Flexor tendon wound healing in vitro: Lactate up-regulation of TGF-β expression and functional activity

Flexor tendon wound healing in zone II is complicated by adhesions to the surrounding fibro-osseous sheath. These adhesions can significantly alter tendon gliding and ultimately hand function. Lactate and transforming growth factor-beta (TGF-beta) are two important mediators of wound healing that ha...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2004-02, Vol.113 (2), p.625-632
Hauptverfasser: YALAMANCHI, Naveen, KLEIN, Matthew B, PHAM, Hung M, LONGAKER, Michael T, CHANG, James
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container_end_page 632
container_issue 2
container_start_page 625
container_title Plastic and reconstructive surgery (1963)
container_volume 113
creator YALAMANCHI, Naveen
KLEIN, Matthew B
PHAM, Hung M
LONGAKER, Michael T
CHANG, James
description Flexor tendon wound healing in zone II is complicated by adhesions to the surrounding fibro-osseous sheath. These adhesions can significantly alter tendon gliding and ultimately hand function. Lactate and transforming growth factor-beta (TGF-beta) are two important mediators of wound healing that have been demonstrated to independently increase collagen production by cells of the tendon sheath, epitenon, and endotenon. This study examined the effects of lactate on TGF-beta peptide and receptor production by flexor tendon cells. Tendon sheath fibroblasts, epitenon tenocytes, and endotenon tenocytes were isolated from rabbit flexor tendons and cultured separately. Cell cultures were supplemented with 50 mM lactate, and the expression of three TGF-beta peptide isoforms (beta1, beta2, and beta3) and three receptor isoforms (R1, R2, and R3) was quantified with enzyme-linked immunosorbent assays. TGF-beta functional activity was also assessed with the addition of tendon cell conditioned media to mink lung epithelial cells transfected with a luciferase reporter gene expression construct responsive to TGF-beta. Supplementation of the cell culture medium with lactate significantly (p < 0.05) increased the expression of all TGF-beta peptide and receptor isoforms in all three cell lines. Tendon sheath fibroblasts exhibited the greatest increases in beta1 and beta2 peptide isoform expression (30 and 23 percent, respectively), whereas endotenon tenocytes demonstrated the greatest increase in beta3 peptide expression (32 percent). Epitenon tenocytes exhibited the greatest increases in receptor isoform R1 and R2 expression (17 and 19 percent, respectively). All three tendon cell types demonstrated significant (p < 0.05) increases in TGF-beta functional activity when exposed to lactate. Epitenon tenocytes demonstrated the greatest increase in activity (>4 times control values), whereas tendon sheath fibroblasts demonstrated the highest overall levels of total TGF-beta functional activity. Lactate significantly increased TGF-beta peptide (beta1, beta2, and beta3) expression, receptor (R1, R2, and R3) expression, and functional activity, suggesting a common pathway regulating tendon cell collagen production. Modulation of lactate and TGF-beta levels may provide a means of modulating the effects of TGF-beta on adhesion formation in flexor tendon wound healing.
doi_str_mv 10.1097/01.PRS.0000101529.47062.34
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These adhesions can significantly alter tendon gliding and ultimately hand function. Lactate and transforming growth factor-beta (TGF-beta) are two important mediators of wound healing that have been demonstrated to independently increase collagen production by cells of the tendon sheath, epitenon, and endotenon. This study examined the effects of lactate on TGF-beta peptide and receptor production by flexor tendon cells. Tendon sheath fibroblasts, epitenon tenocytes, and endotenon tenocytes were isolated from rabbit flexor tendons and cultured separately. Cell cultures were supplemented with 50 mM lactate, and the expression of three TGF-beta peptide isoforms (beta1, beta2, and beta3) and three receptor isoforms (R1, R2, and R3) was quantified with enzyme-linked immunosorbent assays. TGF-beta functional activity was also assessed with the addition of tendon cell conditioned media to mink lung epithelial cells transfected with a luciferase reporter gene expression construct responsive to TGF-beta. Supplementation of the cell culture medium with lactate significantly (p &lt; 0.05) increased the expression of all TGF-beta peptide and receptor isoforms in all three cell lines. Tendon sheath fibroblasts exhibited the greatest increases in beta1 and beta2 peptide isoform expression (30 and 23 percent, respectively), whereas endotenon tenocytes demonstrated the greatest increase in beta3 peptide expression (32 percent). Epitenon tenocytes exhibited the greatest increases in receptor isoform R1 and R2 expression (17 and 19 percent, respectively). All three tendon cell types demonstrated significant (p &lt; 0.05) increases in TGF-beta functional activity when exposed to lactate. Epitenon tenocytes demonstrated the greatest increase in activity (&gt;4 times control values), whereas tendon sheath fibroblasts demonstrated the highest overall levels of total TGF-beta functional activity. Lactate significantly increased TGF-beta peptide (beta1, beta2, and beta3) expression, receptor (R1, R2, and R3) expression, and functional activity, suggesting a common pathway regulating tendon cell collagen production. 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TGF-beta functional activity was also assessed with the addition of tendon cell conditioned media to mink lung epithelial cells transfected with a luciferase reporter gene expression construct responsive to TGF-beta. Supplementation of the cell culture medium with lactate significantly (p &lt; 0.05) increased the expression of all TGF-beta peptide and receptor isoforms in all three cell lines. Tendon sheath fibroblasts exhibited the greatest increases in beta1 and beta2 peptide isoform expression (30 and 23 percent, respectively), whereas endotenon tenocytes demonstrated the greatest increase in beta3 peptide expression (32 percent). Epitenon tenocytes exhibited the greatest increases in receptor isoform R1 and R2 expression (17 and 19 percent, respectively). All three tendon cell types demonstrated significant (p &lt; 0.05) increases in TGF-beta functional activity when exposed to lactate. Epitenon tenocytes demonstrated the greatest increase in activity (&gt;4 times control values), whereas tendon sheath fibroblasts demonstrated the highest overall levels of total TGF-beta functional activity. Lactate significantly increased TGF-beta peptide (beta1, beta2, and beta3) expression, receptor (R1, R2, and R3) expression, and functional activity, suggesting a common pathway regulating tendon cell collagen production. 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Graft diseases</subject><subject>Tendon Injuries - metabolism</subject><subject>Tendons - cytology</subject><subject>Tendons - metabolism</subject><subject>Transforming Growth Factor beta - biosynthesis</subject><subject>Transforming Growth Factor beta - pharmacology</subject><subject>Up-Regulation</subject><subject>Wound Healing</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0FFLwzAQB_AgipvTryBB0LfW5JI0jW8y3BQGis7nkjbJVuna2rS6fS0_iJ_JFifey3HH7_4Ph9AFJSElSl4TGj49v4SkL0qoABVySSIIGT9A42EOOHA4RGNCGASUCBihE-_fei5ZJI7RiHIpYgAxRutZYbdVg1tbmqrEn1VXGry2usjLFc5L_JG3TXWDFzprdWtxVweNXXWFbvNeVw4v57Pg-wvbbd1Y74el7gNcV2aD0AXuD_M-ZHeKjpwuvD3b9wl6nd0tp_fB4nH-ML1dBBko3gaWgVbcWSVinrI0Mko6Kg0IBSyOwUoCWoKDlGTOOiOk4U5zk0mnjIuBsAm6-s2tm-q9s75NNrnPbFHo0ladT2JCGZBogOd72KUba5K6yTe62SV_v-nB5R5on-nCNbrMcv_vBBcxUYr9ACzhdxo</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>YALAMANCHI, Naveen</creator><creator>KLEIN, Matthew B</creator><creator>PHAM, Hung M</creator><creator>LONGAKER, Michael T</creator><creator>CHANG, James</creator><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20040201</creationdate><title>Flexor tendon wound healing in vitro: Lactate up-regulation of TGF-β expression and functional activity</title><author>YALAMANCHI, Naveen ; KLEIN, Matthew B ; PHAM, Hung M ; LONGAKER, Michael T ; CHANG, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c294t-e32a94fe9584b3b6d97f17d25923882e702a72f2b0cfefd57d4fa4dc7f9df8203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Biological Assay</topic><topic>Cell Line</topic><topic>Cells, Cultured</topic><topic>Enzyme-Linked Immunosorbent Assay</topic><topic>Forelimb</topic><topic>Lactic Acid - pharmacology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Rabbits</topic><topic>Receptors, Transforming Growth Factor beta - biosynthesis</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendon Injuries - metabolism</topic><topic>Tendons - cytology</topic><topic>Tendons - metabolism</topic><topic>Transforming Growth Factor beta - biosynthesis</topic><topic>Transforming Growth Factor beta - pharmacology</topic><topic>Up-Regulation</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YALAMANCHI, Naveen</creatorcontrib><creatorcontrib>KLEIN, Matthew B</creatorcontrib><creatorcontrib>PHAM, Hung M</creatorcontrib><creatorcontrib>LONGAKER, Michael T</creatorcontrib><creatorcontrib>CHANG, James</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YALAMANCHI, Naveen</au><au>KLEIN, Matthew B</au><au>PHAM, Hung M</au><au>LONGAKER, Michael T</au><au>CHANG, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexor tendon wound healing in vitro: Lactate up-regulation of TGF-β expression and functional activity</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>113</volume><issue>2</issue><spage>625</spage><epage>632</epage><pages>625-632</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Flexor tendon wound healing in zone II is complicated by adhesions to the surrounding fibro-osseous sheath. These adhesions can significantly alter tendon gliding and ultimately hand function. Lactate and transforming growth factor-beta (TGF-beta) are two important mediators of wound healing that have been demonstrated to independently increase collagen production by cells of the tendon sheath, epitenon, and endotenon. This study examined the effects of lactate on TGF-beta peptide and receptor production by flexor tendon cells. Tendon sheath fibroblasts, epitenon tenocytes, and endotenon tenocytes were isolated from rabbit flexor tendons and cultured separately. Cell cultures were supplemented with 50 mM lactate, and the expression of three TGF-beta peptide isoforms (beta1, beta2, and beta3) and three receptor isoforms (R1, R2, and R3) was quantified with enzyme-linked immunosorbent assays. TGF-beta functional activity was also assessed with the addition of tendon cell conditioned media to mink lung epithelial cells transfected with a luciferase reporter gene expression construct responsive to TGF-beta. Supplementation of the cell culture medium with lactate significantly (p &lt; 0.05) increased the expression of all TGF-beta peptide and receptor isoforms in all three cell lines. Tendon sheath fibroblasts exhibited the greatest increases in beta1 and beta2 peptide isoform expression (30 and 23 percent, respectively), whereas endotenon tenocytes demonstrated the greatest increase in beta3 peptide expression (32 percent). Epitenon tenocytes exhibited the greatest increases in receptor isoform R1 and R2 expression (17 and 19 percent, respectively). All three tendon cell types demonstrated significant (p &lt; 0.05) increases in TGF-beta functional activity when exposed to lactate. Epitenon tenocytes demonstrated the greatest increase in activity (&gt;4 times control values), whereas tendon sheath fibroblasts demonstrated the highest overall levels of total TGF-beta functional activity. Lactate significantly increased TGF-beta peptide (beta1, beta2, and beta3) expression, receptor (R1, R2, and R3) expression, and functional activity, suggesting a common pathway regulating tendon cell collagen production. Modulation of lactate and TGF-beta levels may provide a means of modulating the effects of TGF-beta on adhesion formation in flexor tendon wound healing.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>14758225</pmid><doi>10.1097/01.PRS.0000101529.47062.34</doi><tpages>8</tpages></addata></record>
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subjects Animals
Biological and medical sciences
Biological Assay
Cell Line
Cells, Cultured
Enzyme-Linked Immunosorbent Assay
Forelimb
Lactic Acid - pharmacology
Male
Medical sciences
Rabbits
Receptors, Transforming Growth Factor beta - biosynthesis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tendon Injuries - metabolism
Tendons - cytology
Tendons - metabolism
Transforming Growth Factor beta - biosynthesis
Transforming Growth Factor beta - pharmacology
Up-Regulation
Wound Healing
title Flexor tendon wound healing in vitro: Lactate up-regulation of TGF-β expression and functional activity
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