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Updated: Sep 15, 2025

Author Spotlight: Advancing Tendon Research by Developing Mouse Assembloids to Understand Cellular Mechanisms
Published on: March 22, 2024
Tendon fibroblast inflammatory responses depend on NF-κβ and JAK/STAT signaling and alter mechanotransduction
McKenzie Sup1, MinKyu M Kim2, Lee Song2
1Department of Biomedical Engineering, Columbia University, New York, NY 10027.
Abstract:
Tendon pathologies, including both chronic injuries and acute tendon tears, are some of the most common musculoskeletal injuries. Recent studies have suggested the importance of inflammation in the healing process in both acute and chronic tendon injury. However, there remain gaps in knowledge that hinder progress in the development of therapeutics to improve healing. A more complete characterization of the inflammatory response in tendon is needed, by defining the relative roles of different molecular pathways, and determining how these pathways interact with tendon mechanobiology. To investigate these questions, an in vitro model was developed, wherein the complexity of the in vivo healing environment was simulated by applying M1 macrophage conditioned media (M1-CM) to tendon fibroblasts (TFs). Characterization of the M1-CM and its effect on TFs revealed a robust inflammatory response, including upregulation of over 500 genes and increased secretion of several cytokines in TFs. The NF-κβ and JAK/STAT signaling pathways were necessary for the response to M1-CM, and each pathway was responsible for different downstream responses to inflammation in TFs. When considering the role of mechanical loading in tendon responses to inflammation, it was found that TF responses to loading were altered by the presence of an inflammatory stimulus. Analysis of the genes that responded differently to loading with inflammation present suggested changes in pathways involving extracellular matrix organization and G protein signaling. Mathematical modeling based upon these results revealed time-dependent suppression of mechanosensitivity, suggesting that therapeutic timing of inflammatory or anti-inflammatory interventions could restore or attenuate mechanical responsiveness to modulate rehabilitation outcomes. Results reveal that inflammation disrupts mechanosensitivity in tendon healing, and suggest potential pathways for therapeutic intervention.
Insights
Inflammation disrupts tendon healing by altering mechanosensitivity. Understanding these inflammatory pathways, including NF-κβ and JAK/STAT signaling, is crucial for developing targeted therapies to improve tendon repair outcomes.
Area of Science:
- Biomedical Engineering
- Musculoskeletal Biology
- Inflammation Research
Background:
- Tendon pathologies are common musculoskeletal injuries.
- Inflammation plays a key role in both acute and chronic tendon healing.
- Gaps in knowledge hinder therapeutic development for tendon healing.
Purpose of the Study:
- Characterize the inflammatory response in tendon healing.
- Define the roles of molecular pathways and their interaction with mechanobiology.
- Investigate how inflammation affects tendon fibroblasts (TFs) and their response to mechanical loading.
Main Methods:
- Developed an in vitro model simulating in vivo healing using M1 macrophage conditioned media (M1-CM) on TFs.
- Analyzed gene expression and cytokine secretion in TFs.
- Investigated the necessity of NF-κβ and JAK/STAT signaling pathways.
- Assessed TF responses to mechanical loading in the presence of inflammation.
- Utilized mathematical modeling to analyze mechanosensitivity.
Main Results:
- M1-CM induced a robust inflammatory response in TFs, upregulating over 500 genes and increasing cytokine secretion.
- NF-κβ and JAK/STAT pathways were essential for TF response to M1-CM.
- Inflammation altered TF responses to mechanical loading, affecting extracellular matrix organization and G protein signaling.
- Mathematical modeling indicated time-dependent suppression of mechanosensitivity.
Conclusions:
- Inflammation disrupts mechanosensitivity during tendon healing.
- NF-κβ and JAK/STAT pathways are critical mediators of inflammation in TFs.
- Therapeutic timing of anti-inflammatory interventions may modulate rehabilitation outcomes by restoring mechanical responsiveness.
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