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A biodegradable magnesium phosphate cement incorporating chitosan and rhBMP-2 designed for bone defect repair 一种含有壳聚糖和 rhBMP-2 的可生物降解磷酸镁水泥,设计用于骨缺损修复
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-14 DOI: 10.1016/j.jot.2024.08.004
Peng He , Yanbin Zhao , Bin Wang , Guoyin Liu , Lei Zhang , Mei Li , Bin Xu , Weihua Cai , Chenglin Chu , Yu Cong

Background

The repair of bone defects has always been a significant challenge in clinical medicine. To address this challenge, doctors often utilize autologous bone grafts, allogeneic bone grafts and artificial bone substitutes. However, the former two methods may result in additional trauma and complications, while allogeneic bone grafts carry the risks of immune rejection and disease transmission. Magnesium phosphate cement (MPC), as a artificial bone substitutes, has been a potential biomaterial for repairing bone defects, but its clinical application is limited by insufficient mechanical strength and poor osteoinductive activity.

Methods

In this study, the cement liquid phase base on rhBMP-2 and chitosan solution into MPC were obtained and investigated. After mixing with a cement liquid, the structural and phase composition, morphology, chemical structure, setting time, compressive strength, degradation behavior, solubility, and cellular responses and bone regeneration in response to CHI-rhBMP2 MPC were investigated in vitro and in vivo.

Results

After the chemical component modification, CHI-rhBMP2 MPC possessed controllable degradation rate, moderate setting time, appropriate cuing temperature, good injectability, and improved initial strength. In vitro tests showed that the CHIrhBMP2 MPC could promote cell proliferation and adhesion, as well as that contribute to osteoblast differentiation and mineralization. In addition, cement materials were implanted into the rabbit femoral condyles for in vivo osseointegration evaluation. The results displayed that more new bone grew around CHI-rhBMP2 MPC, verifying improved osseointegration capacity. Transcriptome analysis revealed that focal adhesion, Forkhead box O(FoxO) signaling pathway and P13K/AKT signaling pathway were may involved in CHI-rhBMP2 MPC induced new bone formation.

Conclusion

This work provides a new strategy for the rational design of potential bone repair candidate materials.
背景骨缺损的修复一直是临床医学的一大难题。为了解决这一难题,医生们通常采用自体骨移植、异体骨移植和人工骨替代物。然而,前两种方法可能会造成额外的创伤和并发症,而异体骨移植则存在免疫排斥和疾病传播的风险。磷酸镁骨水泥(MPC)作为一种人工骨替代物,一直是修复骨缺损的潜在生物材料,但由于其机械强度不足和骨诱导活性差,其临床应用受到限制。结果经过化学成分改性后,CHI-rhBMP2 MPC 具有可控的降解率、适中的凝结时间、适当的引导温度、良好的注射性和更高的初始强度。体外试验表明,CHI-rhBMP2 MPC 可促进细胞增殖和粘附,并有助于成骨细胞分化和矿化。此外,还将骨水泥材料植入兔股骨髁,进行体内骨整合评估。结果显示,CHI-rhBMP2 MPC周围长出了更多的新骨,验证了骨结合能力的提高。转录组分析表明,病灶粘附、叉头盒O(FoxO)结论:这项研究为合理设计潜在的骨修复候选材料提供了一种新策略。
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引用次数: 0
Ubiquitination and deubiquitination: Implications for the pathogenesis and treatment of osteoarthritis 泛素化和去泛素化:对骨关节炎发病机制和治疗的影响
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-11 DOI: 10.1016/j.jot.2024.09.011
Shibo Su , Ruijiao Tian , Yang Jiao , Shudan Zheng , Siqiang Liang , Tianyi Liu , Ziheng Tian , Xiuhong Cao , Yanlong Xing , Chuqing Ma , Panli Ni , Fabiao Yu , Tongmeng Jiang , Juan Wang
Osteoarthritis (OA) is a degenerative disease that affects multiple cells and associated extracellular matrix (ECM). Chondrocytes and chondroextracellular matrix together constitute articular cartilage tissue. Any factors that affect the activity of chondrocytes and destroy the metabolic balance of the chondrocyte ECM will lead to the inability of articular cartilage to perform normal functions. The articular subchondral bone and articular cartilage must be coordinated to resist enough friction and mechanical stress, so the articular subchondral bone lesion will aggravate the articular cartilage defect and vice versa. Synoviocytes, including fibroblast-like synoviocytes (FLSs) and synovial macrophages at the joint, are also important factors that cause low-grade chronic progressive inflammation of OA. Regulation of phenotype transformation of synovial macrophages has become another possible target for the clinical treatment of OA. Ubiquitination and deubiquitination are the main post-translational protein modification pathways in the human body, which are widely involved in multiple signaling pathways and physiological processes. Naturally, they also play a very important regulatory role in the occurrence and development of OA. These effects are summarized in this review, including (A) regulating the aging and apoptosis of chondrocytes, FLSs and osteoblasts; (B) regulation of ECM degradation; (C) regulation of macrophage phenotypic transformation; (D) modulation of skeletal muscle and adipose tissues. Ubiquitination targeting drugs for OA treatment are also listed. Depending on the high efficiency of ubiquitination and deubiquitination, understanding OA-related ubiquitination pathways can help design more efficient drugs to treat OA and provide more potential targets for clinical treatment.
The Translational Potential of This Article.
In this paper, the ubiquitination-related pathways in osteoarthritis (OA), including aging, apoptosis and autophagy in chondrocytes, osteoblasts, FLSs and macrophages were investigated. In particular, several ubiquitination-related targets are expected to be effective approaches for OA clinical treatment. In addition, in the process of OA occurrence and development, the complex relationship between the local joint area and other tissues including skeletal muscle and adipose tissue is also discussed. These myokines and adipokines from musculoskeletal tissues are all expected to become efficient targets for OA treatment apart from the joint itself. In addition, those myokines secreted by cardiovascular tissues would show potential therapeutic effects as well. What if altering the contents for these ubiquitination-related targets in the serum through exercise will provide a new idea for OA therapy or prevent OA from deteriorating continuously?
骨关节炎(OA)是一种影响多种细胞和相关细胞外基质(ECM)的退行性疾病。软骨细胞和细胞外基质共同构成了关节软骨组织。任何影响软骨细胞活性和破坏软骨细胞 ECM 代谢平衡的因素都会导致关节软骨无法发挥正常功能。关节软骨下骨和关节软骨必须协调一致才能抵抗足够的摩擦和机械应力,因此关节软骨下骨病变会加重关节软骨缺损,反之亦然。滑膜细胞,包括关节处的成纤维细胞样滑膜细胞(FLSs)和滑膜巨噬细胞,也是导致 OA 低度慢性进行性炎症的重要因素。调节滑膜巨噬细胞的表型转化已成为临床治疗 OA 的另一个可能靶点。泛素化和去泛素化是人体内主要的蛋白质翻译后修饰途径,广泛参与多种信号通路和生理过程。自然,它们在 OA 的发生和发展过程中也起着非常重要的调控作用。本综述总结了这些作用,包括(A)调节软骨细胞、FLSs 和成骨细胞的衰老和凋亡;(B)调节 ECM 降解;(C)调节巨噬细胞的表型转化;(D)调节骨骼肌和脂肪组织。此外,还列出了用于治疗 OA 的泛素化靶向药物。本文的转化潜力:本文研究了骨关节炎(OA)中泛素化的相关途径,包括软骨细胞、成骨细胞、FLSs和巨噬细胞的衰老、凋亡和自噬。其中,一些泛素化相关靶点有望成为 OA 临床治疗的有效方法。此外,还讨论了在 OA 发生和发展过程中,局部关节区域与其他组织(包括骨骼肌和脂肪组织)之间的复杂关系。除了关节本身之外,这些来自肌肉骨骼组织的肌动因子和脂肪因子都有望成为治疗 OA 的有效靶点。此外,心血管组织分泌的肌动因子也将显示出潜在的治疗效果。如果通过运动来改变血清中这些泛素化相关靶点的含量,会不会为治疗 OA 或防止 OA 持续恶化提供新的思路呢?
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引用次数: 0
Porous metal materials for applications in orthopedic field: A review on mechanisms in bone healing 多孔金属材料在骨科领域的应用:骨愈合机制综述
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-11 DOI: 10.1016/j.jot.2024.08.003
Yutong Ma , Yi Wang , Shuang Tong , Yuehan Wang , Zhuoya Wang , Rongze Sui , Ke Yang , Frank Witte , Shude Yang

Background

Porous metal materials have been widely studied for applications in orthopedic field, owing to their excellent features and properties in bone healing. Porous metal materials with different compositions, manufacturing methods, and porosities have been developed. Whereas, the systematic mechanisms on how porous metal materials promote bone healing still remain unclear.

Methods

This review is concerned on the porous metal materials from three aspects with accounts of specific mechanisms, inflammatory regulation, angiogenesis and osteogenesis. We place great emphasis on different cells regulated by porous metal materials, including mesenchymal stem cells (MSCs), macrophages, endothelial cells (ECs), etc.

Result

The design of porous metal materials is diversified, with its varying pore sizes, porosity material types, modification methods and coatings help researchers create the most experimentally suitable and clinically effective scaffolds. Related signal pathways presented from different functions showed that porous metal materials could change the behavior of cells and the amount of cytokines, achieving good influence on osteogenesis.

Conclusion

This article summarizes the current progress achieved in the mechanism of porous metal materials promoting bone healing. By modulating the cellular behavior and physiological status of a spectrum of cellular constituents, such as macrophages, osteoblasts, and osteoclasts, porous metal materials are capable of activating different pathways and releasing regulatory factors, thus exerting pivotal influence on improving the bone healing effect.

The translational potential of this article

Porous metal materials play a vital role in the treatment of bone defects. Unfortunately, although an increasing number of studies have been concentrated on the effect of porous metal materials on osteogenesis-related cells, the comprehensive regulation of porous metal materials on the host cell functions during bone regeneration and the related intrinsic mechanisms remain unclear. This review summarizes different design methods for porous metal materials to fabricate the most suitable scaffolds for bone remodeling, and systematically reviews the corresponding mechanisms on inflammation, angiogenesis and osteogenesis of porous metal materials. This review can provide more theoretical framework and innovative optimization for the application of porous metal materials in orthopedics, dentistry, and other areas, thereby advancing their clinical utility and efficacy.
背景多孔金属材料因其在骨愈合方面的优异特性和性能,已被广泛应用于骨科领域。目前已开发出不同成分、制造方法和孔隙率的多孔金属材料。本综述从炎症调节、血管生成和骨生成三个方面阐述了多孔金属材料的具体机制。结果多孔金属材料的设计是多样化的,其不同的孔径大小、孔隙率材料类型、改性方法和涂层有助于研究人员创建最适合实验和临床有效的支架。本文总结了目前多孔金属材料促进骨愈合机理的研究进展。通过调节巨噬细胞、成骨细胞和破骨细胞等一系列细胞成分的细胞行为和生理状态,多孔金属材料能够激活不同的通路并释放调节因子,从而对改善骨愈合效果产生举足轻重的影响。遗憾的是,尽管越来越多的研究集中于多孔金属材料对成骨相关细胞的影响,但多孔金属材料对骨再生过程中宿主细胞功能的综合调控及相关内在机制仍不清楚。本综述总结了多孔金属材料的不同设计方法,以制备最适合骨重塑的支架,并系统综述了多孔金属材料对炎症、血管生成和成骨的相应机制。本综述可为多孔金属材料在骨科、牙科及其他领域的应用提供更多理论框架和创新优化方案,从而提高其临床实用性和疗效。
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引用次数: 0
Unveiling the role of CXCL8/CXCR2 in intervertebral disc degeneration: A path to promising therapeutic strategies 揭示 CXCL8/CXCR2 在椎间盘退变中的作用:通往有前景的治疗策略之路
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-09 DOI: 10.1016/j.jot.2024.08.022
Pengfei Xue , Long Lv , Lei Liu , Yuzhu Xu , Chonggang Zhou , Yuntao Wang

Background

Intervertebral disc degeneration(IVDD) is the primary etiology of low back pain and radicular pain. Recent studies have found that chemokines play a role in IVDD, but the underlying mechanism is largely unclear.

Methods

Bioinformatics analysis was employed to screen CXCL8 as the target gene. The expression levels of CXCL8 and CXCR2 were quantified using RT-qPCR, western blot(WB), immunohistochemistry(IHC), and enzyme-linked immuno-sorbent assay(ELISA). In the IVDD mouse model, X-ray images, Safranin O-fast green staining(SO-FG), IHC, and WB were conducted to assess the therapeutic effects of CXCL8 on IVDD. Reactive oxygen species (ROS) production, apoptosis of nucleus pulposus cells (NPCs), and the involvement of the NF-κB pathway were evaluated through WB, flow cytometry, immunofluorescence(IF), and Tunnel assay.

Results

In our study, we observed that CXCL8 emerged as one of the chemokines that were up-regulated in IVDD. The mitigation of extracellular matrix degradation (ECM) and the severity of IVDD were significantly achieved by neutralizing CXCL8 or its receptor CXCR2(SB225002, CXCR2 antagonist). The release of CXCL8 from infiltrated macrophages within intervertebral discs (IVDs) was predominantly observed upon stimulation. CXCL8 exerted its effects on NPCs by inducing apoptosis and ECM degradation through the activation of CXCR2. Specifically, the formation of the CXCL8/CXCR2 complex triggered the NF-κB signaling pathway, resulting in an abnormal increase in intracellular ROS levels and ultimately contributing to the development of IVDD.

Conclusion

Our findings suggest that macrophage-derived CXCL8 and subsequent CXCR2 signaling play crucial roles in mediating inflammation, oxidative stress, and apoptosis in IVDD. Targeting the CXCL8/CXCR2 axis may offer promising therapeutic strategies to ameliorate IVDD.

The translational potential of this article

This study indicates that CXCL8 can effectively exacerbate the excessive apoptosis and oxidative stress of NPCs through activating the NF-κB pathway. This study may provide new potential targets for preventing and reversing IVDD.
背景椎间盘退变(IVDD)是腰痛和根性痛的主要病因。最近的研究发现趋化因子在 IVDD 中起作用,但其潜在机制尚不清楚。采用 RT-qPCR、Western 印迹(WB)、免疫组织化学(IHC)和酶联免疫吸附试验(ELISA)对 CXCL8 和 CXCR2 的表达水平进行了定量分析。在 IVDD 小鼠模型中,通过 X 射线图像、Safranin O-快绿染色(SO-FG)、IHC 和 WB 来评估 CXCL8 对 IVDD 的治疗效果。通过WB、流式细胞术、免疫荧光(IF)和隧道试验评估了活性氧(ROS)的产生、髓核细胞(NPCs)的凋亡和NF-κB通路的参与。通过中和 CXCL8 或其受体 CXCR2(SB225002,CXCR2 拮抗剂),可明显减轻细胞外基质降解(ECM)和 IVDD 的严重程度。椎间盘(IVDs)内浸润的巨噬细胞在受到刺激时主要释放 CXCL8。CXCL8 通过激活 CXCR2 诱导细胞凋亡和 ECM 降解,从而对 NPCs 发挥作用。具体来说,CXCL8/CXCR2 复合物的形成触发了 NF-κB 信号通路,导致细胞内 ROS 水平异常升高,最终导致 IVDD 的发生。靶向 CXCL8/CXCR2 轴可能为改善 IVDD 提供有前景的治疗策略。本研究表明,CXCL8 可通过激活 NF-κB 通路有效加剧 NPC 的过度凋亡和氧化应激。这项研究可能为预防和逆转 IVDD 提供新的潜在靶点。
{"title":"Unveiling the role of CXCL8/CXCR2 in intervertebral disc degeneration: A path to promising therapeutic strategies","authors":"Pengfei Xue ,&nbsp;Long Lv ,&nbsp;Lei Liu ,&nbsp;Yuzhu Xu ,&nbsp;Chonggang Zhou ,&nbsp;Yuntao Wang","doi":"10.1016/j.jot.2024.08.022","DOIUrl":"10.1016/j.jot.2024.08.022","url":null,"abstract":"<div><h3>Background</h3><div>Intervertebral disc degeneration(IVDD) is the primary etiology of low back pain and radicular pain. Recent studies have found that chemokines play a role in IVDD, but the underlying mechanism is largely unclear.</div></div><div><h3>Methods</h3><div>Bioinformatics analysis was employed to screen CXCL8 as the target gene. The expression levels of CXCL8 and CXCR2 were quantified using RT-qPCR, western blot(WB), immunohistochemistry(IHC), and enzyme-linked immuno-sorbent assay(ELISA). In the IVDD mouse model, X-ray images, Safranin O-fast green staining(SO-FG), IHC, and WB were conducted to assess the therapeutic effects of CXCL8 on IVDD. Reactive oxygen species (ROS) production, apoptosis of nucleus pulposus cells (NPCs), and the involvement of the NF-κB pathway were evaluated through WB, flow cytometry, immunofluorescence(IF), and Tunnel assay.</div></div><div><h3>Results</h3><div>In our study, we observed that CXCL8 emerged as one of the chemokines that were up-regulated in IVDD. The mitigation of extracellular matrix degradation (ECM) and the severity of IVDD were significantly achieved by neutralizing CXCL8 or its receptor CXCR2(SB225002, CXCR2 antagonist). The release of CXCL8 from infiltrated macrophages within intervertebral discs (IVDs) was predominantly observed upon stimulation. CXCL8 exerted its effects on NPCs by inducing apoptosis and ECM degradation through the activation of CXCR2. Specifically, the formation of the CXCL8/CXCR2 complex triggered the NF-κB signaling pathway, resulting in an abnormal increase in intracellular ROS levels and ultimately contributing to the development of IVDD.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that macrophage-derived CXCL8 and subsequent CXCR2 signaling play crucial roles in mediating inflammation, oxidative stress, and apoptosis in IVDD. Targeting the CXCL8/CXCR2 axis may offer promising therapeutic strategies to ameliorate IVDD.</div></div><div><h3>The translational potential of this article</h3><div>This study indicates that CXCL8 can effectively exacerbate the excessive apoptosis and oxidative stress of NPCs through activating the NF-κB pathway. This study may provide new potential targets for preventing and reversing IVDD.</div></div>","PeriodicalId":16636,"journal":{"name":"Journal of Orthopaedic Translation","volume":"49 ","pages":"Pages 119-134"},"PeriodicalIF":5.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CD73 alleviates osteoarthritis by maintaining anabolism and suppressing catabolism of chondrocytes extracellular matrix CD73 通过维持软骨细胞细胞外基质的合成代谢和抑制其分解代谢来缓解骨关节炎
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-05 DOI: 10.1016/j.jot.2024.08.014
Hu Guo , Zhongyang Lv , Maochun Wang , Weitong Li , Ya Xie , Zizheng Liu , Fufei Chen , Ruiyang Jiang , Yuan Liu , Rui Wu , Jiawei Li , Ziying Sun , Guihua Tan , Dongquan Shi

Background

Osteoarthritis (OA) is the most common degenerative joint disease, with articular cartilage degeneration as primary manifestation. Intra-articular injection of exogenous liposomal adenosine in mice knee has been shown to alleviate OA progression. However, the role of CD73, the rate-limiting enzyme of extracellular adenosine synthesis, in OA is still unknown.

Methods

In this work, we explored the expression changes of adenosine-related molecules via bioinformatic analysis. In addition, the expression level of these molecules was detected in OA cartilage. We also conducted a case–control study to investigate the genetic variants of selected SNPs on genes encoded adenosine-related molecules. To further explore the function of CD73 in chondrocytes, we knocked down the expression of CD73 with small interfering RNA and overexpressed CD73 with the use of lentivirus, and detected the expression of markers for anabolism and catabolism in mouse primary chondrocytes with or without IL-1β treatment. We also conducted in vivo experiments to explore the role of CD73 in OA.

Results

We found that the expression of CD73 was upregulated in OA, and the variants of SNP rs2229523 (base A to G) on NT5E (the encoding gene of CD73) were significantly higher in OA population, which might cause the amino acid encoded by this SNP change from threonine to alanine. The original helix structure in the adjacent region of amino acid encoded by SNP rs2229523 would be deconstructed after its mutation. Furthermore, we found that CD73 promoting the expression of Col2a1 but suppressing the expression of Mmp13 expression in mouse primary chondrocytes under inflammatory environment. The overexpression of CD73 attenuated bone remodeling and alleviated cartilage degeneration in DMM mice. Moreover, the physical activities were also improved in DMM mice overexpressed CD73 with the use of adeno-associated virus.

Conclusions

The variants of SNP rs2229523 (base A to G) on NT5E were significantly higher in OA population, and CD73 could alleviate OA by maintaining anabolism and suppressing catabolism of chondrocytes extracellular matrix.

The Translational Potential of this Article

This work showed that CD73 might be one of the biological therapeutic targets of OA, which would provide a reference for future novel treatment strategy of OA.
背景骨关节炎(OA)是最常见的退行性关节疾病,主要表现为关节软骨退化。在小鼠膝关节内注射外源性脂质体腺苷已被证明能缓解 OA 的进展。本研究通过生物信息学分析探讨了腺苷相关分子的表达变化。此外,我们还检测了这些分子在 OA 软骨中的表达水平。我们还进行了一项病例对照研究,以调查编码腺苷相关分子的基因上所选 SNPs 的遗传变异。为了进一步探讨 CD73 在软骨细胞中的功能,我们用小干扰 RNA 敲低了 CD73 的表达,并用慢病毒过表达 CD73,检测了小鼠原代软骨细胞在接受或不接受 IL-1β 处理时合成代谢和分解代谢标志物的表达。结果我们发现,CD73在OA中表达上调,而CD73编码基因NT5E上的SNP rs2229523(碱基A变G)变异在OA人群中明显升高,这可能导致该SNP编码的氨基酸由苏氨酸变为丙氨酸。SNP rs2229523 编码的氨基酸邻近区域原有的螺旋结构在突变后将被解构。此外,我们还发现,在炎症环境下,CD73 可促进小鼠原代软骨细胞中 Col2a1 的表达,但抑制 Mmp13 的表达。过表达 CD73 可减轻 DMM 小鼠的骨重塑,缓解软骨退化。结论 在OA人群中,NT5E上的SNP rs2229523(碱基A到G)变异显著增高,CD73可通过维持软骨细胞细胞外基质的合成代谢和抑制分解代谢来缓解OA。本文的转化潜力这项研究表明,CD73可能是OA的生物学治疗靶点之一,这将为未来OA的新型治疗策略提供参考。
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引用次数: 0
The senolytic agent ABT263 ameliorates osteoporosis caused by active vitamin D insufficiency through selective clearance of senescent skeletal cells 衰老剂 ABT263 通过选择性清除衰老骨骼细胞,改善活性维生素 D 不足引起的骨质疏松症
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-05 DOI: 10.1016/j.jot.2024.08.012
Cuicui Yang , Wanxin Qiao , Qi Xue , David Goltzman , Dengshun Miao , Zhan Dong
<div><h3>Background/Objective</h3><div>Active vitamin D insufficiency accelerates the development of osteoporosis, with senescent bone cells and the senescence-associated secretory phenotype (SASP) playing crucial roles. This study aimed to investigate whether the senolytic agent ABT263 could correct osteoporosis caused by active vitamin D insufficiency by selectively clearing senescent cells.</div></div><div><h3>Methods</h3><div>Bone marrow mesenchymal stem cells (BM-MSCs) from young and aged mice were treated with ABT263 in vitro, and 1,25(OH)<sub>2</sub>D-insufficient (Cyp27b1<sup>+/−</sup>) mice were administered ABT263 in vivo. Cellular, molecular, imaging, and histopathological analyses were performed to compare treated cells and mice with control groups.</div></div><div><h3>Results</h3><div>ABT263 induced apoptosis in senescent BM-MSCs by downregulating Bcl2 and upregulating Bax expression. It also induced apoptosis in senescent BM-MSCs from 1,25(OH)<sub>2</sub>D-insufficient mice. ABT263 administration corrected bone loss caused by 1,25(OH)<sub>2</sub>D insufficiency by increasing bone density, bone volume, trabecular number, trabecular thickness, and collagen synthesis. It also enhanced osteoblastic bone formation and reduced osteoclastic bone resorption in vivo. ABT263 treatment corrected the impaired osteogenic action of BM-MSCs by promoting their proliferation and osteogenic differentiation. Furthermore, it corrected oxidative stress and DNA damage caused by 1,25(OH)<sub>2</sub>D insufficiency by increasing SOD-2 and decreasing γ-H2A.X expression. Finally, ABT263 corrected bone cell senescence and SASP caused by 1,25(OH)<sub>2</sub>D insufficiency by reducing the expression of senescence and SASP-related genes and proteins.</div></div><div><h3>Conclusion</h3><div>ABT263 can correct osteoporosis caused by active vitamin D insufficiency by selectively clearing senescent skeletal cells, reducing oxidative stress, DNA damage, and SASP, and promoting bone formation while inhibiting bone resorption. These findings provide new insights into the potential therapeutic application of senolytic agents in the treatment of osteoporosis associated with active vitamin D insufficiency.</div></div><div><h3>The translational potential of this article</h3><div>This study highlights the therapeutic potential of ABT263, a senolytic compound, in treating osteoporosis caused by active vitamin D insufficiency. By selectively eliminating senescent bone cells and their associated SASP, ABT263 intervention demonstrates the ability to restore bone homeostasis, prevent further bone loss, and promote bone formation. These findings contribute to the growing body of research supporting the use of senolytic therapies for the prevention and treatment of age-related bone disorders. The translational potential of this study lies in the development of novel therapeutic strategies targeting cellular senescence to combat osteoporosis, particularly in cases where vitamin D
背景/目的活性维生素D不足会加速骨质疏松症的发展,其中衰老骨细胞和衰老相关分泌表型(SASP)起着至关重要的作用。本研究旨在探讨衰老剂ABT263是否能通过选择性清除衰老细胞来纠正活性维生素D不足引起的骨质疏松症。方法在体外用ABT263处理来自年轻和老年小鼠的骨髓间充质干细胞(BM-MSCs),在体内给1,25(OH)2D不足(Cyp27b1+/-)的小鼠注射ABT263。结果ABT263通过下调Bcl2和上调Bax的表达诱导衰老的BM-间充质干细胞凋亡。ABT263还能诱导1,25(OH)2D不足小鼠的衰老BM-间充质干细胞凋亡。服用 ABT263 可增加骨密度、骨量、骨小梁数量、骨小梁厚度和胶原合成,从而纠正 1,25(OH)2D不足引起的骨质流失。它还能增强成骨细胞的骨形成,减少破骨细胞的骨吸收。ABT263 可促进 BM 间充质干细胞的增殖和成骨分化,从而纠正其受损的成骨作用。此外,ABT263 还能通过增加 SOD-2 和降低 γ-H2A.X 的表达,纠正 1,25(OH)2D 不足引起的氧化应激和 DNA 损伤。最后,ABT263 通过减少衰老和 SASP 相关基因和蛋白的表达,纠正了 1,25(OH)2D 不足引起的骨细胞衰老和 SASP。这些发现为老年溶解剂在治疗与活性维生素 D 不足有关的骨质疏松症方面的潜在治疗应用提供了新的见解。通过选择性地消除衰老骨细胞及其相关的 SASP,ABT263 的干预显示出了恢复骨平衡、防止进一步骨质流失和促进骨形成的能力。越来越多的研究支持将衰老疗法用于预防和治疗与年龄有关的骨骼疾病,这些研究结果为这一趋势做出了贡献。这项研究的转化潜力在于开发针对细胞衰老的新型治疗策略,以防治骨质疏松症,尤其是在维生素 D 不足是诱因的情况下。我们有必要开展进一步的临床研究,以验证 ABT263 和其他衰老溶解剂治疗人类骨质疏松症的有效性和安全性。
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引用次数: 0
From polarity to pathology: Decoding the role of cell orientation in osteoarthritis 从极性到病理学:解码细胞定向在骨关节炎中的作用
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-04 DOI: 10.1016/j.jot.2024.09.004
Xiwei Fan , Louis Jun Ye Ong , Antonia RuJia Sun , Indira Prasadam
Cell polarity refers to the orientation of tissue and organelles within a cell and the direction of its function. It is one of the most critical characteristics of metazoans. The development, growth, and functional tissue distribution are closely related to holistic tissue or organ homeostasis. However, the connection between cell polarity and osteoarthritis (OA) is less well-known. In OA, multiple chondrocyte clusters and tissue disorganisation can be observed in the degraded cartilage tissue. The excessive upregulation of the planar cell polarity (PCP) signalling pathway leads to the loss of cell polarity and organisation in OA progression and aetiology. Recent research has become increasingly aware of the importance of cell polarity and its correlation with OA. Several cell polarity-related treatments have shed light on OA. A thorough understanding of cell polarity and OA would provide more insights for future investigations to treat this worldwide disease.

The translational potential of this article

Understanding cell polarity, associated signalling pathways, organelle changes, and cell movement in the development of OA could lead to advances in precision medicine and enhanced treatment strategies for OA patients.
细胞极性是指细胞内组织和细胞器的定向及其功能的方向。它是元古宙最关键的特征之一。组织的发育、生长和功能分布与整体组织或器官的平衡密切相关。然而,细胞极性与骨关节炎(OA)之间的联系却鲜为人知。在 OA 中,退化的软骨组织中可观察到多软骨细胞簇和组织紊乱。平面细胞极性(PCP)信号通路的过度上调导致了细胞极性和组织性的丧失,从而引发了 OA 的发展和病因。近来的研究日益认识到细胞极性的重要性及其与 OA 的相关性。一些与细胞极性相关的治疗方法已对 OA 有所启示。本文的转化潜力了解细胞极性、相关信号通路、细胞器变化和细胞运动在OA发展过程中的作用,可促进精准医学的发展,并增强OA患者的治疗策略。
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引用次数: 0
The CD163/TWEAK/Fn14 axis: A potential therapeutic target for alleviating inflammatory bone loss CD163/TWEAK/Fn14轴:缓解炎症性骨质流失的潜在治疗靶点
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-04 DOI: 10.1016/j.jot.2024.09.002
Ji-kun Qian , Yuan Ma , Xuan Huang , Xiao-ran Li , Ya-fei Xu , Zi-ying Liu , Yuan Gu , Ke Shen , Liang-jie Tian , Yu-tian Wang , Ning-ning Cheng , Bing-sheng Yang , Kui-yuan Huang , Yu Chai , Guan-qiao Liu , Nai-qian Cui , Song-yun Deng , Nan Jiang , Dao-rong Xu , Bin Yu

Objective

Osteoclast (OC) over-activation is an important cause of bone loss that is strongly correlated with inflammation. Although the CD163/TWEAK/Fn14 axis has been implicated in several inflammatory pathologies, its contributions to inflammatory bone loss remain poorly understood. This study aimed to evaluate the interaction of the CD163/TWEAK/Fn14 axis with OC in inflammatory bone loss.

Methods

To assess the role of CD163 in bone homeostasis, we characterized the bone phenotypes of CD163-deficient mice and their wild-type littermates. CD163 and TWEAK levels were evaluated in the bone marrow of mice with LPS-induced bone loss and individuals with rheumatoid arthritis (RA). Bone mass changes were assessed using uCT and histology following supplementation with recombinant mouse CD163 protein (rCD163) or blockade of TWEAK/Fn14 signaling in CD163-deficient mice and mice with LPS-induced bone loss. The impact of CD163/TWEAK on OC differentiation and bone resorption capacity was analyzed in vitro.

Results

CD163 deficiency caused decreased bone mass and increased OC abundance. Lower CD163 expression and higher TWEAK expression were observed in the bone marrow of mice with LPS-induced bone loss and individuals with RA. TWEAK, mainly derived from CD68+ macrophages, was responsible for bone loss, and supplementing rCD163 or blocking TWEAK/Fn14 signaling contributed to rescue bone loss. TWEAK/Fn14 synergistically promoted RANKL-dependent OC differentiation and bone resorption capability through downstream mitogen-activated protein kinases (MAPK) signaling, while the pro-osteoclastic effect of TWEAK was suppressed by CD163.

Conclusion

Our findings suggest that the CD163/TWEAK/Fn14 axis is a potential therapeutic target for inflammatory bone loss by regulating osteoclastogenesis.
目的破骨细胞(OC)过度激活是骨质流失的一个重要原因,它与炎症密切相关。尽管 CD163/TWEAK/Fn14 轴与多种炎症性病变有关,但人们对其在炎症性骨质流失中的作用仍知之甚少。本研究旨在评估 CD163/TWEAK/Fn14 轴与 OC 在炎症性骨质流失中的相互作用。方法为了评估 CD163 在骨稳态中的作用,我们对 CD163 缺失小鼠及其野生型同窝小鼠的骨表型进行了鉴定。对LPS诱导骨质流失的小鼠和类风湿性关节炎(RA)患者骨髓中的CD163和TWEAK水平进行了评估。在CD163缺陷小鼠和LPS诱导骨质流失小鼠体内补充重组小鼠CD163蛋白(rCD163)或阻断TWEAK/Fn14信号传导后,使用uCT和组织学方法评估骨质变化。在体外分析了 CD163/TWEAK 对 OC 分化和骨吸收能力的影响。在 LPS 诱导骨质流失的小鼠和 RA 患者的骨髓中观察到较低的 CD163 表达和较高的 TWEAK 表达。TWEAK主要来源于CD68+巨噬细胞,是造成骨质流失的原因,补充rCD163或阻断TWEAK/Fn14信号有助于挽救骨质流失。TWEAK/Fn14通过下游丝裂原活化蛋白激酶(MAPK)信号协同促进了RANKL依赖性OC分化和骨吸收能力,而CD163抑制了TWEAK的促破骨细胞作用。
{"title":"The CD163/TWEAK/Fn14 axis: A potential therapeutic target for alleviating inflammatory bone loss","authors":"Ji-kun Qian ,&nbsp;Yuan Ma ,&nbsp;Xuan Huang ,&nbsp;Xiao-ran Li ,&nbsp;Ya-fei Xu ,&nbsp;Zi-ying Liu ,&nbsp;Yuan Gu ,&nbsp;Ke Shen ,&nbsp;Liang-jie Tian ,&nbsp;Yu-tian Wang ,&nbsp;Ning-ning Cheng ,&nbsp;Bing-sheng Yang ,&nbsp;Kui-yuan Huang ,&nbsp;Yu Chai ,&nbsp;Guan-qiao Liu ,&nbsp;Nai-qian Cui ,&nbsp;Song-yun Deng ,&nbsp;Nan Jiang ,&nbsp;Dao-rong Xu ,&nbsp;Bin Yu","doi":"10.1016/j.jot.2024.09.002","DOIUrl":"10.1016/j.jot.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>Osteoclast (OC) over-activation is an important cause of bone loss that is strongly correlated with inflammation. Although the CD163/TWEAK/Fn14 axis has been implicated in several inflammatory pathologies, its contributions to inflammatory bone loss remain poorly understood. This study aimed to evaluate the interaction of the CD163/TWEAK/Fn14 axis with OC in inflammatory bone loss.</div></div><div><h3>Methods</h3><div>To assess the role of CD163 in bone homeostasis, we characterized the bone phenotypes of CD163-deficient mice and their wild-type littermates. CD163 and TWEAK levels were evaluated in the bone marrow of mice with LPS-induced bone loss and individuals with rheumatoid arthritis (RA). Bone mass changes were assessed using uCT and histology following supplementation with recombinant mouse CD163 protein (rCD163) or blockade of TWEAK/Fn14 signaling in CD163-deficient mice and mice with LPS-induced bone loss. The impact of CD163/TWEAK on OC differentiation and bone resorption capacity was analyzed <em>in vitro</em>.</div></div><div><h3>Results</h3><div>CD163 deficiency caused decreased bone mass and increased OC abundance. Lower CD163 expression and higher TWEAK expression were observed in the bone marrow of mice with LPS-induced bone loss and individuals with RA. TWEAK, mainly derived from CD68<sup>+</sup> macrophages, was responsible for bone loss, and supplementing rCD163 or blocking TWEAK/Fn14 signaling contributed to rescue bone loss. TWEAK/Fn14 synergistically promoted RANKL-dependent OC differentiation and bone resorption capability through downstream mitogen-activated protein kinases (MAPK) signaling, while the pro-osteoclastic effect of TWEAK was suppressed by CD163.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that the CD163/TWEAK/Fn14 axis is a potential therapeutic target for inflammatory bone loss by regulating osteoclastogenesis.</div></div>","PeriodicalId":16636,"journal":{"name":"Journal of Orthopaedic Translation","volume":"49 ","pages":"Pages 82-95"},"PeriodicalIF":5.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a standardized and reproducible murine femoral distraction osteogenesis model 开发标准化、可重复的小鼠股骨牵张成骨模型
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-04 DOI: 10.1016/j.jot.2024.08.001
Yuejun Lin , Zhaowei Jiang , Jiaming Yang , Ming Wang , Haixing Wang , Xiaoting Zhang , Xuan Lu , Shanshan Bai , Tongzhou Liang , Botai Li , Jie Shao , Lu Zhang , Dashuang Gao , Jiajun Chen , Sien Lin , Fan Yang , Gang Li

Objective

Distraction osteogenesis (DO) has been widely used to treat bone defects as its effectiveness in bone regeneration. Currently, distraction devices for establishing DO models are mainly developed for rats or large animals. However, a mouse DO model is in great need for in-depth mechanistic investigations using various transgenic mice. The current study reports the development of a reproducible murine DO model.

Methods

A mini-titanium lengthener was designed and fabricated. The mini-lengthener was applied on the murine femur with four threaded pins using a designed clamp as the drilling and insertion guide. After transverse osteotomy using a Gigli saw, and after 5 days of latency, DO procedures started at 0.3 mm/day for 10 days, and the consolidation period was left for 28 days. The bone formation was monitored by radiography and histology. Potential effects on animal locomotion during DO were also measured by behavior tests.

Results

Separated bone segments maintained good alignment during the entire DO phases. New bone formation was found as early as the end of the distraction phase. Active bone remodeling was found between the separated bone segments at late distraction and early consolidation phases. At the mature consolidation phase, bone remodeling was mainly observed in the contact cortical bone. Mice underwent DO procedure did not have significant impairment in their locomotion.

Conclusion

We have successfully developed a murine femoral DO model, which may be used to study the biological processes of DO. We also developed the mini-lengthener and the guide clamp to ensure the standardization and reproducibility of the mouse DO model.
The translational potential of this article: Current study reports the development of a murine femoral DO model. A well-established murine DO model will facilitate further investigations of the biological mechanisms of DO in various transgenic and normal mice.
目的牵引成骨(DO)因其在骨再生方面的有效性而被广泛用于治疗骨缺损。目前,用于建立牵引成骨模型的牵引装置主要是针对大鼠或大型动物开发的。然而,利用各种转基因小鼠进行深入的机理研究亟需一种小鼠 DO 模型。本研究报告了一种可重复的小鼠 DO 模型的开发过程。使用设计好的夹钳作为钻孔和插入导向,将微型延长器用四个螺纹销钉固定在小鼠股骨上。在使用 Gigli 锯进行横向截骨后,经过 5 天的潜伏期,开始以每天 0.3 毫米的速度进行 DO 程序,持续 10 天,巩固期为 28 天。骨形成情况通过射线照相术和组织学进行监测。在整个 DO 阶段,分离的骨段保持良好的排列。新骨形成早在牵引阶段结束时就已发现。在牵引晚期和巩固早期,分离的骨段之间出现了活跃的骨重塑。在成熟巩固阶段,主要在接触皮质骨中观察到骨重塑。结论我们成功建立了小鼠股骨DO模型,可用于研究DO的生物学过程。我们还开发了微型延长器和导钳,以确保小鼠 DO 模型的标准化和可重复性:目前的研究报告了小鼠股骨DO模型的建立。一个完善的小鼠DO模型将有助于进一步研究各种转基因小鼠和正常小鼠DO的生物学机制。
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引用次数: 0
An updated overview of the search for biomarkers of osteoporosis based on human proteomics 基于人类蛋白质组学寻找骨质疏松症生物标志物的最新概述
IF 5.9 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-03 DOI: 10.1016/j.jot.2024.08.015
Xiong-Yi Wang , Rui-Zhi Zhang , Yi-Ke Wang, Sheng Pan, Si-Min Yun, Jun-jie Li, You-Jia Xu
Osteoporosis is a chronic metabolic disease that increases bone fragility and, leads to severe osteoporotic fractures. In recent years, the use of high-throughput omics to explore physiological and pathological biomarkers related to bone metabolism has gained popularity. In this review, we first briefly review the technical approaches of proteomics. Additionally, we summarize the relevant literature in the last decade to provide a comprehensive overview of advances in human proteomics related to osteoporosis. We describe the specific roles of various proteins related to human bone metabolism, highlighting their potential as biomarkers for risk assessment, early diagnosis and disease course monitoring in osteoporosis. Finally, we outline the main challenges currently faced by human proteomics in the field of osteoporosis and offer suggestions to address these challenges, to inspire the search for novel osteoporosis biomarkers and a foundation for their clinical translation. In conclusion, proteomics is a powerful tool for discovering osteoporosis-related biomarkers, which can not only provide risk assessment, early diagnosis and disease course monitoring, but also reveal the underlying mechanisms of disease and provide key information for personalized treatment.

The translational potential of this article

This review provides an insightful summary of recent human-based studies on osteoporosis-associated proteomics, which can aid the search for novel osteoporosis biomarkers based on human proteomics and the clinical translation of research results.
骨质疏松症是一种慢性代谢性疾病,会增加骨的脆性并导致严重的骨质疏松性骨折。近年来,利用高通量 omics 技术探索与骨代谢相关的生理和病理生物标志物的研究越来越受欢迎。在这篇综述中,我们首先简要回顾了蛋白质组学的技术方法。此外,我们还总结了近十年来的相关文献,全面概述了与骨质疏松症有关的人类蛋白质组学的进展。我们描述了与人体骨代谢相关的各种蛋白质的具体作用,强调了它们作为生物标记物在骨质疏松症风险评估、早期诊断和病程监测方面的潜力。最后,我们概述了人类蛋白质组学目前在骨质疏松症领域面临的主要挑战,并提出了应对这些挑战的建议,以激励人们寻找新型骨质疏松症生物标志物,并为其临床转化奠定基础。总之,蛋白质组学是发现骨质疏松症相关生物标志物的有力工具,它不仅能提供风险评估、早期诊断和病程监测,还能揭示疾病的潜在机制,为个性化治疗提供关键信息。本文的转化潜力这篇综述对近期基于人体的骨质疏松症相关蛋白质组学研究进行了深入总结,有助于基于人体蛋白质组学寻找新型骨质疏松症生物标志物,并将研究成果进行临床转化。
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引用次数: 0
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Journal of Orthopaedic Translation
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