Cho Tae-Joon, Gerstenfeld Louis C, Einhorn Thomas A
Department of Orthopedic Surgery, Boston University Medical Center, Massachusetts 02118, USA.
J Bone Miner Res. 2002 Mar;17(3):513-20. doi: 10.1359/jbmr.2002.17.3.513.
Fracture healing is a unique postnatal repair process in which the events of endochondral and intramembranous bone formation follow a definable temporal sequence. The temporal patterns of messenger RNA (mRNA) expression for members of the transforming growth factor beta (TGF-beta) superfamily were examined over a 28-day period of fracture healing in mouse tibias. Bone morphogenetic protein 2 (BMP-2) and growth and differentiation factor 8 (GDF8) showed maximal expression on day 1 after fracture, suggesting their roles as early response genes in the cascade of healing events. Restricted expression of GDF8 to day 1, in light of its known actions as a negative regulator of skeletal muscle growth, suggests that it may similarly regulate cell differentiation early in the fracture healing process. GDF5, TGF-beta2, and TGF-beta3 showed maximal expression on day 7, when type II collagen expression peaked during cartilage formation. In contrast, BMP-3, BMP-4, BMP-7, and BMP-8 showed a restricted period of expression from day 14 through day 21, when the resorption of calcified cartilage and osteoblastic recruitment were most active. TGF-beta1, BMP-5 and BMP-6, and GDF10 were constitutively expressed from day 3 to day 21. However, during the same time period, GDF3, GDF6, and GDF9 could not be detected, and GDF1 was expressed at extremely low levels. These findings suggest that several members of the TGF-beta superfamily are actively involved in fracture healing and although they are closely related both structurally and functionally, each has a distinct temporal expression pattern and potentially unique role in fracture healing.
骨折愈合是一种独特的出生后修复过程,在此过程中,软骨内成骨和膜内成骨事件遵循可定义的时间顺序。在小鼠胫骨骨折愈合的28天期间,检测了转化生长因子β(TGF-β)超家族成员的信使核糖核酸(mRNA)表达的时间模式。骨形态发生蛋白2(BMP-2)和生长分化因子8(GDF8)在骨折后第1天表达最高,表明它们在愈合事件级联反应中作为早期反应基因发挥作用。鉴于GDF8作为骨骼肌生长的负调节因子的已知作用,其在第1天的表达受限表明它可能在骨折愈合过程早期同样调节细胞分化。GDF5、TGF-β2和TGF-β3在第7天表达最高,此时软骨形成过程中II型胶原表达达到峰值。相比之下,BMP-3、BMP-4、BMP-7和BMP-8在第14天至第21天期间表达受限,此时钙化软骨的吸收和成骨细胞募集最为活跃。TGF-β1、BMP-5和BMP-6以及GDF10在第3天至第21天持续表达。然而,在同一时期,未检测到GDF3、GDF6和GDF9,且GDF1表达水平极低。这些发现表明,TGF-β超家族的几个成员积极参与骨折愈合,尽管它们在结构和功能上密切相关,但每个成员在骨折愈合中都有独特的时间表达模式和潜在的独特作用。