PMID- 31560698 OWN - NLM STAT- MEDLINE DCOM- 20200312 LR - 20210630 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 14 IP - 9 DP - 2019 TI - HMGB1 mediates the development of tendinopathy due to mechanical overloading. PG - e0222369 LID - 10.1371/journal.pone.0222369 [doi] LID - e0222369 AB - Mechanical overloading is a major cause of tendinopathy, but the underlying pathogenesis of tendinopathy is unclear. Here we report that high mobility group box1 (HMGB1) is released to the tendon extracellular matrix and initiates an inflammatory cascade in response to mechanical overloading in a mouse model. Moreover, administration of glycyrrhizin (GL), a naturally occurring triterpene and a specific inhibitor of HMGB1, inhibits the tendon's inflammatory reactions. Also, while prolonged mechanical overloading in the form of long-term intensive treadmill running induces Achilles tendinopathy in mice, administration of GL completely blocks the tendinopathy development. Additionally, mechanical overloading of tendon cells in vitro induces HMGB1 release to the extracellular milieu, thereby eliciting inflammatory and catabolic responses as marked by increased production of prostaglandin E2 (PGE2) and matrix metalloproteinase-3 (MMP-3) in tendon cells. Application of GL abolishes the cellular inflammatory/catabolic responses. Collectively, these findings point to HMGB1 as a key molecule that is responsible for the induction of tendinopathy due to mechanical overloading placed on the tendon. FAU - Zhao, Guangyi AU - Zhao G AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. FAU - Zhang, Jianying AU - Zhang J AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. FAU - Nie, Daibang AU - Nie D AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. AD - Department of Immunology, College of Basic Medicine, Chongqing Medical University, Chongqing, China. FAU - Zhou, Yiqin AU - Zhou Y AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. AD - Joint Surgery and Sports Medicine Department, Shanghai Changzheng Hospital, Second Military Medical University, Huangpu, Shanghai, China. FAU - Li, Feng AU - Li F AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. FAU - Onishi, Kentaro AU - Onishi K AD - Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. FAU - Billiar, Timothy AU - Billiar T AD - Department of Surgery, University of Pittsburgh, Pennsylvania, United States of America. FAU - Wang, James H-C AU - Wang JH AUID- ORCID: 0000-0001-7279-0679 AD - MechanoBiology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. AD - Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. AD - Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America. LA - eng GR - P30 AG024827/AG/NIA NIH HHS/United States GR - R21 AR070340/AR/NIAMS NIH HHS/United States GR - P30 DK120531/DK/NIDDK NIH HHS/United States GR - R01 AR065949/AR/NIAMS NIH HHS/United States GR - R01 AR061395/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20190927 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HMGB1 Protein) RN - 0 (HMGB1 protein, mouse) RN - 6FO62043WK (Glycyrrhizic Acid) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - K7Q1JQR04M (Dinoprostone) SB - IM MH - Animals MH - Blotting, Western MH - Dinoprostone/metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glycyrrhizic Acid/pharmacology MH - HMGB1 Protein/antagonists & inhibitors/metabolism/*physiology MH - Matrix Metalloproteinase 3/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Rats, Sprague-Dawley MH - Tendinopathy/etiology/*metabolism/physiopathology MH - Tendons/cytology/metabolism/physiopathology MH - Weight-Bearing/physiology PMC - PMC6764662 COIS- The authors have declared that no competing interests exist. EDAT- 2019/09/29 06:00 MHDA- 2020/03/13 06:00 PMCR- 2019/09/27 CRDT- 2019/09/28 06:00 PHST- 2019/08/21 00:00 [received] PHST- 2019/09/16 00:00 [accepted] PHST- 2019/09/28 06:00 [entrez] PHST- 2019/09/29 06:00 [pubmed] PHST- 2020/03/13 06:00 [medline] PHST- 2019/09/27 00:00 [pmc-release] AID - PONE-D-19-23610 [pii] AID - 10.1371/journal.pone.0222369 [doi] PST - epublish SO - PLoS One. 2019 Sep 27;14(9):e0222369. doi: 10.1371/journal.pone.0222369. eCollection 2019.