Evidence of the TNF-α System in the Human Achilles Tendon: Expression of TNF-α and TNF Receptor at both Protein and mRNA Levels in the Tenocytes
Evidence of the TNF-α System in the Human Achilles Tendon: Expression of TNF-α and TNF Receptor at both Protein and mRNA Levels in the Tenocytes
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DOI:
10.1159/000335475
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发表时间:
2012-01-01
影响因子:
2.7
通讯作者:
Forsgren, Sture
中科院分区:
文献类型:
--
作者:
Gaida, James Edmund;Bagge, Johan;Forsgren, Sture
Understanding adaption to load is essential for prevention and treatment of tendinopathy/tendinosis. Cytokine release in response to load is one mechanism involved in mechanotransduction. The cytokine tumor necrosis factor alpha (TNF-alpha) is implicated in tendinosis and can induce apoptotic effects via tumor necrosis factor receptor 1 (INFR1). The complete absence of information concerning the TNF-alpha system in Achilles tendon is a limitation as mid-portion Achilles tendinosis is very frequent. Purpose: To examine expression patterns of INF-alpha and its two receptors (TNFR1 and TNFR2) in human Achilles tendinosis and control tissue and to biochemically confirm the presence of TNF-alpha in tendinosis tissue. Methods: TNF-a and TNFR1 mRNA were detected via in situ hybridization. TNF-alpha, TNFR1, and TNFR2 were demonstrated immunohistochemically. Apoptosis markers were utilized. ELISA was used to detect TNF-alpha. Results: TNF-alpha and TNFR1 mRNA was detected in tenocytes of both tendinosis and control tendons. Tenocytes from both groups displayed specific immunoreactions for TNF-alpha, TNFR1, and TNFR2. The widened/rounded tenocytes of tendinosis samples exhibited the most intense immunoreactions. Apoptosis was detected in only a subpopulation of the tenocytes in tendinosis tissue. TNF-alpha was measurable in tendinosis tissue. Inflammatory cells were not seen. Conclusion: This is the first evidence of the existence of the INF-alpha system in the human Achilles tendon. Findings are confirmed at mRNA and protein levels as well as biochemically. The TNF-alpha system was in principle confined to the tenocytes. The connection between tenocyte morphology and the expression pattern of TNF-alpha, TNFR1, and TNFR2 suggests that the TNF-alpha system may be involved in tenocyte activation in Achilles tendinosis. Copyright (c) 2012 S. Karger AG, Basel