Department of Orthopedics, The Affiliated Changzhou Second People’s Hospital of Nanjing Medical University, Changzhou 213000, China.
Department of Orthopedics, Yibin Integrated Traditional Chinese and Western Medicine Hospital, Yibin 644104, China.
Aging (Albany NY). 2023 Oct 2;15(19):10193-10212. doi: 10.18632/aging.205067.
The treatment of bone defects is a difficult problem in orthopedics. At present, the treatment mainly relies on autologous or allogeneic bone transplantation, which may lead to some complications such as foreign body rejection, local infection, pain, or numbness at the bone donor site. Local injection of conservative therapy to treat bone defects is one of the research hotspots at present. Bone marrow mesenchymal stem cells (BMSCs) can self-renew, significantly proliferate, and differentiate into various types of cells. Although it has been reported that CK1ε could mediate the Wnt/β-catenin pathway, leading to the development of the diseases, whether CK1ε plays a role in bone regeneration through the Wnt/β-catenin pathway has rarely been reported. The purpose of this study was to investigate whether CK1ε was involved in the osteogenic differentiation (OD) of BMSCs through the Wnt/β-catenin pathway and explore the mechanism. We used quantitative reverse transcription-polymerase chain reaction (qRT-qPCR), Western blots, immunofluorescence, alkaline phosphatase, and alizarin red staining to detect the effect of CK1ε on the OD of BMSCs and the Wnt/β-catenin signaling pathway. CK1ε was highly expressed in BMSCs with OD, and our study further demonstrated that CK1ε might promote the OD of BMSCs by activating DLV2 phosphorylation, initiating Wnt signaling downstream, and activating β-catenin nuclear transfer. In addition, by locally injecting a CK1ε-carrying adeno-associated virus (AAV5- CK1ε) into a femoral condyle defect rat model, the overexpression of CK1ε significantly promoted bone repair. Our data show that CK1ε was involved in the regulation of OD by mediating Wnt/β-catenin. This may provide a new strategy for the treatment of bone defects.
骨缺损的治疗是骨科领域的难题之一。目前,其治疗主要依赖于自体或同种异体骨移植,可能导致异物排斥、局部感染、疼痛或供骨部位麻木等并发症。局部注射保守疗法治疗骨缺损是目前的研究热点之一。骨髓间充质干细胞(BMSCs)具有自我更新、显著增殖和分化为多种类型细胞的能力。虽然已有报道称 CK1ε 可通过 Wnt/β-catenin 通路介导疾病的发生,但 CK1ε 是否通过 Wnt/β-catenin 通路在骨再生中发挥作用鲜有报道。本研究旨在探讨 CK1ε 是否通过 Wnt/β-catenin 通路参与 BMSCs 的成骨分化(OD)及其机制。我们采用定量逆转录聚合酶链反应(qRT-PCR)、Western blot、免疫荧光、碱性磷酸酶和茜素红染色检测 CK1ε 对 BMSCs OD 和 Wnt/β-catenin 信号通路的影响。在具有 OD 的 BMSCs 中 CK1ε 高表达,且我们的研究进一步表明 CK1ε 可能通过激活 DLV2 磷酸化,启动 Wnt 信号下游,激活 β-catenin 核转位,促进 BMSCs 的 OD。此外,通过局部注射携带 CK1ε 的腺相关病毒(AAV5-CK1ε)到股骨髁缺损大鼠模型中,CK1ε 的过表达显著促进了骨修复。我们的数据表明 CK1ε 通过介导 Wnt/β-catenin 参与 OD 的调控。这可能为骨缺损的治疗提供新策略。