Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor

Musculoskeletal dysfunctions are highly prevalent due to increasing life expectancy. Consequently, novel solutions to optimize treatment of patients are required. The current major research focus is to develop innovative concepts for single tissues. However, interest is also emerging to generate app...

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Main Authors: Nina Friese, Mattis Benno Gierschner, Patrik Schadzek, Yvonne Roger, Andrea Hoffmann
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/15/5177
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author Nina Friese
Mattis Benno Gierschner
Patrik Schadzek
Yvonne Roger
Andrea Hoffmann
author_facet Nina Friese
Mattis Benno Gierschner
Patrik Schadzek
Yvonne Roger
Andrea Hoffmann
author_sort Nina Friese
collection DOAJ
description Musculoskeletal dysfunctions are highly prevalent due to increasing life expectancy. Consequently, novel solutions to optimize treatment of patients are required. The current major research focus is to develop innovative concepts for single tissues. However, interest is also emerging to generate applications for tissue transitions where highly divergent properties need to work together, as in bone-cartilage or bone-tendon transitions. Finding medical solutions for dysfunctions of such tissue transitions presents an added challenge, both in research and in clinics. This review aims to provide an overview of the anatomical structure of healthy adult entheses and their development during embryogenesis. Subsequently, important scientific progress in restoration of damaged entheses is presented. With respect to enthesis dysfunction, the review further focuses on inflammation. Although molecular, cellular and tissue mechanisms during inflammation are well understood, tissue regeneration in context of inflammation still presents an unmet clinical need and goes along with unresolved biological questions. Furthermore, this review gives particular attention to the potential role of a signaling mediator protein, transforming growth factor beta-activated kinase-1 (TAK1), which is at the node of regenerative and inflammatory signaling and is one example for a less regarded aspect and potential important link between tissue regeneration and inflammation.
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spelling doaj.art-14fb490aa54746539f9f463f4c1ee1292023-11-20T07:30:49ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-07-012115517710.3390/ijms21155177Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node FactorNina Friese0Mattis Benno Gierschner1Patrik Schadzek2Yvonne Roger3Andrea Hoffmann4Department of Orthopedic Surgery, Graded Implants and Regenerative Strategies, OE 8893, Laboratory for Biomechanics and Biomaterials, Hannover Medical School (MHH), 30625 Hannover, GermanyDepartment of Orthopedic Surgery, Graded Implants and Regenerative Strategies, OE 8893, Laboratory for Biomechanics and Biomaterials, Hannover Medical School (MHH), 30625 Hannover, GermanyDepartment of Orthopedic Surgery, Graded Implants and Regenerative Strategies, OE 8893, Laboratory for Biomechanics and Biomaterials, Hannover Medical School (MHH), 30625 Hannover, GermanyDepartment of Orthopedic Surgery, Graded Implants and Regenerative Strategies, OE 8893, Laboratory for Biomechanics and Biomaterials, Hannover Medical School (MHH), 30625 Hannover, GermanyDepartment of Orthopedic Surgery, Graded Implants and Regenerative Strategies, OE 8893, Laboratory for Biomechanics and Biomaterials, Hannover Medical School (MHH), 30625 Hannover, GermanyMusculoskeletal dysfunctions are highly prevalent due to increasing life expectancy. Consequently, novel solutions to optimize treatment of patients are required. The current major research focus is to develop innovative concepts for single tissues. However, interest is also emerging to generate applications for tissue transitions where highly divergent properties need to work together, as in bone-cartilage or bone-tendon transitions. Finding medical solutions for dysfunctions of such tissue transitions presents an added challenge, both in research and in clinics. This review aims to provide an overview of the anatomical structure of healthy adult entheses and their development during embryogenesis. Subsequently, important scientific progress in restoration of damaged entheses is presented. With respect to enthesis dysfunction, the review further focuses on inflammation. Although molecular, cellular and tissue mechanisms during inflammation are well understood, tissue regeneration in context of inflammation still presents an unmet clinical need and goes along with unresolved biological questions. Furthermore, this review gives particular attention to the potential role of a signaling mediator protein, transforming growth factor beta-activated kinase-1 (TAK1), which is at the node of regenerative and inflammatory signaling and is one example for a less regarded aspect and potential important link between tissue regeneration and inflammation.https://www.mdpi.com/1422-0067/21/15/5177enthesis organembryonic developmentadultregenerationinflammationimmune system
spellingShingle Nina Friese
Mattis Benno Gierschner
Patrik Schadzek
Yvonne Roger
Andrea Hoffmann
Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
International Journal of Molecular Sciences
enthesis organ
embryonic development
adult
regeneration
inflammation
immune system
title Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
title_full Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
title_fullStr Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
title_full_unstemmed Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
title_short Regeneration of Damaged Tendon-Bone Junctions (Entheses)—TAK1 as a Potential Node Factor
title_sort regeneration of damaged tendon bone junctions entheses tak1 as a potential node factor
topic enthesis organ
embryonic development
adult
regeneration
inflammation
immune system
url https://www.mdpi.com/1422-0067/21/15/5177
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