Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts

Tendinopathies are debilitating diseases currently increasing in prevalence and associated costs. There is a need to deepen our understanding of the underlying cell signaling pathways to unlock effective treatments. In this work, we screen cell signaling pathways in human tendinopathies and find pos...

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Main Authors: Tino Stauber, Greta Moschini, Amro A Hussien, Patrick Klaus Jaeger, Katrien De Bock, Jess G Snedeker
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2025-02-01
Series:eLife
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Online Access:https://elifesciences.org/articles/87092
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author Tino Stauber
Greta Moschini
Amro A Hussien
Patrick Klaus Jaeger
Katrien De Bock
Jess G Snedeker
author_facet Tino Stauber
Greta Moschini
Amro A Hussien
Patrick Klaus Jaeger
Katrien De Bock
Jess G Snedeker
author_sort Tino Stauber
collection DOAJ
description Tendinopathies are debilitating diseases currently increasing in prevalence and associated costs. There is a need to deepen our understanding of the underlying cell signaling pathways to unlock effective treatments. In this work, we screen cell signaling pathways in human tendinopathies and find positively enriched IL-6/JAK/STAT signaling alongside signatures of cell populations typically activated by IL-6 in other tissues. In human tendinopathic tendons, we also confirm the strong presence and co-localization of IL-6, IL-6R, and CD90, an established marker of reparative fibroblasts. To dissect the underlying causalities, we combine IL-6 knock-out mice with an explant-based assembloid model of tendon damage to successfully connect IL-6 signaling to reparative fibroblast activation and recruitment. Vice versa, we show that these reparative fibroblasts promote the development of tendinopathy hallmarks in the damaged explant upon IL-6 activation. We conclude that IL-6 activates tendon fibroblast populations which then initiate and deteriorate tendinopathy hallmarks.
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institution Kabale University
issn 2050-084X
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publisher eLife Sciences Publications Ltd
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spelling doaj-art-e5dc83c7517146bd8344b681a3aaed502025-02-07T14:14:44ZengeLife Sciences Publications LtdeLife2050-084X2025-02-011210.7554/eLife.87092Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblastsTino Stauber0https://orcid.org/0000-0002-4060-5747Greta Moschini1Amro A Hussien2https://orcid.org/0000-0002-9324-9360Patrick Klaus Jaeger3Katrien De Bock4Jess G Snedeker5https://orcid.org/0000-0002-8115-0275Laboratory for Orthopedic Biomechanics, University Hospital Balgrist and ETH Zurich, Zurich, SwitzerlandLaboratory for Orthopedic Biomechanics, University Hospital Balgrist and ETH Zurich, Zurich, Switzerland; Laboratory of Exercise and Health Department of Health Sciences and Technology (D-HEST) ETH Zurich, Swiss Federal Institute of Technology, Zurich, SwitzerlandLaboratory for Orthopedic Biomechanics, University Hospital Balgrist and ETH Zurich, Zurich, SwitzerlandLaboratory for Orthopedic Biomechanics, University Hospital Balgrist and ETH Zurich, Zurich, SwitzerlandLaboratory of Exercise and Health Department of Health Sciences and Technology (D-HEST) ETH Zurich, Swiss Federal Institute of Technology, Zurich, SwitzerlandLaboratory for Orthopedic Biomechanics, University Hospital Balgrist and ETH Zurich, Zurich, SwitzerlandTendinopathies are debilitating diseases currently increasing in prevalence and associated costs. There is a need to deepen our understanding of the underlying cell signaling pathways to unlock effective treatments. In this work, we screen cell signaling pathways in human tendinopathies and find positively enriched IL-6/JAK/STAT signaling alongside signatures of cell populations typically activated by IL-6 in other tissues. In human tendinopathic tendons, we also confirm the strong presence and co-localization of IL-6, IL-6R, and CD90, an established marker of reparative fibroblasts. To dissect the underlying causalities, we combine IL-6 knock-out mice with an explant-based assembloid model of tendon damage to successfully connect IL-6 signaling to reparative fibroblast activation and recruitment. Vice versa, we show that these reparative fibroblasts promote the development of tendinopathy hallmarks in the damaged explant upon IL-6 activation. We conclude that IL-6 activates tendon fibroblast populations which then initiate and deteriorate tendinopathy hallmarks.https://elifesciences.org/articles/87092tendinopathyinterleukin-6tendonassembloidscleraxisfibroblast
spellingShingle Tino Stauber
Greta Moschini
Amro A Hussien
Patrick Klaus Jaeger
Katrien De Bock
Jess G Snedeker
Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
eLife
tendinopathy
interleukin-6
tendon
assembloid
scleraxis
fibroblast
title Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
title_full Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
title_fullStr Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
title_full_unstemmed Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
title_short Il-6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
title_sort il 6 signaling exacerbates hallmarks of chronic tendon disease by stimulating reparative fibroblasts
topic tendinopathy
interleukin-6
tendon
assembloid
scleraxis
fibroblast
url https://elifesciences.org/articles/87092
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AT amroahussien il6signalingexacerbateshallmarksofchronictendondiseasebystimulatingreparativefibroblasts
AT patrickklausjaeger il6signalingexacerbateshallmarksofchronictendondiseasebystimulatingreparativefibroblasts
AT katriendebock il6signalingexacerbateshallmarksofchronictendondiseasebystimulatingreparativefibroblasts
AT jessgsnedeker il6signalingexacerbateshallmarksofchronictendondiseasebystimulatingreparativefibroblasts