Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Ann Rheum Dis. 2023 Feb;82(2):272-282. doi: 10.1136/ard-2022-222773. Epub 2022 Sep 29.
OBJECTIVES: Synovium is acutely affected following joint trauma and contributes to post-traumatic osteoarthritis (PTOA) progression. Little is known about discrete cell types and molecular mechanisms in PTOA synovium. We aimed to describe synovial cell populations and their dynamics in PTOA, with a focus on fibroblasts. We also sought to define mechanisms of synovial Wnt/β-catenin signalling, given its emerging importance in arthritis. METHODS: We subjected mice to non-invasive anterior cruciate ligament rupture as a model of human joint injury. We performed single-cell RNA-sequencing to assess synovial cell populations, subjected Wnt-GFP reporter mice to joint injury to study Wnt-active cells, and performed intra-articular injections of the Wnt agonist R-spondin 2 (Rspo2) to assess whether gain of function induced pathologies characteristic of PTOA. Lastly, we used cultured fibroblasts, macrophages and chondrocytes to study how Rspo2 orchestrates crosstalk between joint cell types. RESULTS: We uncovered seven distinct functional subsets of synovial fibroblasts in healthy and injured synovium, and defined their temporal dynamics in early and established PTOA. Wnt/β-catenin signalling was overactive in PTOA synovium, and Rspo2 was strongly induced after injury and secreted exclusively by Prg4 lining fibroblasts. Trajectory analyses predicted that Prg4 lining fibroblasts arise from a pool of Dpp4+ mesenchymal progenitors in synovium, with SOX5 identified as a potential regulator of this emergence. We also showed that Rspo2 orchestrated pathological crosstalk between synovial fibroblasts, macrophages and chondrocytes. CONCLUSIONS: Synovial fibroblasts assume distinct functional identities during PTOA in mice, and Prg4 lining fibroblasts secrete Rspo2 that may drive pathological joint crosstalk after injury.
目的:关节创伤后滑膜会受到急性影响,并导致创伤后骨关节炎(PTOA)进展。对于 PTOA 滑膜中的离散细胞类型和分子机制知之甚少。我们旨在描述 PTOA 滑膜中的滑膜细胞群体及其动态变化,重点关注成纤维细胞。我们还试图确定滑膜 Wnt/β-连环蛋白信号通路的机制,因为它在关节炎中的重要性日益凸显。
方法:我们通过非侵入性前交叉韧带断裂模型来模拟人类关节损伤,对滑膜细胞群体进行单细胞 RNA 测序,将 Wnt-GFP 报告小鼠用于关节损伤以研究 Wnt 活性细胞,并进行关节内注射 Wnt 激动剂 R-spondin 2(Rspo2)以评估功能获得是否诱导了 PTOA 的特征性病理。最后,我们使用培养的成纤维细胞、巨噬细胞和软骨细胞来研究 Rspo2 如何协调关节细胞类型之间的串扰。
结果:我们在健康和受伤的滑膜中发现了七个不同功能的滑膜成纤维细胞亚群,并定义了它们在早期和晚期 PTOA 中的时间动态。Wnt/β-连环蛋白信号在 PTOA 滑膜中过度活跃,Rspo2 在损伤后强烈诱导并仅由 Prg4 衬里成纤维细胞分泌。轨迹分析预测,Prg4 衬里成纤维细胞源自滑膜中 Dpp4+间充质祖细胞池,SOX5 被鉴定为这种出现的潜在调节因子。我们还表明,Rspo2 协调了滑膜成纤维细胞、巨噬细胞和软骨细胞之间的病理性串扰。
结论:在小鼠的 PTOA 中,滑膜成纤维细胞呈现出不同的功能特征,Prg4 衬里成纤维细胞分泌的 Rspo2 可能在损伤后驱动病理性关节串扰。
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