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Promoting a reparative instead of a degenerative outcome from loading of fatigue-damaged tendons

US · IL NIH RePORTER grant awarded #nih-5R01AR084173-02

Summary

This research project investigates the biological mechanisms that promote tendon repair versus degeneration after fatigue injury, focusing on the roles of glycosaminoglycans (GAGs), αSMA+ cells, and integrin α5.

What they want

The project aims to test three hypotheses: (1) the increase in GAGs after fatigue injury modulates the mechanical environment of cells in damaged tendons, leading to an increase in αSMA+ cells and integrin α5; (2) the increase in αSMA+ cells will largely decrease the area of high matrix damage and mediate tissue repair; and (3) integrin α5 protects cells from apoptosis in response to higher loading but promotes a catabolic response from surviving α5+/tenocytes while enhancing the functionality of α5+/αSMA+ cells. Experimental approaches include in vivo depletion of hyaluronan (HA) and dermatan sulfate (DS), pharmaceutical inhibition of αSMA+ cells (using Simvastatin) and integrin α5 (using ATN-161), and scRNAseq to compare cell populations associated with repair versus degeneration.
Deliverables
  • Inform diagnostics to guide management of tendon injuries
  • Inform therapeutics by determining key biological drivers of repair
Technical requirements
  • In vivo model of sub-rupture fatigue damage accumulation using the rat patellar tendon
  • Depletion of HA and DS in vivo
  • Pharmaceutical inhibition of αSMA+ cells (using Simvastatin)
  • Pharmaceutical blocking of integrin α5 (using ATN-161)
  • scRNAseq for cell population comparison
Promoting a reparative instead of a degene…
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