Marsolais David, Duchesne Elise, Côté Claude H, Frenette Jérôme
Centre de Recherche du Centre Hospitalier Universitaire de Québec, Quebec City, Quebec, Canada.
J Appl Physiol (1985). 2007 Jan;102(1):11-7. doi: 10.1152/japplphysiol.00162.2006. Epub 2006 Aug 17.
Although inflammatory cells and their products are involved in various pathological processes, a possible role in tendon dysfunction has never been convincingly confirmed and extensively investigated. The goal of this study was to determine whether or not an acute inflammatory process deprived of mechanical trauma can induce nonspecific damages to intact collagen fibers. To induce leukocyte accumulation, carrageenan was injected into rat Achilles tendons. We first tested the effect of leukocyte recruitment on the concentrations or activities of matrix metalloproteinases and tissue inhibitors of matrix metalloproteinases. Second, we analyzed at the biochemical, histological, and biomechanical levels the impact of leukocyte invasion on tendons. Finally, collagen bundles isolated from rat-tail tendons were exposed in vitro to mechanical stress and/or inflammatory cells to determine if mechanical loading could protect tendons from the leukocyte proteolytic activity. Carrageenan-induced leukocyte accumulation was associated with an increased matrix metalloproteinase activity and a decreased content of tissue inhibitors of matrix metalloproteinases. However, hydroxyproline content and load to failure did not change significantly in these tendons. Interestingly, mechanical stress, when applied in vitro, protected collagen bundles from inflammatory cell-induced deterioration. Together, our results suggest that acute inflammation does not induce damages to intact and mechanically stressed collagen fibers. This protective effect would not rely on increased tissue inhibitors of matrix metalloproteinases content but would rather be conferred to the intrinsic resistance of mechanically loaded collagen fibers to proteolytic degradation.
尽管炎症细胞及其产物参与了各种病理过程,但它们在肌腱功能障碍中可能发挥的作用从未得到令人信服的证实和广泛研究。本研究的目的是确定无机械创伤的急性炎症过程是否会对完整的胶原纤维造成非特异性损伤。为诱导白细胞聚集,将角叉菜胶注射到大鼠跟腱中。我们首先测试了白细胞募集对基质金属蛋白酶浓度或活性以及基质金属蛋白酶组织抑制剂的影响。其次,我们在生化、组织学和生物力学水平上分析了白细胞浸润对肌腱的影响。最后,将从大鼠尾腱分离的胶原束在体外暴露于机械应力和/或炎症细胞,以确定机械负荷是否能保护肌腱免受白细胞蛋白水解活性的影响。角叉菜胶诱导的白细胞聚集与基质金属蛋白酶活性增加和基质金属蛋白酶组织抑制剂含量降低有关。然而,这些肌腱中的羟脯氨酸含量和破坏负荷并未显著改变。有趣的是,体外施加机械应力可保护胶原束免受炎症细胞诱导的降解。总之,我们的结果表明急性炎症不会对完整且承受机械应力的胶原纤维造成损伤。这种保护作用并非依赖于基质金属蛋白酶组织抑制剂含量的增加,而是赋予了承受机械负荷的胶原纤维对蛋白水解降解的内在抗性。