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Spatiotemporal and microstructural characterization of heterotopic ossification in healing rat Achilles tendons

Pierantoni, Maria LU ; Hammerman, Malin LU ; Silva Barreto, Isabella LU orcid ; Larsson, Daniel ; Notermans, Thomas LU ; Bodey, Andrew J. ; Eliasson, Pernilla and Isaksson, Hanna LU orcid (2023) In FASEB Journal 37(6).
Abstract

Achilles tendon rupture is a common debilitating medical condition. The healing process is slow and can be affected by heterotopic ossification (HO), which occurs when pathologic bone-like tissue is deposited instead of the soft collagenous tendon tissue. Little is known about the temporal and spatial progression of HO during Achilles tendon healing. In this study we characterize HO deposition, microstructure, and location at different stages of healing in a rat model. We use phase contrast-enhanced synchrotron microtomography, a state-of-the-art technique that allows 3D imaging at high-resolution of soft biological tissues without invasive or time-consuming sample preparation. The results increase our understanding of HO deposition,... (More)

Achilles tendon rupture is a common debilitating medical condition. The healing process is slow and can be affected by heterotopic ossification (HO), which occurs when pathologic bone-like tissue is deposited instead of the soft collagenous tendon tissue. Little is known about the temporal and spatial progression of HO during Achilles tendon healing. In this study we characterize HO deposition, microstructure, and location at different stages of healing in a rat model. We use phase contrast-enhanced synchrotron microtomography, a state-of-the-art technique that allows 3D imaging at high-resolution of soft biological tissues without invasive or time-consuming sample preparation. The results increase our understanding of HO deposition, from the early inflammatory phase of tendon healing, by showing that the deposition is initiated as early as one week after injury in the distal stump and mostly growing on preinjury HO deposits. Later, more deposits form first in the stumps and then all over the tendon callus, merging into large, calcified structures, which occupy up to 10% of the tendon volume. The HOs were characterized by a looser connective trabecular-like structure and a proteoglycan-rich matrix containing chondrocyte-like cells with lacunae. The study shows the potential of 3D imaging at high-resolution by phase-contrast tomography to better understand ossification in healing tendons.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
endochondral, mineralization template, pathologic calcification, synchrotron imaging
in
FASEB Journal
volume
37
issue
6
article number
e22979
publisher
Wiley
external identifiers
  • pmid:37219456
  • scopus:85160564560
ISSN
0892-6638
DOI
10.1096/fj.202201018RRR
language
English
LU publication?
yes
id
4477f687-c8be-4fa2-aec2-1e859e81f889
date added to LUP
2023-08-21 14:25:30
date last changed
2024-04-20 01:08:51
@article{4477f687-c8be-4fa2-aec2-1e859e81f889,
  abstract     = {{<p>Achilles tendon rupture is a common debilitating medical condition. The healing process is slow and can be affected by heterotopic ossification (HO), which occurs when pathologic bone-like tissue is deposited instead of the soft collagenous tendon tissue. Little is known about the temporal and spatial progression of HO during Achilles tendon healing. In this study we characterize HO deposition, microstructure, and location at different stages of healing in a rat model. We use phase contrast-enhanced synchrotron microtomography, a state-of-the-art technique that allows 3D imaging at high-resolution of soft biological tissues without invasive or time-consuming sample preparation. The results increase our understanding of HO deposition, from the early inflammatory phase of tendon healing, by showing that the deposition is initiated as early as one week after injury in the distal stump and mostly growing on preinjury HO deposits. Later, more deposits form first in the stumps and then all over the tendon callus, merging into large, calcified structures, which occupy up to 10% of the tendon volume. The HOs were characterized by a looser connective trabecular-like structure and a proteoglycan-rich matrix containing chondrocyte-like cells with lacunae. The study shows the potential of 3D imaging at high-resolution by phase-contrast tomography to better understand ossification in healing tendons.</p>}},
  author       = {{Pierantoni, Maria and Hammerman, Malin and Silva Barreto, Isabella and Larsson, Daniel and Notermans, Thomas and Bodey, Andrew J. and Eliasson, Pernilla and Isaksson, Hanna}},
  issn         = {{0892-6638}},
  keywords     = {{endochondral; mineralization template; pathologic calcification; synchrotron imaging}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{Wiley}},
  series       = {{FASEB Journal}},
  title        = {{Spatiotemporal and microstructural characterization of heterotopic ossification in healing rat Achilles tendons}},
  url          = {{https://lup.lub.lu.se/search/files/167263552/Pierantoni_FASEB_2023.pdf}},
  doi          = {{10.1096/fj.202201018RRR}},
  volume       = {{37}},
  year         = {{2023}},
}