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Research Articles

Acidosis induces significant changes to the murine supraspinatus enthesis organic matrix

, ORCID Icon, , ORCID Icon, & ORCID Icon
Pages 41-52 | Received 03 May 2023, Accepted 13 Oct 2023, Published online: 14 Nov 2023
 

ABSTRACT

Rotator cuff pathology is a common musculoskeletal condition that disproportionately affects older adults, as well as patients with diabetes mellitus and chronic kidney disease. It is known that increased age and kidney dysfunction have been correlated to acidotic states, which may be related to the increased incidence of rotator cuff injury. In order to investigate the potential relationship between acidosis and rotator cuff composition and mechanics, this study utilizes a 14-day murine model of metabolic acidosis and examines the effects on the supraspinatus tendon-humeral head attachment complex. The elastic matrix in the enthesis exhibited significant changes beginning at day 3 of acidosis exposure. At day 3 and day 7 timepoints, there was a decrease in collagen content seen in both mineralized and unmineralized tissue as well as a decrease in mineral:matrix ratio. There is also evidence of both mineral dissolution and reprecipitation as buffering ions continually promote pH homeostasis. Mechanical properties of the tendon-to-bone attachment were studied; however, no significant changes were elicited in this 14-day model of acidosis. These findings suggest that acidosis can result in significant changes in enthesis composition over the course of 14 days; however, enthesis mechanics may be more structurally mediated rather than affected by compositional changes.

Acknowledgments

We would like to acknowledge the UConn Health Imaging and Histology Cores. SN was funded in part by the UConn Health Medical School Summer Research program. Funding was provided by AD’s UConn Health Start-up fund and the NSF CAREER Grant (#2044870).

Disclosure statement

No potential conflict of interest was reported by the authors.

Data accessibility

All raw data is available upon request.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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