Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia.
Department of Medicine, Columbia University Medical Center, New York, NY, USA.
Nat Commun. 2023 Oct 31;14(1):6909. doi: 10.1038/s41467-023-42199-1.
Osteoarthritis (OA) is characterised by an irreversible degeneration of articular cartilage. Here we show that the BMP-antagonist Gremlin 1 (Grem1) marks a bipotent chondrogenic and osteogenic progenitor cell population within the articular surface. Notably, these progenitors are depleted by injury-induced OA and increasing age. OA is also caused by ablation of Grem1 cells in mice. Transcriptomic and functional analysis in mice found that articular surface Grem1-lineage cells are dependent on Foxo1 and ablation of Foxo1 in Grem1-lineage cells caused OA. FGFR3 signalling was confirmed as a promising therapeutic pathway by administration of pathway activator, FGF18, resulting in Grem1-lineage chondrocyte progenitor cell proliferation, increased cartilage thickness and reduced OA. These findings suggest that OA, in part, is caused by mechanical, developmental or age-related attrition of Grem1 expressing articular cartilage progenitor cells. These cells, and the FGFR3 signalling pathway that sustains them, may be effective future targets for biological management of OA.
骨关节炎(OA)的特征是关节软骨的不可逆转退化。在这里,我们表明 BMP 拮抗剂 Gremlin 1(Grem1)标记了关节表面内具有双能软骨和成骨祖细胞特性的细胞群体。值得注意的是,这些祖细胞在损伤诱导的 OA 和年龄增长中被耗尽。OA 也可以通过在小鼠中消融 Grem1 细胞引起。在小鼠中的转录组学和功能分析发现,关节表面 Grem1 谱系细胞依赖于 Foxo1,并且在 Grem1 谱系细胞中消融 Foxo1 导致 OA。FGFR3 信号被证实是一种有前途的治疗途径,通过给予途径激活剂 FGF18,导致 Grem1 谱系软骨细胞祖细胞增殖、增加软骨厚度和减少 OA。这些发现表明,OA 在一定程度上是由机械、发育或与年龄相关的表达 Grem1 的关节软骨祖细胞的损耗引起的。这些细胞和维持它们的 FGFR3 信号通路可能是 OA 生物学治疗的有效未来靶点。
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