IRCCS Humanitas Research Hospital, via Manzoni 56, Rozzano, Milan, 20089, Italy.
Institute for Genetic and Biomedical Research, Milan Unit, CNR, via Fantoli 16/15, Milan, 20138, Italy.
Stem Cell Res Ther. 2024 Jul 6;15(1):203. doi: 10.1186/s13287-024-03803-3.
BACKGROUND: Skeletal Stem Cells (SSCs) are required for skeletal development, homeostasis, and repair. The perspective of their wide application in regenerative medicine approaches has supported research in this field, even though so far results in the clinic have not reached expectations, possibly due also to partial knowledge of intrinsic, potentially actionable SSC regulatory factors. Among them, the pleiotropic cytokine RANKL, with essential roles also in bone biology, is a candidate deserving deep investigation. METHODS: To dissect the role of the RANKL cytokine in SSC biology, we performed ex vivo characterization of SSCs and downstream progenitors (SSPCs) in mice lacking Rankl (Rankl) by means of cytofluorimetric sorting and analysis of SSC populations from different skeletal compartments, gene expression analysis, and in vitro osteogenic differentiation. In addition, we assessed the effect of the pharmacological treatment with the anti-RANKL blocking antibody Denosumab (approved for therapy in patients with pathological bone loss) on the osteogenic potential of bone marrow-derived stromal cells from human healthy subjects (hBMSCs). RESULTS: We found that, regardless of the ossification type of bone, osteochondral SSCs had a higher frequency and impaired differentiation along the osteochondrogenic lineage in Rankl mice as compared to wild-type. Rankl mice also had increased frequency of committed osteochondrogenic and adipogenic progenitor cells deriving from perivascular SSCs. These changes were not due to the peculiar bone phenotype of increased density caused by lack of osteoclast resorption (defined osteopetrosis); indeed, they were not found in another osteopetrotic mouse model, i.e., the oc/oc mouse, and were therefore not due to osteopetrosis per se. In addition, Rankl SSCs and primary osteoblasts showed reduced mineralization capacity. Of note, hBMSCs treated in vitro with Denosumab had reduced osteogenic capacity compared to control cultures. CONCLUSIONS: We provide for the first time the characterization of SSPCs from mouse models of severe recessive osteopetrosis. We demonstrate that Rankl genetic deficiency in murine SSCs and functional blockade in hBMSCs reduce their osteogenic potential. Therefore, we propose that RANKL is an important regulatory factor of SSC features with translational relevance.
背景:骨骼干细胞(SSCs)是骨骼发育、稳态和修复所必需的。鉴于它们在再生医学方法中的广泛应用前景,人们对其进行了研究,尽管迄今为止临床结果并未达到预期,这可能部分归因于对 SSC 内在、具有潜在可操作性的调节因子的了解有限。其中,多效细胞因子 RANKL 在骨骼生物学中也具有重要作用,是一个值得深入研究的候选因子。
方法:为了剖析 RANKL 细胞因子在 SSC 生物学中的作用,我们通过细胞分选对缺乏 Rankl(Rankl)的小鼠的 SSCs 和下游祖细胞(SSPCs)进行了体外表型鉴定,并对来自不同骨骼区室的 SSC 群体进行了基因表达分析和体外成骨分化分析。此外,我们还评估了用抗 RANKL 阻断抗体地舒单抗(批准用于治疗病理性骨质流失患者)对来自健康供体人骨髓基质细胞(hBMSCs)的成骨潜能的影响。
结果:我们发现,无论骨骼的成骨类型如何,与野生型相比,Rankl 小鼠的骨软骨 SSCs 具有更高的频率和受损的沿骨软骨谱系的分化。Rankl 小鼠还具有更高频率的来自血管周 SSCs 的定向骨软骨和成脂祖细胞。这些变化不是由于缺乏破骨细胞吸收引起的骨密度增加所导致的特殊骨表型(定义为骨质增生);事实上,在另一种骨质增生小鼠模型,即 oc/oc 小鼠中,并未发现这些变化,因此这些变化不是骨质增生本身引起的。此外,Rankl SSCs 和原代成骨细胞的矿化能力降低。值得注意的是,与对照培养物相比,体外用地舒单抗处理的 hBMSCs 的成骨能力降低。
结论:我们首次对严重隐性骨质增生症小鼠模型的 SSPCs 进行了特征描述。我们证明了小鼠 SSCs 中的 Rankl 基因缺失和 hBMSCs 中的功能阻断降低了其成骨潜能。因此,我们提出 RANKL 是 SSC 特征的重要调节因子,具有转化意义。
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