雷帕霉素与源自诱导多能干细胞的间充质干细胞联合介导的ACVR2B-Fc融合蛋白递送可减少进行性骨化性纤维发育不良小鼠模型中的异位骨化。
Combined rapamycin and mesenchymal stem/stromal cells derived from induced pluripotent stem cells-mediated delivery of ACVR2B-Fc fusion protein reduces heterotopic ossification in a mouse model of fibrodysplasia ossificans progressiva.
作者信息
Gao Pan, Inada Yoshiko, López-Iniesta Maria José, Zhao Chengzhu, Goto Megumi, Hotta Akitsu, Sakurai Hidetoshi, Ikeya Makoto
机构信息
State Key Laboratory of Oral Diseases and National Center for Stomatology and National Clinical Research Center for Oral Diseases and Department of General Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.
Department of Clinical Application, Center for iPS Cell Research and Application, Kyoto University, Kyoto 606-8507, Japan.
出版信息
JBMR Plus. 2025 Apr 21;9(6):ziaf068. doi: 10.1093/jbmrpl/ziaf068. eCollection 2025 Jun.
Fibrodysplasia ossificans progressiva (FOP) is a genetic disease characterized by extraskeletal heterotopic ossification (HO). The underlying mechanism is the aberrant activation of bone morphogenetic protein (BMP) signaling caused by a point mutation in the gene. Although FOP is an ultra-rare disease, its symptoms severely impair patients' daily activities and quality of life. Furthermore, the HO is also observed in broader clinical contexts, including major surgeries and trauma, highlighting the significance of its study. We have previously reported that rapamycin suppressed Activin-A-triggered progression of cartilage formation in FOP mice. We recently found that the ACVR2B-Fc fusion protein produced by mesenchymal stem/stromal cells derived from induced pluripotent stem cells (iMSCs) attenuates BMP signaling activated by Activin-A and BMP-9 in FOP patient-derived iMSCs. Transplantation of ACVR2B-Fc-producing iMSCs (iMSC) reduces primary HO in FOP mice. In this study, we found that intraperitoneal administration of rapamycin reduced primary HO in a dose-dependent manner in FOP-ACVR1 transgenic mice. A low concentration of rapamycin (0.3 mg/kg, 5 times/wk) efficiently suppressed chondrogenesis. The combination of iMSC transplantation with low concentration of rapamycin significantly reduced primary and recurrent HO. Rapamycin improved cell survival in transplanted iMSC cells by attenuating chemokine secretion, likely resulting in improved ACVR2B-Fc fusion protein production. Our results suggest that combining stem cell therapy and rapamycin can reduce primary HO and surgery-induced HO.
进行性骨化性纤维发育不良(FOP)是一种以骨外异位骨化(HO)为特征的遗传性疾病。其潜在机制是由该基因的点突变导致骨形态发生蛋白(BMP)信号异常激活。尽管FOP是一种极为罕见的疾病,但其症状严重损害患者的日常活动和生活质量。此外,在包括大手术和创伤在内的更广泛临床背景中也观察到了HO,凸显了对其进行研究的重要性。我们之前报道过雷帕霉素可抑制FOP小鼠中激活素A引发的软骨形成进展。我们最近发现,诱导多能干细胞来源的间充质干/基质细胞(iMSCs)产生的ACVR2B-Fc融合蛋白可减弱FOP患者来源的iMSCs中由激活素A和BMP-9激活的BMP信号。移植产生ACVR2B-Fc的iMSCs(iMSC)可减少FOP小鼠的原发性HO。在本研究中,我们发现腹腔注射雷帕霉素可使FOP-ACVR1转基因小鼠的原发性HO呈剂量依赖性降低。低浓度的雷帕霉素(0.3 mg/kg,每周5次)可有效抑制软骨形成。iMSC移植与低浓度雷帕霉素联合使用可显著降低原发性和复发性HO。雷帕霉素通过减弱趋化因子分泌改善了移植的iMSC细胞的存活,这可能导致ACVR2B-Fc融合蛋白产生增加。我们的结果表明,将干细胞疗法与雷帕霉素相结合可减少原发性HO和手术诱导的HO。