Inhibition of overactive TGF-β attenuates progression of heterotopic ossification in mice

被引:246
作者
Wang, Xiao [1 ]
Li, Fengfeng [2 ]
Xie, Liang [1 ]
Crane, Janet [1 ]
Zhen, Gehua [1 ]
Mishina, Yuji [3 ]
Deng, Ruoxian [1 ]
Gao, Bo [1 ]
Chen, Hao [1 ]
Liu, Shen [1 ,2 ]
Yang, Ping [1 ]
Gao, Manman [1 ]
Tu, Manli [1 ]
Wang, Yiguo [1 ]
Wan, Mei [1 ]
Fan, Cunyi [2 ]
Cao, Xu [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Orthoped Surg, Baltimore, MD 21205 USA
[2] Shanghai Sixth Peoples Hosp, Dept Orthoped Surg, Shanghai 200030, Peoples R China
[3] Univ Michigan, Sch Dent, Ann Arbor, MI 48109 USA
关键词
MESENCHYMAL STEM-CELLS; GROWTH-FACTOR-BETA; BONE-MARROW; ENDOTHELIAL-CELLS; SUBCHONDRAL BONE; PROGENITOR CELLS; HUMAN-DISEASES; RECEPTOR; MUTATIONS; ACTIVATION;
D O I
10.1038/s41467-018-02988-5
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
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.
引用
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页数:13
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