Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models

Abstract Chronic rotator cuff tears (RCTs) are one of the most common injuries of shoulder pain. Despite the recent advances in surgical techniques and improved clinical outcomes of arthroscopically repaired rotator cuffs (RCs), complete functional recovery—without retear—of the RC tendon through te...

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Main Authors: Yonghyun Gwon, Woochan Kim, Sunho Park, Yang‐Kyung Kim, Hyoseong Kim, Myung‐Sun Kim, Jangho Kim
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Bioengineering & Translational Medicine
Subjects:
Online Access:https://doi.org/10.1002/btm2.10376
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author Yonghyun Gwon
Woochan Kim
Sunho Park
Yang‐Kyung Kim
Hyoseong Kim
Myung‐Sun Kim
Jangho Kim
author_facet Yonghyun Gwon
Woochan Kim
Sunho Park
Yang‐Kyung Kim
Hyoseong Kim
Myung‐Sun Kim
Jangho Kim
author_sort Yonghyun Gwon
collection DOAJ
description Abstract Chronic rotator cuff tears (RCTs) are one of the most common injuries of shoulder pain. Despite the recent advances in surgical techniques and improved clinical outcomes of arthroscopically repaired rotator cuffs (RCs), complete functional recovery—without retear—of the RC tendon through tendon‐to‐bone interface (TBI) regeneration remains a key clinical goal to be achieved. Inspired by the highly organized nanostructured extracellular matrix in RC tendon tissue, we propose herein a tissue‐engineered tendon nano‐construct (TNC) for RC tendon regeneration. When compared with two currently used strategies (i.e., transosseous sutures and stem cell injections), our nano‐construct facilitated more significant healing of all parts of the TBI (i.e., tendon, fibrocartilages, and bone) in both rabbit and pig RCT models owing to its enhancements in cell proliferation and differentiation, protein expression, and growth factor secretion. Overall, our findings demonstrate the high potential of this transplantable tendon nano‐construct for clinical repair of chronic RCTs.
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issn 2380-6761
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publishDate 2023-01-01
publisher Wiley
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series Bioengineering & Translational Medicine
spelling doaj-art-2b5d1a22cc0c4fd4ba18b053fdbd87072024-11-21T05:16:03ZengWileyBioengineering & Translational Medicine2380-67612023-01-0181n/an/a10.1002/btm2.10376Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal modelsYonghyun Gwon0Woochan Kim1Sunho Park2Yang‐Kyung Kim3Hyoseong Kim4Myung‐Sun Kim5Jangho Kim6Department of Convergence Biosystems Engineering Chonnam National University Gwangju Republic of KoreaDepartment of Convergence Biosystems Engineering Chonnam National University Gwangju Republic of KoreaDepartment of Convergence Biosystems Engineering Chonnam National University Gwangju Republic of KoreaDepartment of Physical and Rehabilitation Medicine Chonnam National University Medical School & Hospital Gwangju Republic of KoreaDepartment of Convergence Biosystems Engineering Chonnam National University Gwangju Republic of KoreaDepartment of Orthopaedic Surgery, Chonnam National University Medical School & Hospital Gwangju Republic of KoreaDepartment of Convergence Biosystems Engineering Chonnam National University Gwangju Republic of KoreaAbstract Chronic rotator cuff tears (RCTs) are one of the most common injuries of shoulder pain. Despite the recent advances in surgical techniques and improved clinical outcomes of arthroscopically repaired rotator cuffs (RCs), complete functional recovery—without retear—of the RC tendon through tendon‐to‐bone interface (TBI) regeneration remains a key clinical goal to be achieved. Inspired by the highly organized nanostructured extracellular matrix in RC tendon tissue, we propose herein a tissue‐engineered tendon nano‐construct (TNC) for RC tendon regeneration. When compared with two currently used strategies (i.e., transosseous sutures and stem cell injections), our nano‐construct facilitated more significant healing of all parts of the TBI (i.e., tendon, fibrocartilages, and bone) in both rabbit and pig RCT models owing to its enhancements in cell proliferation and differentiation, protein expression, and growth factor secretion. Overall, our findings demonstrate the high potential of this transplantable tendon nano‐construct for clinical repair of chronic RCTs.https://doi.org/10.1002/btm2.10376chronic rotator cuff tearslarge animal modeltendon nano‐constructtendon regenerationtendon‐to‐bone interface
spellingShingle Yonghyun Gwon
Woochan Kim
Sunho Park
Yang‐Kyung Kim
Hyoseong Kim
Myung‐Sun Kim
Jangho Kim
Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
Bioengineering & Translational Medicine
chronic rotator cuff tears
large animal model
tendon nano‐construct
tendon regeneration
tendon‐to‐bone interface
title Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
title_full Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
title_fullStr Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
title_full_unstemmed Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
title_short Tissue‐engineered tendon nano‐constructs for repair of chronic rotator cuff tears in large animal models
title_sort tissue engineered tendon nano constructs for repair of chronic rotator cuff tears in large animal models
topic chronic rotator cuff tears
large animal model
tendon nano‐construct
tendon regeneration
tendon‐to‐bone interface
url https://doi.org/10.1002/btm2.10376
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AT sunhopark tissueengineeredtendonnanoconstructsforrepairofchronicrotatorcufftearsinlargeanimalmodels
AT yangkyungkim tissueengineeredtendonnanoconstructsforrepairofchronicrotatorcufftearsinlargeanimalmodels
AT hyoseongkim tissueengineeredtendonnanoconstructsforrepairofchronicrotatorcufftearsinlargeanimalmodels
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