Acta Chir Orthop Traumatol Cech. 2026; 93(2):111-118

Vliv intenzity běhu na běžeckém pásu na hladiny lubricinu v Achillových šlachách potkanůOriginal papers

SHU-FEN LI1, CHENG-XIAN SONG2, SHENG-YAO LIU3, WEI LIU4, SHAO-YONG XU5
1 Laboratory Medicine Center, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China
2 Department of Rehabilitation Medicine, The Third Affiliated Hospital of Guangzhou Medical University, China
3 Department of Orthopedics, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
4 Affiliated Nanhua Hospital, University of South China, Hengyang, China
5 Division of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Nanfang Hospital, Southern Medical University, China

Purpose of the study
The Achilles tendon is crucial for transferring force from the calf muscles to the heel bone. Lubricin, a key glycoprotein, ensures smooth tendon gliding. This study investigated the effects of different treadmill running intensities on lubricin levels in rat Achilles tendons and explored the associated molecular mechanisms.

Material and methods
Eighteen rats were divided into three groups: Strenuous Treadmill Running (STR), Moderate Treadmill Running (MTR), and a sedentary Control group (CON). The running protocols were conducted over eight weeks. Post-intervention, tendon samples were analyzed for histological changes (collagen fiber integrity and cell count), lubricin levels, and the expression of TGF-β1 (a growth factor involved in tendon healing) and IL-1 (a pro-inflammatory cytokine).

Results
The STR group exhibited significantly greater collagen fiber damage compared to the other groups. In contrast, the MTR group showed higher cell proliferation, elevated lubricin levels, and increased TGF-β1 expression. The STR group had reduced lubricin levels, likely due to elevated IL-1 expression.

Discussion
MTR enhances tendon health by upregulating TGF-β1, increasing lubricin production, and improving load transmission. Conversely, STR may promote tendon degeneration by elevating IL-1, reducing lubricin levels, and increasing the risk of tendinopathy. These findings support previous research indicating that moderate mechanical loading maintains tendon homeostasis, whereas excessive loading leads to inflammation and structural damage.

Conclusions
Moderate-intensity treadmill running boosts lubricin levels via TGF-β1 regulation, supporting tendon function, while strenuous running decreases lubricin due to IL-1 upregulation, increasing tendon injury risk. These results emphasize the importance of optimal exercise intensity in preventing tendinopathies and maintaining tendon health. The findings could guide exercise recommendations for athletes and rehabilitation programs. Future research should explore therapeutic strategies targeting the TGF-β1 and IL-1 pathways.

Keywords: Key words: lubricin, TGF-β1, IL-1, Achilles tendon, treadmill running, tendinopathy.

Received: April 11, 2025; Revised: April 11, 2025; Accepted: September 30, 2025; Published: May 1, 2026  Show citation

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SHU-FEN L, SONG C, LIU S, LIU W, SHAO-YONG X. Vliv intenzity běhu na běžeckém pásu na hladiny lubricinu v Achillových šlachách potkanů. Acta Chir Orthop Traumatol Cech. 2026;93(2):111-118.
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References

  1. Andarawis-Puri N, Flatow EL. Tendon fatigue in response to mechanical loading. J Musculoskelet Neuronal Interact. 2011;11:106-114.
  2. Chang DP, Guilak F, Jay GD, Zauscher S. Interaction of lubricin with type II collagen surfaces: adsorption, friction, and normal forces. J Biomech. 2014;47:659-666.
  3. Clanton T, Stake IK, Bartush K, Jamieson MD. Minimally invasive Achilles repair techniques. Orthop Clin North Am. 2020;51:391-402. doi: 10.1016/j.ocl.2020.02.005. Go to original source...
  4. Dakin SG, Newton J, Martinez FO, Hedley R, Gwilym S, Jones N, Reid H, Wood S, Wells G, Appleton L, Wheway K, Watkins B, Carr AJ.. Chronic inflammation is a feature of Achilles tendinopathy and rupture. Brit J Sport Med. 2018;52:359-367. doi: 10.1136/bjsports-2017-098161. Go to original source...
  5. Huang S, Thomsson KA, Jin C, Alweddi S, Struglics A, Rolfson O, Bjorkman LI, Kalamajski S, Schmidt TA, Jay GD, Krawetz R, Karlsson NG, Eisler T. Cathepsin g degrades both glycosylated and unglycosylated regions of lubricin, a synovial mucin. Sci Rep. 2020;10:4215. doi: 10.1038/s41598-020-61161-5. Erratum in: Sci Rep. 2021;11:4238. doi: 10.1038/s41598-020-77619-5. Go to original source...
  6. Iqbal SM, Leonard C, Regmi SC, De Rantere D, Tailor P, Ren G, Ishida H, Hsu C, Abubacker S, Pang DS, Salo PT, Vogel HJ, Hart DA, Waterhouse CC, Jay GD, Schmidt TA, Krawetz RJ. Lubricin/Proteoglycan 4 binds to and regulates the activity of Toll-Like Receptors In Vitro. Sci Rep. 2016;6:18910. doi: 10.1038/srep18910. Go to original source...
  7. Jay GD, Waller KA. The biology of lubricin: near frictionless joint motion. Matrix Biol. 2014;39:17-24.
  8. Kim KK, Sheppard D, Chapman HA. TGF-beta1 signaling and tissue fibrosis. Cold Spring Harb Perspect Biol. 2018;10:a022293. doi: 10.1101/cshperspect.a022293. Go to original source...
  9. Lee C. Tendon physiology and repair. Orthopaedics and Trauma. 2021;35:274-281. doi:10.1016/j.mporth.2021.07.003. Go to original source...
  10. Lee Y, Choi J, Hwang NS. Regulation of lubricin for functional cartilage tissue regeneration: a review. Biomater Res. 2018;22:9.
  11. Li H, Luo S, Wang H, Chen Y, Ding M, Lu J, Jiang L, Lyu K, Huang S, Shi H, Chen H, Li S. The mechanisms and functions of TGF- -beta1 in tendon healing. Injury. 2023;54: 111052. doi: 10.1016/j.injury.2023.111052. Go to original source...
  12. Lipman K, Wang C, Ting K, Soo C, Zheng Z. Tendinopathy: injury, repair, and current exploration. Drug Des Devel Ther. 2018;12:591-603.
  13. Marian M, Shah R, Gashi B, Zhang S, Bhavnani K, Wartzack S, Rosenkranz A. Exploring the lubrication mechanisms of synovial fluids for joint longevity - A perspective. Colloids Surf B Biointerfaces. 2021;206:111926. doi: 10.1016/j.colsurfb.2021.111926. Go to original source...
  14. Matheson AR, Sheehy EJ, Jay GD, Scott WM, O'Brien FJ, Schmidt TA. The role of synovial fluid constituents in the lubrication of collagen-glycosaminoglycan scaffolds for cartilage repair. J Mech Behav Biomed. 2021;118:104445.
  15. Nakagawa Y, Muneta T, Otabe K, Ozeki N, Mizuno M, Udo M, Saito R, Yanagisawa K, Ichinose S, Koga H, Tsuji K, Sekiya I. Cartilage Derived from Bone Marrow Mesenchymal Stem Cells Expresses Lubricin In Vitro and In Vivo. Plos One. 2016;11:e148777. doi: 10.1371/journal.pone.0148777. Go to original source...
  16. Ni GX, Lei L, Zhou YZ. Intensity-dependent effect of treadmill running on lubricin metabolism of rat articular cartilage. Arthritis Res Ther. 2012;14:R256.
  17. Puetzer JL, Ma T, Sallent I, Gelmi A, Stevens MM. Driving hierarchical collagen fiber formation for functional tendon, ligament, and meniscus replacement. Biomaterials. 2021;269:120527.
  18. Screen HR, Berk DE, Kadler KE, Ramirez F, Young MF. Tendon functional extracellular matrix. J Orthop Res. 2015;33:793-799.
  19. Sun YL, Wei Z, Zhao C, Jay GD, Schmid TM, Amadio PC, An KN. Lubricin in human Achilles tendon: the evidence of intratendinous sliding motion and shear force in Achilles tendon. J Orthop Res. 2015;33:932-937. doi: 10.1002/jor.22897. Go to original source...
  20. Sun YL, Zhao C, Jay GD, Schmid TM, An KN, Amadio PC. Effects of stress deprivation on lubricin synthesis and gliding of flexor tendons in a canine model in vivo. J Bone Joint Surg Am. 2013;95:273-278.
  21. Thorpe CT, Riley GP, Birch HL, Clegg PD, Screen H. Fascicles and the interfascicular matrix show adaptation for fatigue resistance in energy storing tendons. Acta Biomater. 2016;42:308-315.
  22. Tong S, Sun Y, Kuang B, Wang M, Chen Z, Zhang W, Chen J. A comprehensive review of muscle-tendon junction: structure, function, injury and repair. Biomedicines. 2024;12:423. doi: 10.3390/biomedicines12020423. Go to original source...
  23. Wang SQ, Li D, Yuan Y. Long-term moderate intensity exercise alleviates myocardial fibrosis in type 2 diabetic rats via inhibitions of oxidative stress and TGF-beta1/Smad pathway. J Physiol Sci. 2019;69:861-873.
  24. Watkins AR, Reesink HL. Lubricin in experimental and naturally occurring osteoarthritis: a systematic review. Osteoarthr Cartilage. 2020;28:1303-1315.
  25. Xu SY, He YB, Deng SY, Liu SY, Xu L, Ni GX. Intensity-dependent effect of treadmill running on rat Achilles tendon. Exp Ther Med. 2018;15:5377-5383.
  26. Xu SY, Li SF, Ni GX. Strenuous treadmill running induces a chondrocyte phenotype in rat Achilles tendons. Med Sci Monitor. 2016;22:3705-3712.
  27. Xu SY, Liu SY, Xu L, Deng SY, He YB, Li SF, Ni GX. Response of decorin to different intensity treadmill running. Mol Med Rep. 2018;17:7911-7917.