Eliasson P, Andersson T, Hammerman M, Aspenberg P. Primary gene response to mechanical loading in healing rat Achilles tendons. J Appl Physiol 114: 1519 -1526, 2013. First published March 21, 2013 doi:10.1152/japplphysiol.01500.2012.-Loading can stimulate tendon healing. In healing rat Achilles tendons, we have found more than 150 genes upregulated or downregulated 3 h after one loading episode. We hypothesized that these changes were preceded by a smaller number of regulatory genes and thus performed a microarray 15 min after a short loading episode, to capture the primary response to loading. We transected the Achilles tendon of 54 rats and allowed them to heal. The hind limbs were unloaded by tail-suspension during the entire experiment, except during the loading episode. The healing tendon tissue was analyzed by mechanical testing, microarray, and quantitative real-time polymerase chain reaction (qRT-PCR). Mechanical testing showed that 5 min of loading each day for 4 days created stronger tissue. The microarray analysis after one loading episode identified 15 regulated genes. Ten genes were analyzed in a repeat experiment with new rats using qRT-PCR. This confirmed the increased expression of four genes: early growth response 2 (Egr2), c-Fos, FosB, and regulation of G protein signaling 1 (Rgs1). The other genes were unaltered. We also analyzed the expression of early growth response 1 (Egr1), which is often coregulated with c-Fos or Egr2, and found that this was also increased after loading. Egr1, Egr2, c-Fos, and FosB are transcription factors that can be triggered by numerous stimuli. However, Egr1 and Egr2 are necessary for normal tendon development, and can induce ectopic expression of tendon markers. The five regulated genes appear to constitute a general activation machinery. The further development of gene regulation might depend on the tissue context. tail-suspension; treadmill walking; tendon repair; early growth response; microarray TENDONS ADAPT TO CHANGES IN mechanical loading (5,6,20), and sufficient mechanical stimulation appears to be required for appropriate healing of ruptured tendons (11,12,34). Yet there is always a risk of re-rupture if too much loading is applied after injury. In rats, short daily episodes of loading of an otherwise unloaded healing Achilles tendon increases the strength of the healing tissue (1, 9, 10). In human patients, early weight bearing after surgical repair of Achilles tendon ruptures has been suggested to improve the clinical outcome (26,43).Mechanical loading stimulates collagen expression during tendon healing (11). At least in rats, it results in an increased cross-sectional area of the callus tissue, leading to an increase in strength (11). The mechanisms behind the effect of mechanical stimulation are not fully understood, and the signaling pathways involved in tendon mechano-transduction in vivo are not well described. We previously studied the changes in gene expression that arise when an unloaded healing tendon is exposed to 30 min of loading (10). We ...