Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Nature. 2021 Sep;597(7875):256-262. doi: 10.1038/s41586-021-03795-7. Epub 2021 Aug 11.
Loss of skeletal integrity during ageing and disease is associated with an imbalance in the opposing actions of osteoblasts and osteoclasts. Here we show that intrinsic ageing of skeletal stem cells (SSCs) in mice alters signalling in the bone marrow niche and skews the differentiation of bone and blood lineages, leading to fragile bones that regenerate poorly. Functionally, aged SSCs have a decreased bone- and cartilage-forming potential but produce more stromal lineages that express high levels of pro-inflammatory and pro-resorptive cytokines. Single-cell RNA-sequencing studies link the functional loss to a diminished transcriptomic diversity of SSCs in aged mice, which thereby contributes to the transformation of the bone marrow niche. Exposure to a youthful circulation through heterochronic parabiosis or systemic reconstitution with young haematopoietic stem cells did not reverse the diminished osteochondrogenic activity of aged SSCs, or improve bone mass or skeletal healing parameters in aged mice. Conversely, the aged SSC lineage promoted osteoclastic activity and myeloid skewing by haematopoietic stem and progenitor cells, suggesting that the ageing of SSCs is a driver of haematopoietic ageing. Deficient bone regeneration in aged mice could only be returned to youthful levels by applying a combinatorial treatment of BMP2 and a CSF1 antagonist locally to fractures, which reactivated aged SSCs and simultaneously ablated the inflammatory, pro-osteoclastic milieu. Our findings provide mechanistic insights into the complex, multifactorial mechanisms that underlie skeletal ageing and offer prospects for rejuvenating the aged skeletal system.
随着年龄的增长和疾病的发生,骨骼完整性的丧失与成骨细胞和破骨细胞的对立作用失衡有关。在这里,我们发现小鼠骨骼干细胞(SSC)的内在衰老改变了骨髓龛中的信号转导,并使骨和血液谱系的分化发生偏差,导致骨骼脆弱,再生能力差。从功能上讲,衰老的 SSC 具有降低的骨和软骨形成潜力,但产生更多表达高水平促炎和促吸收细胞因子的基质谱系。单细胞 RNA 测序研究将功能丧失与衰老小鼠 SSC 的转录组多样性降低联系起来,从而导致骨髓龛的转化。通过异时性胎结对衰老小鼠进行年轻循环暴露或用年轻造血干细胞进行全身重建并不能逆转衰老 SSC 降低的成骨软骨活性,也不能改善衰老小鼠的骨量或骨骼愈合参数。相反,衰老的 SSC 谱系通过造血干细胞和祖细胞促进破骨细胞活性和髓样偏倚,表明 SSC 的衰老是造血衰老的驱动因素。只有通过局部应用 BMP2 和 CSF1 拮抗剂的组合治疗来骨折,才能将衰老小鼠的骨再生恢复到年轻水平,这种治疗方法重新激活了衰老的 SSC 并同时消除了炎症、促破骨细胞的环境。我们的研究结果为骨骼衰老的复杂、多因素机制提供了机制上的见解,并为恢复衰老骨骼系统提供了前景。
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