![]() |
| Photo: RVC |
horses, particularly as they get older.
A new study from the Royal Veterinary College (RVC) has shed important light on why ageing tendons are more vulnerable to injury and slower to heal, by closely examining how the tendon’s blood supply changes with age.
Tendons are specialised tissues that transmit force from muscle to bone. To do this efficiently, they are dense and tightly packed with collagen fibres. While this structure is excellent for strength and elasticity, it comes at a cost: tendons have relatively few cells and a limited blood supply compared with other tissues.
Blood vessels are vital for delivering oxygen and nutrients, removing waste products and supporting repair after microscopic damage caused by normal exercise. Because tendons are already poorly supplied with blood, any further reduction can seriously limit their ability to maintain healthy tissue and to heal after injury.
The study focused on the superficial digital flexor tendon (SDFT) in horses. This tendon is frequently injured in athletic horses and is considered the functional equivalent of the human Achilles tendon. This makes the horse an excellent model for understanding tendon ageing in both veterinary and human medicine.
The research team, led by Dr Nodoka Iwasaki, Postdoctoral Researcher, and Dr Chavaunne Thorpe, Lecturer in Basic Sciences at the RVC’s Department of Comparative Biomedical Sciences, used advanced 3D technologies (micro-computed tomography (μCT) and confocal microscopy) to capture detailed images of tendon tissue from young (2-5 years old) and older (18-22 years old) horses, enabling them to visualise and quantify the tendon’s vascular network in unprecedented detail.
This approach allowed the researchers to map the tendon’s microvasculature in unprecedented detail.
The μCT analysis showed striking age-related changes in the tendon’s blood vessels, particularly within the interfascicular matrix (IFM) (the region between tendon fibre bundles that is important for tendon elasticity and repair.)
In older horses, compared with younger ones, there was:
· 70% reduction in total vascular volume
· 30% reduction in average vessel diameter
· 74% reduction in vessel density
In simple terms, older tendons had far fewer and smaller large blood vessels. This leads to significantly reduced blood flow, helping to explain why older tendons are more prone to degeneration and slower to heal.
At the same time, the immunolabelling studies revealed something unexpected. Markers associated with endothelial cells (cells lining blood vessels, identified using von Willebrand factor, VWF) and pericytes (support cells that stabilise small blood vessels ) were increased in aged tendons.
This suggests that new, very small blood vessels (capillaries) are forming. However, these new vessels appeared disorganised and were not accompanied by healthy larger vessels. The researchers also found major reductions in markers associated with mature, functional vessel walls (such as MYH11 and desmin), indicating a loss of normal vascular structure.
Taken together, the results suggest that ageing tendons lose their well-organised, larger blood vessels and attempt to compensate by forming many small, immature vessels.
This disorganised angiogenesis may be driven by low-level inflammation or repeated micro-damage over the horse’s lifetime, but further research is needed to confirm this.
Crucially, these new small vessels may not function effectively, meaning they do not adequately restore blood flow or support proper healing.
This research helps explain several real-world observations:
· Older horses are at higher risk of tendon injury
· Tendon injuries in older horses heal more slowly
· Re-injury rates are high due to poor-quality repair and scar tissue formation
Understanding these vascular changes may help:
· Identify horses at higher risk of injury
· Tailor training and workload more carefully as horses age
· Improve rehabilitation strategies by recognising the limits of tendon healing in older animals
By identifying specific age-related changes in tendon blood vessels, this study opens the door to new therapeutic approaches. Potential future strategies may aim to:
· Preserve healthy blood vessels as horses age
· Improve vascular organisation during tendon healing
· Enhance regeneration rather than scar formation
Such advances could significantly improve outcomes for older horses with tendon injuries and may also translate to better treatments for tendon injuries in people.
In summary, this study provides the first detailed 3D picture of how tendon blood supply changes with age. It shows that while older tendons try to adapt, the loss of healthy, functional blood vessels is likely a key reason why ageing tendons are more fragile and slower to heal.
For more details, see:
Nodoka Iwasaki, Jack Llewellyn, Jeanne Brown, Danae E. Zamboulis, Elizabeth J. T. Finding, Caroline P. D. Wheeler-Jones, Chavaunne T. Thorpe
Immunolabelling and Micro-Computed Tomography Revealed Age-Related Alterations in 3D Microvasculature of Tendons.
Aging Cell (2025) e70293.






