两种组织驻留祖细胞谱系驱动异位骨化的不同表型。

Two tissue-resident progenitor lineages drive distinct phenotypes of heterotopic ossification.

机构信息

Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Regeneron Pharmaceuticals Inc., 777 Old Saw Mill River Road, Tarrytown, NY 10591, USA.

出版信息

Sci Transl Med. 2016 Nov 23;8(366):366ra163. doi: 10.1126/scitranslmed.aaf1090.

Abstract

Fibrodysplasia ossificans progressiva (FOP), a congenital heterotopic ossification (HO) syndrome caused by gain-of-function mutations of bone morphogenetic protein (BMP) type I receptor ACVR1, manifests with progressive ossification of skeletal muscles, tendons, ligaments, and joints. In this disease, HO can occur in discrete flares, often triggered by injury or inflammation, or may progress incrementally without identified triggers. Mice harboring an Acvr1 knock-in allele recapitulate the phenotypic spectrum of FOP, including injury-responsive intramuscular HO and spontaneous articular, tendon, and ligament ossification. The cells that drive HO in these diverse tissues can be compartmentalized into two lineages: an Scx tendon-derived progenitor that mediates endochondral HO of ligaments and joints without exogenous injury, and a muscle-resident interstitial Mx1 population that mediates intramuscular, injury-dependent endochondral HO. Expression of Acvr1 in either lineage confers aberrant gain of BMP signaling and chondrogenic differentiation in response to activin A and gives rise to mutation-expressing hypertrophic chondrocytes in HO lesions. Compared to Acvr1, expression of the man-made, ligand-independent ACVR1 mutation accelerates and increases the penetrance of all observed phenotypes, but does not abrogate the need for antecedent injury in muscle HO, demonstrating the need for an injury factor in addition to enhanced BMP signaling. Both injury-dependent intramuscular and spontaneous ligament HO in Acvr1 knock-in mice were effectively controlled by the selective ACVR1 inhibitor LDN-212854. Thus, diverse phenotypes of HO found in FOP are rooted in cell-autonomous effects of dysregulated ACVR1 signaling in nonoverlapping tissue-resident progenitor pools that may be addressed by systemic therapy or by modulating injury-mediated factors involved in their local recruitment.

摘要

进行性骨化性纤维发育不良(FOP)是一种先天性异位骨化(HO)综合征,由骨形态发生蛋白(BMP)I 型受体 ACVR1 的功能获得性突变引起,表现为骨骼肌、肌腱、韧带和关节的进行性骨化。在这种疾病中,HO 可能会以离散的爆发形式发生,通常由损伤或炎症引发,或者可能在没有明确诱因的情况下逐渐进展。携带 Acvr1 基因敲入等位基因的小鼠重现了 FOP 的表型谱,包括对损伤有反应的肌内 HO 以及自发的关节、肌腱和韧带骨化。在这些不同组织中驱动 HO 的细胞可以被分隔成两个谱系:Scx 肌腱衍生祖细胞介导无外源性损伤的韧带和关节的软骨内 HO,以及肌内驻留的间质 Mx1 群体介导肌内、损伤依赖性软骨内 HO。谱系中 Acvr1 的表达赋予了异常的 BMP 信号转导和软骨分化,以响应激活素 A,并在 HO 病变中产生表达突变的肥大软骨细胞。与 Acvr1 相比,人工制造的、配体非依赖性的 ACVR1 突变的表达加速并增加了所有观察到的表型的外显率,但不能消除肌内 HO 中对损伤的需求,这表明除了增强的 BMP 信号之外,还需要损伤因素。在 Acvr1 基因敲入小鼠中,依赖损伤的肌内和自发的韧带 HO 均被选择性 ACVR1 抑制剂 LDN-212854 有效控制。因此,FOP 中发现的多种 HO 表型源于失调的 ACVR1 信号在非重叠组织驻留祖细胞库中的细胞自主效应,这些效应可能通过系统治疗或调节其局部募集涉及的损伤介导因素来解决。

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