Macroscopic ‘degeneration’ of equine superficial digital flexor tendon is accompanied by a change in extracellular matrix composition.
Abstract: Injuries to the superficial digital flexor tendon are common in horses required to gallop and jump at speed. Partial rupture of this tendon usually occurs in the central core of the midmetacarpal region and may be preceded by localised degenerative changes. Post mortem examination of apparently normal equine flexor tendons has revealed an abnormal macroscopic appearance in the central core, characterised by a reddish discolouration. We have previously shown that there is also physical damage to the collagen fibres. In the present study we tested the hypothesis that the abnormal appearance is accompanied by changes in the composition of the extracellular matrix of the tendon. Biochemical analysis of the extracellular matrix demonstrated an increase in total sulphated glycosaminoglycan content, increase in the proportion of type III collagen and decrease in collagen linked fluorescence in the central core of 'degenerated' tendons relative to tissue from the peripheral region of the same tendon. Dry matter content and total collagen content were not significantly different between tendon zones or normal and 'degenerated' tendons. These changes suggest a change in cell metabolism and matrix turnover in the central core of the tendon and are likely to contribute to a decrease in mechanical properties in this part of the tendon, predisposing to the characteristic partial rupture of the tendon.
Publication Date: 1998-12-09 PubMed ID: 9844973DOI: 10.1111/j.2042-3306.1998.tb04530.xGoogle Scholar: Lookup
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- Journal Article
Summary
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This study investigates the changes in the composition of the extracellular matrix of the superficial digital flexor tendon in horses in cases of ‘degeneration.’ The results showed an increase in total sulphated glycosaminoglycan content and type III collagen as well as a decrease in collagen linked fluorescence, suggesting altered cell metabolism and matrix turnover that may contribute to the weakening of the tendon.
Background
- The research is concerned with the state of the superficial digital flexor tendon in horses, the injury of which is frequent in horses required to perform fast or jumping movements.
- Such injuries, particularly the partial rupture of the tendon, often happen in the central core of the midmetacarpal region and could potentially be a consequence of localized degenerative changes.
Investigation and Findings
- Post mortem examination of seemingly normal equine flexor tendons displayed an abnormal macroscopic appearance in the central core, including a peculiar reddish color, which was previously connected to physical damage to the collagen fibres.
- This study’s premise was the abnormal appearance of the tendon, theorizing that it is caused by changes in the composition of the tendon’s extracellular matrix, the biological ‘glue’ that holds cells together.
- The biochemical analysis of the extracellular matrix showed an increase in total sulphated glycosaminoglycan content and in the ratio of type III collagen, both of which are integral parts of connective tissues, which tendons are a type of.
- In contrast, the amount of collagen-linked fluorescence in the central core of ‘degenerated’ tendons diminished relative to tissues from peripheral regions of the same tendon.
- Despite these changes, the dry matter content and the overall collagen content revealed no significant difference, staying consistent between normal and ‘degenerated’ tendons or different tendon zones.
Significance of the Findings
- The changes in the composition of the extracellular matrix could suggest a shift in cell metabolism and matrix turnover within the central core of the tendon.
- These changes could contribute to a decrease in mechanical properties in this part of the tendon, making it more susceptible to typical partial rupture of the tendon.
Cite This Article
APA
Birch HL, Bailey AJ, Goodship AE.
(1998).
Macroscopic ‘degeneration’ of equine superficial digital flexor tendon is accompanied by a change in extracellular matrix composition.
Equine Vet J, 30(6), 534-539.
https://doi.org/10.1111/j.2042-3306.1998.tb04530.x Publication
Researcher Affiliations
- Veterinary Basic Sciences, Royal Veterinary College, North Mymms, Hatfield, UK.
MeSH Terms
- Animals
- Collagen / analysis
- DNA / analysis
- Extracellular Matrix / chemistry
- Glycosaminoglycans / analysis
- Horses / injuries
- Horses / physiology
- Immunohistochemistry
- Rupture / veterinary
- Tendon Injuries / metabolism
- Tendon Injuries / pathology
- Tendon Injuries / veterinary
- Tendons / chemistry
- Tendons / pathology
- Water / analysis
Citations
This article has been cited 40 times.- Abdelhakiem MAH, Hussein A, Seleim SM, Abdelbaset AE, Abd-Elkareem M. Silver nanoparticles and platelet-rich fibrin accelerate tendon healing in donkey. Sci Rep 2023 Feb 28;13(1):3421.
- Hwang J, Lee SY, Jo CH. Degenerative tendon matrix induces tenogenic differentiation of mesenchymal stem cells. J Exp Orthop 2023 Feb 14;10(1):15.
- Yin NH, Parker AW, Matousek P, Birch HL. Chemical Markers of Human Tendon Health Identified Using Raman Spectroscopy: Potential for In Vivo Assessment. Int J Mol Sci 2022 Nov 27;23(23).
- Iimori M, Tamura N, Seki K, Kasashima Y. Relationship between the ultrasonographic findings of suspected superficial digital flexor tendon injury and the prevalence of subsequent severe superficial digital flexor tendon injuries in Thoroughbred horses: a retrospective study. J Vet Med Sci 2022 Feb 23;84(2):261-265.
- Kolhe R, Ghilzai U, Mondal AK, Pundkar C, Ahluwalia P, Sahajpal NS, Chen J, Isales CM, Fulcher M, Fulzele S. Nanostring-Based Identification of the Gene Expression Profile in Trigger Finger Samples. Healthcare (Basel) 2021 Nov 20;9(11).
- Cho Y, Kim HS, Kang D, Kim H, Lee N, Yun J, Kim YJ, Lee KM, Kim JH, Kim HR, Hwang YI, Jo CH, Kim JH. CTRP3 exacerbates tendinopathy by dysregulating tendon stem cell differentiation and altering extracellular matrix composition. Sci Adv 2021 Nov 19;7(47):eabg6069.
- Izumi S, Oichi T, Shetye SS, Zhang K, Wilson K, Iwamoto M, Kuo CK, Akabudike N, Adachi N, Soslowsky LJ, Enomoto-Iwamoto M. Inhibition of glucose use improves structural recovery of injured Achilles tendon in mice. J Orthop Res 2022 Jun;40(6):1409-1419.
- Pownder SL, Hayashi K, Lin BQ, Meyers KN, Caserto BG, Breighner RE, Potter HG, Koff MF. Differences in the magnetic resonance imaging parameter T2* may be identified during the course of canine patellar tendon healing: a pilot study. Quant Imaging Med Surg 2021 Apr;11(4):1234-1246.
- Depuydt E, Broeckx SY, Van Hecke L, Chiers K, Van Brantegem L, van Schie H, Beerts C, Spaas JH, Pille F, Martens A. The Evaluation of Equine Allogeneic Tenogenic Primed Mesenchymal Stem Cells in a Surgically Induced Superficial Digital Flexor Tendon Lesion Model. Front Vet Sci 2021;8:641441.
- Nash A, Notou M, Lopez-Clavijo AF, Bozec L, de Leeuw NH, Birch HL. Glucosepane is associated with changes to structural and physical properties of collagen fibrils. Matrix Biol Plus 2019 Nov;4:100013.
- Godinho MS, Thorpe CT, Greenwald SE, Screen HRC. Elastase treatment of tendon specifically impacts the mechanical properties of the interfascicular matrix. Acta Biomater 2021 Mar 15;123:187-196.
- Ribitsch I, Gueltekin S, Keith MF, Minichmair K, Peham C, Jenner F, Egerbacher M. Age-related changes of tendon fibril micro-morphology and gene expression. J Anat 2020 Apr;236(4):688-700.
- Turlo AJ, Ashraf Kharaz Y, Clegg PD, Anderson J, Peffers MJ. Donor age affects proteome composition of tenocyte-derived engineered tendon. BMC Biotechnol 2018 Jan 16;18(1):2.
- Geburek F, Roggel F, van Schie HTM, Beineke A, Estrada R, Weber K, Hellige M, Rohn K, Jagodzinski M, Welke B, Hurschler C, Conrad S, Skutella T, van de Lest C, van Weeren R, Stadler PM. Effect of single intralesional treatment of surgically induced equine superficial digital flexor tendon core lesions with adipose-derived mesenchymal stromal cells: a controlled experimental trial. Stem Cell Res Ther 2017 Jun 5;8(1):129.
- Zhou Y, Wang JH. PRP Treatment Efficacy for Tendinopathy: A Review of Basic Science Studies. Biomed Res Int 2016;2016:9103792.
- Thorpe CT, Peffers MJ, Simpson D, Halliwell E, Screen HR, Clegg PD. Anatomical heterogeneity of tendon: Fascicular and interfascicular tendon compartments have distinct proteomic composition. Sci Rep 2016 Feb 4;6:20455.
- Geburek F, Lietzau M, Beineke A, Rohn K, Stadler PM. Effect of a single injection of autologous conditioned serum (ACS) on tendon healing in equine naturally occurring tendinopathies. Stem Cell Res Ther 2015 Jun 26;6(1):126.
- Peffers MJ, Fang Y, Cheung K, Wei TK, Clegg PD, Birch HL. Transcriptome analysis of ageing in uninjured human Achilles tendon. Arthritis Res Ther 2015 Feb 18;17(1):33.
- Youngstrom DW, Rajpar I, Kaplan DL, Barrett JG. A bioreactor system for in vitro tendon differentiation and tendon tissue engineering. J Orthop Res 2015 Jun;33(6):911-8.
- Peffers MJ, Thorpe CT, Collins JA, Eong R, Wei TK, Screen HR, Clegg PD. Proteomic analysis reveals age-related changes in tendon matrix composition, with age- and injury-specific matrix fragmentation. J Biol Chem 2014 Sep 12;289(37):25867-78.
- Dakin SG, Dudhia J, Smith RK. Resolving an inflammatory concept: the importance of inflammation and resolution in tendinopathy. Vet Immunol Immunopathol 2014 Apr 15;158(3-4):121-7.
- Dakin SG, Smith RK, Heinegård D, Önnerfjord P, Khabut A, Dudhia J. Proteomic analysis of tendon extracellular matrix reveals disease stage-specific fragmentation and differential cleavage of COMP (cartilage oligomeric matrix protein). J Biol Chem 2014 Feb 21;289(8):4919-27.
- Youngstrom DW, Barrett JG, Jose RR, Kaplan DL. Functional characterization of detergent-decellularized equine tendon extracellular matrix for tissue engineering applications. PLoS One 2013;8(5):e64151.
- Thorpe CT, Birch HL, Clegg PD, Screen HR. The role of the non-collagenous matrix in tendon function. Int J Exp Pathol 2013 Aug;94(4):248-59.
- Dakin SG, Dudhia J, Werling NJ, Werling D, Abayasekara DR, Smith RK. Inflamm-aging and arachadonic acid metabolite differences with stage of tendon disease. PLoS One 2012;7(11):e48978.
- Södersten F, Hultenby K, Heinegård D, Johnston C, Ekman S. Immunolocalization of collagens (I and III) and cartilage oligomeric matrix protein in the normal and injured equine superficial digital flexor tendon. Connect Tissue Res 2013;54(1):62-9.
- Spaas JH, Guest DJ, Van de Walle GR. Tendon regeneration in human and equine athletes: Ubi Sumus-Quo Vadimus (where are we and where are we going to)?. Sports Med 2012 Oct 1;42(10):871-90.
- Thorpe CT, Udeze CP, Birch HL, Clegg PD, Screen HR. Specialization of tendon mechanical properties results from interfascicular differences. J R Soc Interface 2012 Nov 7;9(76):3108-17.
- Watanabe T, Imamura Y, Suzuki D, Hosaka Y, Ueda H, Hiramatsu K, Takehana K. Concerted and adaptive alignment of decorin dermatan sulfate filaments in the graded organization of collagen fibrils in the equine superficial digital flexor tendon. J Anat 2012 Feb;220(2):156-63.
- Sun HB, Andarawis-Puri N, Li Y, Fung DT, Lee JY, Wang VM, Basta-Pljakic J, Leong DJ, Sereysky JB, Ros SJ, Klug RA, Braman J, Schaffler MB, Jepsen KJ, Flatow EL. Cycle-dependent matrix remodeling gene expression response in fatigue-loaded rat patellar tendons. J Orthop Res 2010 Oct;28(10):1380-6.
- Thorpe CT, Streeter I, Pinchbeck GL, Goodship AE, Clegg PD, Birch HL. Aspartic acid racemization and collagen degradation markers reveal an accumulation of damage in tendon collagen that is enhanced with aging. J Biol Chem 2010 May 21;285(21):15674-81.
- Xu Y, Murrell GA. The basic science of tendinopathy. Clin Orthop Relat Res 2008 Jul;466(7):1528-38.
- Stanley RL, Fleck RA, Becker DL, Goodship AE, Ralphs JR, Patterson-Kane JC. Gap junction protein expression and cellularity: comparison of immature and adult equine digital tendons. J Anat 2007 Sep;211(3):325-34.
- Birch HL. Tendon matrix composition and turnover in relation to functional requirements. Int J Exp Pathol 2007 Aug;88(4):241-8.
- Firth EC. The response of bone, articular cartilage and tendon to exercise in the horse. J Anat 2006 Apr;208(4):513-26.
- Halper J, Kim B, Khan A, Yoon JH, Mueller PO. Degenerative suspensory ligament desmitis as a systemic disorder characterized by proteoglycan accumulation. BMC Vet Res 2006 Apr 12;2:12.
- Kostyuk O, Birch HL, Mudera V, Brown RA. Structural changes in loaded equine tendons can be monitored by a novel spectroscopic technique. J Physiol 2004 Feb 1;554(Pt 3):791-801.
- Scharf A, Acutt E, Bills K, Werpy N. Magnetic resonance imaging for diagnosing and managing deep digital flexor tendinopathy in equine athletes: Insights, advances and future directions. Equine Vet J 2025 Sep;57(5):1183-1203.
- Jacklin BD, Hanousek K, Gillespie S, Liedtke A, Tucker R, Fiske-Jackson A, Smith RK. Validation of a novel clinical tool for monitoring distal limb stiffness. Front Vet Sci 2023;10:1271036.
- Mienaltowski MJ, Callahan M, Gonzales NL, Wong A. Examining the Potential of Vitamin C Supplementation in Tissue-Engineered Equine Superficial Digital Flexor Tendon Constructs. Int J Mol Sci 2023 Dec 4;24(23).
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