表达 p21 和衰老标志物的骨软骨祖细胞和中性粒细胞调节骨折修复。
Osteochondroprogenitor cells and neutrophils expressing p21 and senescence markers modulate fracture repair.
机构信息
Division of Endocrinology and.
Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
J Clin Invest. 2024 May 16;134(12):e179834. doi: 10.1172/JCI179834.
Cells expressing features of senescence, including upregulation of p21 and p16, appear transiently following tissue injury, yet the properties of these cells or how they contrast with age-induced senescent cells remains unclear. Here, we used skeletal injury as a model and identified the rapid appearance following fracture of p21+ cells expressing senescence markers, mainly as osteochondroprogenitors (OCHs) and neutrophils. Targeted genetic clearance of p21+ cells suppressed senescence-associated signatures within the fracture callus and accelerated fracture healing. By contrast, p21+ cell clearance did not alter bone loss due to aging; conversely, p16+ cell clearance, known to alleviate skeletal aging, did not affect fracture healing. Following fracture, p21+ neutrophils were enriched in signaling pathways known to induce paracrine stromal senescence, while p21+ OCHs were highly enriched in senescence-associated secretory phenotype factors known to impair bone formation. Further analysis revealed an injury-specific stem cell-like OCH subset that was p21+ and highly inflammatory, with a similar inflammatory mesenchymal population (fibro-adipogenic progenitors) evident following muscle injury. Thus, intercommunicating senescent-like neutrophils and mesenchymal progenitor cells were key regulators of tissue repair in bone and potentially across tissues. Moreover, our findings established contextual roles of p21+ versus p16+ senescent/senescent-like cells that may be leveraged for therapeutic opportunities.
表达衰老特征的细胞,包括 p21 和 p16 的上调,在组织损伤后会短暂出现,但这些细胞的特性或它们与年龄诱导的衰老细胞的差异尚不清楚。在这里,我们使用骨骼损伤作为模型,在骨折后快速出现了表达衰老标志物的 p21+细胞,主要是成骨软骨前体细胞(OCH)和中性粒细胞。靶向清除 p21+细胞可抑制骨折痂中的衰老相关特征,并加速骨折愈合。相比之下,清除 p21+细胞不会改变因衰老导致的骨丢失;相反,已知可减轻骨骼衰老的 p16+细胞清除不会影响骨折愈合。骨折后,p21+中性粒细胞在已知可诱导旁分泌基质衰老的信号通路中富集,而 p21+OCHs 在已知可损害骨形成的衰老相关分泌表型因子中高度富集。进一步的分析显示,一种损伤特异性的干细胞样 OCH 亚群是 p21+和高度炎症的,在肌肉损伤后也存在类似的炎症间充质群体(成纤维脂肪祖细胞)。因此,相互交流的衰老样中性粒细胞和间充质祖细胞是骨骼和潜在的其他组织修复的关键调节因子。此外,我们的研究结果确立了 p21+与 p16+衰老/衰老样细胞的背景作用,这些作用可能为治疗提供机会。