Flexor tendon injuries heal with excessive scar tissue that limits range of motion and increases incidence of re-rupture. The molecular mechanisms that govern tendon healing are not well defined. Both the canonical nuclear factor kappa B (NF-κB) and mitogen activated protein kinase (MAPK) pathways have been implicated in tendon healing. The gene
NFKB1
(proteins p105/p50) is involved in both NF-κB and MAPK signaling cascades. In the present study, we tested the hypothesis that global
NFKB1
deletion would increase activation of both NF-κB and MAPK through loss of signaling repressors, resulting in increased matrix deposition and altered biomechanical properties. As hypothesized,
NFKB1
deletion increased activation of both NF-κB and MAPK signaling. While gliding function was not affected,
NFKB1
deletion resulted in tendons that were significantly stiffer and trending towards increased strength by four weeks post-repair.
NFKB1
deletion resulted in increased collagen deposition, increase macrophage recruitment, and increased presence of myofibroblasts. Furthermore,
NFKB1
deletion increased expression of matrix-related genes (
Col1a1
,
Col3a1
), macrophage-associated genes (
Adgre1
,
Ccl2
), myofibroblast markers (
Acta2
), and general inflammation (
Tnf
). Taken together, these data suggest that increased activation of NF-κB and MAPK via
NFKB1
deletion enhance macrophage and myofibroblast content at the repair, driving increased collagen deposition and biomechanical properties.