2015
DOI: 10.1016/j.jse.2014.11.006
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Simvastatin Reduces Fibrosis and Protects Against Muscle Weakness after Massive Rotator Cuff Tear

Abstract: Background-Chronic rotator cuff tears are a common source of shoulder pain and disability, and patients with chronic cuff tears often have substantial weakness, fibrosis, inflammation and fat accumulation. Identifying therapies to prevent the development of these pathologies will likely have a positive impact on clinical outcomes. Simvastatin is a drug with demonstrated antiinflammatory and anti-fibrotic effects in many tissues, but had not previously been studied in the context of rotator cuff tears. We hypot… Show more

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Cited by 19 publications
(28 citation statements)
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References 12 publications
(13 reference statements)
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“…In addition to muscle atrophy, fibrosis is a common feature of rotator cuff tears (49)(50)(51). In the current study, 10 d after injury, there was an increase in the levels of the fibroblast marker S100A4 and several proteoglycans including lumican, osteoglycin, periostin, prolargin, thrombospondin 4, and vinculin.…”
Section: Discussionsupporting
confidence: 52%
“…In addition to muscle atrophy, fibrosis is a common feature of rotator cuff tears (49)(50)(51). In the current study, 10 d after injury, there was an increase in the levels of the fibroblast marker S100A4 and several proteoglycans including lumican, osteoglycin, periostin, prolargin, thrombospondin 4, and vinculin.…”
Section: Discussionsupporting
confidence: 52%
“…4 The findings of reduced force production are consistent with the observed general reduction in contractile and muscle fiber cytoskeletal genes and alterations in muscle regenerative genes in this study, and in previous reports evaluating pathological changes in muscles after rotator cuff tear. 20,25,[36][37][38] Fibrosis is commonly observed after rotator cuff tear. 25,37,38 In the current study, there was a general upregulation in type I (Col1a1 and Col1a2) and type IV (Col4a1) collagen, elastin (Eln), as well as the proteoglycans biglycan (Bgn), thrombospondin 4 (Thsb4), tenomodulin (Tnmd), and tenascin C (Tnc) after injury.…”
Section: Discussionmentioning
confidence: 99%
“…20,25,[36][37][38] Fibrosis is commonly observed after rotator cuff tear. 25,37,38 In the current study, there was a general upregulation in type I (Col1a1 and Col1a2) and type IV (Col4a1) collagen, elastin (Eln), as well as the proteoglycans biglycan (Bgn), thrombospondin 4 (Thsb4), tenomodulin (Tnmd), and tenascin C (Tnc) after injury. Fibroblasts synthesize and remodel the muscle ECM, 39 and fibroblasts markers such as S100a4, Scx, and Tcf7l2 were upregulated and not different between B6 and MRL mice after injury.…”
Section: Discussionmentioning
confidence: 99%
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“…Permeabilized muscle fiber contractility was performed as modified from previous publications 16,21 . Small bundles of muscle fibers were dissected free of the muscle, chemically permeabilized, and stored at -80ºC.…”
Section: Muscle Fiber Contractilitymentioning
confidence: 99%