Acquired heterotopic ossification (HO) is a painful and debilitating disease characterized by extraskeletal bone formation after injury. The exact pathogenesis of HO remains unknown. Here we show that TGF-beta initiates and promotes HO in mice. We find that calcified cartilage and newly formed bone resorb osteoclasts after onset of HO, which leads to high levels of active TGF-beta that recruit mesenchymal stromal/progenitor cells (MSPCs) in the HO microenvironment. Transgenic expression of active TGF-beta in tendon induces spontaneous HO, whereas systemic injection of a TGF-beta neutralizing antibody attenuates ectopic bone formation in traumatic and BMP-induced mouse HO models, and in a fibrodysplasia ossificans progressive mouse model. Moreover, inducible knockout of the TGF-beta type II receptor in MSPCs inhibits HO progression in HO mouse models. Our study points toward elevated levels of active TGF-beta as inducers and promoters of ectopic bone formation, and suggest that TGF-beta might be a therapeutic target in HO.
机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Abram, Clare L.
;
Roberge, Gray L.
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Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Roberge, Gray L.
;
Hu, Yongmei
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Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Hu, Yongmei
;
Lowell, Clifford A.
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机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
机构:
Medical University of South Carolina, Department of Orthopaedic Surgery, Charleston, SCClemson University, Department of Bioengineering, Clemson, SC
Baird E.O.
;
Kang Q.K.
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机构:
Clemson University, Department of Bioengineering, Clemson, SC
Medical University of South Carolina, Department of Orthopaedic Surgery, Charleston, SCClemson University, Department of Bioengineering, Clemson, SC
机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Abram, Clare L.
;
Roberge, Gray L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Roberge, Gray L.
;
Hu, Yongmei
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Hu, Yongmei
;
Lowell, Clifford A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
Univ Calif San Francisco, Program Immunol, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Lab Med, San Francisco, CA 94143 USA
机构:
Medical University of South Carolina, Department of Orthopaedic Surgery, Charleston, SCClemson University, Department of Bioengineering, Clemson, SC
Baird E.O.
;
Kang Q.K.
论文数: 0引用数: 0
h-index: 0
机构:
Clemson University, Department of Bioengineering, Clemson, SC
Medical University of South Carolina, Department of Orthopaedic Surgery, Charleston, SCClemson University, Department of Bioengineering, Clemson, SC