The Role of Elastin in Tendon and Ligament Disorders: Therapeutic Interventions in Orthopedics and Sports Medicine
DOI:
https://doi.org/10.12775/QS.2024.31.55789Keywords
elastin, tendon injuries, Ligament Disorders, MicroRNA-based Therapies, Platelet-Rich Plasma (PRP) Therapy, therapy, bioengineered scaffoldsAbstract
Introduction
Elastin is a key protein in tendons and ligaments, responsible for providing elasticity, which allows these tissues to withstand mechanical stress and maintain joint stability. However, elastin integrity can decline due to factors such as aging, genetics, or injury, leading to joint instability, chronic pain, and a heightened risk of further damage. This study examines the role of elastin- focused therapies in addressing such issues, with a focus on orthopedics and sports medicine.
Objectives
The objective of this review is to evaluate emerging elastin-based therapeutic strategies, such as platelet-rich plasma (PRP) therapy, bioengineered scaffolds, and microRNA-based treatments, and their potential to enhance recovery in musculoskeletal injuries by improving tissue elasticity and resilience.
Materials and Methods
A comprehensive review of the studies available on open access sources, including PubMed, Google Scholar, and the National Library of Medicine, was conducted. The focus was on current advancements in platelet-rich plasma (PRP) therapy, bioengineered scaffolds, and microRNA-based treatments. Studies assessing the efficacy of these approaches in promoting elastin synthesis, tissue flexibility, and repair outcomes were analyzed, particularly in cases involving conditions like Achilles tendinopathy, rotator cuff injuries, and ACL reconstructions.
Conclusions
Elastin plays a crucial role in tendon and ligament health, and emerging elastin- focused therapies show significant potential in enhancing recovery from musculoskeletal injuries. PRP therapy, bioengineered scaffolds, and microRNA- based treatments have demonstrated promising outcomes in improving tissue flexibility, supporting cell growth, and slowing degenerative processes. Further research and clinical trials are needed to optimize these therapies for long-term patient outcomes in orthopedic and sports medicine.
References
Frank, C.B. and D.A. Hart. The Biology of Tendons and Ligaments. in Biomechanics of Diarthrodial Joints. 1990. New York, NY: Springer New York.
Kannus, P., Structure of the tendon connective tissue. Scand J Med Sci Sports, 2000. 10(6): p. 312-20.
Lane, J.G. and D. Amiel, Ligament Histology, Composition, Anatomy, Injury, and Healing Mechanisms, in Bio-orthopaedics: A New Approach,
A. Gobbi, et al., Editors. 2017, Springer Berlin Heidelberg: Berlin, Heidelberg. p. 291-312.
Trębacz, H. and A. Barzycka, Mechanical Properties and Functions of Elastin: An Overview. Biomolecules, 2023. 13(3).
Godinho, M.S.C., et al., Elastin is Localised to the Interfascicular Matrix of Energy Storing Tendons and Becomes Increasingly Disorganised With Ageing. Sci Rep, 2017. 7(1): p. 9713.
Libby, J., et al., Evidence-Based Management of Achilles Tendinopathy in the Athletic Population. Current Physical Medicine and Rehabilitation Reports, 2024. 12(3): p. 266-275.
Wang, K., X. Meng, and Z. Guo, Elastin Structure, Synthesis, Regulatory Mechanism and Relationship With Cardiovascular Diseases. Front Cell Dev Biol, 2021. 9: p. 596702.
Mecham, R.P., Elastin synthesis and fiber assembly. Ann N Y Acad Sci, 1991. 624: p. 137-46.
Platt, C.I., et al., Elastin, Aging-Related Changes in, in Encyclopedia of Gerontology and Population Aging, D. Gu and M.E. Dupre, Editors.
, Springer International Publishing: Cham. p. 1582-1588.
Heinz, A., Elastases and elastokines: elastin degradation and its significance in health and disease. Crit Rev Biochem Mol Biol, 2020.
(3): p. 252-273.
Matsushima, T. and A. Hiroshi, Molecular mechanisms of mechanosensing and plasticity of tendons and ligaments. J Biochem, 2024. 176(4): p. 263-269.
Cai, L., et al., The Role of the Lysyl Oxidases in Tissue Repair and Remodeling: A Concise Review. Tissue Eng Regen Med, 2017. 14(1): p.
-30.
Svärd, A., M. Hammerman, and P. Eliasson, Elastin levels are higher in healing tendons than in intact tendons and influence tissue compliance.
Faseb j, 2020. 34(10): p. 13409-13418.
Everts, P., et al., Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. Int J Mol Sci, 2020. 21(20).
Gong, H., et al., Clinical Use of Platelet-Rich Plasma to Promote Tendon-
Bone Healing and Graft Maturation in Anterior Cruciate Ligament Reconstruction-A Randomized Controlled Study. Indian J Orthop, 2022.
(5): p. 805-811.
Chen, X., et al., The Efficacy of Platelet-Rich Plasma on Tendon and Ligament Healing: A Systematic Review and Meta-analysis With Bias Assessment. Am J Sports Med, 2018. 46(8): p. 2020-2032.
Fang, J., et al., Platelet-Rich Plasma Therapy in the Treatment of Diseases Associated with Orthopedic Injuries. Tissue Eng Part B Rev, 2020. 26(6): p. 571-585.
Kuo, C.K., J.E. Marturano, and R.S. Tuan, Novel strategies in tendon and ligament tissue engineering: Advanced biomaterials and regeneration motifs. BMC Sports Science, Medicine and Rehabilitation, 2010. 2(1): p.
Yeo, G.C., et al., Fabricated Elastin. Adv Healthc Mater, 2015. 4(16): p.
-2556.
Giordano, L., et al., Therapeutic potential of microRNA in tendon injuries. British Medical Bulletin, 2020. 133(1): p. 79-94.
Ding, L., et al., The Roles of MicroRNAs in Tendon Healing and Regeneration. Front Cell Dev Biol, 2021. 9: p. 687117.
Zou, J., et al., Therapeutic potential and mechanisms of mesenchymal stem cell-derived exosomes as bioactive materials in tendon-bone healing. J Nanobiotechnology, 2023. 21(1): p. 14.
Ding, Q., et al., Hydrogel Tissue Bioengineered Scaffolds in Bone Repair: A Review. Molecules, 2023. 28(20).
Zhang, S., et al., Microsphere-containing Hydrogel Scaffolds for Tissue Engineering. Chem Asian J, 2022. 17(20): p. e202200630.
Liu, R., S. Zhang, and X. Chen, Injectable hydrogels for tendon and ligament tissue engineering. J Tissue Eng Regen Med, 2020. 14(9): p.
-1348.
Samsonraj, R.M., et al., Concise Review: Multifaceted Characterization of Human Mesenchymal Stem Cells for Use in Regenerative Medicine. Stem Cells Transl Med, 2017. 6(12): p. 2173-2185.
Lin, H., et al., Bone marrow mesenchymal stem cells: Aging and tissue engineering applications to enhance bone healing. Biomaterials, 2019. 203: p. 96-110.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Weronika Gorska, Filip Jasiński, Artur Łukawski, Julia Szałajska, Klaudia Wojtach, Filip Banyś, Iga Wiak, Konrad Bochen, Filip Czyżewski, Anna Dziegciarczyk

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 128
Number of citations: 0