Sahbani Karim, Cardozo Christopher P, Bauman William A, Tawfeek Hesham A
National Center for the Medical Consequences of Spinal Cord Injury, James J Peters Veterans Affairs Medical Center, Bronx, NY 10468, USA.
Bronx Veterans Medical Research Foundation, Bronx, NY 10468, USA.
Endocrinology. 2022 Jan 1;163(1). doi: 10.1210/endocr/bqab230.
Bone loss is one of the most common complications of immobilization after spinal cord injury (SCI). Whether transforming growth factor (TGF)-β signaling plays a role in SCI-induced disuse bone loss has not been determined. Thus, 16-week-old male mice underwent sham or spinal cord contusion injury to cause complete hindlimb paralysis. Five days later, 10 mg/kg/day control (IgG) or anti-TGF-β1,2,3 neutralizing antibody (1D11) was administered twice weekly for 4 weeks. Femurs were examined by micro-computed tomography (micro-CT) scanning and histology. Bone marrow (BM) supernatants were analyzed by enzyme-linked immunosorbent assay for levels of procollagen type 1 intact N-terminal propeptide (P1NP), tartrate-resistant acid phosphatase (TRAcP-5b), receptor activator of nuclear factor-kappa B ligand (RANKL), osteoprotegerin (OPG), and prostaglandin E2 (PGE2). Distal femoral micro-CT analysis showed that SCI-1D11 mice had significantly (P < .05) attenuated loss of trabecular fractional bone volume (123% SCI-1D11 vs 69% SCI-IgG), thickness (98% vs 81%), and connectivity (112% vs 69%) and improved the structure model index (2.1 vs 2.7). Histomorphometry analysis revealed that osteoclast numbers were lower in the SCI-IgG mice than in sham-IgG control. Biochemically, SCI-IgG mice had higher levels of P1NP and PGE2 but similar TRAcP-5b and RANKL/OPG ratio to the sham-IgG group. The SCI-1D11 group exhibited higher levels of P1NP but similar TRAcP-5b, RANKL/OPG ratio, and PGE2 to the sham-1D11 group. Furthermore, 1D11 treatment prevented SCI-induced hyperphosphorylation of tau protein in osteocytes, an event that destabilizes the cytoskeleton. Together, inhibition of TGF-β signaling after SCI protects trabecular bone integrity, likely by balancing bone remodeling, inhibiting PGE2 elevation, and preserving the osteocyte cytoskeleton.
骨质流失是脊髓损伤(SCI)后制动最常见的并发症之一。转化生长因子(TGF)-β信号通路是否在SCI诱导的废用性骨质流失中起作用尚未确定。因此,对16周龄雄性小鼠进行假手术或脊髓挫伤损伤,导致后肢完全麻痹。五天后,每周两次给予10mg/kg/天的对照(IgG)或抗TGF-β1,2,3中和抗体(1D11),持续4周。通过微计算机断层扫描(micro-CT)扫描和组织学检查股骨。通过酶联免疫吸附测定法分析骨髓(BM)上清液中1型原胶原完整N端前肽(P1NP)、抗酒石酸酸性磷酸酶(TRAcP-5b)、核因子-κB受体激活剂配体(RANKL)、骨保护素(OPG)和前列腺素E2(PGE2)的水平。股骨远端微CT分析显示,SCI-1D11小鼠小梁骨体积分数(SCI-1D11为123%,SCI-IgG为69%)、厚度(98%对81%)和连通性(112%对69%)的损失显著减轻(P<0.05),结构模型指数得到改善(2.1对2.7)。组织形态计量学分析显示,SCI-IgG小鼠的破骨细胞数量低于假手术-IgG对照组。生化分析表明,SCI-IgG小鼠的P1NP和PGE2水平较高,但TRAcP-5b和RANKL/OPG比值与假手术-IgG组相似。SCI-1D11组的P1NP水平较高,但TRAcP-5b、RANKL/OPG比值和PGE2与假手术-1D11组相似。此外,1D11治疗可预防SCI诱导的骨细胞中tau蛋白过度磷酸化,这一事件会破坏细胞骨架的稳定性。总之,SCI后抑制TGF-β信号通路可保护小梁骨完整性,可能是通过平衡骨重塑、抑制PGE2升高和维持骨细胞细胞骨架来实现的。