cells Review Rebuilding Tendons: A Concise Review on the Potential of Dermal Fibroblasts Jin Chu 1 , Ming Lu 2, Christian G. Pfeifer 1,3 , Volker Alt 1,3 and Denitsa Docheva 1,* 1 Laboratory for Experimental Trauma Surgery, Department of Trauma Surgery, University Regensburg Medical Centre, 93053 Regensburg, Germany;
[email protected] (J.C.);
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[email protected] (V.A.) 2 Department of Orthopaedic Surgery, First Affiliated Hospital of Dalian Medical University, Dalian 116023, China;
[email protected] 3 Department of Trauma Surgery, University Regensburg Medical Centre, 93053 Regensburg, Germany * Correspondence:
[email protected]; Tel.: +49-(0)941-943-1605 Received: 29 June 2020; Accepted: 2 September 2020; Published: 8 September 2020 Abstract: Tendons are vital to joint movement by connecting muscles to bones. Along with an increasing incidence of tendon injuries, tendon disorders can burden the quality of life of patients or the career of athletes. Current treatments involve surgical reconstruction and conservative therapy. Especially in the elderly population, tendon recovery requires lengthy periods and it may result in unsatisfactory outcome. Cell-mediated tendon engineering is a rapidly progressing experimental and pre-clinical field, which holds great potential for an alternative approach to established medical treatments. The selection of an appropriate cell source is critical and remains under investigation. Dermal fibroblasts exhibit multiple similarities to tendon cells, suggesting they may be a promising cell source for tendon engineering. Hence, the purpose of this review article was in brief, to compare tendon to dermis tissues, and summarize in vitro studies on tenogenic differentiation of dermal fibroblasts.