MTOR regulates fatty infiltration through SREBP-1 and PPARγ after a combined massive rotator cuff tear and suprascapular nerve injury in rats

Sunil K. Joshi, Xuhui Liu, Sanjum P. Samagh, David H. Lovett, Sue C. Bodine, Hubert T. Kim, Brian T. Feeley

Research output: Contribution to journalArticle

37 Scopus citations


Rotator cuff tears (RCTs) are among the most common injuries seen in orthopedic patients. Chronic tears can result in the development of muscular atrophy and fatty infiltration. Despite the prevalence of RCTs, little is known about the underlying molecular pathways that produce these changes. Recently, we have shown that mammalian target of rapamycin (mTOR) signaling plays an important role in muscle atrophy that results from massive RCTs in a rat model. The purpose of this study was therefore to extend our understanding of mTOR signaling and evaluate its role in fatty infiltration after a combined tendon transection and suprascapular nerve denervation surgery. Akt/mTOR signaling was significantly increased and resulted in the up-regulation of two transcription factors: SREBP-1 and PPARγ. We also saw an increase in expression of adipogenic markers: C/EBP-α and FASN. Upon treatment with rapamycin, an inhibitor of mTOR, we observed a decrease in mTOR signaling, activity of transcription factors, and reduction in fatty infiltration. Therefore, our study suggests that mTOR signaling mediates rotator cuff fatty infiltration via SREBP-1 and PPARγ. Clinically, our finding may alter current treatment methods to address rotator cuff fatty infiltration.

Original languageEnglish (US)
Pages (from-to)724-730
Number of pages7
JournalJournal of Orthopaedic Research
Issue number5
StatePublished - May 2013



  • Akt/mTOR signaling
  • fatty infiltration
  • PPARγ
  • rotator cuff tear
  • SREBP-1

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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