“…7 While SMPs transition from a quiescent to active state in response to soluble factors released by injured muscle in vivo, 8 their activation can also be modulated by insoluble factors within the niche itself, 9,10 due to their location under the basement membrane surrounding muscle fibers. 11 Niche charac-teristics typically include substrate stiffness, 12 which for healthy muscle can range from 10 to 20 kiloPascals (kPa, a unit of stiffness), 13,14 extracellular matrix (ECM) protein composition, including basement membrane collagens and laminins, 15,16 and soluble growth and signals factors, [17][18][19][20] including Notch regulation, 8 HFG, 18 IGF-1, 19 oxytocin, 20 and p38 MAP kinase (MAPK) pathway activation. 21 Since SMPs are sensitive to these environmental cues, it is likely that tendon tear activates SMPs in RC muscles, as we have shown by an increase in the SMP population in muscle from partial RCT tears.…”