrets\/\" aria-label=\"Read more about Unlocking the Ankle&#8217;s Regenerative Secrets\">Read more<\/a><\/p>\n","protected":false},"author":115151,"featured_media":6132,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[8,3],"tags":[],"class_list":["post-6746","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","category-news","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Unlocking the Ankle&#039;s Regenerative Secrets | Department of Orthopaedics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/ortho\/2025\/08\/unlocking-the-ankles-regenerative-secrets\/\" \/>\n<meta property=\"og:locale\" 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