Qiao Wei, Wong Karen H M, Shen Jie, Wang Wenhao, Wu Jun, Li Jinhua, Lin Zhengjie, Chen Zetao, Matinlinna Jukka P, Zheng Yufeng, Wu Shuilin, Liu Xuanyong, Lai Keng Po, Chen Zhuofan, Lam Yun Wah, Cheung Kenneth M C, Yeung Kelvin W K
Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
Nat Commun. 2021 May 17;12(1):2885. doi: 10.1038/s41467-021-23005-2.
Despite the widespread observations on the osteogenic effects of magnesium ion (Mg), the diverse roles of Mg during bone healing have not been systematically dissected. Here, we reveal a previously unknown, biphasic mode of action of Mg in bone repair. During the early inflammation phase, Mg contributes to an upregulated expression of transient receptor potential cation channel member 7 (TRPM7), and a TRPM7-dependent influx of Mg in the monocyte-macrophage lineage, resulting in the cleavage and nuclear accumulation of TRPM7-cleaved kinase fragments (M7CKs). This then triggers the phosphorylation of Histone H3 at serine 10, in a TRPM7-dependent manner at the promoters of inflammatory cytokines, leading to the formation of a pro-osteogenic immune microenvironment. In the later remodeling phase, however, the continued exposure of Mg not only lead to the over-activation of NF-κB signaling in macrophages and increased number of osteoclastic-like cells but also decelerates bone maturation through the suppression of hydroxyapatite precipitation. Thus, the negative effects of Mg on osteogenesis can override the initial pro-osteogenic benefits of Mg. Taken together, this study establishes a paradigm shift in the understanding of the diverse and multifaceted roles of Mg in bone healing.
尽管镁离子(Mg)的成骨作用已得到广泛观察,但Mg在骨愈合过程中的多种作用尚未得到系统剖析。在此,我们揭示了Mg在骨修复中一种此前未知的双相作用模式。在早期炎症阶段,Mg有助于瞬时受体电位阳离子通道亚家族成员7(TRPM7)表达上调,以及单核细胞-巨噬细胞谱系中Mg通过TRPM7依赖性方式流入,导致TRPM7裂解的激酶片段(M7CKs)裂解并在细胞核中积累。这随后以TRPM7依赖性方式在炎症细胞因子启动子处触发组蛋白H3丝氨酸10位点的磷酸化,导致形成促骨生成免疫微环境。然而,在后期重塑阶段,持续暴露于Mg不仅会导致巨噬细胞中NF-κB信号过度激活以及破骨样细胞数量增加,还会通过抑制羟基磷灰石沉淀减缓骨成熟。因此,Mg对成骨的负面影响可能会超过其最初的促骨生成益处。综上所述,本研究在理解Mg在骨愈合中的多样和多方面作用方面实现了范式转变。