Mutyaba Patricia L, Belkin Nicole S, Lopas Luke, Gray Chancellor F, Dopkin Derek, Hankenson Kurt D, Ahn Jaimo
*Department of Orthopaedic Surgery, Perelman School of Medicine, and †Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA.
J Orthop Trauma. 2014;28 Suppl 1:S20-3. doi: 10.1097/BOT.0000000000000064.
Morbidity associated with geriatric fractures may be attributed, in part, to compromised mesenchymal stem cell (MSC) function within the fracture callus. The Notch signaling pathway is important for the healing of nonskeletal tissues in an age-dependent manner, but the effect of Notch on age-dependent fracture healing and MSC dysfunction has not been substantiated. The objective of this study was to examine Notch signaling in MSCs obtained from young and geriatric mice.
Marrow-derived MSCs were harvested from the femora of 5- and 25-month-old C57BL/6 mice. We assessed in vivo MSC number using CFU-F, proliferation using an Alamar Blue assay, osteoblast differentiation by Alizarin Red S staining, and adipogenic differentiation using Oil Red O staining. Notch receptor and ligand expression was assessed using quantitative PCR, and Notch signaling was assessed by evaluating Notch target gene expression (Hey and HES) under basal conditions and when cells were plated to Jagged-1 ligand.
MSC from geriatric mice exhibit reduced MSC number (CFU-F), proliferation, adipogenesis, and inconsistent osteogenesis. The highest expressed Notch receptor is Notch 2, and the highest expressed ligand is Jagged-1, but there were no differences in ligand and receptor gene expression between young and old MSCs. Interestingly, geriatric MSCs show decreased basal Notch signaling activity but are fully responsive to Jagged-1 stimulation.
These data suggest that therapeutic targeting of Notch signaling should be explored in clinical therapies to improve geriatric fracture healing.
老年骨折相关的发病率可能部分归因于骨折痂内间充质干细胞(MSC)功能受损。Notch信号通路以年龄依赖性方式对非骨骼组织的愈合很重要,但Notch对年龄依赖性骨折愈合和MSC功能障碍的影响尚未得到证实。本研究的目的是检测从年轻和老年小鼠获得的MSC中的Notch信号。
从5个月和25个月大的C57BL/6小鼠的股骨中采集骨髓来源的MSC。我们使用集落形成单位-成纤维细胞(CFU-F)评估体内MSC数量,使用Alamar Blue检测法评估增殖,使用茜素红S染色评估成骨细胞分化,使用油红O染色评估脂肪生成分化。使用定量PCR评估Notch受体和配体表达,并通过评估基础条件下以及细胞接种到Jagged-1配体时的Notch靶基因表达(Hey和HES)来评估Notch信号。
老年小鼠的MSC表现出MSC数量(CFU-F)减少、增殖减少、脂肪生成减少和成骨不一致。表达最高的Notch受体是Notch 2,表达最高的配体是Jagged-1,但年轻和老年MSC之间的配体和受体基因表达没有差异。有趣的是,老年MSC显示基础Notch信号活性降低,但对Jagged-1刺激完全有反应。
这些数据表明,在临床治疗中应探索Notch信号的治疗靶点,以改善老年骨折愈合。