Biology subjects

Ackerman, J.

Publications and source records attributed to Ackerman, J..

2 recordsLinked to original sources

bioRxiv2019

Cell non-autonomous functions of S100a4 drive fibrotic tendon healing

Identification of pro-regenerative approaches to improve tendon healing is of critical importance given the diminished quality of life and physical function that accompanies the typical fibrotic response to tendon injury. S100a4 modulates fibrosis through tissue-type dependent mechanisms, and the role of S100a4 in fibrotic, scar-mediated tendon healing has not been established. In the present study we tested the hypothesis that inhibition of S100a4 improves tendon function following acute injury and surgical repair. We demonstrate cell non-autonomous functions of S100a4 as S100a4 haploinsufficiency promotes regenerative tendon healing, including decreased scar formation and improved mechanical properties. Moreover, inhibition of S100a4 via antagonism of its putative receptor, the Receptor for Advanced Glycation Endproducts (RAGE), also decreases scar formation. Mechanistically, knock-down of S100a4 decreases myofibroblast and macrophage content at the site of injury, with both cell populations being key drivers of fibrotic progression. In contrast, S100a4+ cell depletion displays time-dependent effects on scar formation, and consistent impairments in restoration of mechanical properties, indicating a critical role for these cells in re-establishing tendon strength after injury. Finally, we demonstrate, that S100a4-lineage cells become -SMA+ myofibroblasts, via loss of S100a4 expression. Using a combination of genetic mouse models, small molecule inhibitors and in vitro studies we have defined S100a4 as a novel, promising therapeutic candidate to improve tendon function after acute injury.

cell biology↗

bioRxiv2018

Non-invasive ultrasound quantification of Scar Tissue Volume predicts functional changes during tendon healing

Tendon injuries are very common and disrupt the transmission of forces from muscle to bone, leading to impaired function and quality of life. Successful restoration of tendon function after injury is a challenging clinical problem due to the pathological, scar-mediated manner in which tendons heal. Currently, there are no standard treatments to modulate scar tissue formation and improve tendon healing. A major limitation to the identification of therapeutic candidates has been the reliance on terminal end-point metrics of healing in pre-clinical studies, which require a large number of animals and result in destruction of the tissue. To address this limitation, we have identified quantification of Scar Tissue Volume (STV) from ultrasound imaging as a longitudinal, non-invasive metric of tendon healing. STV was strongly correlated with established endpoint metrics of gliding function including Gliding Resistance (GR) and Metatarsophalangeal (MTP) Flexion Angle. However, no associations were observed between STV and tensile mechanical properties. To define the sensitivity of STV to identify differences between functionally discrete tendon healing phenotypes, we utilized S100a4 haploinsufficient mice (S100a4GFP/+), which heal with improved gliding function relative to wildtype (WT) littermates. A significant decrease in STV was observed in S100a4GFP/+repairs, relative to WT at day 14. Taken together, these data suggest US quantification of STV as a means to facilitate the rapid screening of biological and pharmacological interventions to improve tendon healing, and identify promising therapeutic targets, in an efficient, cost-effective manner.

bioengineering↗