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Applying a Three-dimensional Uniaxial Mechanical Stimulation Bioreactor System to Induce Tenogenic Differentiation of Tendon-Derived Stem Cells
Published on: August 1, 2020
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Tensile Loaded Tissue-Engineered Human Tendon Constructs Stimulate Myotube Formation.
Yoshifumi Tsuchiya1,2, René B Svensson1,2, Ching-Yan Chloé Yeung1,2
1Department of Orthopedic Surgery, Institute of Sports Medicine Copenhagen, Copenhagen University Hospital-Bispebjerg-Frederiksberg, Copenhagen, Denmark.
Tissue Engineering. Part A
|January 21, 2023
Summary
Mechanical loading of engineered human tendons releases factors that enhance skeletal muscle regeneration by promoting myotube formation. This study reveals a crucial signaling interplay between tendon and muscle tissues for musculoskeletal health.
Area of Science:
- Biomedical Engineering
- Cell Biology
- Musculoskeletal Research
Background:
- Skeletal muscle regeneration relies on muscle stem cells and interstitial cells.
- Tendon tissue, like muscle, adapts to mechanical loading.
- The interaction between skeletal muscle and adjacent tendon during regeneration is not well understood.
Purpose of the Study:
- To investigate if factors from mechanically loaded human tendon constructs stimulate myogenic cell proliferation and differentiation.
- To explore the signaling crosstalk between tendon and muscle tissues in response to mechanical stimuli.
Main Methods:
- Engineered human tendon constructs were subjected to uniaxial tensile loading (4% strain at 0.5 Hz for 4 hours).
- Conditioned media from loaded and control tendon constructs were applied to human-derived myogenic cells (myoblasts).
- Immunofluorescence and gene expression analyses were used to assess myoblast proliferation, differentiation, and fusion.
Main Results:
- Conditioned media from mechanically loaded tendon constructs increased myotube fusion index and diameter.
- Key genes (Myostatin, myosin heavy chain 7, AXIN2) were downregulated in myotubes treated with loaded tendon media.
- No significant difference in myoblast proliferative potential (Ki67+, BrdU+) was observed between groups.
Conclusions:
- Tendon fibroblasts release factors upon mechanical loading that enhance myotube formation, indicating improved muscle regeneration.
- Mechanical loading influences signaling between skeletal muscle and tendon, crucial for musculoskeletal tissue development and repair.
- This study highlights the importance of the muscle-tendon unit's integrated response to mechanical loading for human musculoskeletal health.

