To determine the effect of loading conditions on the length of primary cilia in tendon cells in situ, freshly harvested rat tail tendons were stress-deprived (SD) for up to 72 h, cyclically loaded at 3% strain at 0.17 Hz for 24 h, or SD for 24 h followed by cyclic loading (CL) for 24 h. Tendon sections were stained for tubulin, and cilia measured microscopically. In fresh control tendons, cilia length ranged from 0.6 to 2.0 mm with a mean length of 1.1 mm. Following SD, cilia demonstrated an increase ( p < 0.001) in overall length at 24 h when compared to controls. Cilia length did not increase with time of SD ( p ¼ 0.329). Cilia in cyclically loaded tendons were shorter ( p < 0.001) compared to all SD time periods, but were not different from 0 time controls ( p ¼ 0.472). CL for 24 h decreased cilia length in 24 h SD tendons ( p < 0.001) to levels similar to those of fresh controls ( p ¼ 0.274). The results of this study demonstrate that SD resulted in an immediate and significant increase in the length of primary cilia of tendon cells, which can be reversed by cyclic tensile loading. This suggests that, as in other tissues, cilia length in tendon cells is affected by mechanical signaling from the extracellular matrix. Keywords: tendon cell; primary cilia; stress-deprivation; tensile loading Mechanical loading is essential for maintaining the health and homeostasis of tendons, although the fundamental mechanotransduction pathways by which cells mediate this process are unclear. 1 Primary cilia are sensory organelles for the detection and transmission of mechanical and chemical information from the extracellular environment of cells [2][3][4] and are known to function as mechanosensors in several connective tissue cell types, including tenocytes, osteocytes, and chondrocytes. [5][6][7][8][9][10][11] The expression of transmembrane extracellular matrix receptors (integrins) on the cilium strongly suggests that the cilium has the molecular machinery necessary to act as a mechanosensory linkage between the ECM and cytoplasmic organelles. 10 Bending or stretching of the cilium can tug on such integrins, thus generating a cascade of events ranging from internal calcium release 12 to the activation of genes 10 and signaling molecules. [13][14][15] However, the degree of cilia bending required to elicit a specific cellular response is unknown. 16 The primary cilium has been modeled as a cantilevered beam whose deflection, secondary to cell deformation or fluid flow, produces a mechanosensory signal to the cell. 17 As such, is it logical to assume that the longer the beam (cilium), the more sensitive it will be to smaller deflection forces and, conversely, the shorter the beam, the less sensitive it will be. 17 Indeed, previous studies have suggested that the level of mechanical stimuli experienced by a cell could lead to remodeling of its ciliary structure through changes in its length. 16 Such modifications could, theoretically, make the cilia more or less sensitive to mechanical signals transmitted by the e...