Department of Rehabilitation Medicine, Center of Bone Metabolism and Repair, State Key Laboratory of Trauma, Burns and Combined Injury, Trauma Center, Research Institute of Surgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Int J Biol Sci. 2017 Jul 18;13(8):1029-1037. doi: 10.7150/ijbs.19309. eCollection 2017.
Bone fracture healing is processed through multiple biological stages that partly recapitulates the skeletal development process. FGFR3 is a negative regulator of chondrogenesis during embryonic stage and plays an important role in both chondrogenesis and osteogenesis. We have investigated the role of FGFR3 in fracture healing using unstabilized fracture model and found that gain-of-function mutation of FGFR3 inhibits the initiation of chondrogenesis during cartilage callus formation. Here, we created closed, stabilized proximal tibia fractures with an intramedullary pin in Fgfr3mice and their littermate wild-type mice. Fracture healing was evaluated by radiography, micro-CT, histology, and real-time polymerase chain reaction (RT-PCR) analysis. The fractured Fgfr3 mice had increased formation of cartilaginous callus, more fracture callus, and more rapid endochondral ossification in fracture sites with up-regulated expressions of chondrogenesis related gene. The fractures of Fgfr3 mice healed faster with accelerated fracture callus mineralization and up-regulated expression of osteoblastogenic genes. The healing of fractures in Fgfr3 mice was accelerated in the stage of formation of cartilage and endochondral ossification. Downregulation of FGFR3 activity can be considered as a potential bio-therapeutic strategy for fracture treatment.
骨愈合是通过多个生物学阶段进行的,部分上重现了骨骼发育过程。FGFR3 是胚胎期软骨生成的负调节剂,在软骨生成和骨生成中都发挥着重要作用。我们使用未稳定化骨折模型研究了 FGFR3 在骨折愈合中的作用,发现 FGFR3 的功能获得性突变抑制了软骨痂形成过程中的软骨生成起始。在这里,我们在 Fgfr3 小鼠及其同窝野生型小鼠中创建了带有髓内钉的封闭、稳定化的近端胫骨骨折。通过放射照相、微 CT、组织学和实时聚合酶链反应 (RT-PCR) 分析评估骨折愈合。骨折的 Fgfr3 小鼠形成了更多的软骨性骨痂,更多的骨折骨痂,并且在骨折部位的软骨生成相关基因表达上调,表现出更快的软骨内骨化。骨折的 Fgfr3 小鼠的骨折愈合更快,骨折骨痂的矿化加速,成骨基因的表达上调。在软骨形成和软骨内骨化阶段,Fgfr3 小鼠的骨折愈合得到了加速。降低 FGFR3 活性可被视为骨折治疗的一种潜在的生物治疗策略。