Abstract:[Objective] To investigate the effect of mTOR protein on tendon repair ability of tendon stem cells in aged rats. [Methods]Young and old rat tendon stem cells were cultured in vitro, and mTOR expression was regulated by adenovirus transfection, and mTOR andrelated proteins were detected by Western blot. Aged rat patellar tendon injury models were made, and divided into mTOR expression,mTOR interference, green fluorescent protein (GFP) and blank groups. The repaired tendon tissues of the rats were harvested at 2 and 4weeks for histological, tissue immunochemical and biomechanical assays. [Results] In vitro test, the western blot results showed that theaged rats presented significantly higher level of mTOR [(1.8±0.1) vs (0.9±0.1), P<0.05], Raptor [(4.1±0.3) vs (2.2±0.3), P<0.05] and P-Rap-tor [(1.8±0.1) vs (0.9±0.1), P<0.05] than the young group, despite of insignificant differences in Akt, p-Akt, S6k and P-S6K between the twogroups (P>0.05). The expression sequence of mTOR, Raptor and P-Raptor after transfection of TSCs in aged rats ranked from high to low:mTOR expression group > GFP Group >mTOR interference group (P<0.05). In vivo test, HE tissue scores significantly increased in all the 4groups 4 weeks after surgery group compared with those 2 weeks after surgery (P<0.05), which ranked from high to low as the mTOR interfer-ence group >GFP Group >mTOR expression group > blank control group at time points accordingly with statistically significant differences(P<0.05). Compared with those 2 weeks after surgery, the Col1 and SCX expressions remained unchanged at 4 weeks after surgery (P>0.05),which ranked among the 4 groups from high to low as the mTOR interference group >GFP Group >Blank group >mTOR expression group,with statistical significance (P<0.05). Compared with those 2 weeks after surgery, the maximum failure strength in biomechanical test signifi-cantly increased in 4 weeks after surgery (P<0.05), which ranked up-down as mTOR interference group >GFP Group > blank group >mTORexpression group with statistical significances at time points accordingly (P<0.05). [Conclusion] Inhibition of mTOR protein does enhancethe repair capacity of tendon stem cells in aged rats in this study.