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Mechanisms of action of mesenchymal stromal cells in equine tendon healing: Tenogenic matrix remodeling in advanced tendon disease

Subject Area Veterinary Medical Science
Term from 2014 to 2025
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 265078493
 
Final Report Year 2025

Final Report Abstract

The treatment of equine tendon disease with multipotent mesenchymal stromal cells (MSC) has so far shown great promise in acute disease stages, but has been less successful in chronic stages, which are associated with substantial alterations of the tendon extracellular matrix. MSC are capable to synthesize and release matrix remodeling enzymes as well as matrix components, which could be key to restoring a healthy and functional matrix. However, knowlegde was lacking on whether the altered matrix in chronic disease impacts on MSC functional properties, thereby potentially compromising MSC matrix-modulatory potency. In this project, we established a novel cell culture model using tendon matrix scaffolds from horses with naturally occurring chronic tendon disease. We showed that while MSC tenogenic differentiation is not much affected by disease tendon matrix as compared to healthy tendon matrix, the expression of matrix remodeling enzymes and collagens is decreased in the disease environment, which could impair MSC efficacy in chronic tendon disease. Shedding light on the cross-talk between ECM- and tenogenic signaling, we showed that inhibition of the ROCK pathway reinforces TGF-b3-induced smad2/3 signaling and thereby tenogenic differentiation. Furthermore, we identified smad2/3 linker phosphorylation as a cross-talk mechanism of ECM- and TGF-b3 signaling. Last not least, first data show that ROCK inhibition and preconditioning of the MSC on collagen substrate could be a strategy to promote MSC matrix modulatory properties. The findings of the project add to our knowledge on MSC modes of action in disease environments and point towards possible therapeutic regimes for MSC-based tendon therapies for chronic tendon disease.

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