Restoration of Cellular Proliferation and Characteristics of Human Tenocytes by Vitamin D

J Orthop Res. 2019 Oct;37(10):2241-2248. doi: 10.1002/jor.24352. Epub 2019 Jun 25.

Abstract

Vitamin D (Vit D) increases calcium absorption in the intestine after binding to the Vit D receptor (VDR). The VDR has also been identified in muscle cells. Vit D supplementation resulted in improved muscle strength. However, there is a paucity of studies of the role of Vit D on tenocytes. We investigated the effects of Vit D on damaged tenocytes. Human tenocytes were treated with dexamethasone (Dex) to induce cell injury. Expression of the tenocyte-related markers tenomodulin (Tnmd), tenascin C (Tnc), scleraxis (Scx), mohawk (Mkx), and collagen (Col) 1 and 3 were measured. Then, tenocytes were cotreated with Vit D. 1-α-Hydroxylase and VDR were explored in tenocytes. With 10 μM Dex, the growth of tenocytes was significantly inhibited, and the gene expression of Tnmd, Tnc, Scx, Mkx, Col 1 and 3 also decreased. When tenocytes were cotreated with Vit D, cell proliferation recovered in a dose-dependent manner, and the expression of TNMD and Col 1 improved. When studying the mechanisms of the effects of Vit D on tenocytes, reactive oxygen species produced by Dex decreased with Vit D, and the phosphorylation of extracellular signal-regulated kinase and p38 was stimulated by Vit D cotreatment. 1-α-Hydroxylase and VDR were found in tenocytes, indicating that the cells have the ability to use an inactive form of Vit D and interact with it. Vit D is known to perform diverse actions and its protective effects on tenocytes suggest its beneficial role in tendon in addition to muscle and bone. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:2241-2248, 2019.

Keywords: 1-α-hydroxylase; dexamethasone; tenocyte; vitamin D; vitamin D receptor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Density Conservation Agents / therapeutic use*
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Dexamethasone / adverse effects*
  • Drug Evaluation, Preclinical
  • Glucocorticoids / adverse effects*
  • Humans
  • MAP Kinase Signaling System / drug effects
  • Receptors, Calcitriol / metabolism
  • Steroid Hydroxylases / metabolism
  • Tenocytes / drug effects*
  • Tenocytes / metabolism
  • Vitamin D / therapeutic use*

Substances

  • Bone Density Conservation Agents
  • Glucocorticoids
  • Receptors, Calcitriol
  • Vitamin D
  • Dexamethasone
  • Steroid Hydroxylases
  • vitamin D 1-alpha hydroxylase