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Updated: Jan 28, 2026

Production and Detection of Reactive Oxygen Species ROS in Cancers
Published on: November 21, 2011
High cholesterol inhibits tendon-related gene expressions in tendon-derived stem cells through reactive oxygen
Kaiqun Li1, Ganming Deng1,2, Ye Deng1
1Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Abstract:
Clinical studies have indicated that increased serum cholesterol levels raised the risk of tendinopathy in hypercholesterolemia, but the effect of cholesterol on tendon-derived stem cells (TDSCs) and its underlying mechanism have not been studied. The purpose of this study is to investigate the association between cholesterol and tendinopathy in vitro and in vivo, and its underlying molecular mechanism as well. In TDSCs, the effect of cholesterol was assessed by quantitative polymerase chain reaction, western blot analysis, and immunofluorescence staining. Intracellular levels of reactive oxygen species (ROS) was detected, using flow cytometry. The link between nuclear factor (NF)-κB signaling and the effect of cholesterol was evaluated using a representative IκB kinase (IKK) inhibitor, BAY 11-7082. In addition, Achilles tendons from apolipoprotein E mice fed with a high-fat diet were histologically assessed using hematoxylin and eosin staining and immunohistochemistry. We found that high cholesterol apparently lowered the expression of tendon cell markers (collagen 1, scleraxis, tenomodulin), and elevated ROS levels via the NF-κB pathway both in vitro and in vivo. The ROS scavenger N-acetylcysteine (NAC) and BAY 11-7082 reversed the inhibiting effect of cholesterol on the tendon-related gene expressions of TDSCs. Moreover, NAC blocked cholesterol-induced phosphorylation of IκBα and p65. Significant histological alternation in vivo was shown in Achilles tendon in the hypercholesterolemic group. These results indicated that high cholesterol may inhibit the tendon-related gene expressions in TDSCs via ROS-activated NF-кB signaling, implying pathogenesis of tendinopathy in hypercholesterolemia and suggesting a new mechanism underlying hypercholesterolemia-induced tendinopathy.
Insights
High cholesterol impairs tendon stem cell function by increasing oxidative stress and activating the NF-κB pathway, contributing to tendinopathy. This study elucidates a novel mechanism linking hypercholesterolemia to tendon injury.
Area of Science:
- Biomedical Science
- Molecular Biology
- Cell Biology
Background:
- Clinical studies link high serum cholesterol to increased tendinopathy risk.
- The specific impact of cholesterol on tendon-derived stem cells (TDSCs) and its mechanisms remain uninvestigated.
Purpose of the Study:
- To investigate the association between cholesterol and tendinopathy in vitro and in vivo.
- To elucidate the underlying molecular mechanisms of cholesterol-induced tendinopathy.
Main Methods:
- Assessed cholesterol's effect on TDSCs using qPCR, Western blot, and immunofluorescence.
- Measured intracellular reactive oxygen species (ROS) via flow cytometry.
- Evaluated the NF-κB pathway using an IKK inhibitor (BAY 11-7082) and ROS scavenger (NAC).
- Histologically analyzed Achilles tendons in apolipoprotein E mice on a high-fat diet.
Main Results:
- High cholesterol reduced tendon cell marker expression (collagen 1, scleraxis, tenomodulin) and elevated ROS via NF-κB signaling in TDSCs.
- NAC and BAY 11-7082 reversed cholesterol's inhibitory effects on TDSCs.
- NAC inhibited cholesterol-induced phosphorylation of IκBα and p65.
- Hypercholesterolemic mice exhibited significant Achilles tendon histological alterations.
Conclusions:
- High cholesterol inhibits TDSC function and tendon-related gene expression through ROS-activated NF-κB signaling.
- This pathway represents a novel mechanism underlying hypercholesterolemia-induced tendinopathy.
- Findings suggest potential therapeutic targets for managing tendinopathy in hypercholesterolemic individuals.
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