Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 Review The evolution of tendon — morphology and material properties夞 Adam P. Summersa,*, Thomas J. Koobb a Ecology and Evolutionary Biology, 321 Steinhaus Hall, University of California, Irvine, CA 92697-2525, USA b Shriners Hospital for Children, 12502 North Pine Drive, Tampa, FL 33612, USA Received 25 February 2002; received in revised form 19 August 2002; accepted 19 August 2002 Abstract Phylogenetically, tendinous tissue first appears in the invertebrate chordate Branchiostoma as myosepta. This twodimensional array of collagen fibers is highly organized, with fibers running along two primary axes. In hagfish the first linear tendons appear and the myosepta have developed specialized regions with unidirectional fiber orientation—a linear tendon within the flat sheet of myoseptum. Tendons react to compressive load by first forming a fibrocartilaginous pad, and under severe stress, sesamoid bones. Evidence for this ability to react to load first arises in the cartilaginous fish, here documented in a tendon from the jaw of a hard-prey crushing stingray. Sesamoid bones are common in bony fish and also in tetrapods. Tendons will also calcify under tensile loads in some groups of birds, and this reaction to load is seen in no other vertebrates. We conclude that the evolutionary history of tendon gives us insight into the use of model systems for investigating tendon biology. Using mammal and fish models may be more appropriate than avian models because of the apparent evolution of a novel reaction to tensile loads in birds. 䊚 2002 Elsevier Science Inc. All rights reserved. Keywords: Stress; Strain; Tensile; Collagen; Hagfish; Agnathans; Strength; Stiffness; Morphology; Material properties; Model systems; Connective tissue; Evolutionary transitions; Vertebrata ‘‘Tendons, forming the attachment of many muscles, consist of bundles of connective tissue fibers’’ Alfred S. Romer. 1. Introduction Tendon is most often thought of as the bright white, parallel fibered connective tissue that joins 夞 This paper was presented at ‘Tendon – Bridging the Gap’, a symposium at the 2002 Society of Integrative and Comparative Biology. Participation was funded by SICB, The Shriners Hospitals for Children, and the National Science Foundation (IBN-0127260). *Corresponding. Tel.: q1-949-824-9359; fax: q1-510-3153106. E-mail addresses: [email protected] (A.P. Summers), [email protected] (T.J. Koob). muscle to bone, but this definition does not begin to account for the varied forms of tendinous tissue—even within a single organism—its adaptation to load, or the form that it takes in lower vertebrates. In order to understand the evolution of the musculoskeletal system in vertebrates it is important to understand the evolutionary history of tendon as a tissue. Our understanding of tendon has lagged behind that of bone and cartilage, both of which have been placed in an evolutionary context (Moss and Moss-Salentijn, 1983; Person, 1983; Smith and Hall, 1990). In fact, comparative research on tendon is so rare that this project may be premature. Nevertheless, we attempt in the next few pages to synthesize tendon research in an evolutionary context, if for no other purpose than 1095-6433/02/$ - see front matter 䊚 2002 Elsevier Science Inc. All rights reserved. PII: S 1 0 9 5 - 6 4 3 3 Ž 0 2 . 0 0 2 4 1 - 6 1160 A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 to point out those areas that sorely need further investigation. We consider tendon to be a tissue, and will refer to it as such, though at times we will use ‘tendinous tissue’ to make clear the distinction between the tissue and a particular tendinous organ (i.e. digital flexor tendon). Our working definition of tendon is an amalgam of functional and compositional definitions: a dense, highly organized tissue that transmits force, and is composed predominantly of type I collagen with fibril associated proteoglycans. 2. Morphology Tendon is most familiar as the densely packed, linearly-arrayed, collagenous tissue seen in flexor and extensor tendons in tetrapod limbs. However, it should be recognized that there are other collagenous connective tissues that perform the same functional task, that of transferring force generated by muscle from the muscle end to a target. These include the dense, well-organized arrays of connective tissue in the myosepta of lower vertebrates, as well as aponeuroses. The body musculature of vertebrates is arranged in serially homologous myomeres, each separated from the next by a collagenous myoseptum. In humans one of the few vestiges of this segmentation is the ‘six-pack’ of the abdominal muscles, but as anyone who has eaten a fish fillet can attest, blocky myomeres are far more obvious in lower vertebrates. Myosepta are not mats of disorganized collagen but rather highly organized structures with collagen organized in uni- or bi-directional sheets (Liem et al., 2000; Vogel and Gemballa, 2000). Furthermore, it should be recognized that simple myosepta and linearly-arrayed tendon are extremes in a continuum. There are numerous examples from fish and tetrapods of aponeuroses that grade into tendon (Liem et al., 2000), and, within the myosepta of fish there are collagen fibers with preferred orientation that form linear tendon structures (Westneat et al., 1993; Vogel and Gemballa, 2000; Gemballa and Vogel, 2002). In this section we will examine morphological innovations in these dense, collagenous tissues that serve to transmit the force of muscles across an array of chordate taxa. In the interest of brevity we will establish a plesiomorphic condition for tendinous tissue and then specifically treat only those taxa that exhibit novel morphology relative to this ‘ancestral’ state. 2.1. Urochordates The most well known group of urochordates, the ascidians or sea-squirts, are sessile as adults, but as larvae they may be free-swimming ‘tadpoles’ propelling themselves along a helical path with undulations of their tail (Gans et al., 1996; McHenry, 2001). The muscles that drive this locomotion are not divided by collagenous myosepta, and the muscle itself more closely resembles cardiac than striated muscle (Cloney and Burighel, 1991). The only hint of tendinous tissue is in a series of collagenous, connective tissue leaflets that issue from the notochordal sheath but do not appear to be attached to muscle (Cloney, 1964). At present there is no evidence for tendinous structures in urochordates. 2.2. Cephalochordates The undulatory locomotion of the lancelets is powered by myotomal muscle divided by collagenous myosepta (Fig. 1) (Weitbrecht, 2000), a feature that is clearly seen in several fossil forms including Pikaia from the Burgess Shale. There is scant evidence of any linear tendons in lancelets, the only possible exception being structures that Ruppert (1991) refers to as ‘microligaments’. These are connective tissue projections that join the myomeric muscle to the body wall, however, they are quite thin (1–5 mm) and there is no evidence that they are collagenous. We infer that well-organized and functional fibrous myosepta appear for the first time in the chordate lineage in Cephalochordates. 2.3. Agnathans The jawless fish, lampreys and hagfish use myomeric muscle to power undulatory locomotion, and according to the well preserved fossils of Haikouichthys and Myllokunmingia, this has been the case since the Lower Cambrian (490–540 MYA) (Chen et al., 1999; Shu et al., 1999). The myosepta are collagenous sheets with evidence for the local specializations that form linearly arrayed tendons in bony fish (Vogel and Gemballa, 2001). Hagfish also have an interesting hydrostatic tongue A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 1161 2.4. Cartilaginous and bony fish Fig. 1. A light micrograph of a single myseptum from Branchiostoma lanceolatum shows the organization of the collagen fibers into a two-dimensional array. The inscribed lines are to indicate the two primary directions of the collagen fibers (modified with permission from Weitbrecht, 2000). protrusion and retraction mechanism that involves two pennate muscles and two linear tendons (Fig. 2) (Coles, 1905, 1907, 1914). We have prepared histological sections (10 mm paraffin) of one of the tongue retractor tendons (M. retractor mandibuli tendon). The tendon is superficially quite similar in appearance to that of mammals, having the characteristic bright white color, clearly oriented fibrous material, and discrete edges. However, it appears to lack the organization into primary and secondary bundles, as well as the epitenon and paratenon seen in mammals (Kastelic et al., 1978). The only indication of this hierarchical organization is that there is an inner ‘core’ tendon wrapped with an outer ‘sheath’ tendon (Fig. 3). Cartilaginous and bony fish have tendinous myosepta between the blocks of body musculature as well as linear tendons associated with jaw and pharyngeal muscles. The former appear quite similar to the myosepta in agnathans with some specialized regions that are linear in orientation (Hagen et al., 2001). The linear tendons found in the feeding apparatus resemble those of mammals and some individual tendons are likely homologs of mammalian tendons (i.e. an adductor mandibularis tendonstemporalis tendon) (Liem et al., 2000). Furthermore, the cartilaginous fish show tendon specializations that have previously only been reported in tetrapods. Tendons are normally subjected to tensile loads, however when one makes a sharp turn around a corner it is also subjected to compressive and shear loading in the region of the bend. This compressive loading leads to the formation of a fibrocartilaginous pad along the inner surface of the bend (Vogel and Koob, 1989; Benjamin and Ralphs, 1998). Some stingrays eat hard prey almost exclusively, and have several specializations of their jaws that reinforce their mandibular cartilage and increase the effective force of their jaw adductors (Summers et al., 1998; Summers, 2000). The ventral intermandibular tendon of one of these specialists, the cownose ray (Rhinoptera bonasus), makes a sharp turn as it passes dorsally around the corner of the jaws. We found a fibrocartilaginous pad associated with the tendon along the inner edge of this sharp bend (Fig. 4a). Histologically it appears similar to fibrocartilage from mammals (Fig. 4b) and we believe this is the phylogenetically earliest example of tendon’s ability to adapt to compressive load. The ability of tendon to respond to compressive load by forming a fibrocartilaginous pad has been confirmed in amphibians (Carvalho and Vidal, 1994, 1995), archosaurs (Felisbino and Carvalho, 1999), and mammals (for review see Benjamin and Ralphs, 1998). A further adaptation to compressive load is the formation of sesamoid bones in regions of tendon that bend over a bony prominence (for review see Sarin et al., 1999). These bones arise within the tendon and may be encapsulated in a synovial sheath. In mammals there is evidence that sesamoid formation can be induced by load, however some sesamoids form regardless of force regime 1162 A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 Fig. 2. Panels 1–4 show the retraction of the toothy tongue of Myxine glutinosa accomplished by manually pulling on the retractor tendon. Scale bars5 mm. The lower panel shows the anatomy of the teeth, the supporting cartilage and the two tendons that protract and retract the tooth plate (modified from Coles, 1907). (i.e. the patella). There are no sesamoids in cartilaginous fish, but they are prominent in bony fish. The urohyal, the bone that supports the tongue, may be the most well known example, though other bones of the branchial arches are also formed in tendon and are clear in fossil and recent taxa (Patterson, 1977; Arratia and Schultze, 1990; Liem et al., 2000). Sesamoids are widespread in other vertebrates including amphibians (Olson, 2000; Trueb et al., 2000), squamate reptiles (Maisano, 2001), archosaurs (Sych, 2001; Hutchinson, 2002), and mammals. 2.5. Archosaurs In addition to the aforementioned response to a compressive load there are indications that tendon will respond to tensile loads by mineralizing (for review see Landis, 2002). These mineralizations are quite different from sesamoid bone, in that they never become encapsulated in a synovial envelope, they do not have the histology of bone, and they are not associated with tendons passing over bony prominences. Rather these mineralizations usually arise when a tendon bifurcates, lead- A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 1163 3. Material properties Fig. 3. (a) An alcian blue stained longitudinal section through the tongue retractor tendon approximately midway along its length. The gaps in the dense connective tissue separate the inner ‘core’ tendon from the outer ‘sheath’ tendon and are the only indication of tendon organization. Scale bars200 mm. (b) An hemotoxylin and eosin stained section showing the relatively high cellularity of the gap region compared to the tendinous region. There are few tenocytes evident, as is often the case in mammalian tendon. Scale bars125 mm. ing to a higher load in the two smaller tendons than there is in the conjoined tendons. They appear to have arisen in the non-avian dinosaurs (Hutchinson, 2002), but as far as we can tell are found in no other group of chordates. 2.6. Mammals Aside from the hierarchical organization of mammalian tendon (Kastelic et al., 1978), there are no morphological characters of tendon that we do not see in other vertebrate groups. A possible exception may be in the morphology of the tendon entheses, the insertion of the tendon onto the bone, but there are no comparative data from other taxa (Benjamin et al., 2002). There are two principal difficulties in synthesizing an evolutionary perspective on the material properties of tendon: firstly, there is no accepted standard protocol for testing, so results of different studies are difficult to compare; second, there are few literature values for the mechanical properties of tendon from lower vertebrates, and none at all from cartilaginous fish or agnathans. To address the first issue we present a range of representative published values for several biomechanically important measures of the response of tendon to applied force. To provide a broader evolutionary picture we also present original data from our own tests on a relatively obscure, linearly arrayed tendon from the hagfish described above. Biological structures are notoriously difficult to characterize with the standard material properties, such as strength and stiffness, used for manufactured solids. The reasons for this fall into two categories—technical problems that have their basis in the inconvenient sizes and shapes of living tissue; and difficulties that arise from the heterogeneous make-up and visco-elasticity of natural materials (Vogel, 1988; Niklas, 1992; Martin et al., 1998). Tendons present special technical challenges from the point of view of clamping and preconditioning, and are certainly heterogeneous, viscoelastic materials, nevertheless there is an extensive literature on the tensile properties of mammalian tendon (i.e. Bennett et al., 1986; Pollock and Shadwick, 1994b; de Zee et al., 2000). 3.1. Hagfish tendon We dissected 14, fresh, frozen hagfish (Myxine glutinosa) heads, removing the complete retractor mandibuli tendon from its origin on a thin cartilaginous rod at the posterior end of the tongue retractor muscle to the insertion on the cartilaginous tooth plate (for relevant anatomy see Coles, 1907). Tendons were kept moist with hagfish Ringers (0.53 M NaCl, 7 mM KCl, 4.5 mM CaCl, 12 mM MgCl2, 0.9 mM Na2SO4, 25 mM Tris at pH 7.95) (Riegel, 1978) for the brief time between dissection and testing. Material properties were determined with a tensile test to failure using an MTS Mini Bionix with a 500-g load cell at a strain rate of 2 mmys. Approximately 1 cm of each end of the tendon was held between the 1164 A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 Fig. 4. (a) A ventral view of the upper and lower jaws of a cownose ray (Rhinoptera bonasus) showing the arrangement of the adductor mandibularis medialis (AMM) muscle and the associated tendon. (b) Masson’s trichrome stained paraffin section (10 mm thick) of the fibrocartilaginous pad from the AMM tendon showing regions of proteoglycan matrix (blue) and organized fibrous areas (red). Scale bars100 mm. (c) Section of the fibrocartilaginous region of a calf meniscus showing similar morphology to the stingray tendon. Scale bars100 mm serrate jaws of standard tensile grips. Grips were then cooled by manual application of dry ice (–78 8C) until the tissue inside the grips was visibly affected. Tissue between the grips (8–15 mm) was checked with forceps to ensure that it had not frozen. In spite of freeze clamping, the tendon shifted in the grips in 6 of 14 tests resulting in slippage artifacts that prevented us from using these samples in calculating the maximum strain of the specimen (Fig. 5). The diameter of the unstretched, cylindrical tendon was measured with calipers to the nearest tenth of a millimeter. Stress vs. strain curves were generated from the MTS data and used to calculate ultimate strength, stiffness, and failure strain. The strength of the hagfish tongue retractor tendon was 47.8"3.5 MPa, and from the samples that did not slip in the clamps (ns8) we calculated the strain at failure to be 22"2%. This value is well beyond any reliable estimate of maximum strain in mammalian tendon (-10%). The stiffness of the tendon was 290"29 MPa. These values A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 1165 Fig. 5. Stress vs. strain curves for the hagfish (Myxine glutinosa) tongue retractor tendon. The ranges of values for strength and breaking strain in mammalian tendon are indicated by the bars. are similar to values reported for some mammalian tendons (Fig. 5). 3.2. Bony and cartilaginous fish Cartilaginous fish have few linearly arrayed tendons (Liem and Summers, 1999), and there has been no assessment of their material properties, nor the properties of the aponeurotic tendons. The literature for bony fish contains just two data points. In this volume Shadwick et al. (2002) report that the tail tendons of albacore and yellowfin tuna, fast swimming scombrid fish, are quite stiff (1.19–1.43 GPa), and they estimate a breaking strength near 30 MPa. 3.3. Amphibians Of the three extant groups of lissamphibians (frogs, salamanders, and caecilians) only frog tendons have been tested in depth. There are no records for the limbless and enigmatic caecilians, and a single record for salamanders—Azizi et al. (2002) found a maximum stiffness of 7.1 MPa for the sheet-like tendinous myosepta of the siren (Siren lacertina). Although frogs are important model systems for the study of muscle only a few studies address tendon mechanics, and those only report values for stiffness (Lieber et al., 1991; Trestik and Lieber, 1993). Gastrocnemius tendon (Es1.5 GPa) is similar to mammals, but the semitendinosus (0.2 GPa) is only as stiff as hagfish tendon. 3.4. Archosaurs Of the two extant groups of archosaurs, the birds and the crocodilians, there are data only from the former, though the latter have prominent, functionally important tendons. Some groups of birds (and some extinct non-avian dinosaurs; Hutchinson, 2002) mineralize their tendons, which has a pro- 1166 A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 1994b; Pike et al., 2000). From a functional point of view mammalian tendons fall into two categories, those that act as springs, such as the Achilles and digital flexor tendons of quadrupedal mammals, and those that simply transmit muscle force without storing significant energy, as in the digital extensors and biceps tendon (Alexander, 1984; Biewener and Blickhan, 1988; Biewener, 1998). Oddly, though these two functions might best be addressed by varied material properties, it seems that natural selection has not led to significant differences between them (Pollock and Shadwick, 1994b). In other words, while it would seem logical that the amount of strain energy stored in a tendon could be ‘tuned’ by varying the stiffness and resilience, in fact these properties are relatively invariant across a wide variety of tendons. Rather than rehash these studies, or a subset of them, we would like to point out the high and low values that have been reported for several properties and present scattergrams that summarize a synoptic review of the literature (Fig. 6). Fig. 6. Scattergram showing values for (a) stiffness and (b) strength of tendon from several chordate taxa. The values for hagfish (Myxine glutinosa) are from this paper. Data for fish (Shadwick et al., 2002), amphibians (Lieber et al., 1991, 2000; Trestik and Lieber, 1993), birds (Bennett and Stafford, 1988; Leonard et al., 1976), and mammals (Bennett et al., 1986; Itoi et al., 1995; Kondo et al., 1998; Pollock and Shadwick, 1994b; Wren et al., 2001) were gathered from literature sources. 4. Discussion Though there is too little evidence from nonmammalian taxa to be completely confident in an evolutionary scenario, we would propose the following hypotheses (Figs. 7 and 8). The first appearance of tendinous tissue is as myosepta, thin found effect on their properties (Bennett and Stafford, 1988). Indeed in some cases the stiffness of calcified tendon can approach that of bone (Leonard et al., 1976; Bennett and Stafford, 1988). Here we are interested in the unmineralized tendon’s behavior under load, which has been measured in the usual tensometer devices as well as in vivo, and in vitro using disparate techniques such as sonomicrometry, force buckles, and ultrasound (Biewener et al., 1992; Mohamed et al., 1995; Buchanan and Marsh, 2001). The stiffness of avian tendons (mineralized and unmineralized) ranged from 0.9 to 13 GPa, and the strength from 54 to 117 MPa. 3.5. Mammals There is a vast body of literature on the techniques of testing mammalian tendon (i.e. Riemersma and Schamhardt, 1982; Martin et al., 1998; Ker et al., 2000), and on the properties of tendon (i.e. Bennett et al., 1986; Pollock and Shadwick, Fig. 7. Cladogram of the chordates (modified from Liem et al., 2000) showing the evolutionary transitions of tendon: (1) ‘leaflets’ of connective tissue emanating from the notochord sheath; (2) an organized array of collagen forms myosepta; (3) linear tendon; specializations in the myosepta; (4) tendon responds to compressive loading with a fibrocartilaginous pad; and (5) sesamoid bones in areas of high compressive loading. A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 Fig. 8. Cladogram of the vertebrates (modified from Liem et al., 2000) showing the evolutionary transition of tendon: (1) tendon responds to compressive loading with a fibrocartilaginous pad; (2) sesamoid bones in areas of high compressive loading; and (3) tendons in tension calcify in response to load. sheets of connective tissue with collagen fibers organized to resist tension from several directions. As body plans became more adapted for highspeed undulatory locomotion the myosepta became specialized, with some regions being composed almost entirely of unidirectional collagen fibers— a linear tendon within the flat sheet of the myoseptal tendon. This is supported by the work of Gemballa’s group on Branchiostoma, agnathans, and fish (Vogel and Gemballa, 2001; Weitbrecht and Gemballa, 2001; Gemballa and Vogel, 2002). Linear tendons appear in the agnathans (Acrania) before the advent of vertebrates, and before the evolution of endochondral bone (Smith and Hall, 1990). This renders the textbook definition of tendon as a tissue that connects muscle to bone somewhat problematic. Sometime in or before the Silurian (440 to 410 mya) tendon acquired the ability to adapt to compressive loads by forming fibrocartilage, and by the Devonian, bony fish have formed sesamoid bones (Patterson, 1977; Arratia and Schultze, 1990). This is supported by our own work on the fibrocartilage of a cartilaginous fish (see preceding section) and by the fossil record of fish (Long, 1995). The ability to calcify tendon in response to tensile loads is not certainly present until the evolution of birds in the Jurassic period (208 to 146 mya) (Padian, 1997). The uniformity in material properties and the lack of novel responses to loading in eutherian and metatherian mammals is 1167 an indication that tendon has not undergone any major evolutionary transitions in the mammals. This implies that some non-mammals, and even non-tetrapods, may be used as model systems for studying tendon development, physiology, morphology, and repair. It is important to note that birds may not be a good model system for mammalian tendon biology, as avian tendon appears to have evolved a novel response to tensile stress (Fig. 8). On the evolution of material properties there is little we can be sure of, but we would speculate that the high strength of linear tendon is primitive on the basis of our hagfish data. Stiffness may have increased over evolutionary time in the lineages that gave rise to fish and tetrapods, but strength arose early and has been little changed through evolutionary time. We require a more extensive survey of material properties in fish and lower tetrapods to generate further hypotheses. Clearly, we have woefully little knowledge of non-mammalian tendon. Among the significant groups for which there are little or no data are the squamate reptiles, turtles, and cartilaginous fish. This is particularly troubling given the interesting transition that apparently takes place between the agnathans and the tetrapods—tendon becomes stiffer, it gains an epitenon, and becomes integrated into the locomotor system as a spring. We cannot understand the current character states in mammals without learning the evolutionary trajectory that they traversed in getting there. In the area of material properties there are several topics that would be quite interesting to know more about. The reported values for resilience, that is the efficiency of energy storage, for mammalian and fish tendon are quite high—on the order of 90% (Alexander, 1984; Pollock and Shadwick, 1994a; Shadwick et al., 2002). The fish tendons and mammalian tendons that have been tested are of similar stiffness (Fig. 6). From the scant comparative data it is clear that there are tendons of far lesser stiffness in both frogs and hagfish. It would be interesting to know if the high resilience is linked to high stiffness or whether these traits are independent. The lack of an epitenon in the hagfish tongue tendon may represent a primitive, less hierarchical structure. Comparative morphological data from bony and cartilaginous fish, amphibians and reptiles would settle the question of where the mammalian architecture of tendon arose (Kastelic et 1168 A.P. Summers, T.J. Koob / Comparative Biochemistry and Physiology Part A 133 (2002) 1159–1170 al., 1978; Rowe, 1985), and concomitantly might show whether the increased stiffness of mammalian tendon relative to hagfish tendon is related to this organization. Perhaps the most exciting area in tendon mechanics is that of the viscoelastic properties and fatigue quality (Ker et al., 2000; Ker, 2002). With only a few data from sheep and kangaroos, there remains a gap in our understanding of the evolution of time-dependent responses to steady and cyclic loading. This lack of knowledge is particularly troubling given the wide range of locomotor ´ behaviors and novel stress regimes that appear in the tetrapod lineage. 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