Fibrous Soft Tissue Research Articles

Comparing continuum and direct fiber models of soft tissues: An ocular biomechanics example reveals that continuum models may artificially disrupt the strains at both the tissue and fiber levels

Collagen fibers are the main load-bearing component of soft tissues but difficult to incorporate into models. Whilst simplified homogenization models suffice for some applications, a thorough mechanistic understanding requires accurate prediction of fiber behavior, including both detailed fiber-level strains and long-distance transmission. Our goal was to compare the performance of a continuum model of the optic nerve head (ONH) built using conventional techniques with a fiber model we recently introduced which explicitly incorporates the complex 3D organization and interaction of collagen fiber bundles [1]. To ensure a fair comparison, we constructed the continuum model with identical geometrical, structural, and boundary specifications as for the fiber model. We found that: 1) although both models accurately matched the intraocular pressure (IOP)-induced globally averaged displacement responses observed in experiments, they diverged significantly in their ability to replicate specific 3D tissue-level strain patterns. Notably, the fiber model faithfully replicated the experimentally observed depth-dependent variability of radial strain, the ring-like pattern of meridional strain, and the radial pattern of circumferential strain, whereas the continuum model failed to do so; 2) the continuum model disrupted the strain transmission along each fiber, a feature captured well by the fiber model. These results demonstrate limitations of the conventional continuum models that rely on homogenization and affine deformation assumptions, which render them incapable of capturing some complex tissue-level and fiber-level deformations. Our results show that the strengths of explicit fiber modeling help capture intricate ONH biomechanics. They potentially also help modeling other fibrous tissues. Statement of SignificanceUnderstanding the mechanics of fibrous tissues is crucial for advancing knowledge of various diseases. This study uses the ONH as a test case to compare conventional continuum models with fiber models that explicitly account for the complex fiber structure. We found that the fiber model captured better the biomechanical behaviors at both the tissue level and the fiber level. The insights gained from this study demonstrate the significant potential of fiber models to advance our understanding of not only glaucoma pathophysiology but also other conditions involving fibrous soft tissues. This can contribute to the development of therapeutic strategies across a wide range of applications.

Impact of Tissue Damage and Hemodynamics on Restenosis Following Percutaneous Transluminal Angioplasty: A Patient-Specific Multiscale Model.

Multiscale agent-based modeling frameworks have recently emerged as promising mechanobiological models to capture the interplay between biomechanical forces, cellular behavior, and molecular pathways underlying restenosis following percutaneous transluminal angioplasty (PTA). However, their applications are mainly limited to idealized scenarios. Herein, a multiscale agent-based modeling framework for investigating restenosis following PTA in a patient-specific superficial femoral artery (SFA) is proposed. The framework replicates the 2-month arterial wall remodeling in response to the PTA-induced injury and altered hemodynamics, by combining three modules: (i) the PTA module, consisting in a finite element structural mechanics simulation of PTA, featuring anisotropic hyperelastic material models coupled with a damage formulation for fibrous soft tissue and the element deletion strategy, providing the arterial wall damage and post-intervention configuration, (ii) the hemodynamics module, quantifying the post-intervention hemodynamics through computational fluid dynamics simulations, and (iii) the tissue remodeling module, based on an agent-based model of cellular dynamics. Two scenarios were explored, considering balloon expansion diameters of 5.2 and 6.2mm. The framework captured PTA-induced arterial tissue lacerations and the post-PTA arterial wall remodeling. This remodeling process involved rapid cellular migration to the PTA-damaged regions, exacerbated cell proliferation and extracellular matrix production, resulting in lumen area reduction up to 1-month follow-up. After this initial reduction, the growth stabilized, due to the resolution of the inflammatory state and changes in hemodynamics. The similarity of the obtained results to clinical observations in treated SFAs suggests the potential of the framework for capturing patient-specific mechanobiological events occurring after PTA intervention.

Shear wave speeds in a nearly incompressible fibrous material with two unequal fiber families.

The mechanical properties of soft biological tissues can be characterized non-invasively by magnetic resonance elastography (MRE). In MRE, shear wave fields are induced by vibration, imaged by magnetic resonance imaging, and inverted to estimate tissue properties in terms of the parameters of an underlying material model. Most MRE studies assume an isotropic material model; however, biological tissue is often anisotropic with a fibrous structure, and some tissues contain two or more families of fibers-each with different orientations and properties. Motivated by the prospect of using MRE to characterize such tissues, this paper describes the propagation of shear waves in soft fibrous material with two unequal fiber families. Shear wave speeds are expressed in terms of material parameters, and the effect of each parameter on the shear wave speeds is investigated. Analytical expressions of wave speeds are confirmed by finite element simulations of shear wave transmission with various polarization directions. This study supports the feasibility of estimating parameters of soft fibrous tissues with two unequal fiber families in vivo from local shear wave speeds and advances the prospects for the mechanical characterization of such biological tissues by MRE.

Regional shear wave speeds track regional axial stress in nonuniformly loaded fibrous soft tissues

Ligaments and tendons undergo nonuniform deformation during movement. While deformations can be imaged, it remains challenging to use such information to infer regional tissue loading. Shear wave tensiometry is a promising noninvasive technique to gauge axial stress and is premised on a tensioned beam model. However, it is unknown whether tensiometry can predict regional stress in a nonuniformly loaded structure. The objectives of this study were to (1) determine whether regional shear wave speed tracks regional axial stress in nonuniformly loaded fibrous soft tissues, and (2) determine the sensitivity of regional axial stress and shear wave speed to nonuniform load distribution and fiber alignment. We created a representative set of 12,000 dynamic finite element models of a fibrous soft tissue with probabilistic variations in fiber alignment, stiffness, and aspect ratio. In each model, we applied a randomly selected nonuniform load distribution, and then excited a shear wave and tracked its regional propagation. We found that regional shear wave speed was an excellent predictor of the regional axial stress (RMSE = 0.57 MPa) and that the nature of the regional shear wave speed-stress relationship was consistent with a tensioned beam model (R2 = 0.99). Variations in nonuniform load distribution and fiber alignment did not substantially alter the wave speed-stress relationship, particularly at higher loads. Thus, these findings suggests that shear wave tensiometry could provide a quantitative estimate of regional tissue stress in ligaments and tendons.

Anisotropic properties of acoustically induced electric polarization in soft fibrous biological tissues

Acoustically induced electric polarization and its anisotropy in soft fibrous biological tissues were investigated under wet conditions. Assuming that fibrous tissues have polar uniaxial symmetry, stress-induced polarization should occur in the direction of fiber orientation in the non-shear terms of the piezoelectric tensor. Using the acoustically stimulated electromagnetic method, we measured the anisotropic properties of acoustically induced polarization in wet samples of Achilles tendon, skeletal muscle, and aortic wall. In all these tissues, the major non-shear term was confirmed to be d33, with polarization occurring along the fibrous direction. In Achilles tendon, which contains highly oriented collagen fibers, the uniaxially symmetric fiber structure explains the anisotropic polarization well. However, substantial polarization perpendicular to the fiber orientation (the d11 term) was observed in skeletal muscle and aortic wall, suggesting that the presence of fiber crimps and complex extracellular matrix produces polarization that does not occur in the uniaxially symmetric structures.

Need for transverse strain data for fitting constitutive models of arterial tissue to uniaxial tests

The study deals with the process of estimation of material parameters from uniaxial test data of arterial tissue and focuses on the role of transverse strains. Two fitting strategies are analyzed and their impact on the predictive and descriptive capabilities of the resulting model is evaluated. The standard fitting procedure (strategy A) based on longitudinal stress-strain curves is compared with the enhanced approach (strategy B) taking also the transverse strain test data into account. The study is performed on a large set of material data adopted from literature and for a variety of constitutive models developed for fibrous soft tissues. The standard procedure (A) ignoring the transverse strain test data is found rather hazardous, leading often to unrealistic predictions of the model exhibiting auxetic behaviour. In contrast, the alternative fitting method (B) ensures a realistic strain response of the model and is proved to be superior since it does not require any significant demands of computational effort or additional testing. The results presented in this paper show that even the artificial transverse strain data (i.e., not measured during testing but generated ex post based on assumed Poisson's ratio) are much less hazardous than total disregard of the transverse strain response.

Fiber orientation and crimp level might control the auxetic effect of biological tissues

We propose an analytical micromechanical model for studying the lamellar-composite-like structure of fibrous soft tissue. The tissue under consideration is made up of several lamellae, and is designed to resemble the annulus fibrosus (AF) tissue or media layer of arterial tissue, for example. The collagen fibers are arranged in parallel in each lamella and the fiber orientation differs from one lamella to its neighbors. The parallel fibers in each lamella of AF tissue, for example, have been observed to have a crimped microstructure. The proposed model incorporates this quality, considering fiber waviness as a sinusoidal shape and taking into account the fiber dispersion in different layers, where both fiber and matrix are considered as solid phases. We find that collagen-fiber waviness and layer orientation have a significant influence on Poisson’s ratio. The effective Poisson’s ratio predicted by the proposed model demonstrates that the crimped collagen fiber microstructure might weaken the auxetic effect of fibrous soft tissue, which might explain why, as the literature suggests, the auxetic behavior is more difficult to observe than large Poisson’s ratios. As opposed to the many studies that use the well-known hyperelastic fiber-based constitutive model, in which out-of-plane expansion is often observed, the present work explains the auxetic response found in modeling and in experimental data from the perspective of collagen fiber microstructure.

Modeling fatigue failure in soft tissue using a visco-hyperelastic model with discontinuous damage

Soft tissue is susceptible to injury from single high-magnitude static loads and from repetitive low-magnitude fatigue loads. While many constitutive formulations have been developed and validated to model static failure in soft tissue, a modeling framework is not well-established for fatigue failure. Here we determined the feasibility of using a visco-hyperelastic damage model with discontinuous damage (strain energy-based damage criterion) to simulate low- and high-cycle fatigue failure in soft fibrous tissue. Cyclic creep data from six uniaxial tensile fatigue experiments of human medial meniscus were used to calibrate the specimen-specific material parameters. The model was able to successfully simulate all three characteristic stages of cyclic creep, and predict the number of cycles until tissue rupture. Mathematically, damage propagated under constant cyclic stress due to time-dependent viscoelastic increases in tensile stretch that in turn increased strain energy. Our results implicate solid viscoelasticity as a fundamental regulator of fatigue failure in soft tissue, where tissue with slow stress relaxation times will be more resistant to fatigue injury. In a validation study, the visco-hyperelastic damage model was able to simulate characteristic stress-strain curves of pull to failure experiments (static failure) when using material parameters curve fit to the fatigue experiments. For the first time, we've shown that a visco-hyperelastic discontinuous damage framework can model cyclic creep and predict material rupture in soft tissue, and may enable the reliable simulation of both fatigue and static failure behavior from a single constitutive formulation.

Desmoid-type fibromatosis of transverse mesocolon

Desmoid tumors represent a rare disease. The recommendations for treatment and approach of these neoplasms are sparse. There are no specific imaging or clinical features which turns the diagnosis difficult. A 53-year-old male patient presented with complaints of peri-umbilical abdominal pain associated with a palpable mass. CT scan revealed a heterogeneous mass with soft tissue density and well-defined contour with approximately 8.5×7×5.3 cm localized in the mesogastric region with apparent origin in the transverse colon. The purposed etiology was of GIST. Colonoscopy was normal. The patient was submitted to surgery which revealed a mass with bright and smooth surface that was in relation with the mid portion of the transverse colon, we performed a right extended hemicolectomy. The postoperative was uneventful. Pathology evaluation revealed a desmoid-type fibromatosis. The accurate etiology of desmoid tumors is still unknown. Desmoid tumors are rare with an annual incidence of 2-4 cases per million people. They typically are slow growing fibrous soft tissue tumors with a benign behavior, however show local aggressiveness with a high ability for recurrence, complete surgical resection with clear margins is crucial.

Microstructural and damage parameter effect analysis on the failure mechanism of fibrous soft tissues with a structure-based unit cell model

The presence of hierarchical microstructures in natural materials, such as connective tissues, makes them possess exceptional mechanical performance and undergo complex damage behaviors. Accordingly, in this study, a structure-based unit cell model (UCM) in which controllable irregular crimped fiber is embedded into soft matrix is constructed for the analysis of microstructural effects. An anisotropic hyperelastic constitutive model enhanced with different damage parameters is applied in finite element program, and the effects of damage parameters on the mechanical responses of fibrous soft tissues are investigated. The numerical results indicate that the fiber waviness plays a significant role in determining the stiffness of the tissues and that the microstructure controlled by the fiber crimp amplitude H, waviness χ and number of inflection points ω, mainly determines the fluctuation of the nominal stress–strain curves of these tissues with damaged fibers. In addition, a damage parameter analysis indicates that the attenuation of the strength and amplitude of the stress strongly depend on the strain energy limiter, and the parameter m mainly determines the rate of damage accumulation by the fibers with smaller strain energy limiters. The results of this study deepen the understanding of the mechanical behaviors of such fibrous soft tissues and provides a template for the optimization of structural and material designs for bioinspired composites.

Finite element modeling of meniscal tears using continuum damage mechanics and digital image correlation

Meniscal tears are a common, painful, and debilitating knee injury with limited treatment options. Computational models that predict meniscal tears may help advance injury prevention and repair, but first these models must be validated using experimental data. Here we simulated meniscal tears with finite element analysis using continuum damage mechanics (CDM) in a transversely isotropic hyperelastic material. Finite element models were built to recreate the coupon geometry and loading conditions of forty uniaxial tensile experiments of human meniscus that were pulled to failure either parallel or perpendicular to the preferred fiber orientation. Two damage criteria were evaluated for all experiments: von Mises stress and maximum normal Lagrange strain. After we successfully fit all models to experimental force–displacement curves (grip-to-grip), we compared model predicted strains in the tear region at ultimate tensile strength to the strains measured experimentally with digital image correlation (DIC). In general, the damage models underpredicted the strains measured in the tear region, but models using von Mises stress damage criterion had better overall predictions and more accurately simulated experimental tear patterns. For the first time, this study has used DIC to expose strengths and weaknesses of using CDM to model failure behavior in soft fibrous tissue.

Modeling fibrous soft tissue dissection with elastic-plastic deformation for simulation of brain tumor removal

Background and objective: Realistic modeling the dissection of brain tissue is of key importance for simulation of brain tumor removal in virtual neurosurgery systems. However, existing methods are unable to characterize inelastic behaviors of brain tissue, such as plastic deformation and dissection evolution, making it ineffective in simulating brain tumor removal procedures.Methods: In this paper, a model of fibrous soft tissue dissection for the simulation of brain tumor removal is proposed. A dissection variable of representative volume element is used to characterize the dissection state of the fibrous soft tissue. The evolution of dissection with elastic-plastic deformation under the effects of external loads is presented.Results: Simulation results show that the proposed model provides realistic, stable and intuitive results in the simulation of fracture in fibrous soft tissues. As the external load increases, the fibrous soft tissue begins to crack, with the cracks growing and multiplying until they eventually merge to form a fracture. The proposed model is incorporated into the simulation of brain tumor removal.Conclusions: The experimental results demonstrate the feasibility of modeling fibrous soft tissue dissection with elastic-plastic deformation. A relative high degree of realistic visual feedback is achieved.

A Computational Framework to Predict Calvarial Growth: Optimising Management of Sagittal Craniosynostosis.

The neonate skull consists of several bony plates, connected by fibrous soft tissue called sutures. Premature fusion of sutures is a medical condition known as craniosynostosis. Sagittal synostosis, caused by premature fusion of the sagittal suture, is the most common form of this condition. The optimum management of this condition is an ongoing debate in the craniofacial community while aspects of the biomechanics and mechanobiology are not well understood. Here, we describe a computational framework that enables us to predict and compare the calvarial growth following different reconstruction techniques for the management of sagittal synostosis. Our results demonstrate how different reconstruction techniques interact with the increasing intracranial volume. The framework proposed here can be used to inform optimum management of different forms of craniosynostosis, minimising the risk of functional consequences and secondary surgery.

Poisson's ratio and compressibility of arterial wall – Improved experimental data reject auxetic behaviour

Poisson's ratio of fibrous soft tissue is analyzed in this paper on the basis of direct experimental measurements of porcine arterial wall layer under uniaxial tension and immersed in tempered saline bath. The current study follows the previously published testing methodology but with a new totally redesigned testing apparatus allowing more credible and precise evaluation of arterial wall behaviour. The new results confirm most of previous findings focused on positivity/negativity of Poisson's ratio playing a crucial role in (in)validation aspects of some constitutive models widely used in recent computational vascular mechanics. The effect of frozen & thawed conditions is also evaluated in comparison with fresh specimens. The in-plane Poisson's ratio of arterial wall was identified in the range of 0.3–0.4, whereas its out-of-plane component is much higher ranging from 0.5 to 0.7. These results contrast with predictions of some frequently used constitutive models. The volumetric (in)compressibility of arterial specimens is also analyzed, quantified and discussed in the paper, as a key property of soft tissues closely related to the topic of their constitutive modelling.

IgG4-related pseudotumours: a series of 12 cases and a review of the literature

IgG4-related pseudotumours (IgG4-RPT) represent a distinctive manifestation in the broad spectrum of IgG4-related diseases (IgG4-RD). Due to their wide morphology and rarity, IgG4-RPTs represent a diagnostic challenge in the differential between reactive lesions and a fibrous soft tissue tumours. Thus, our aim was to characterise our cases and review the literature, focusing on the macroscopic and microscopic features of the lesions. In this paper, we summarise the possible presentations and histomorphological features of IgG4-RPT based on data collected from the literature and from cases at our institute and provide an overview of the pathogenesis and histological characteristics based on the knowledge accumulated in recent years. We collected surgical cases with a diagnosis of IgG4-RPT over the period 2013-2020 at two centres and analysed their macroscopic, histological, and immunohistochemical profiles. Furthermore, we performed a literature research in the MEDLINE and EBSCO databases regarding case reports and studies with the explicit diagnosis of IgG4-RPT. Our cases consist of nine men and three women, with an average age of 60±14 years, representing about 0.05% of the lesions evaluated at the two departments. The involved sites include the kidney, lung, gallbladder, pterygopalatine fossa, spleen, tongue, mediastinum, and submandibular gland. Grossly, nine lesions showed sharp margins. On histological examination, all the lesions showed an abundant inflammatory infiltrate with lymphocytes and IgG4-positive plasma cells as well as characteristic fibroblastic storiform proliferation. The literature search revealed 266 cases and similar histomorphological features in 23 locations. In 30 of these cases (11%), IgG4-RPTs were multifocal. IgG4-RPT are exceedingly rare lesions, which makes them challenging to diagnose. They can affect different sites, and the histomorphological presentation may differ.

Tensile fatigue strength and endurance limit of human meniscus

The knee menisci are prone to mechanical fatigue injury from the cyclic tensile stresses that are generated during daily joint loading. Here we characterize the tensile fatigue behavior of human medial meniscus and investigate the effect of aging on fatigue strength. Test specimens were excised from the medial meniscus of young (under 40 years) and older (over 65 years) fresh-frozen cadaver knees. Cyclic uniaxial tensile loads were applied parallel to the primary circumferential fibers at 70%, 50%, 40%, or 30% of the predicted ultimate tensile strength (UTS) until failure occurred or one million cycles was reached. Equations for fatigue strength (S-N curve) and the probability of fatigue failure (unreliability curves) were created from the measured number of cycles to failure. The mean number of cycles to failure at 70%, 50%, 40%, and 30% of UTS were estimated to be approximately 500, 40000, 340000, and 3 million cycles, respectively. The endurance limit, defined as the tensile stress that can be safely applied for the average lifetime of use (250 million cycles), was estimated to be 10% of UTS (∼1.0 MPa). When cyclic tensile stresses exceeded 30% of UTS (∼3.0 MPa), the probability of fatigue failure rapidly increased. While older menisci were generally weaker and more susceptible to fatigue failures at high-magnitude tensile stresses, both young and older age groups had similar fatigue resistance at low-magnitude tensile stresses. In addition, we found that fatigue failures occurred after the dynamic modulus decreased during cyclic loading by approximately 20%. This experimental study has quantified fundamental fatigue properties that are essential to properly predict and prevent injury in meniscus and other soft fibrous tissues.

Structural Mechanisms in Soft Fibrous Tissues: A Review

Through years of evolution, biological soft fibrous tissues have developed remarkable functional properties, unique hierarchical architectures, and -most notably, an unparalleled and extremely efficient deformation ability. Whereas the structure-function relationship is well-studied in natural hard materials, soft materials are not getting similar attention, despite their high prevalence in nature. These soft materials are usually constructed as fiber-reinforced composites consisting of diverse structural motifs that result in an overall unique mechanical behavior with large deformations. Biomimetics of their mechanical behavior is currently a significant bioengineering challenge. The unique properties of soft fibrous tissues stem from their structural complexity, which, unfortunately, also hinders our ability to generate adequate synthetic analogs, such that autografts remain the “gold standard” materials for soft-tissue repair and replacement. This review seeks to understand the structural and deformation mechanisms of soft collagenous tissues, with a particular emphasis on tendon and ligaments, the annulus fibrosus (AF) in the intervertebral disc (IVD), skin, and blood vessels. We examined and compared different mechanical and structural motifs in these different tissue types, which are subjected to complex and varied mechanical loads, to isolate the mechanisms of their deformation behavior. Herein, we focused on their composite structure from a perspective of the different building blocks, architecture, crimping patterns, fiber orientation, organization and their structure-function relationship. In the second part of the review, we presented engineered soft composite applications that used these structural motifs to mimic the structural and mechanical behavior of soft fibrous tissues. Moreover, we demonstrated new methodologies and materials that use biomimetic principles as a guide. These novel architectural materials have tailor-designed J-shaped large deformations behavior. Structural motifs in soft composites hold valuable insights that could be exploited to generate the next generation of materials. They actually have a two-fold effect: 1) to get a better understanding of the complex structure-function relationship in a simple material system using reverse biomimetics and 2) to develop new and efficient materials. These materials could revolutionize the future tailor-designed soft composite materials together with various soft-tissue repair and replacement applications that will be mechanically biocompatible with the full range of native tissue behaviors.

Prikaz rijetkog slučaja sporadične ponovne pojave kerubizma

Cherubism is a rare bone dysplasia in children characterized by symmetrical bone resorption limited only to the jaws and diagnosed as bone lesions filled with soft fibrous giant cell-rich tissue that can expand and cause severe facial deformity. Most patients have germline mutations in the gene encoding SH3BP2, a signaling adaptor protein involved in adaptive and innate immune responses. Treatment depends on the clinical course of the disease. The current case report presents a young patient with cysts in frontal region of maxilla without family history, that had recurrences of cysts, and is representing a less documented, rare case. Histological finding at that time was indicating a giant cell granuloma and later a grey tumor. Due to the existence of other pathological findings in the jaws with the presence of giant cells, we had difficulties to diagnose cherubism as surgeons.

The effect of fiber-matrix interaction on the kinking instability arising in the torsion of stretched fibrous biofilaments

The response of fibrous soft tissues undergoing torsional deformations is a topic of current interest. Such deformations are common in ligaments and tendons and are also of particular interest in cardiac mechanics. The problem of torsion superimposed on extension of incompressible hyperelastic solid circular cylinders is a classic problem of nonlinear elasticity that has been considered by many authors in the context of rubber elasticity particularly for isotropic materials. A striking feature of such problems is the instability that arises with sufficiently large twist where a kink and then a knot suddenly appears. An energy approach to examining this instability when the extension and twist are prescribed was described by Gent and Hua (2004) and illustrated there for a neo-Hookean isotropic elastic material. The theoretical results were compared with experimental observations on natural rubber rods. Murphy (2015) has shown that the approach of Gent and Hua (2004) for isotropic materials can be simplified when the rods are assumed to be thin and this theory was applied to transversely isotropic materials by Horgan and Murphy (2016). In contrast with the case for isotropic materials, it was shown there that the kinking instability occurs even in the absence of stretch, i.e., for the case of pure torsion. Here we are concerned with the implications of this simplified thin rod instability theory for fiber-reinforced transversely isotropic materials that reflect fiber-matrix interaction. It is again shown that the kinking instability occurs even in the absence of stretch, i.e., for the case of pure torsion. The results are illustrated for a specific strain-energy density function that models fiber-matrix interaction. It is shown that the critical twist at which kinking occurs decreases as a measure of fiber-matrix interaction is increased so that the fiber-matrix interaction has a destabilizing effect. The results are illustrated using experimental data of other authors for skeletal muscles and for porcine brain white matter tissue.

Fiber-Matrix Interaction and Fiber Orientation in Simple Shearing of Fibrous Soft Tissues

Fiber-reinforcement is a common feature of many soft biological tissues. The response of fibrous biotissues to applied shear is thus of considerable current interest. We consider here the fundamental deformation of simple shear within the framework of transversely isotropic incompressible hyperelastic materials for fiber-reinforced specimens with a single family of parallel fibers oriented at a general angle to the direction of shear. It is well known that the normal stress effect characteristic of nonlinear elasticity plays a crucial role in maintaining an homogeneous deformation state in the bulk of the specimen. Here we investigate the effects of fiber-matrix interaction on the shear and lateral normal stresses. The inclusion of fiber-matrix interaction stiffens the shear stress response. As regards the normal stress, it is shown that the confining normal traction that needs to be applied to the top and bottom faces of a block in order to maintain simple shear can be compressive or tensile depending on the degree of anisotropy, fiber-matrix interaction and on the angle of orientation of the fibers. In the absence of such an applied traction, an unconfined sample tends to bulge outwards or contract inwards perpendicular to the direction of shear so that one has the possibility of both a positive or negative Poynting effect. It is shown that the fiber-matrix interaction enhances both the positive and negative Poynting effects. The results are illustrated using experimental data obtained by other authors for porcine brain white matter. In particular, it is shown that, for sufficiently small angles of orientation, a transition amount of shear exists at which the normal stress changes character from tensile to compressive with increasing amount of shear. An increase in the degree of fiber-matrix interaction enlarges the range of orientation angles for which this transition can occur and decreases the transition amount of shear. These transition amounts of shear are well within the physiological strain regime. The results obtained here are relevant to the development of accurate shear test protocols for the determination of constitutive properties of fibrous biological soft tissues.