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An estrogen-sensitive fibroblast population drives abdominal muscle fibrosis in an inguinal hernia mouse model
Tanvi Potluri, … , Hong Zhao, Serdar E. Bulun
Tanvi Potluri, … , Hong Zhao, Serdar E. Bulun
Published April 19, 2022
Citation Information: JCI Insight. 2022;7(9):e152011. https://doi.org/10.1172/jci.insight.152011.
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Research Article Endocrinology Muscle biology

An estrogen-sensitive fibroblast population drives abdominal muscle fibrosis in an inguinal hernia mouse model

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Abstract

Greater than 25% of all men develop an inguinal hernia in their lifetime, and more than 20 million inguinal hernia repair surgeries are performed worldwide each year. The mechanisms causing abdominal muscle weakness, the formation of inguinal hernias, or their recurrence are largely unknown. We previously reported that excessively produced estrogen in the lower abdominal muscles (LAMs) triggers extensive LAM fibrosis, leading to hernia formation in a transgenic male mouse model expressing the human aromatase gene (Aromhum). To understand the cellular basis of estrogen-driven muscle fibrosis, we performed single-cell RNA sequencing on LAM tissue from Aromhum and wild-type littermates. We found a fibroblast-like cell group composed of 6 clusters, 2 of which were validated for their enrichment in Aromhum LAM tissue. One of the potentially novel hernia-associated fibroblast clusters in Aromhum was enriched for the estrogen receptor-α gene (Esr1hi). Esr1hi fibroblasts maximally expressed estrogen target genes and seemed to serve as the progenitors of another cluster expressing ECM-altering enzymes (Mmp3hi) and to upregulate expression of proinflammatory, profibrotic genes. The discovery of these 2 potentially novel and unique hernia-associated fibroblasts may lead to the development of novel treatments that can nonsurgically prevent or reverse inguinal hernias.

Authors

Tanvi Potluri, Matthew J. Taylor, Jonah J. Stulberg, Richard L. Lieber, Hong Zhao, Serdar E. Bulun

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Figure 6

Validation of hernia-associated fibroblasts in WT and Aromhum LAM tissues.

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Validation of hernia-associated fibroblasts in WT and Aromhum LAM tissue...
(A) Immunocytochemistry analysis of fibroblasts from LAM tissues of WT and Aromhum mice that were isolated via differential plating. PDGFRα and ERα expression were observed in both WT and Aromhum LAM fibroblasts (n = 10 mice/group in 4 technical replicates). (B) Flow cytometry histogram profiles of freshly isolated PDGFRα+ cells from LAM of WT and Aromhum mice. Quadriceps muscle (QM) was used as a control (n = 3). (C) Representative flow cytometry dot plots of ERα+ and PDGFRα+ cell populations (n = 3). (D) Dot plots representing the proportions of median fluorescence intensity (MFI) of ERα and PDGFRα and the number of cells in the Q2 gate of C. Numbers indicate MFI of ERα and PDGFRα and the cell counts for the plots in C. Both QM and LAM muscles were isolated uniformly from both WT and Aromhum mice (n = 3). (E) The total number of ERα+ cells from LAM tissues was quantified via flow cytometry in Aromhum versus WT mice (n = 20 mice/group, 5 technical replicates). (F) Cell cycle stages from freshly isolated LAM cells of Aromhum mice were analyzed via flow cytometry. DNA content of ERα+ and ERα– cells was stained by FxCycle dye, and area histograms were used to quantify G1, S, and G2 phases (n = 5 mice/group). (G) Flow cytometry histogram profiles of complement protein C4b+ cells, indicating Mmp3hi cluster, from LAM tissues of WT and Aromhum mice (n = 3). (H) Fluorescence Western blots of whole LAM tissue homogenates from WT and Aromhum. Two MMP3 bands were detected at ~45 kDa and ~27 kDa, PCNA protein was detected at ~30 kDa, and Tgfbi protein BGH3 was recognized at ~65 kDa. Quantification was performed by normalizing to total protein detected by Ponceau S staining (n = 4 mice/group). Box plots represent median with minimum and maximum values as whiskers and groups were compared using 2-sided t tests. *P < 0.05.

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