GDF‐5 deficiency in mice alters the ultrastructure, mechanical properties and composition of the Achilles tendon

B Mikic, BJ Schalet, RT Clark… - Journal of …, 2001 - Wiley Online Library
B Mikic, BJ Schalet, RT Clark, V Gaschen, EB Hunziker
Journal of Orthopaedic Research, 2001Wiley Online Library
Acromesomelic dysplasia of the Hunter‐Thompson and Grebe types are rare human
disorders based on growth/differentiation factor (GDF)‐5/CDMP‐1 genetic mutations.
Numerous skeletal abnormalities are present in these individuals, including shortened limb
bones and severe dislocations of the knee. In the GDF‐5 deficient brachypodism mouse,
similar, although less severe, phenotypes are observed. It is unknown whether the joint
dislocations observed in these disorders are due to a defect in the original formation of joints …
Abstract
Acromesomelic dysplasia of the Hunter‐Thompson and Grebe types are rare human disorders based on growth/differentiation factor (GDF)‐5/CDMP‐1 genetic mutations. Numerous skeletal abnormalities are present in these individuals, including shortened limb bones and severe dislocations of the knee. In the GDF‐5 deficient brachypodism mouse, similar, although less severe, phenotypes are observed. It is unknown whether the joint dislocations observed in these disorders are due to a defect in the original formation of joints such as the knee, or to abnormalities in the tendons and ligaments themselves. We hypothesized that tendons from GDF‐5 deficient mice would exhibit altered composition, mechanical properties, and ultrastructure when compared with heterozygous control littermates. GDF‐5 deficient Achilles tendons were structurally weaker than controls, and structural strength differences appeared to be caused by compromised material properties: after normalizing by collagen per unit length, mutant tendons were still 50% weaker (P < 0.0001) and 50% more compliant (P < 0.001) than controls. Despite comparable levels of skeletal maturity in the two cohorts, the majority of mutant tendon failures occurred in the mid‐substance of the tendon (64% of all failures), whereas the majority of control failures occurred via avulsion (92% of all failures). Mutant Achilles tendons contained 40% less collagen per microgram of DNA when compared to controls (P = 0.004). No significant difference in glycosaminoglycan (GAG)/DNA was detected. Ultrastructural analyses indicated a slight trend toward increased frequency of small diameter (30‐100 nm) collagen fibrils in the mutant Achilles. Our findings suggest that increased tendon and ligament laxity may be the cause of the joint dislocations seen in patients with Hunter—Thompson and Grebe type dysplasia, rather than developmental abnormalities in the joints themselves. © 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved.
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