The effect of estrogen‐like compound on rotator cuff tendon healing in a murine model

Estrogen deficiency has been shown to negatively influence rotator cuff tendon healing. Therefore, the addition of an estrogen‐like‐compound (ELC) in a nonestrogen‐deficient animal may improve the quality of a rotator cuff repair. The purpose of this study was to evaluate the effects of an ELC, diet...

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Veröffentlicht in:Journal of orthopaedic research 2021-12, Vol.39 (12), p.2711-2724
Hauptverfasser: Tashjian, Robert Z., Kazmers, Nikolas H., Epperson, Richard T., Honeggar, Matthew, Ma, Ying, Chalmers, Peter N., Williams, Dustin L., Jurynec, Michael J.
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container_end_page 2724
container_issue 12
container_start_page 2711
container_title Journal of orthopaedic research
container_volume 39
creator Tashjian, Robert Z.
Kazmers, Nikolas H.
Epperson, Richard T.
Honeggar, Matthew
Ma, Ying
Chalmers, Peter N.
Williams, Dustin L.
Jurynec, Michael J.
description Estrogen deficiency has been shown to negatively influence rotator cuff tendon healing. Therefore, the addition of an estrogen‐like‐compound (ELC) in a nonestrogen‐deficient animal may improve the quality of a rotator cuff repair. The purpose of this study was to evaluate the effects of an ELC, diethylstilbestrol (DES), on tendon healing in a murine rotator cuff repair model. Thirty‐three male wild‐type mice (C57BL/6NJ) were randomly divided into three study groups. Group 1—unoperated mice with normal rotator cuff tendons. Groups 2 and 3 consisted of surgically repaired rotator cuff tendons; Group 2 (repair‐only) was the standard repair group (no DES injected), whereas Group 3 (repair + DES) was the experimental repair group (injected with DES). Comparing the maximal thickness of calcified fibrocartilage to uncalcified fibrocartilage, the ratios for the control (intact tendon), repair‐only, and repair + DES groups were 2:1, 0.9:1, and 1.7:1. RNA expression data demonstrated upregulation of chondrogenic, angiogenic, and tendon modulation genes in the repair‐ only group compared to the control (intact tendon) group (p 
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Therefore, the addition of an estrogen‐like‐compound (ELC) in a nonestrogen‐deficient animal may improve the quality of a rotator cuff repair. The purpose of this study was to evaluate the effects of an ELC, diethylstilbestrol (DES), on tendon healing in a murine rotator cuff repair model. Thirty‐three male wild‐type mice (C57BL/6NJ) were randomly divided into three study groups. Group 1—unoperated mice with normal rotator cuff tendons. Groups 2 and 3 consisted of surgically repaired rotator cuff tendons; Group 2 (repair‐only) was the standard repair group (no DES injected), whereas Group 3 (repair + DES) was the experimental repair group (injected with DES). Comparing the maximal thickness of calcified fibrocartilage to uncalcified fibrocartilage, the ratios for the control (intact tendon), repair‐only, and repair + DES groups were 2:1, 0.9:1, and 1.7:1. RNA expression data demonstrated upregulation of chondrogenic, angiogenic, and tendon modulation genes in the repair‐ only group compared to the control (intact tendon) group (p &lt; 0.04 for all), and that addition of DES further increased the osteogenic, angiogenic, and tendon modulation gene expression compared to the repair‐only group (p &lt; 0.02). Immunohistochemical analysis indicated that the addition of DES further increased osteogenic, angiogenic, and tendon maturation protein expression at the enthesis compared to standard repairs.</description><identifier>ISSN: 0736-0266</identifier><identifier>EISSN: 1554-527X</identifier><identifier>DOI: 10.1002/jor.25000</identifier><identifier>PMID: 33533088</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; Biomechanical Phenomena ; Disease Models, Animal ; estrogen ; Estrogens - pharmacology ; Estrogens - therapeutic use ; estrogen‐like compound ; histology ; Male ; Mice ; Mice, Inbred C57BL ; mouse model ; RNA expression ; rotator cuff ; Rotator Cuff - surgery ; Rotator Cuff Injuries - drug therapy ; Rotator Cuff Injuries - surgery ; scanning electron microscopy ; Tendons - surgery ; Wound Healing</subject><ispartof>Journal of orthopaedic research, 2021-12, Vol.39 (12), p.2711-2724</ispartof><rights>2021 Orthopaedic Research Society. 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Therefore, the addition of an estrogen‐like‐compound (ELC) in a nonestrogen‐deficient animal may improve the quality of a rotator cuff repair. The purpose of this study was to evaluate the effects of an ELC, diethylstilbestrol (DES), on tendon healing in a murine rotator cuff repair model. Thirty‐three male wild‐type mice (C57BL/6NJ) were randomly divided into three study groups. Group 1—unoperated mice with normal rotator cuff tendons. Groups 2 and 3 consisted of surgically repaired rotator cuff tendons; Group 2 (repair‐only) was the standard repair group (no DES injected), whereas Group 3 (repair + DES) was the experimental repair group (injected with DES). Comparing the maximal thickness of calcified fibrocartilage to uncalcified fibrocartilage, the ratios for the control (intact tendon), repair‐only, and repair + DES groups were 2:1, 0.9:1, and 1.7:1. RNA expression data demonstrated upregulation of chondrogenic, angiogenic, and tendon modulation genes in the repair‐ only group compared to the control (intact tendon) group (p &lt; 0.04 for all), and that addition of DES further increased the osteogenic, angiogenic, and tendon modulation gene expression compared to the repair‐only group (p &lt; 0.02). Immunohistochemical analysis indicated that the addition of DES further increased osteogenic, angiogenic, and tendon maturation protein expression at the enthesis compared to standard repairs.</description><subject>Animals</subject><subject>Biomechanical Phenomena</subject><subject>Disease Models, Animal</subject><subject>estrogen</subject><subject>Estrogens - pharmacology</subject><subject>Estrogens - therapeutic use</subject><subject>estrogen‐like compound</subject><subject>histology</subject><subject>Male</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>mouse model</subject><subject>RNA expression</subject><subject>rotator cuff</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries - drug therapy</subject><subject>Rotator Cuff Injuries - surgery</subject><subject>scanning electron microscopy</subject><subject>Tendons - surgery</subject><subject>Wound Healing</subject><issn>0736-0266</issn><issn>1554-527X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtOwzAQQC0EoqWw4ALIS1ik9SeOkyWq-KpSJVQEu8iNx21KEhc7EeqOI3BGToKhhR2rkWaenkYPoVNKhpQQNlpZN2SCELKH-lSIOBJMPu-jPpE8iQhLkh468n4VAElZeoh6nAvOSZr20dNsCRiMgaLF1mDwrbMLaD7fP6ryBXBh67XtGo1tg51tVWsdLjpjcAuNDrslqKpsFrhssMJ158oGcG01VMfowKjKw8luDtDj9dVsfBtNpjd348tJVPCEkIiJOCsUFRnJdJyxVGZSppqJQoRdClrNM844SNBxOArJA2dEImmm-dwoxQfofOtdO_vahffzuvQFVJVqwHY-Z3Ga0ITzlAf0YosWznrvwORrV9bKbXJK8u-OeeiY_3QM7NlO281r0H_kb7gAjLbAW1nB5n9Tfj992Cq_ALDHfGs</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Tashjian, Robert Z.</creator><creator>Kazmers, Nikolas H.</creator><creator>Epperson, Richard T.</creator><creator>Honeggar, Matthew</creator><creator>Ma, Ying</creator><creator>Chalmers, Peter N.</creator><creator>Williams, Dustin L.</creator><creator>Jurynec, Michael J.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4112-0423</orcidid><orcidid>https://orcid.org/0000-0003-2702-9164</orcidid><orcidid>https://orcid.org/0000-0001-6736-8641</orcidid></search><sort><creationdate>202112</creationdate><title>The effect of estrogen‐like compound on rotator cuff tendon healing in a murine model</title><author>Tashjian, Robert Z. ; 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Therefore, the addition of an estrogen‐like‐compound (ELC) in a nonestrogen‐deficient animal may improve the quality of a rotator cuff repair. The purpose of this study was to evaluate the effects of an ELC, diethylstilbestrol (DES), on tendon healing in a murine rotator cuff repair model. Thirty‐three male wild‐type mice (C57BL/6NJ) were randomly divided into three study groups. Group 1—unoperated mice with normal rotator cuff tendons. Groups 2 and 3 consisted of surgically repaired rotator cuff tendons; Group 2 (repair‐only) was the standard repair group (no DES injected), whereas Group 3 (repair + DES) was the experimental repair group (injected with DES). Comparing the maximal thickness of calcified fibrocartilage to uncalcified fibrocartilage, the ratios for the control (intact tendon), repair‐only, and repair + DES groups were 2:1, 0.9:1, and 1.7:1. RNA expression data demonstrated upregulation of chondrogenic, angiogenic, and tendon modulation genes in the repair‐ only group compared to the control (intact tendon) group (p &lt; 0.04 for all), and that addition of DES further increased the osteogenic, angiogenic, and tendon modulation gene expression compared to the repair‐only group (p &lt; 0.02). Immunohistochemical analysis indicated that the addition of DES further increased osteogenic, angiogenic, and tendon maturation protein expression at the enthesis compared to standard repairs.</abstract><cop>United States</cop><pmid>33533088</pmid><doi>10.1002/jor.25000</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-4112-0423</orcidid><orcidid>https://orcid.org/0000-0003-2702-9164</orcidid><orcidid>https://orcid.org/0000-0001-6736-8641</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Animals
Biomechanical Phenomena
Disease Models, Animal
estrogen
Estrogens - pharmacology
Estrogens - therapeutic use
estrogen‐like compound
histology
Male
Mice
Mice, Inbred C57BL
mouse model
RNA expression
rotator cuff
Rotator Cuff - surgery
Rotator Cuff Injuries - drug therapy
Rotator Cuff Injuries - surgery
scanning electron microscopy
Tendons - surgery
Wound Healing
title The effect of estrogen‐like compound on rotator cuff tendon healing in a murine model
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