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  4. A high-glucose diet affects Achilles tendon healing in rats

A high-glucose diet affects Achilles tendon healing in rats

Scientific Reports, 2017 · DOI: 10.1038/s41598-017-00700-z · Published: March 8, 2017

OrthopedicsNutrition & Dietetics

Simple Explanation

This study investigates the impact of a high-glucose diet on tendon healing in rats after an Achilles tenotomy. Rats were fed either a high-glucose or control diet for 2 or 4 weeks following surgery to assess the effects on tendon repair. The research found that a high-glucose diet led to increased tendon repair tissue thickness and stiffness after 2 weeks. Gait pattern was also altered, and cell proliferation was higher, along with increased expression of chondrogenic marker genes. The study suggests that while a high-glucose diet may initially promote cell proliferation and tissue deposition, it could also increase the risk of chondroid degeneration in injured tendons, potentially hindering long-term tendon quality.

Study Duration
2 and 4 weeks
Participants
60 female Lewis rats
Evidence Level
Not specified

Key Findings

  • 1
    A high-glucose diet increased tendon repair tissue thickness and stiffness after 2 weeks in rats.
  • 2
    The gait pattern of rats on a high-glucose diet was altered, indicating a higher load on the hind limb.
  • 3
    A high-glucose diet significantly increased cell proliferation and the expression of chondrogenic marker genes (Sox9, Col2a1, Acan, Comp).

Research Summary

This study aimed to determine the effect of a high-glucose diet on Achilles tendon healing in a rat model. The results indicated that a high-glucose diet significantly affects tendon healing after injury in non-diabetic rats. Specifically, the high-glucose diet led to increased tendon repair tissue thickness and stiffness, altered gait patterns, and higher cell proliferation. These changes suggest an initial benefit in tissue repair. However, the study also found an increase in chondrogenic degeneration markers, suggesting that while high-glucose may initially aid in repair, it could lead to long-term tendon degeneration.

Practical Implications

Nutritional considerations in tendon healing

The study highlights the importance of nutritional factors, specifically glucose intake, in tendon healing processes. It suggests that dietary interventions could impact tendon repair outcomes.

Potential risks of high-glucose diets

The findings indicate that while glucose may initially promote tendon repair, excessive glucose intake could lead to chondrogenic degeneration, potentially compromising long-term tendon health.

Prolotherapy insights

The study provides insights into the effects of prolotherapy, a treatment involving dextrose injections for tendon and ligament ailments, by demonstrating the impact of glucose on tendon healing at a cellular and molecular level.

Study Limitations

  • 1
    The study was conducted on a non-diabetic rat model, which may not fully represent the effects on individuals with diabetes or pre-existing tendon conditions.
  • 2
    The duration of the high-glucose diet was limited to 2 and 4 weeks, and the long-term effects of this dietary regimen on tendon health remain unclear.
  • 3
    The precise resection of tendon tissue in the rat model may differ from the characteristics of ruptured Achilles tendons in human patients.

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