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<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="publisher-id">1639788</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2025.1639788</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Mechanical deformations of bone generate interstitial fluid flow at nanoscale velocities around osteocytes</article-title>
<alt-title alt-title-type="left-running-head">Mu&#xf1;oz et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fbioe.2025.1639788">10.3389/fbioe.2025.1639788</ext-link>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mu&#xf1;oz</surname>
<given-names>Asier</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>De Paolis</surname>
<given-names>Annalisa</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>Cardoso</surname>
<given-names>Luis</given-names>
</name>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Carriero</surname>
<given-names>Alessandra</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff>
<institution>Department of Biomedical Engineering, The City College of New York</institution>, <addr-line>New York</addr-line>, <addr-line>NY</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1229231/overview">Bin Wang</ext-link>, Chongqing Medical University, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1176526/overview">Stefaan Verbruggen</ext-link>, Queen Mary University of London, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2166705/overview">Haisheng Yang</ext-link>, Beijing University of Technology, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Alessandra Carriero, <email>acarriero@ccny.cuny.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1639788</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Mu&#xf1;oz, De Paolis, Cardoso and Carriero.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Mu&#xf1;oz, De Paolis, Cardoso and Carriero</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Osteocytes play a critical role in bone mechanobiology, sensing and responding to mechanical loading through fluid flow within the lacunar-canalicular network (LCN). Experimental measurements of interstitial fluid flow in bone are difficult due to the embedded nature of osteocytes in the dense mineralized matrix. Therefore, accurate computer simulations of these processes are essential for understanding bone mechanobiology. Two computational approaches have mostly been used to characterize convective interstitial fluid flow in bone: poroelastic finite element (FE) models, which treat bone as a homogenized porous medium, and fluid&#x2013;structure interaction (FSI) models, which incorporate explicit LCN microarchitecture. However, these approaches have predicted fluid velocities that differ by three to four orders of magnitude. Here, we investigate the reasons for this discrepancy and demonstrate how imposed pressure gradients influence the predicted fluid velocities. Using an FSI model of a single osteocyte embedded in the mineralized matrix, we show that when an imposed pore pressure gradient is smaller than that generated by bone matrix deformation under mechanical loading, the convective fluid velocities in the canaliculi reach &#x223c;100&#xa0;nm/s and scale with the applied strain. In contrast, applying higher pressure gradients decouples fluid flow from the solid bone matrix deformation, resulting in fluid velocities bigger than 100&#xa0;&#x3bc;m/s that are insensitive to loading conditions. Future studies investigating the effect of load-induced convection flow on osteocyte mechanobiology should therefore apply small imposed pressure gradients to avoid overestimating interstitial flow and more realistically capture load-induced convective flow.</p>
</abstract>
<kwd-group>
<kwd>osteocyte</kwd>
<kwd>lacuna</kwd>
<kwd>canaliculus</kwd>
<kwd>dendrite</kwd>
<kwd>interstitial fluid flow</kwd>
<kwd>convection</kwd>
<kwd>mechanical loading</kwd>
<kwd>fluid-structure interactions</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Science Foundation<named-content content-type="fundref-id">10.13039/100000001</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Human Frontier Science Program<named-content content-type="fundref-id">10.13039/100004412</named-content>
</contract-sponsor>
<counts>
<page-count count="14"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Biomechanics</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Healthy bone is a living, adaptable tissue that undergoes mechanoadaptation in response to its mechanical environment (<xref ref-type="bibr" rid="B65">Turner, 1992</xref>; <xref ref-type="bibr" rid="B78">Wolff, 2012</xref>; <xref ref-type="bibr" rid="B54">Schulte et al., 2013</xref>; <xref ref-type="bibr" rid="B26">Gardinier et al., 2018</xref>). This mechanoadaptation process is fundamental for maintaining bone structural and mechanical integrity, which differ with age and sex (<xref ref-type="bibr" rid="B12">Carriero et al., 2021</xref>). Changes in mechanical loading influence the microarchitecture of trabeculae, cortical porosity, and the external morphology of bone throughout all stages of life (<xref ref-type="bibr" rid="B9">Carriero et al., 2011</xref>; <xref ref-type="bibr" rid="B29">Giorgi et al., 2014</xref>; <xref ref-type="bibr" rid="B30">Giorgi et al., 2015</xref>; <xref ref-type="bibr" rid="B11">Carriero et al., 2018</xref>; <xref ref-type="bibr" rid="B34">Javaheri et al., 2018</xref>; <xref ref-type="bibr" rid="B15">Comellas et al., 2018</xref>; <xref ref-type="bibr" rid="B88">Zimmermann et al., 2025</xref>). Mechanical loading within physiological ranges stimulates bone formation (<xref ref-type="bibr" rid="B35">Jones et al., 1977</xref>; <xref ref-type="bibr" rid="B19">Ducher et al., 2009</xref>; <xref ref-type="bibr" rid="B60">Sugiyama et al., 2010</xref>; <xref ref-type="bibr" rid="B54">Schulte et al., 2013</xref>; <xref ref-type="bibr" rid="B11">Carriero et al., 2018</xref>; <xref ref-type="bibr" rid="B34">Javaheri et al., 2018</xref>; <xref ref-type="bibr" rid="B61">Suniaga et al., 2018</xref>; <xref ref-type="bibr" rid="B43">Meslier et al., 2022</xref>), while insufficient load and disuse leads to bone resorption and loss (<xref ref-type="bibr" rid="B66">Uhthoff and Jaworski, 1978</xref>; <xref ref-type="bibr" rid="B5">Bloomfield, 1997</xref>; <xref ref-type="bibr" rid="B40">LeBlanc et al., 2000</xref>; <xref ref-type="bibr" rid="B56">Sievanen, 2010</xref>; <xref ref-type="bibr" rid="B2">Armbrecht et al., 2011</xref>; <xref ref-type="bibr" rid="B53">Rolvien and Amling, 2022</xref>). Osteocytes, the most numerous cells in bone, are the bone mechanosensors: they perceive and react to mechanical forces applied on the bone (<xref ref-type="bibr" rid="B7">Burger et al., 1995</xref>; <xref ref-type="bibr" rid="B38">Klein-Nulend et al., 1995</xref>; <xref ref-type="bibr" rid="B6">Burger and Klein-Nulend, 1999</xref>; <xref ref-type="bibr" rid="B18">Zaman et al., 1999</xref>). Originally osteoblasts, these cells are encased during mineralization in the bone matrix within small spaces known as lacunae. During this process, osteocytes extend long cellular processes that connect with other cells through tiny, fluid-filled channels called canaliculi. Extensive studies have identified fluid flow through the lacunar&#x2013;canalicular network (LCN) during mechanical loading as the principal stimulus driving their mechanoadaptive response (<xref ref-type="bibr" rid="B51">Piekarski and Munro, 1977</xref>; <xref ref-type="bibr" rid="B77">Weinbaum et al., 1994</xref>; <xref ref-type="bibr" rid="B81">You et al., 2001</xref>; <xref ref-type="bibr" rid="B42">McGarry et al., 2005</xref>; <xref ref-type="bibr" rid="B22">Fritton and Weinbaum, 2009</xref>; <xref ref-type="bibr" rid="B11">Carriero et al., 2018</xref>; <xref ref-type="bibr" rid="B49">Pathak et al., 2020</xref>).</p>
<p>Despite current technological advancements, accurately quantifying fluid flow within bone <italic>in vivo</italic> remains a significant challenge because of the small dimensions of its canalicular porosity and dense nature of its tissue. As a result, for nearly 30&#xa0;years, much of the research in this area has heavily relied on theoretical and computational modeling. <xref ref-type="table" rid="T1">Table 1</xref> presents predicted fluid velocities from relevant studies on load-driven interstitial fluid flow in bone, while <xref ref-type="sec" rid="s12">Supplementary Table S1</xref> provides details of each study. A groundbreaking contribution by <xref ref-type="bibr" rid="B77">Weinbaum et al. (1994)</xref> transformed the bone field by proposing that osteocytes sense mechanical loading not through direct detection of matrix strain, but through load-driven convective interstitial fluid flow within the LCN that generates shear stresses on their dendritic processes. This hypothesis marked a significant paradigm shift, from viewing osteocytes as strain detectors embedded in the mineralized matrix, to recognizing them as flow sensors responsive to load-driven fluid flow. Their analytical framework, based on Biot&#x2019;s theory of poroelasticity, established a theoretical foundation that connects macroscale bone deformation to microscale fluid-induced shear stresses around the osteocyte body and canaliculi. A central component of this model was the idea that the canalicular pore space is not empty but filled with a proteoglycan-rich matrix, which increases drag forces and plays a key role in modulating fluid flow and shear forces. Building on these foundations, many researchers have investigated the interstitial fluid dynamics within bone under mechanical loading (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Summary of the predicted fluid velocities from relevant studies on bone fluid flow modeling.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Type of study</th>
<th align="left">First author and year</th>
<th align="left">Predicted peak fluid velocity (nm/s)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="4" align="left">Theoretical Computational and Analytical Modeling</td>
<td align="left">
<xref ref-type="bibr" rid="B87">Zhou et al. (2008)</xref>
</td>
<td align="left">8 &#xd7; 10<sup>4</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B79">Wu et al. (2013)</xref>
</td>
<td align="left">60&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B68">van Tol et al. (2020)</xref>
</td>
<td align="left">2 &#xd7; 10<sup>3</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B23">Fu et al. (2024)</xref>
</td>
<td align="left">2 &#xd7; 10<sup>4</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td rowspan="12" align="left">Poroelastic<break/>Finite Element (FE) Modeling</td>
<td align="left">
<xref ref-type="bibr" rid="B21">Fornells et al. (2007)</xref>
</td>
<td align="left">20&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B31">Goulet et al. (2009)</xref>
</td>
<td align="left">24&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B50">Pereira et al. (2015)</xref>
</td>
<td align="left">150&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Fan et al. (2016)</xref>
</td>
<td align="left">1.84 &#xd7; 10<sup>3</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B11">Carriero et al. (2018)</xref>
</td>
<td align="left">100&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B27">Gatti et al. (2018)</xref>
</td>
<td align="left">20&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B82">Yu et al. (2019)</xref>
</td>
<td align="left">80&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B80">Wu et al. (2020)</xref>
</td>
<td align="left">20&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B28">Gatti et al. (2021)</xref>
</td>
<td align="left">20&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B76">Wang et al. (2022)</xref>
</td>
<td align="left">130&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B83">Yu et al. (2023)</xref>
</td>
<td align="left">80&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Yu et al. (2025)</xref>
</td>
<td align="left">600&#xa0;nm/s</td>
</tr>
<tr>
<td rowspan="4" align="left">Computational Fluid Dynamics (CFD) Simulations</td>
<td align="left">
<xref ref-type="bibr" rid="B37">Kamioka et al. (2012)</xref>
</td>
<td align="left">2.5 &#xd7; 10<sup>6</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B55">Schurman et al. (2021)</xref>
</td>
<td align="left">8 &#xd7; 10<sup>5</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B76">Wang et al. (2022)</xref>
</td>
<td align="left">5 &#xd7; 10<sup>6</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B46">Niroobakhsh et al. (2024)</xref>
</td>
<td align="left">2.69 &#xd7; 10<sup>5</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td rowspan="6" align="left">Fluid-Structure Interactions (FSI) Simulations</td>
<td align="left">
<xref ref-type="bibr" rid="B71">Verbruggen et al. (2014)</xref>
</td>
<td align="left">3.257 &#xd7; 10<sup>5</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B70">Vaughan et al. (2015)</xref>
</td>
<td align="left">2 &#xd7; 10<sup>4</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B73">Verbruggen et al. (2016)</xref>
</td>
<td align="left">2.381 &#xd7; 10<sup>5</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B36">Joukar et al. (2016)</xref>
</td>
<td align="left">7 &#xd7; 10<sup>4</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B25">Ganesh et al. (2020)</xref>
</td>
<td align="left">2.355 &#xd7; 10<sup>5</sup>&#xa0;nm/s</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B32">Gupta et al. (2024)</xref>
</td>
<td align="left">4 &#xd7; 10<sup>3</sup>&#xa0;nm/s</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Numerous studies have adopted poroelastic finite element (FE) modeling to explore convective fluid flow in bone (<xref ref-type="bibr" rid="B21">Fornells et al., 2007</xref>; <xref ref-type="bibr" rid="B31">Goulet et al., 2009</xref>; <xref ref-type="bibr" rid="B50">Pereira et al., 2015</xref>; <xref ref-type="bibr" rid="B20">Fan et al., 2016</xref>; <xref ref-type="bibr" rid="B27">Gatti et al., 2018</xref>; <xref ref-type="bibr" rid="B11">Carriero et al., 2018</xref>; <xref ref-type="bibr" rid="B82">Yu et al., 2019</xref>; <xref ref-type="bibr" rid="B80">Wu et al., 2020</xref>; <xref ref-type="bibr" rid="B28">Gatti et al., 2021</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>; <xref ref-type="bibr" rid="B83">Yu et al., 2023</xref>; <xref ref-type="bibr" rid="B84">Yu et al., 2025</xref>). These models treat bone as a homogeneous fluid-saturated porous medium, defined by tissue properties of the solid (i.e., mass density, elastic properties, porosity and permeability) and fluid phases (i.e., mass density, dynamic viscosity, modulus of compressibility). Poroelastic FE models characterize the convection-driven fluid-flow dynamics within the solid porous structure via an averaging process within a Representative Elementary Volume (REV). Poroelastic FE models at different REV length scales have been developed to study the interstitial fluid-flow at the vascular porosity and the LCN levels. However, microarchitectural details of the LCN morphology (i.e., lacuna/canaliculi size, shape, tortuosity, etc.) are not explicitly taken into account, but rather described by averaged properties within the REV. This approach is well suited for modeling fluid flow in the LCN whenever high-resolution images of the LCN are not available, or big volumes of bone are considered.</p>
<p>More recently, several studies have integrated the morphology of the LCN into FE modeling by using idealized geometries of lacuna, canaliculi and osteocytes (<xref ref-type="bibr" rid="B1">Anderson et al., 2005</xref>; <xref ref-type="bibr" rid="B37">Kamioka et al., 2012</xref>; <xref ref-type="bibr" rid="B71">Verbruggen et al., 2014</xref>; <xref ref-type="bibr" rid="B70">Vaughan et al., 2015</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>; <xref ref-type="bibr" rid="B55">Schurman et al., 2021</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>; <xref ref-type="bibr" rid="B4">Barber et al., 2023</xref>; <xref ref-type="bibr" rid="B46">Niroobakhsh et al., 2024</xref>). The dynamics of the solid phase is solved using a structural mechanics FE approach, and the fluid phase using Computational Fluid Dynamics (CFD), which are often coupled with a solid interface into a Fluid-Structure Interaction (FSI) numerical solution. However, only in the last decade it has become feasible to simulate fluid flow at the scale of individual osteocytes, incorporating their detailed geometry and cellular processes (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). This has been enabled by advances in high-resolution imaging (i.e., confocal laser scanning microscopy, synchrotron nanotomography and FIB-SEM), biological understanding, and computational modeling techniques, such as FSI modeling. <xref ref-type="bibr" rid="B71">Verbruggen et al. (2014)</xref> were the first to make an FSI model to simulate the mechanical environment of single osteocytes, integrating bone deformation with interstitial fluid flow around the cell embedded in the mineralized matrix. This approach has since been adopted and further refined by other researchers (<xref ref-type="bibr" rid="B70">Vaughan et al., 2015</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>; <xref ref-type="bibr" rid="B4">Barber et al., 2023</xref>; <xref ref-type="bibr" rid="B46">Niroobakhsh et al., 2024</xref>) (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). These models facilitate the controlled manipulation of LCN microstructural variables, such as lacunar morphology and canalicular tortuosity, to examine their effects on fluid flow, and cellular and bone mechanics. This makes FSI modeling a valuable approach for studying how age- and disease-related changes in LCN structure affect osteocyte mechanosensation and bone adaptation (<xref ref-type="bibr" rid="B47">Okada et al., 2002</xref>; <xref ref-type="bibr" rid="B63">Tate et al., 2004</xref>; <xref ref-type="bibr" rid="B67">van Hove et al., 2009</xref>; <xref ref-type="bibr" rid="B13">Carter et al., 2013</xref>; <xref ref-type="bibr" rid="B10">Carriero et al., 2014</xref>; <xref ref-type="bibr" rid="B39">Lai et al., 2015</xref>; <xref ref-type="bibr" rid="B3">Ashique et al., 2017</xref>; <xref ref-type="bibr" rid="B64">Tiede-Lewis et al., 2017</xref>; <xref ref-type="bibr" rid="B33">Heveran et al., 2019</xref>; <xref ref-type="bibr" rid="B55">Schurman et al., 2021</xref>).</p>
<p>Despite the increasing application of numerical modeling to characterize fluid flow at the LCN microstructural level in bone, a notable and unaddressed discrepancy persists in the predicted fluid velocities (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). Poroelastic FE models predict interstitial fluid velocities in the nanometer-per-second range, while models that explicitly simulate the LCN microstructure, such as CFD and FSI, often report fluid velocities that are three to four orders of magnitude higher, generally in the micrometer-per-second range. This mismatch in results has received very little attention so far in the field, but needs to be addresses in order to properly understand interstitial fluid flow and mechanosensing in bone. In this study, we investigated the reasons for this discrepancy by developing an FSI model of a single osteocyte embedded in the mineralized matrix and systematically varying the boundary conditions to understand how loading-induced convection can be realistically captured at the LCN microscale. This knowledge will enhance our understanding of osteocyte mechanobiology and bone mechanoadaptation.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methods</title>
<sec id="s2-1">
<title>2.1 Parametric models of bone-fluid-osteocyte</title>
<p>An idealized model of a single osteocyte within a bone block surrounded by a fluid layer was developed using SolidWorks. The model consists of three components: the ECM with a lacuna, the pericellular fluid, and the osteocyte (<xref ref-type="fig" rid="F1">Figure 1A</xref>), similarly to the one used by <xref ref-type="bibr" rid="B71">Verbruggen et al. (2014)</xref>. The ECM is modeled as a cubic structure surrounding the cell, with perilacunar fluid between them. The osteocyte and its lacuna have a minor-to-major axis ratio of &#x3bb; &#x3d; 0.6, representing realistic lacuna size (<xref ref-type="bibr" rid="B10">Carriero et al., 2014</xref>). The osteocyte within each lacuna was shaped to match the lacuna morphology, creating a surrounding pericellular interstitial fluid layer that is 0.75&#xa0;&#xb5;m thick (<xref ref-type="bibr" rid="B8">Cardoso et al., 2013</xref>). The osteocyte has ten star-shaped processes, modeled as cylinders with a diameter of 0.6&#xa0;&#x3bc;m (<xref ref-type="bibr" rid="B8">Cardoso et al., 2013</xref>). Six processes are aligned along the lacunar axes in three-dimensional space, while the other four are arranged in a star-like pattern at 45&#xb0; angles in a single plane (<xref ref-type="fig" rid="F1">Figure 1A</xref>). A fillet was included at the junction between the cell body and processes to create a smooth transition from the environment around the cell body to the processes, mimicking the natural curvature of biological structures, which typically lacks sharp edges (<xref ref-type="bibr" rid="B17">Currey, 2002</xref>). This gradual change in diameter helps avoid stress concentrations at the processes and canaliculi connections to the cell body and bone matrix (block). The canaliculi were formed by offsetting the processes by 0.08&#xa0;&#x3bc;m, creating the pericanalicular fluid space around the processes, which connects to the fluid space around the cell body (<xref ref-type="bibr" rid="B8">Cardoso et al., 2013</xref>). The body was then exported to Abaqus (v6.14, Simulia), where it was meshed with tetrahedral elements and refinements. To improve accuracy around the cell processes, partitioning and local seeding were applied. This approach created a fine mesh around the cell processes and surrounding fluid, while maintaining a coarser mesh in the rest of the structure, resulting in a model containing 5,286,203 tetrahedral elements in total.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Parametric model of bone ECM-fluid-osteocyte cell and its boundary conditions used in the study. <bold>(A)</bold> The model consists of the bone ECM (gray), interstitial fluid (blue), and osteocyte cell (yellow). <bold>(B)</bold> The loading and boundary conditions applied to the three components of the model include: 1) a pore pressure applied on the inlet canaliculi (brown triangles, all the remaining canaliculi are outputs) using a sigmoid function with varying pressure values (1E-11&#xa0;Pa, 5E-6&#xa0;Pa, 0.5&#xa0;Pa, 1&#xa0;Pa, 50&#xa0;Pa, and 100&#xa0;Pa); 2) a full symmetrical compressive cycle lasting 0.5&#xa0;s with amplitudes of 0&#xa0;&#x3bc;&#x3b5;, 1,000&#xa0;&#x3bc;&#x3b5;, or 3,000&#xa0;&#x3bc;&#x3b5; (or 0%, 0.1%, or 0.3% strain, respectively, in magenta arrow) applied symmetrically on the top and bottom faces of the model; 3) restricted nodes in the middle of the bone and cell (green surfaces in bone block and cell sections); and 4) pinned canaliculi positioned perpendicular to the lacunar major axis (red line).</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g001.tif">
<alt-text content-type="machine-generated">Bone ECM-Fluid-Cell Model illustration showing boundary conditions. Section A depicts the 3D model with extracellular matrix (ECM), interstitial fluid, and an osteocyte cell. Section B Includes the boundary conditions for fluid and solid phases. The fluid phase shows imposed pressure over time with values ranging from 1E-11 to 100 pascals. The solid phase is deformed under a symmetrical load with nodes with restricted movement to prevent rigid body motion.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2-2">
<title>2.2 Material properties</title>
<p>The bone ECM and osteocyte cells were modeled as linear elastic, isotropic materials. The elastic modulus (E) and Poisson&#x2019;s ratio (&#x3bd;) for the bone ECM were set to 17&#xa0;GPa and 0.32, respectively, while for the osteocyte cell, they were set to 4.47&#xa0;kPa and 0.3, respectively (<xref ref-type="bibr" rid="B14">Choi et al., 1990</xref>; <xref ref-type="bibr" rid="B59">Sugawara et al., 2008</xref>). Since no experimental data is available to accurately define the mechanical properties of the interstitial fluid, it was approximated as salted water with a density (&#x3c1;) of 1,000&#xa0;kg/m<sup>3</sup> and a dynamic viscosity (&#x3bc;) of 0.001&#xa0;Pa&#x2a;s (<xref ref-type="bibr" rid="B71">Verbruggen et al., 2014</xref>).</p>
</sec>
<sec id="s2-3">
<title>2.3 Loading and boundary conditions</title>
<p>The CFD component of the FSI simulation requires the definition of inlet and outlet boundary conditions, which in previous FSI studies has typically been of 300&#xa0;Pa at the inlet and 0&#xa0;Pa at the outlet (<xref ref-type="bibr" rid="B71">Verbruggen et al., 2014</xref>; <xref ref-type="bibr" rid="B70">Vaughan et al., 2015</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>; <xref ref-type="bibr" rid="B4">Barber et al., 2023</xref>; <xref ref-type="bibr" rid="B46">Niroobakhsh et al., 2024</xref>). Here, we examine the effect of this imposed pore pressure gradient on the interstitial fluid velocity around the cell by incrementally adjusting the pore pressure values at the fluid inlet and outlet faces. Pressure gradients of P<sub>0</sub> &#x3d; 1E-11&#xa0;Pa, P<sub>1</sub> &#x3d; 5E-6&#xa0;Pa, P<sub>2</sub> &#x3d; 0.5&#xa0;Pa, P<sub>3</sub> &#x3d; 1&#xa0;Pa, P<sub>4</sub> &#x3d; 50&#xa0;Pa, or P<sub>5</sub> &#x3d; 100&#xa0;Pa were applied between the inlet and outlet faces of the canaliculi in the fluid domain. In addition, a 1&#xa0;Hz sinusoidal displacement boundary condition with peak amplitudes of 0&#xa0;&#x3bc;&#x3b5;, 1,000&#xa0;&#x3bc;&#x3b5; and 3,000&#xa0;&#x3bc;&#x3b5; (corresponding to 0%, 0.1%, and 0.3% strain, respectively) was applied and analyzed during the first 0.5 s half-cycle of loading (<xref ref-type="fig" rid="F1">Figure 1B</xref>). These pressure gradients were applied to simulate fluid flow ranging from an extremely low pressure (near zero) up to higher pressure values comparable to those used in the osteocyte FSI models listed in <xref ref-type="table" rid="T1">Table 1</xref> and in <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>. The FSI pressure gradients were applied using a sigmoid function to ensure a smooth and gradual increase in the pressure difference between the inlet and outlet, avoiding abrupt changes in fluid velocity that could result from a sudden application of the pressure gradient. The vertical top and bottom canaliculi were considered as the inlet, and the rest of the canaliculi were the outlets. The displacement was applied on the top and bottom surfaces of the model, which included the ECM, canaliculi and dendrites. Given that the osteocyte&#x2019;s long axis typically aligns with the bone&#x2019;s longitudinal axis (<xref ref-type="bibr" rid="B69">Vatsa et al., 2008</xref>; <xref ref-type="bibr" rid="B67">van Hove et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Carriero et al., 2014</xref>), the applied mechanical load was directed along the major axis of the osteocyte ellipsoid to replicate physiological loading conditions. To constrain movement, nodes at the center of both the bone and cell were restricted in the plane perpendicular to the load direction (Z-axis), while the nodes located at the midpoint of the canaliculi oriented perpendicular to the lacunar major axis (also along the Z-axis, <xref ref-type="fig" rid="F1">Figure 1B</xref>) were fixed. The dendritic processes of the cell remained unconstrained and free to move.</p>
<p>Maintaining the same boundary conditions, an additional simulation was performed in which a uniaxial sinusoidal displacement of &#xb1;1,000&#xa0;&#x3bc;&#x3b5; (0.1% at f &#x3d; 1&#xa0;Hz) was applied to the top and bottom surfaces of the bone for 10&#xa0;s, along with a constant pressure gradient of 1E-11&#xa0;Pa between the inlet and outlet canaliculi. This setup aimed to replicate the dynamic, repetitive forces experienced by bones during daily activities such as walking or running. This arrangement allows us to analyze fluid dynamics across various regions of the model over an extended period and to determine when the system reaches a steady state&#x2014;defined here as the point at which the flow field stabilizes into a repeatable, cycle-to-cycle pattern.</p>
</sec>
<sec id="s2-4">
<title>2.4 FSI coupling</title>
<p>An FSI approach was employed using a co-simulation framework in which Abaqus/Standard addressed the mechanical behavior of the osteocyte and surrounding bone matrix, while Abaqus/CFD concurrently solved the fluid dynamics within the lacunar-canalicular interstitial fluid space. The pericellular fluid was modeled as an incompressible Newtonian fluid governed by the Navier-Stokes equations, while the deformation of the solid components followed linear elastic theory. The interfaces between the osteocyte and the surrounding fluid layer, as well as between the fluid layer and the solid bone matrix, act as fluid&#x2013;structure interaction coupling surfaces, enabling a two-way communication. Fluid-driven forces, such as pressure and shear stress, influence the deformation of both the cell and the surrounding matrix, while these structures, in turn, modify the local fluid flow and pressure with their deformations. This means that the deformation of the bone matrix produces fluid movement that further deforms the osteocyte, and the osteocyte&#x2019;s own deformation generated additional fluid motion. In our parametric models, these interaction surfaces were idealized in the geometry and did not incorporate structural features like tethering fibers or integrin attachments. The coupled solver maintained dynamic consistency between both domains during each simulation step. To ensure numerical stability and accuracy at the interface, a small initial time increment of 5.1E-8&#xa0;s was used, enabling efficient communication between the fluid and structural components at each timestep.</p>
</sec>
<sec id="s2-5">
<title>2.5 Analysis and post-processing</title>
<sec id="s2-5-1">
<title>2.5.1 Influence of bone strain and imposed pressure gradient on interstitial fluid flow dynamics</title>
<p>Interstitial fluid flow dynamics resulting from applied strain and imposed pressure gradients were evaluated at the inlet canaliculus (<xref ref-type="fig" rid="F1">Figure 1</xref>, vertically oriented at the top and aligned in the direction of the Y-axis) and in one of the outlet canaliculi (<xref ref-type="fig" rid="F1">Figure 1</xref>, horizontally oriented at the middle and aligned in the direction of the X-axis). The temporal variation in the annular cross-sectional area perpendicular to the fluid flow direction at both the inlet (A<sub>i</sub>(t)) and outlet (A<sub>o</sub>(t)) canaliculi was assessed by averaging the values of the first 6,000 elements of the inlet and the last 6,000 elements of the outlet. Then, we investigated how the compression of the fluid space generates a pressure gradient, which drives fluid flow&#x2014;the core of convective flow&#x2014;along the inlet (&#x2207;P<sub>i</sub>(t)) and outlet (&#x2207;P<sub>o</sub>(t)) canaliculi. At each canaliculus, the pressure gradients were calculated over time by measuring the pressure difference between the first and last 6,000 nodes of each canaliculus. Also, the fluid velocity components along the direction of the flow were analyzed for both the inlet (V<sub>y,i</sub>(t)) and outlet (V<sub>x,o</sub>(t)) canaliculi, i.e., the direction of flow was along the Y-axis at the inlet and the X-axis at the outlet.</p>
<p>A further analysis of the percentage change in the average and peak fluid velocity along the flow direction (&#x7c;V<sub>y,i</sub>&#x7c;<sup>mean</sup> and &#x7c;V<sub>y,i</sub>&#x7c;<sup>max</sup> at the inlet and &#x7c;V<sub>x,o</sub>&#x7c;<sup>mean</sup> and &#x7c;V<sub>x,o</sub>&#x7c;<sup>max</sup> at the outlet) was performed for each pore pressure condition and imposed loading. To achieve this, each parameter value corresponding to incremental pore pressure levels was normalized to the value obtained at a strain of 1,000&#xa0;&#x3bc;&#x3b5;. The normalized velocities at 0&#xa0;&#x3bc;&#x3b5; and 3,000&#xa0;&#x3bc;&#x3b5; were then compared across pore pressure conditions to assess how mechanical loading influences fluid velocity in presence of different pressure gradients.</p>
</sec>
<sec id="s2-5-2">
<title>2.5.2 Pressure along the inlet canaliculus under varying pore pressure conditions</title>
<p>The normalized pressure along the inlet canaliculus (P<sub>i</sub>(y)) was analyzed and compared at the last instance of applied loading across models, revealing information on pore pressure magnitude and its distribution along the canaliculus.</p>
</sec>
<sec id="s2-5-3">
<title>2.5.3 Temporal evolution of fluid velocity in convection and imposed pressure-driven flow</title>
<p>The temporal evolution of fluid velocity was examined in the inlet canaliculus to determine the effect of load-driven flow (convection) versus pressure-driven flow imposed by the CFD boundary condition. This was carried out using the P<sub>0</sub> model, in which fluid flow is entirely driven by convection, and the P<sub>2</sub> model, which applies the lowest imposed pressure among all imposed pressure-driven flow models, resulting in flow governed solely by the pressure gradient.</p>
</sec>
<sec id="s2-5-4">
<title>2.5.4 Temporal evolution of fluid flow in response to cyclic loading</title>
<p>For the 10-second simulation run with 1E-11&#xa0;Pa and &#xb1;1,000&#xa0;&#x3bc;&#x3b5;, oscillations in fluid velocity of the convective fluid flow at specific nodes at the beginning and end of the inlet canaliculus, the end of the diagonal canaliculus, and the beginning and end of the outlet canaliculus were examined over time to understand the progression of fluid flow through the model and to assess when stability&#x2014;defined as the point when convective fluid flow from the inlet canaliculus fully propagates to the ends of all outlet canaliculi&#x2014;is reached. In addition, interstitial fluid velocity maps and principal strain maps of the osteocyte at different time points were generated to gain deeper insight into the interaction between the fluid and solid phases.</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Influence of bone strain and imposed pressure gradient on interstitial fluid flow dynamics</title>
<p>
<xref ref-type="fig" rid="F2">Figure 2</xref> illustrates how ECM strain and pore pressure influence fluid dynamics at both the inlet and outlet canaliculi. At the inlet, the applied strain on the bone causes lateral expansion in the X direction, compressing the fluid space and reducing the canalicular cross-sectional area (&#x394;A<sub>i</sub>) across all pore pressure conditions (<xref ref-type="fig" rid="F2">Figure 2A</xref>). The extent of this area reduction increases with the loading amplitude (0&#xa0;&#x3bc;&#x3b5;, 1,000&#xa0;&#x3bc;&#x3b5; and 3,000&#xa0;&#x3bc;&#x3b5;) applied on bone. This areal compression induces a time-dependent pressure gradient (&#x2207;P<sub>i</sub>) along the inlet canaliculus, which aligns with changes in cross-sectional area only with zero-pressure (P<sub>0</sub>) (<xref ref-type="fig" rid="F2">Figure 2B</xref>). In contrast, when a higher external pore pressure is applied (P<sub>1&#x2013;5</sub>), the pressure gradient is dominated by the imposed CFD boundary pressure condition, and mechanical loading does not influence the interstitial fluid pressure distribution. Under the P<sub>0</sub> condition, fluid velocity along the canaliculus (V<sub>y,i</sub>) also varies over time (<xref ref-type="fig" rid="F2">Figure 2C</xref>). As the compression cycle begins and the ECM expands in the X direction, increasing internal pressure, the velocity magnitude in the Y direction increases as the fluid is pushed along the canaliculus to relieve the pressure, reaching peak fluid velocity magnitude values of &#x223c;250&#xa0;nm/s. Once the strain amplitude peaks and begins to decline, the internal pressure also drops, and the fluid flow reverses, shifting back along the positive Y direction, reaching once again peak fluid velocity magnitude values of &#x223c;250&#xa0;nm/s. This pattern is not observed in the models P<sub>1&#x2013;5</sub>, where the fluid velocity magnitude increases with the imposed pressure buildup at the inlet, independent of the applied loading to the bone matrix phase, reaching peak fluid velocity magnitude values up to 400&#xa0;&#x3bc;m/s. In these cases, the fluid consistently flows in the Y direction, driven by the externally applied pressure gradient, as the interstitial fluid continuously attempts to exit the canaliculi to alleviate the high pressure.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Influence of ECM strain and pore pressure on canalicular fluid dynamics at the inlet and outlet. <bold>(A)</bold> Temporal changes in the cross-sectional area at the inlet canaliculus show how ECM strain compresses the fluid space, with the degree of narrowing dependent on loading amplitude across all pressure conditions. <bold>(B)</bold> Pressure gradients along the inlet canaliculus vary with time and correlate with area changes only under the zero-pressure condition (P<sub>0</sub>). In the P<sub>1&#x2013;5</sub> models, gradients are dictated by imposed pore pressure. <bold>(C)</bold> Fluid velocity at the inlet along the direction of the canaliculi (negative Y direction) fluctuates with loading in P<sub>0</sub> model, reversing direction as pressure increases and decreases. In contrast, in P<sub>1&#x2013;5</sub> models, velocity magnitude steadily increases and flows unidirectionally (in the negative direction of the Y-axis), unaffected by loading. <bold>(D)</bold> At the outlet canaliculus, ECM compression along the Y-axis reduces cross-sectional area over time in all models, with changes influenced by loading conditions on bone. <bold>(E)</bold> Pressure gradients along the outlet increase with ECM deformation in all models. <bold>(F)</bold> In the P<sub>0,1</sub> models, fluid velocity at the outlet canaliculi oscillates (in the X direction) with bone deformation&#x2014;flowing outward during compression and reversing during strain release. In the P<sub>2&#x2013;5</sub> models, velocity increases steadily, driven solely by the imposed inlet pressure.</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g002.tif">
<alt-text content-type="machine-generated">Graphs showing changes over time for variables &#x394;A, &#x2207;P, and V in the inlet (Section A) and outlet (Section B) canaliculi under different pressure conditions (P&#x2080; to P&#x2085;). Six columns represent pressures P&#x2080;&#x003D;1E-11 to P&#x2085;&#x003D;100Pa, with three line types for different applied strains. Time is on the x-axis, and variable values on the y-axis for each plot.</alt-text>
</graphic>
</fig>
<p>On the outlet canaliculus, instead, the applied loading influences all models, as the bone undergoes compression along the Y direction and only minimal expansion in the perpendicular Z direction. This results in a time-dependent reduction of the canalicular cross-sectional area (&#x394;A<sub>o</sub>), with the extent of change varying according to the loading conditions on the bone (<xref ref-type="fig" rid="F2">Figure 2D</xref>). In this context, ECM deformation leads to an increase in the pressure gradient (&#x2207;P<sub>o</sub>) along the outlet canaliculus with all the pressure gradients modeled (<xref ref-type="fig" rid="F2">Figure 2E</xref>). However, fluctuations in fluid velocity along the flow direction are observed only in the P<sub>0,1</sub> conditions, where velocity in the X direction (V<sub>x,o</sub>) becomes positive during bone compression as the fluid attempts to exit the canaliculus, reaching peak fluid velocity magnitude values &#x223c;150&#xa0;nm/s. The fluid flow then reverses toward the cell body during the unloading phase of the cycle on bone, reaching peak fluid velocity magnitude values of &#x223c;100&#xa0;nm/s. In contrast, in the P<sub>2-5</sub> models, the velocity continuously increases as the imposed pressure at the inlet progressively builds up, regardless of the applied mechanical loading, reaching peak fluid velocity magnitude values up to 7&#xa0;&#x3bc;m/s (<xref ref-type="fig" rid="F2">Figure 2F</xref>). These results suggest that when minimal pressure (P<sub>0</sub>) is applied, mechanical loading alone is sufficient to drive convective fluid flow throughout the entire model. Introducing a very small imposed pressure (P<sub>1</sub>) still allows convective flow, but only at the outlet canaliculus. This partial response may be due to the fact that the imposed pressure in the P<sub>1</sub> model is comparable in magnitude to the loading-induced pressure changes, allowing localized pressure gradients to develop primarily at the outlet. In contrast, high imposed pressures (P<sub>2-5</sub>) override the effects of mechanical loading, preventing load-driven convection anywhere in the model. As a result, fluid velocities in the inlet (V<sub>y,i</sub>) in the P<sub>0</sub> and P<sub>1</sub> models are in the order of 100&#x2013;500&#xa0;nm/s, while in the P<sub>2</sub>&#x2013;P<sub>5</sub> models they reach 100&#x2013;500&#xa0;&#x3bc;m/s&#x2014;approximately 1,000 times higher.</p>
<p>
<xref ref-type="fig" rid="F3">Figure 3</xref> shows the variations in both average and peak fluid velocities along the flow direction at the inlet and outlet canaliculi across the different loading and boundary conditions. For each level of imposed pore pressure, velocity values were normalized to those obtained at 1,000&#xa0;&#x3bc;&#x3b5; loading, and percentage changes were calculated at 0&#xa0;&#x3bc;&#x3b5; and 3,000&#xa0;&#x3bc;&#x3b5;.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Variation in average and peak fluid velocities at the inlet and outlet canaliculi with different loading conditions normalized for fluid velocity at 1,000&#xa0;&#x3bc;&#x3b5;. Normalized <bold>(a)</bold> average and <bold>(b)</bold> peak fluid velocity at the inlet canaliculus under different pressure gradients and strain levels. Normalized <bold>(c)</bold> average and <bold>(d)</bold> peak fluid velocity at the outlet canaliculus under various pressure gradients and strain levels. The P<sub>0</sub> model is the only one where fluid velocities are solely influenced by mechanical loading (convection). Both at inlet and outlet, the P<sub>0</sub> model shows a three-fold increase in velocity when triplicating the increase in tissue strain. The P<sub>1</sub> model of low pressure demonstrates convective flow solely at the outlet canaliculus with same three-fold increase in velocity when triplicating the strain. The other pressure models with pressure &#x3e;0.5&#xa0;Pa show minimal sensitivity to mechanical loading, displaying varying velocity responses with only up to 36% increase when triplicating.</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g003.tif">
<alt-text content-type="machine-generated">Bar graphs depict normalized average and maximum fluid velocities at the inlet (Sections A &#x26; B) and outlet (Sections C &#x26; D) canaliculi for various pressures in Pa and strains in ue. Percent  changes compared to the ones obtained under 1,000 &#x3BC;&#x3B5; for each imposed pressure are indicated above bars.</alt-text>
</graphic>
</fig>
<p>When negligible pressure is applied at the inlet (P<sub>0</sub>), fluid velocity at both the inlet and outlet remains very close to zero magnitude in the absence of loading. Under very low pressure conditions (P<sub>0</sub> and P<sub>1</sub>), increases in average and peak fluid velocity are noticeable at 1,000&#xa0;&#xb5;&#x3b5;, although only at the outlet canaliculi in the P<sub>1</sub> model, with gains of up to 86%, driven entirely by mechanical loading and convection. When a 3,000&#xa0;&#xb5;&#x3b5; displacement is applied, the increase reaches up to 232% at the inlet in the P<sub>0</sub> model, and up to 207% at the outlet in the low-pressure P<sub>1</sub> model. In contrast, in models P<sub>2</sub> to P<sub>5</sub>, the increase in fluid velocity from 0&#xa0;&#xb5;&#x3b5; to 1,000&#xa0;&#xb5;&#x3b5; to 3,000&#xa0;&#xb5;&#x3b5; is modest&#x2014;reaching only up to 36% at the inlet and 28% at the outlet (as observed in P<sub>3</sub>).</p>
<p>Overall, the P<sub>0</sub> model was the only one that clearly exhibited loading magnitude dependent effects on the lacunar-canalicular fluid flow velocity across the whole model. When the applied strain on the whole model was tripled, the fluid velocity in the LCN increased by approximately three times the original values (a rise of about 200%).</p>
</sec>
<sec id="s3-2">
<title>3.2 Pressure gradient along the inlet canaliculus under varying boundary conditions</title>
<p>The spatial distribution of the normalized pressure along the inlet canaliculus at t &#x3d; 0.5&#xa0;s for models with varying loading and boundary conditions are presented in <xref ref-type="fig" rid="F4">Figure 4</xref>. Mechanical loading only affects the pressure of the P<sub>0</sub> model. In the P<sub>5</sub> model (as well as in the P<sub>1</sub>&#x2013;P<sub>4</sub> models, not shown in <xref ref-type="fig" rid="F4">Figure 4</xref>), the high pressure applied between the inlet and outlet faces exhibits a non-linear decay within the first micrometer of the inlet canaliculus, leading to a pressure distribution that is not uniform across the model and is insensitive to mechanical loading (<xref ref-type="fig" rid="F4">Figure 4</xref>). This high-pressure boundary condition results in fluid velocities that are high near the inlet and very small throughout the rest of the cell model, as shown in the inlet canaliculus and octant colormaps for the P<sub>5</sub> &#x3d; 100&#xa0;Pa model depicted in <xref ref-type="fig" rid="F4">Figure 4</xref>. In contrast, in the P<sub>0</sub> model, the pressure along the inlet canaliculus fluctuates, creating a wave generated by the compression pulse that propagates through the canaliculus (<xref ref-type="fig" rid="F4">Figure 4</xref>). The amplitude of this wave is proportional to the applied strain magnitude, producing a pressure gradient that is distributed throughout the model. As indicated by the P<sub>0</sub> model&#x2019;s octant colormap in <xref ref-type="fig" rid="F4">Figure 4</xref>, fluid velocities in this case are similar in magnitude across the entire model (i.e., steady state), and they increase proportionally with the applied strain.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Normalized pressure along the inlet canaliculus and its impact on fluid velocity at t &#x3d; 0.5&#xa0;s. In the P<sub>0</sub> model, the mechanical loading creates a pressure wave that propagates through the canaliculus, resulting in a distributed pressure gradient (octant colormaps on the left) and uniform fluid velocities that increase with the applied strain (octant colormaps on the right). In contrast, in the P<sub>5</sub> model, the pressure dissipates quickly within the first micrometer, leading to high velocities near the inlet and very low velocities throughout the rest of the model.</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g004.tif">
<alt-text content-type="machine-generated">Fluid dynamics simulation results showing pressure and velocity distributions in an inlet canaliculus at t &#x3d; 0.5 seconds. The top panel presents a graph of normalized pressure along the canaliculus against the canaliculus length for varying pressures and strains. The lower panels display color-coded pressure and velocity fields for two conditions: P0 &#x3d; 1E-11Pa and P5 &#x3d; 100Pa with different strains: 1,000 and 3,000 &#x3BC;&#x3B5;. Arrows and contour plots illustrate flow patterns and magnitudes.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Temporal evolution of fluid velocity in convection and imposed pressure-driven flow</title>
<p>The temporal evolution of fluid velocity highlights the distinction between load-driven and pressure-driven flow. Velocity profiles at the initial segment of the inlet canaliculus (shown in the colormaps of <xref ref-type="fig" rid="F5">Figure 5</xref> for both the P<sub>0</sub> and P<sub>2</sub> models across multiple timepoints in the compressive cycle) reveal load-induced fluid movement in the P<sub>0</sub> model that is absent in the P<sub>2</sub> model, which applies the lowest pressure gradient among the pressure-driven (non-convective) models. In the P<sub>0</sub> model, canalicular compression due to ECM expansion generates a high-velocity wave (indicated by the white arrows in the P<sub>0</sub> model at t &#x3d; 0.15&#x2013;0.25&#xa0;s, <xref ref-type="fig" rid="F5">Figure 5</xref>) that propagates along the canaliculus as the interstitial fluid attempts to relieve pressure. This wave continues until the compressive strain begins to reverse, at which point the fluid flow changes direction and moves back toward the inlet as the ECM returns to its original shape (P<sub>0</sub> model at t &#x3d; 0.3&#xa0;s, <xref ref-type="fig" rid="F5">Figure 5</xref>). This wave-like pattern is not observed in the P<sub>2</sub> model, where fluid consistently flows outward throughout the cycle, driven solely by the buildup of pressure from the imposed boundary condition at the inlet (P<sub>2</sub> model at any timepoint, <xref ref-type="fig" rid="F5">Figure 5</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Bone interstitial fluid velocity magnitude and direction colormaps highlighting convection in P<sub>0</sub> (load-driven flow) and absence in P<sub>2</sub> (imposed pressure-dominated flow) across multiple timepoints. In the P<sub>0</sub> model, ECM deformation generates a velocity wave that propagates along the canaliculus (t &#x3d; 0&#x2013;0.25&#xa0;s), reversing with strain recovery (t &#x3d; 0.3&#x2013;0.5&#xa0;s) as indicated by the arrow points. In contrast, the model P<sub>2</sub> shows continuous unidirectional fluid flow driven solely by the imposed pressure gradient, with no evidence of load-induced convection.</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g005.tif">
<alt-text content-type="machine-generated">Velocity vector fields at two different pressures, 1E-11 Pa and 0.5 Pa, shown at various time intervals from 0.05 to 0.5 seconds. Each panel displays the velocity distribution using color-coded arrows indicating the magnitude and direction of velocity: blue for low and red for high velocity. Upper sequence represents lower pressure, while the lower sequence represents higher pressure.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 Temporal evolution of fluid flow in response to cyclic loading</title>
<p>The temporal evolution of fluid flow in response to cyclic loading in a longer-duration simulation (t &#x3d; 10&#xa0;s) was conducted to evaluate the time required for the system to reach a steady state - defined as the moment when the convective flow initiated at the inlet reaches the outlet region. The bone was subjected to cyclic loading at &#xb1;1,000&#xa0;&#x3bc;&#x3b5; and 1&#xa0;Hz to mimic daily physiological activity, using the minimal pressure condition (P<sub>0</sub> model) to isolate flow generated essentially by mechanical loading. As shown in <xref ref-type="fig" rid="F6">Figure 6</xref>, fluid begins flowing at the inlet from the onset of loading, reaching the end of the inlet canaliculus by 2&#xa0;s the fluid flow along the diagonal canaliculus does not reach the cell body until 5&#xa0;s, and by 6&#xa0;s the fluid begins to circulate around the cell body and dissipate. Interstitial fluid flow reaches the start of the outlet canaliculus at 8&#xa0;s and the outlet endpoint at 10&#xa0;s. High fluid velocities are found in regions that also experience large principal strains within the osteocyte, particularly along the canaliculi, where strains can reach up to 3% (30,000&#xa0;&#x3bc;&#x3b5;).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Time to steady state of convective flow under cyclic loading. The progression of convective flow in the different canaliculi of the osteocyte under cyclic loading (&#xb1;1,000&#xa0;&#x3bc;&#x3b5;, 1&#xa0;Hz) applied with minimal pressure (P<sub>0</sub>). The simulation shows that fluid initiates flow at the inlet at the onset of loading, reaching the end of the inlet canaliculus by 2&#xa0;s. Flow along the diagonal canaliculus takes 5&#xa0;s to reach the cell body, and by 6&#xa0;s, fluid begins circulating around the cell body. At 8&#xa0;s, flow reaches the start of the outlet canaliculus, and the flow reaches the outlet endpoint at 10&#xa0;s. Regions of high fluid velocity are co-located with areas of elevated principal strain in osteocytes, particularly within the canaliculi, where strain levels can reach up to 30,000&#xa0;&#x3bc;&#x3b5;, or 3%.</p>
</caption>
<graphic xlink:href="fbioe-13-1639788-g006.tif">
<alt-text content-type="machine-generated">Graphs and illustrations depict interstitial fluid velocity and osteocyte principal strain over time. The fluid velocity is shown at various time intervals (0 to 10 seconds) with color-coded insets for detailed view. Graphs plot velocity values for nodes N1 to N5 against time. Below, similar illustrations show osteocyte principal strain, with strain magnitude indicated by colors. Each section highlights changes at specific time intervals and provides insets of boxed areas for detailed views.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>This study offers a comprehensive understanding of the load-induced convective fluid flow using an FSI model of a single osteocyte to investigate the impact of imposed loading and pressure gradient boundary conditions on fluid dynamics. Our findings reveal that when high fluid pressure gradients are imposed across the LCN models, the resulting fluid velocities reach the micrometer-per-second range and show minimal sensitivity to changes in the deformation of the surrounding bone. In contrast, when the imposed pressure gradients are lower than those generated by the deformation of the bone matrix walls, the resulting fluid velocities are responsive to variations in mechanical loading on bone with values falling within the nanometer-per-second range that closely align with those predicted by poroelastic FE models.</p>
<p>This study provides a detailed analysis of how boundary conditions influence interstitial fluid dynamics within the osteocyte microenvironment using FSI. Our findings indicate that load-induced convective fluid flow &#x2014; generated solely by the deformation of the solid matrix during loading &#x2014; occurs only under minimal imposed fluid pore pressures across the model, and the resulting fluid velocities scale with the magnitude of applied strain. To date, no FSI study of fluid flow in the osteocyte microenvironment has provided evidence that increasing the applied strain on the bone matrix leads to higher fluid velocities. Unlike diffusion or pressure-driven flow, convection links macroscopic bone tissue-scale deformations under mechanical loading to localized interstitial fluid movement, shear stresses within the LCN, deflection of tethering elements and adhesion protein complexes involved in osteocytes mechanotransduction (<xref ref-type="bibr" rid="B77">Weinbaum et al., 1994</xref>).</p>
<p>Our study here reveals that compressive loading leads to subtle deformations of the solid matrix that in turn generates a convective fluid pressure differences within the LCN of approximately 1E-7&#xa0;Pa between the beginning and end of the inlet, and around 2E-7&#xa0;Pa across the outlet canaliculi, during a 0.5 s compressive cycle at 3,000&#xa0;&#x3bc;&#x3b5;. We found that applying inlet pressures above this level (1E-7&#xa0;Pa) decouples fluid motion from the surrounding matrix deformation, making it governed entirely by the fluid pressure boundary condition. Under these conditions, the contribution of convective flow is effectively masked, as increasing the applied strain threefold does not affect fluid velocity.</p>
<p>Prior FSI studies modeling interstitial fluid flow in the osteocyte microenvironment have commonly applied a pressure drop of 300&#xa0;Pa between the inlet and outlet canalicular faces (<xref ref-type="bibr" rid="B71">Verbruggen et al., 2014</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>), based on an earlier CFD study of a single lacuna and its canaliculi (<xref ref-type="bibr" rid="B1">Anderson et al., 2005</xref>). Although the original paper did not clearly justify the choice of this specific value, subsequent FSI and CFD studies have adopted it under the assumption that it represents a uniform pressure gradient across the bone cross-section, resulting from tension and compression generated on opposing sides of the bone during mechanical loading (<xref ref-type="bibr" rid="B85">Zhang DJ. et al., 1998</xref>; <xref ref-type="bibr" rid="B86">Zhang D. et al., 1998</xref>; <xref ref-type="bibr" rid="B41">Manfredini et al., 1999</xref>; <xref ref-type="bibr" rid="B57">Steck et al., 2000</xref>; <xref ref-type="bibr" rid="B58">Steck et al., 2003</xref>; <xref ref-type="bibr" rid="B62">Tate, 2003</xref>; <xref ref-type="bibr" rid="B75">Wang et al., 2003</xref>; <xref ref-type="bibr" rid="B20">Fan et al., 2016</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>). That said, the presence of such pressure gradient, particularly around a single osteocyte, has not been demonstrated experimentally, nor has it been explicitly justified mathematically or computationally. Indeed, fluid pressure within the bone is not uniformly transmitted from endosteum to periosteum because the main pathway for interstitial fluid pressure relaxation is through the vascular canals rather than across the external bone surfaces (<xref ref-type="bibr" rid="B48">Otter et al., 1994</xref>; <xref ref-type="bibr" rid="B74">Wang et al., 1999</xref>; <xref ref-type="bibr" rid="B21">Fornells et al., 2007</xref>; <xref ref-type="bibr" rid="B22">Fritton and Weinbaum, 2009</xref>; <xref ref-type="bibr" rid="B24">Gailani and Cowin, 2011</xref>; <xref ref-type="bibr" rid="B16">Cowin and Cardoso, 2015</xref>; <xref ref-type="bibr" rid="B28">Gatti et al., 2021</xref>). Moreover, during bone loading, fluid entering the LCN from the vascular canals is constrained by the osteon&#x2019;s architecture: once it reaches the cement line &#x2014; which is mostly impermeable (<xref ref-type="bibr" rid="B52">Repp et al., 2017</xref>; <xref ref-type="bibr" rid="B68">van Tol et al., 2020</xref>) &#x2014; there is no path for the fluid to exit the osteon along the radial direction. In some cases, canaliculi have been observed crossing the cement line, though this appears to involve only a very small number of them (<xref ref-type="bibr" rid="B44">Milovanovic et al., 2013</xref>; <xref ref-type="bibr" rid="B52">Repp et al., 2017</xref>). Consequently, in many cases the only available route is to flow back toward the original vascular canal, through neighboring lacuna and canaliculi, meaning the pressure gradient should be minimal, as both source and sink are essentially at the same pressure level. When osteocytes have canaliculi that cross the cement line, they could generate higher pressure gradients that influence fluid flow. However, because such cases are rare, most studies treat the cement line as an impermeable barrier (<xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). Since no FSI study of the osteocyte microenvironment has shown a relationship between applied strain and fluid velocity under such high imposed pressure conditions, it is reasonable to conclude, based on the data here presented, that a 300&#xa0;Pa pressure drop covers any convective effects, making them undetectable. Thus, caution must be used when interpreting the results of previous CFD (<xref ref-type="bibr" rid="B1">Anderson et al., 2005</xref>; <xref ref-type="bibr" rid="B55">Schurman et al., 2021</xref>; <xref ref-type="bibr" rid="B46">Niroobakhsh et al., 2024</xref>) and FSI (<xref ref-type="bibr" rid="B71">Verbruggen et al., 2014</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>) studies using 300&#xa0;Pa pressure drop (<xref ref-type="sec" rid="s12">Supplementary Table S1</xref>), as they do not represent the effect of mechanical loading but of pressure gradient on interstitial fluid flow.</p>
<p>FSI and CFD models that resolve the LCN microstructure, including lacunae and canaliculi, have predicted convective fluid velocities that can differ by up to three orders of magnitude from those estimated by poroelastic FE models, which predicts convection-driven fluid flow in bone tissue approximated as a homogenized porous medium (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). This stark mismatch between modeling approaches has, however, received little critical attention in the field. Our data indicates that load-induced convective fluid flow is characterized by very low interstitial fluid velocities (in the order of nanometers-per-second), which are consistent with values obtained using poroelastic FE models. However, when pore pressures higher than those generated by the mechanical deformation of the LCN porosity space are applied, as done in previous FSI studies studying the osteocyte microenvironment (<xref ref-type="sec" rid="s12">Supplementary Table S1</xref>), fluid velocities increase by two to three orders of magnitude, reaching values in the micrometer-per-second range.</p>
<p>Our simulations further indicate that a time period of at least 10&#xa0;s is necessary for the whole system of this specific osteocyte model to reach a steady state. This duration ensures that the convective fluid flow within the lacunar-canalicular network has fully developed and stabilized across the whole model, allowing for accurate assessment of the flow dynamics experienced by the osteocyte. During this initial period, transient phenomena such as inertial oscillations dissipate, allowing the flow to settle into a stable pattern that more accurately represents physiological conditions. For studies aiming to analyze fluid flow throughout the entire model &#x2014; from inlet to outlet &#x2014; it is important to apply loading until steady state is achieved. In the case of the current model, this corresponds to 10&#xa0;s. During this period, principal strain gradually develops throughout the osteocyte model, with the highest values occurring in the dendritic processes, where fluid velocities are also elevated. Strain levels reach up to 3%, consistent with values reported in studies using digital image correlation on confocal images of osteocytes subjected to physiological uniaxial compression (up to 3,000&#xa0;&#x3bc;&#x3b5;) (<xref ref-type="bibr" rid="B72">Verbruggen et al., 2015</xref>), further supporting the validity of the models presented in this work.</p>
<p>Computationally intensive models like ours require approximations and simplifications to remain feasible while being relevant, and this study is no exception. We simulate a single idealized osteocyte with an idealized biaxial ellipsoidal shape and 10 canaliculi, thus focusing on a single unit of the LCN microstructure rather than modeling a large bone segment, as is common in poroelastic finite element models. Unlike multiscale computational models, our localized model does not capture spatial variations in fluid flow throughout the bone, which have been shown to vary with direction and position within the bone (<xref ref-type="bibr" rid="B87">Zhou et al., 2008</xref>). Furthermore, poroelastic multiscale models at the microscale have demonstrated fluid velocity amplification relative to larger scales &#x2014; for example, <xref ref-type="bibr" rid="B84">Yu et al. (2025)</xref> reported velocities nearly ten times higher but still comparable to those in our model (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>). These examples show that combining detailed cell-level interactions with larger-scale bone behavior by incorporating FSI models of osteocyte microstructure into multiscale models could provide valuable insights into bone fragility and mechanobiology. While realistic geometries could introduce localized regions of high pressure or velocity, they would also significantly increase computational cost without altering the central conclusions of this work. Fluid properties are approximated as those of saline, and the model excludes the PCM fiber-filled matrix, tethering elements, and integrin connections. While these simplifications may influence the absolute magnitude of fluid flow, they do not affect the relative outcomes across different pressure gradients and applied displacements. These assumptions are commonly used in the literature on FSI and CFD studies of osteocytes (<xref ref-type="table" rid="T1">Table 1</xref>; <xref ref-type="sec" rid="s12">Supplementary Table S1</xref>), and do not diminish the relevance of our models. Lastly, the model uses uniaxial sinusoidal loading, which largely simplifies the complex, multiaxial, and time-varying mechanical stimuli osteocytes likely experience <italic>in vivo</italic> during daily activities such as walking or running. Future studies should incorporate these more realistic loading conditions, as they could meaningfully impact fluid flow patterns within the osteocyte microenvironment.</p>
<p>The single osteocyte FSI model originally developed by <xref ref-type="bibr" rid="B71">Verbruggen et al. (2014)</xref> and widely adopted and modified by numerous researchers in the past decade (<xref ref-type="bibr" rid="B70">Vaughan et al., 2015</xref>; <xref ref-type="bibr" rid="B73">Verbruggen et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Joukar et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Ganesh et al., 2020</xref>; <xref ref-type="bibr" rid="B76">Wang et al., 2022</xref>; <xref ref-type="bibr" rid="B4">Barber et al., 2023</xref>; <xref ref-type="bibr" rid="B46">Niroobakhsh et al., 2024</xref>), marked a pioneering advancement in computational bone mechanobiology, providing insights on the interstitial fluid flow within the LCN in bone. FSI models of individual osteocytes incorporate their microstructural features, offering a powerful computational tool to explore how documented alterations in lacunar morphology associated with aging and disease conditions (<xref ref-type="bibr" rid="B47">Okada et al., 2002</xref>; <xref ref-type="bibr" rid="B63">Tate et al., 2004</xref>; <xref ref-type="bibr" rid="B67">van Hove et al., 2009</xref>; <xref ref-type="bibr" rid="B13">Carter et al., 2013</xref>; <xref ref-type="bibr" rid="B10">Carriero et al., 2014</xref>; <xref ref-type="bibr" rid="B39">Lai et al., 2015</xref>; <xref ref-type="bibr" rid="B3">Ashique et al., 2017</xref>; <xref ref-type="bibr" rid="B64">Tiede-Lewis et al., 2017</xref>; <xref ref-type="bibr" rid="B33">Heveran et al., 2019</xref>; <xref ref-type="bibr" rid="B55">Schurman et al., 2021</xref>) may affect bone mechanosensation, mechanobiology, and fragility&#x2014;phenomena that remain difficult to examine experimentally due to the embedded nature of these cells within the mineralized matrix. Building on this approach, we recently extended our FSI framework to simulate how disease-associated variations in lacunar shape influence local mechanobiology and contribute to bone fragility (<xref ref-type="bibr" rid="B45">Mu&#xf1;oz et al., 2025</xref>). To deepen our understanding of bone function, future models must account for additional morphological complexities. Crucially, for these models to yield biologically meaningful insights, they must replicate fluid flow behavior that is both realistic and sensitive to mechanical and structural conditions. Our data show that when the applied pressure gradient exceeds the pore pressure from solid deformation, fluid velocities are driven solely by the gradient, remaining in the micrometer-per-second range and unaffected by changes in the applied strain. On the other hand, when a pore pressure boundary condition lower than the bone matrix stresses is applied, bone interstitital fluid velocities become dependent on the applied strain, aligning with experimental observations in bone research. In this case, velocities remain in the nanometer-per-second range, consistent with those predicted by poroelastic finite element models. To more accurately capture load-driven convective flow and avoid overestimating interstitial fluid movement, future FSI studies on osteocyte mechanobiology should apply only minimal imposed pressure gradients.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>This study demonstrates that simulating load-induced convective fluid flow in the osteocyte microenvironment with FSI models results in canalicular fluid velocities in the order of nanometers-per-second. In contrast, imposing pressure gradients that exceed those arising from matrix deformation produces fluid velocities in the micrometer-per-second range and causes the flow to become insensitive to mechanical loading. This analysis provides a deeper understanding of the discrepancy in interstitial fluid velocities reported by poroelastic FE models and FSI simulations. Our study emphasizes the necessity of carefully selecting boundary conditions in FSI simulations of single osteocytes to ensure accuracy in modeling physiological conditions.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>AM: Data curation, Formal Analysis, Investigation, Methodology, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing. AD: Investigation, Methodology, Validation, Writing &#x2013; original draft. LC: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Resources, Validation, Visualization, Writing &#x2013; review and editing. AC: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the National Science Foundation (CBET 1829310) and Human Frontier Science Program (RGP0023/2021). Alessandra Carriero reports a relationship with National Science Foundation that includes: funding grants. Alessandra Carriero reports a relationship with Human Frontier Science Program that includes: funding grants.</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
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</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
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</sec>
<sec sec-type="supplementary-material" id="s12">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fbioe.2025.1639788/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fbioe.2025.1639788/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
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