T. Toyoda et al., TENSILE LOAD AND THE METABOLISM OF ANTERIOR CRUCIATE LIGAMENT CELLS, Clinical orthopaedics and related research, (353), 1998, pp. 247-255
It generally is recognized that tensile load plays a major role in mai
ntaining the homeostasis of the anterior cruciate ligament fibers, but
its detailed mechanism remains a matter of controversy. The effects o
f cyclic tensile load on the metabolism of the anterior cruciate ligam
ent were investigated experimentally using cultured cells from the ant
erior cruciate ligament of rabbits. Using culture plates with flexible
rubber bases, a cyclic tensile load was applied to the cultured cells
for 24 hours, and the changes in shape, alignment, and metabolism of
the cells were analyzed, Under the cyclic tensile load, the shape of t
he cells from the anterior cruciate ligament changed to spindle and al
igned perpendicularly to the direction of the tensile load. The cyclic
tensile load also caused an increase in collagen synthesis by the cel
ls from the anterior cruciate ligament, which was predominant in Type
I. The cells from the synovium showed similar changes in shape and ali
gnment under the cyclic tensile load, but no significant change was ob
served in cell metabolism. These observations suggest that the applica
tion of cyclic tensile load on the anterior cruciate ligament cells is
an important factor in the regulation of collagen synthesis in the an
terior cruciate ligament.