Center for Musculoskeletal Research, Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, NY 14642, USA.
Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA.
Sci Signal. 2020 Nov 17;13(658):eabb7209. doi: 10.1126/scisignal.abb7209.
Although inflammation is necessary during the early phases of tissue repair, persistent inflammation contributes to fibrosis. Acute tendon injuries often heal through a fibrotic mechanism, which impedes regeneration and functional recovery. Because inflammation mediated by nuclear factor κB (NF-κB) signaling is implicated in this process, we examined the spatial, temporal, and cell type-specific activation profile of canonical NF-κB signaling during tendon healing. NF-κB signaling was maintained through all phases of tendon healing in mice, including the remodeling phase, and tenocytes and myofibroblasts from the () lineage were the predominant populations that retained NF-κB activation into the late stages of repair. We confirmed persistent NF-κB activation in myofibroblasts in human tendon scar tissue. Deleting the canonical NF-κB kinase, IKKβ, in -lineage cells in mice increased apoptosis and the deposition of the matrix protein periostin during the late stages of tendon repair, suggesting that persistent NF-κB signaling may facilitate myofibroblast survival and fibrotic progression. Consistent with this, myofibroblasts in human tendon scar samples displayed enhanced prosurvival signaling compared to control tissue. Together, these data suggest that NF-κB may contribute to fibrotic tendon healing through both inflammation-dependent and inflammation-independent functions, such as NF-κB-mediated cell survival.
尽管在组织修复的早期阶段炎症是必要的,但持续的炎症会导致纤维化。急性肌腱损伤通常通过纤维化机制愈合,这会阻碍再生和功能恢复。由于核因子 κB(NF-κB)信号介导的炎症与此过程有关,因此我们研究了 NF-κB 信号在肌腱愈合过程中的空间、时间和细胞类型特异性激活谱。在包括重塑阶段在内的整个肌腱愈合过程中,NF-κB 信号在小鼠中得以维持,肌腱细胞和成肌纤维细胞是保留 NF-κB 激活至修复后期的主要细胞群体。我们在人肌腱瘢痕组织中的成肌纤维细胞中证实了持续的 NF-κB 激活。在小鼠中,在 -细胞谱系中删除经典 NF-κB 激酶 IKKβ 会增加晚期肌腱修复过程中的细胞凋亡和基质蛋白骨粘连蛋白的沉积,表明持续的 NF-κB 信号可能促进成肌纤维细胞的存活和纤维化进展。与此一致的是,与对照组织相比,人肌腱瘢痕样本中的成肌纤维细胞显示出增强的生存信号。总之,这些数据表明,NF-κB 可能通过炎症依赖和非依赖的功能(例如 NF-κB 介导的细胞存活)促进纤维性肌腱愈合。
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