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髓样细胞和感觉神经通过前列腺素 E2 介导腱周粘连的形成。

Myeloid Cells and Sensory Nerves Mediate Peritendinous Adhesion Formation via Prostaglandin E2.

机构信息

Department of Orthopaedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, P. R. China.

State Key Laboratory of Proteomics, Beijing Proteome Research Center, National Center for Protein Sciences (Beijing), Beijing Institute of Lifeomics, Beijing, 102206, P. R. China.

出版信息

Adv Sci (Weinh). 2024 Oct;11(40):e2405367. doi: 10.1002/advs.202405367. Epub 2024 Aug 29.

DOI:10.1002/advs.202405367
PMID:39207041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11516151/
Abstract

Peritendinous adhesion that forms after tendon injury substantially limits daily life. The pathology of adhesion involves inflammation and the associated proliferation. However, the current studies on this condition are lacking, previous studies reveal that cyclooxygenase-2 (COX2) gene inhibitors have anti-adhesion effects through reducing prostaglandin E2 (PGE2) and the proliferation of fibroblasts, are contrary to the failure in anti-adhesion through deletion of EP4 (prostaglandin E receptor 4) gene in fibroblasts in mice of another study. In this study, single-cell RNA sequencing analysis of human and mouse specimens are combined with eight types of conditional knockout mice and further reveal that deletion of COX2 in myeloid cells and deletion of EP4 gene in sensory nerves decrease adhesion and impair the biomechanical properties of repaired tendons. Furthermore, the COX2 inhibitor parecoxib reduces PGE2 but impairs the biomechanical properties of repaired tendons. Interestingly, PGE2 local treatment improves the biomechanical properties of the repaired tendons. These findings clarify the complex role of PGE2 in peritendinous adhesion formation (PAF) and tendon repair.

摘要

腱损伤后形成的腱周粘连极大地限制了日常生活。粘连的病理学涉及炎症和相关的增殖。然而,目前对此类疾病的研究还很缺乏,先前的研究表明,环氧化酶-2(COX2)基因抑制剂通过减少前列腺素 E2(PGE2)和纤维母细胞的增殖来发挥抗粘连作用,与另一项研究中通过删除纤维母细胞中的 EP4(前列腺素 E 受体 4)基因导致抗粘连失败的结果相反。在这项研究中,对人类和小鼠标本进行单细胞 RNA 测序分析,并结合八种类型的条件性敲除小鼠,进一步表明髓样细胞中 COX2 的缺失和感觉神经中 EP4 基因的缺失可减少粘连并损害修复后的肌腱的生物力学特性。此外,COX2 抑制剂帕瑞昔布可减少 PGE2,但会损害修复后的肌腱的生物力学特性。有趣的是,PGE2 局部治疗可改善修复后的肌腱的生物力学特性。这些发现阐明了 PGE2 在腱周粘连形成(PAF)和肌腱修复中的复杂作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/5c4d0d6f21db/ADVS-11-2405367-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/c2617b2f4a58/ADVS-11-2405367-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/0b855f8ccd57/ADVS-11-2405367-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/47af74a87736/ADVS-11-2405367-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/f2af2bbc22ee/ADVS-11-2405367-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/82b65cf2c8d3/ADVS-11-2405367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/1390b84c8243/ADVS-11-2405367-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/ded64fc97797/ADVS-11-2405367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/bf1e08963d9f/ADVS-11-2405367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/5c4d0d6f21db/ADVS-11-2405367-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/c2617b2f4a58/ADVS-11-2405367-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/0b855f8ccd57/ADVS-11-2405367-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/47af74a87736/ADVS-11-2405367-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/f2af2bbc22ee/ADVS-11-2405367-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/82b65cf2c8d3/ADVS-11-2405367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/1390b84c8243/ADVS-11-2405367-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/ded64fc97797/ADVS-11-2405367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/bf1e08963d9f/ADVS-11-2405367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cef/11516151/5c4d0d6f21db/ADVS-11-2405367-g006.jpg

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本文引用的文献

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Multi-omics analysis of human tendon adhesion reveals that ACKR1-regulated macrophage migration is involved in regeneration.人类肌腱粘连的多组学分析表明,ACKR1 调节的巨噬细胞迁移参与了再生。
Bone Res. 2024 May 7;12(1):27. doi: 10.1038/s41413-024-00324-w.
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Unidirectional gene delivery electrospun fibrous membrane via charge repulsion for tendon repair.通过电荷排斥实现单向基因递送的电纺纤维膜用于肌腱修复。
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