Cells in normal tendon are in a resting Go state, performing maintenance fu
nctions. However, traumatic injury introduces growth factors such as platel
et-derived growth factor and insulin-like growth factor from blood as well
as activates endogenous growth factors. These factors stimulate migration a
nd proliferation of tendon cells at the wound area. Tendon cells require gr
owth-promoting factors to transit the cell cycle. To evaluate the contribut
ion of endogenous growth factors in tendon, extracts of the epitenon and in
ternal compartment of avian flexor tendon as well as medium of cultured cel
ls from the epitenon (tendon surface cells) and internal tendon (tendon int
ernal fibroblasts) were collected to assess their ability to stimulate DNA
synthesis. Acid-ethanol extracts of tissues and medium were chromatographed
on a P-30 molecular sieve column and assayed for mitogenic activity by qua
ntitating [H-3]thymidine incorporation into tendon cell DNA. The extract fr
om the internal tendon compartment was more stimulatory for DNA synthesis t
han that from the epitenon, particularly when tested on tendon internal fib
roblasts. However, conditioned medium fractions from surface epitenon cells
stimulated DNA synthesis to a high degree on both tendon surface cells and
tendon internal fibroblasts. Conditioned medium from tendon internal fibro
blasts was also stimulatory. An anti-insulin-like growth factor-I antibody
ablated most of the mitogenic activity present in both tissues and conditio
ned medium. The levels of acid-extractable insulin-like growth factor-I in
tendon were determined by competitive radioimmunoassay as 1.48 +/- 0.05 ng/
g tissue for the epitenon and 3.83 +/- 0.03 ng/g tissue for the internal co
mpartment. Results of Western immunoblots of conditioned medium revealed in
sulin-like growth factor-I at the 7.5 kDa position. Cultured tendon surface
cells and tendon internal fibroblasts as well as cells in intact flexor te
ndon expressed insulin-like growth factor-I mRNA detected by reverse transc
riptase-polymerase chain reaction. In situ hybridization histochemistry pos
itively identified insulin-like growth factor-I mRNA in tendons from 52-day
-old chickens. Platelet-derived growth factor was not detected at the prote
in or message levels. Furthermore, tendon surface cells and tendon internal
fibroblasts both expressed receptors for insulin-like growth factor-I dete
cted by flow cytometry. These data suggest that tendon cells express insuli
n-like growth factor-I mRNA and synthesize insulin-like growth factor-I in
both the epitenon and the internal compartment of tendon, which is present
in an inactive form, most likely bound to insulin-like growth factor-bindin
g proteins.