Obesity/Type II Diabetes Promotes Function-limiting Changes in Murine Tendons that are not reversed by Restoring Normal Metabolic Function

Sci Rep. 2018 Jun 15;8(1):9218. doi: 10.1038/s41598-018-27634-4.

Abstract

Type II Diabetes (T2DM) negatively alters baseline tendon function, including decreased range of motion and mechanical properties; however, the biological mechanisms that promote diabetic tendinopathy are unknown. To facilitate identification of therapeutic targets we developed a novel murine model of diabetic tendinopathy. Mice fed a High Fat Diet (HFD) developed diet induced obesity and T2DM and demonstrated progressive impairments in tendon gliding function and mechanical properties, relative to mice fed a Low Fat Diet (LFD). We then determined if restoration of normal metabolic function, by switching mice from HFD to LFD, was sufficient to halt the pathological changes in tendon due to obesity/T2DM. However, switching from a HFD to LFD resulted in greater impairments in tendon gliding function than mice maintained on a HFD. Mechanistically, IRβ signaling is decreased in obese/T2DM murine tendons, suggesting altered IRβ signaling as a driver of diabetic tendinopathy. However, knock-down of IRβ expression in S100a4-lineage cells (IRcKOS100a4) was not sufficient to induce diabetic tendinopathy as no impairments in tendon gliding function or mechanical properties were observed in IRcKOS100a4, relative to WT. Collectively, these data define a murine model of diabetic tendinopathy, and demonstrate that restoring normal metabolism does not slow the progression of diabetic tendinopathy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Cell Line
  • Diabetes Complications* / chemically induced
  • Diabetes Complications* / diet therapy
  • Diabetes Complications* / genetics
  • Diabetes Complications* / physiopathology
  • Diabetes Mellitus, Experimental* / chemically induced
  • Diabetes Mellitus, Experimental* / diet therapy
  • Diabetes Mellitus, Experimental* / genetics
  • Diabetes Mellitus, Experimental* / physiopathology
  • Diabetes Mellitus, Type 2* / chemically induced
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / genetics
  • Diabetes Mellitus, Type 2* / physiopathology
  • Dietary Fats / adverse effects*
  • Dietary Fats / pharmacology
  • Male
  • Mice
  • Mice, Knockout
  • Obesity* / chemically induced
  • Obesity* / diet therapy
  • Obesity* / genetics
  • Obesity* / physiopathology
  • S100 Calcium-Binding Protein A4 / genetics
  • Tendinopathy* / chemically induced
  • Tendinopathy* / diet therapy
  • Tendinopathy* / genetics
  • Tendinopathy* / physiopathology
  • Tendons* / pathology
  • Tendons* / physiopathology

Substances

  • Dietary Fats
  • S100 Calcium-Binding Protein A4
  • S100a4 protein, mouse