Potential strain-dependent mechanisms defining matrix alignment in healing tendons.

Journal Article (Journal Article)

Tendon mechanical function after injury and healing is largely determined by its underlying collagen structure, which in turn is dependent on the degree of mechanical loading experienced during healing. Experimental studies have shown seemingly conflicting outcomes: although collagen content steadily increases with increasing loads, collagen alignment peaks at an intermediate load. Herein, we explored potential collagen remodeling mechanisms that could give rise to this structural divergence in response to strain. We adapted an established agent-based model of collagen remodeling in order to simulate various strain-dependent cell and collagen interactions that govern long-term collagen content and fiber alignment. Our simulation results show two collagen remodeling mechanisms that give rise to divergent collagen content and alignment in healing tendons: (1) strain-induced collagen fiber damage in concert with increased rates of deposition at higher strains, or (2) strain-dependent rates of enzymatic degradation. These model predictions identify critical future experiments needed to isolate each mechanism's specific contribution to the structure of healing tendons.

Full Text

Duke Authors

Cited Authors

  • Richardson, WJ; Kegerreis, B; Thomopoulos, S; Holmes, JW

Published Date

  • December 2018

Published In

Volume / Issue

  • 17 / 6

Start / End Page

  • 1569 - 1580

PubMed ID

  • 30003433

Pubmed Central ID

  • PMC6330133

Electronic International Standard Serial Number (EISSN)

  • 1617-7940

Digital Object Identifier (DOI)

  • 10.1007/s10237-018-1044-5


  • eng

Conference Location

  • Germany