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Profilaksa DVT kod velikih ortopedskih operacija - Depol ...

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84<br />

2 st INTERNATIONAL CONFERENCE ON REGENERATIVE ORTHOPAEDICS<br />

THE TENDON STEM/ PROGENITOR CELL NICHE: IS THERE A<br />

BLOOD TENDON BARRIER?<br />

Christine Lehner, University Hospital Salzburg, Salzburg, Austria<br />

Renate Gehwolf, Paracelsus Medical Univerity, Salzburg, Austria<br />

Andrea Wagner, Paracelsus Medical Univerity, Salzburg, Austria, University of Salzburg, Austria<br />

Hans-Christian Bauer, Paracelsus Medical Univerity, Salzburg, Austria<br />

Herbert Tempfer, Paracelsus Medical Univerity, Salzburg, Austria<br />

A major challenge for attempts to accelerate tendon healing is to understand the niche that regulates the differentiation<br />

of stem/ progenitor cells towards a tendon cell like phenotype.<br />

Along our attempts to characterize tendon cells we observed a population of perivascular cells expressing tendon-<br />

and neuronal stem cell associated markers. Moreover we observed that tendon endothelial cells express<br />

the tight junction (TJ) associated marker Occludin. We therefore hypothesise that tendon vessels form a barrier<br />

between blood and tendon tissue, establishing a privileged microenvironment.<br />

By immunohistochemistry, Lasermicrodissection, qRT-PCR and transmission electron microscopy we examined<br />

human biceps and semitendinosus tendons and mouse Achilles tendons for TJ associated markers and structures.<br />

Occludin, Claudin5 and ZO1 protein localize at the cell boundaries of tendon endothelial cells, as confirmed by<br />

confocal microscopy of isolated tendon vessels. Besides, these cells express mRNA encoding for the blood-brain<br />

barrier/ blood nerve barrier associated markers Occludin, Claudin1, Claudin5 and Claudin11.<br />

The finding of TJ- like structures in human tendons is confirmed by TEM images published by others.<br />

The finding of TJ- like structures in tendons may shed new light on the composition of the tendon niche. The functional<br />

properties and the role of this barrier in tendon de- and regeneration will have to be addressed by further<br />

studies.<br />

Poster

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