“…1), tendons exhibit high tensile strength [4][5][6] , allowing for the efficient transmission of large loads, a result of the local cell population to adapt to changes in loading conditions 7 . Further contributing to the structure and biomechanical properties are proteoglycans and glycoproteins, which function to regulate the process of collagen fibrillogenesis and control fibril diameter throughout tendon development and homeostasis [8][9][10][11][12][13] . Studies using genetically manipulated mouse models, in which decorin has been knocked out, have investigated the role of decorin, a small leucine-rich proteoglycan important to tendon structure, and have shown that the absence of decorin results in improper collagen fibril formation and decreases mechanical properties 13 .…”