Abstract

The present study was conducted to establish the amount of mechanical strain (uniaxial cyclic stretching) required to provide optimal tenogenic differentiation expression in human mesenchymal stromal cells (hMSCs) in vitro, in view of its potential application for tendon maintenance and regeneration. Methods. In the present study, hMSCs were subjected to 1 Hz uniaxial cyclic stretching for 6, 24, 48, and 72 hours; and were compared to unstretched cells. Changes in cell morphology were observed under light and atomic force microscopy. The tenogenic, osteogenic, adipogenic, and chondrogenic differentiation potential of hMSCs were evaluated using biochemical assays, extracellular matrix expressions, and selected mesenchyme gene expression markers; and were compared to primary tenocytes. Results. Cells subjected to loading displayed cytoskeletal coarsening, longer actin stress fiber, and higher cell stiffness as early as 6 hours. At 8% and 12% strains, an increase in collagen I, collagen III, fibronectin, and N-cadherin production was observed. Tenogenic gene expressions were highly expressed (p < 0.05) at 8% (highest) and 12%, both comparable to tenocytes. In contrast, the osteoblastic, chondrogenic, and adipogenic marker genes appeared to be downregulated. Conclusion. Our study suggests that mechanical loading at 8% strain and 1 Hz provides exclusive tenogenic differentiation; and produced comparable protein and gene expression to primary tenocytes.

Highlights

  • Bone marrow-derived mesenchymal stromal cells (MSCs) have the ability to undergo multilineage differentiation and, when introduced into damaged tendon, have been shown to result in superior repair outcomes [1, 2]

  • To determine the effects of uniaxial cyclic strain on cell morphology and organization, human MSCs (hMSCs) were exposed to uniaxial strain under predetermined experimental conditions

  • Our current study demonstrates that uniaxial stretching over a period of time provides exclusive tenogenic lineage differentiation ability in hMSCs

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Summary

Introduction

Bone marrow-derived mesenchymal stromal cells (MSCs) have the ability to undergo multilineage differentiation and, when introduced into damaged tendon, have been shown to result in superior repair outcomes [1, 2]. There have been concerns that undifferentiated cells may possibly progress towards unwanted cell lineages when transplanted into tissues, resulting in patient morbidity [3, 4]. An example to demonstrate such phenomenon would be in the formation of osteoblastic cells when human MSCs (hMSCs) are transplanted into the cartilage tissue [5]. Several methods can be employed to direct hMSCs towards a particular lineage. In the past, these have included hormonal, ionic, and environmental manipulation [7]. One of the mechanisms that can be readily used on these cells but not often described in literature is mechanical signalling [8]

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