摘要

Both myofibroblast differentiation and extracellular matrix (ECM) deposition are essential components of scar formation in tendons, and hepatocyte growth factor (HGF) is reported to prevent fibrogenic responses in tendons. Matrix metalloproteinases-2(MMP-2) is also involved in the healing process in tendons. Whether HGF protects healed Achilles tendons from injury-induced scar formation and the mechanisms are unknown. Daily for 2 weeks after wounding, except for the non-surgical control group, the Achilles tendons in rats were locally injected with HGF (100 ng 50 mu l(-1) per mouse) or phosphate-buffered saline (PBS). Histological examination showed HGF ameliorated disorganized collagen fibers caused by surgical incisions in rats. After transforming growth factor beta-1 (TGF-beta 1) induced fibrogenic responses in primary Achilles tendon fibroblasts in rats, HGF treatment for 24 h reduced alpha-smooth muscle actin (alpha-SMA) (0.60 +/- A 0.07-fold, P < 0.05) and type III collagen expression (0.39 +/- A 0.07-fold, P < 0.05). Moreover, HGF elevated MMP-2 expression (1.23 +/- A 0.11-fold, P < 0.05). The MMP-2 inhibitor, tissue inhibitors of metalloproteinase-1 (TIMP-1), partially blocked the inhibitory effects of HGF on alpha-SMA expression (from 0.60 +/- A 0.07-fold to 0.83 +/- A 0.07-fold, P < 0.05) and type III collagen expression (from 0.39 +/- A 0.06-fold to 0.86 +/- A 0.08-fold, P < 0.05). These results indicate HGF attenuates TGF-beta 1-induced fibrogenic responses in Achilles tendon, which was mediated by MMP-2. These results will aid in developing effective therapeutic approaches for the dysfunctional repair in Achilles tendons.