Musculoskeletal regeneration and its implications for the treatment of tendinopathy

Int J Exp Pathol. 2013 Aug;94(4):293-303. doi: 10.1111/iep.12031. Epub 2013 Jun 17.

Abstract

Tendinopathies are common muskoloskeletal injuries that lead to pain and disability. Development and pathogenesis of tendinopathy is attributed to progressive pathological changes to the structure, function, and biology of tendon. The nature of this disease state, whether acquired by acute or chronic injury, is being actively investigated. Scarring, disorganized tissue, and loss of function characterize adult tendon healing. Recent work from animal models has begun to reveal the potential for adult mammalian tendon regeneration, the replacement of diseased with innate tissue. This review discusses what is known about musculoskeletal regeneration from a molecular perspective and how these findings can be applied to tendinopathy. Non-mammalian and mammalian models are discussed with emphasis on the potential of Murphy Roths Large mice to serve as a model of adult tendon regeneration. Comparison of regeneration in non-mammals, foetal mammals and adult mammals emphasizes distinctly different contributing factors to effective regeneration.

Keywords: C57BL/6J; MRL; MRL/MpJ; healing; regeneration; scar-mediated; scarless; tendon.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Disease Models, Animal
  • Humans
  • Mice
  • Regeneration / physiology*
  • Tendinopathy / physiopathology
  • Tendinopathy / therapy*
  • Wound Healing / physiology*