Dose-Related and Time-Dependent Development of Collagenase-Induced Tendinopathy in Rats

PLoS One. 2016 Aug 22;11(8):e0161590. doi: 10.1371/journal.pone.0161590. eCollection 2016.

Abstract

Tendinopathy is a big burden in clinics and it represents 45% of musculoskeletal lesions. Despite the relevant social impact, both pathogenesis and development of the tendinopathy are still under-investigated, thus limiting the therapeutic advancement in this field. The purpose of this study was to evaluate the dose-dependent and time-related tissue-level changes occurring in a collagenase-induced tendinopathy in rat Achilles tendons, in order to establish a standardized model for future pre-clinical studies. With this purpose, 40 Sprague Dawley rats were randomly divided into two groups, treated by injecting collagenase type I within the Achilles tendon at 1 mg/mL (low dose) or 3 mg/mL (high dose). Tendon explants were histologically evaluated at 3, 7, 15, 30 and 45 days. Our results revealed that both the collagenase doses induced a disorganization of collagen fibers and increased the number of rounded resident cells. In particular, the high dose treatment determined a greater neovascularization and fatty degeneration with respect to the lower dose. These changes were found to be time-dependent and to resemble the features of human tendinopathy. Indeed, in our series, the acute phase occurred from day 3 to day 15, and then progressed towards the proliferative phase from day 30 to day 45 displaying a degenerative appearance associated with a very precocious and mild remodeling process. The model represents a good balance between similarity with histological features of human tendinopathy and feasibility, in terms of tendon size to create lesions and costs when compared to other animal models. Moreover, this model could contribute to improve the knowledge in this field, and it could be useful to properly design further pre-clinical studies to test innovative treatments for tendinopathy.

MeSH terms

  • Achilles Tendon / drug effects*
  • Achilles Tendon / metabolism
  • Achilles Tendon / pathology
  • Animals
  • Collagen / metabolism
  • Collagenases / administration & dosage*
  • Disease Models, Animal
  • Disease Progression
  • Dose-Response Relationship, Drug
  • Humans
  • Injections
  • Male
  • Neovascularization, Pathologic / chemically induced
  • Neovascularization, Pathologic / diagnosis*
  • Neovascularization, Pathologic / metabolism
  • Neovascularization, Pathologic / pathology
  • Rats
  • Rats, Sprague-Dawley
  • Tendinopathy / chemically induced
  • Tendinopathy / diagnosis*
  • Tendinopathy / metabolism
  • Tendinopathy / pathology
  • Time Factors
  • Wound Healing / physiology

Substances

  • Collagen
  • Collagenases
  • collagenase 1

Grants and funding

This work was funded by IGEA Clinical Biophysics SpA, and the authors have no competing financial interests to declare. The funder provided support in the form of salaries for the author SS, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of this author are articulated in the "author contributions."