Sustained Exposure of Substance P Causes Tendinopathy.

Int J Mol Sci

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seong-nam 13496, Korea.

Published: November 2020

AI Article Synopsis

  • Recent research highlights the dual role of substance P (SP) in tendon health, with some studies linking it to inflammation and tendinopathy while others associate it with tendon healing.
  • The study hypothesized that prolonged exposure to SP could lead to tendinopathy, confirming this through experiments that showed detrimental effects on tendon strength and structure after 10-day SP exposure.
  • Findings indicate that ongoing SP exposure correlates with worsening tendinopathic changes, suggesting potential for targeting SP in future treatments for patients suffering from tendinopathy.

Article Abstract

Recently, neuromediators such as substance P (SP) have been found to be important factors in tendon homeostasis. Some studies have found SP to be the cause of inflammation and tendinopathy, whereas others have determined it to be a critical component of tendon healing. As demonstrated by these conflicting findings, the effects of SP on tendinopathy remain unclear. In this study, we hypothesized that the duration of SP exposure determines its effect on the tendons, with repetitive long-term exposure leading to the development of tendinopathy. First, we verified the changes in gene and protein expression using in vitro tenocytes with 10-day exposure to SP. SP and SP + Run groups were injected with SP in their Achilles tendon every other day for 14 days. Achilles tendons were then harvested for biomechanical testing and histological processing. Notably, tendinopathic changes with decreased tensile strength, as observed in the Positive Control, were observed in the Achilles in the SP group compared to the Negative Control. Subsequent histological analysis, including Alcian blue staining, also revealed alterations in the Achilles tendon, which were generally consistent with the findings of tendinopathy in SP and SP + Run groups. Immunohistochemical analysis revealed increased expression of SP in the SP group, similar to the Positive Control. In general, the SP + Run group showed worse tendinopathic changes. These results suggest that sustained exposure to SP may be involved in the development of tendinopathy. Future research on inhibiting SP is warranted to target SP in the treatment of tendinopathy and may be beneficial to patients with tendinopathy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709031PMC
http://dx.doi.org/10.3390/ijms21228633DOI Listing

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