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. Author manuscript; available in PMC: 2019 Sep 29.
Published in final edited form as: Biomaterials. 2018 Jul 26;181:210–226. doi: 10.1016/j.biomaterials.2018.07.040

Table 1.

Key tissues and tissue interfaces of biological importance, and states of disease or injury associated with poor biotribological function.

Bodily site Tissue/Tissue interface Native lubricant Contributing
macromolecules/molecules
Common diseases and injuries
Eye (2.1)a Eyelid—cornea Tear film Mucins, lipids Keratoconjunctivitis sicca (dry eye)
Mouth (2.2) Tongue—inner mouth Saliva Mucins Xerostomia (dry mouth)
Gastrointestinal
tract (2.3)
Intestine—stool Mucosal secretions, fats Mucins, lipids Intestinal dryness
Abdomen system
(2.3)
Abdominal organ—surrounding tissue, tendon—surrounding tissue Mucosal
secretions
Mucins Post-surgical (including peritendinous) adhesions
Reproductive
system (2.4)
Vagina—penis Mucosal
secretions
Mucins Vaginal dryness
Excretory system
(2.5)
Urethra—biomaterial, vascular lumen—biomaterial - Catheter-induced trauma, guidewire-induced
trauma; urinary incontinence
Synovial joint
(2.6)
Articular cartilage—articular cartilage Synovial fluid HA, lubricin, phospholipids Osteoarthritis
Skin & hair (2.7) Dermis, Hair-hair (Dry lubrication) Atrophic cells and cellula
debris; Keratin
Xeroderma (dry skin); chronic wounds; Dry/
damaged hair
a

Section heading within manuscript.