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Mast cell activation by NGF drives the formation of trauma-induced heterotopic ossification
Tao Jiang, … , Zhongmin Zhang, Liang Wang
Tao Jiang, … , Zhongmin Zhang, Liang Wang
Published November 26, 2024
Citation Information: JCI Insight. 2025;10(1):e179759. https://doi.org/10.1172/jci.insight.179759.
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Research Article Bone biology Immunology

Mast cell activation by NGF drives the formation of trauma-induced heterotopic ossification

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Abstract

Soft tissue trauma can cause immune system disturbance and neuropathological invasion, resulting in heterotopic ossification (HO) due to aberrant chondrogenic differentiation of mesenchymal stem cells (MSCs). However, the molecular mechanisms behind the interaction between the immune and nervous systems in promoting HO pathogenesis are unclear. In this study, we found that mast cell–specific deletion attenuated localized tissue inflammation, with marked inhibition of HO endochondral osteogenesis. Likewise, blockage of nerve growth factor (NGF) receptor, known as tropomyosin receptor kinase A (TrkA), led to similar attenuations in tissue inflammation and HO. Moreover, while NGF/TrkA signaling did not directly affect MSCs chondrogenic differentiation, it modulated mast cell activation in traumatic soft tissue. Mechanistically, lipid A in LPS binding to TrkA enhanced NGF-induced TrkA phosphorylation, synergistically stimulating mast cells to release neurotrophin-3 (NT3), thereby promoting MSC chondrogenic differentiation in situ. Finally, analysis of single-cell datasets and human pathological specimens confirmed the important role of mast cell–mediated neuroinflammation in HO pathogenesis. In conclusion, NGF regulates mast cells in soft tissue trauma and drives HO progression via paracrine NT3. Targeted early inhibition of mast cells holds substantial promise for treating traumatic HO.

Authors

Tao Jiang, Xiang Ao, Xin Xiang, Jie Zhang, Jieyi Cai, Jiaming Fu, Wensheng Zhang, Zhenyu Zheng, Jun Chu, Minjun Huang, Zhongmin Zhang, Liang Wang

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Figure 7

NGF and lipid A in LPS cobind to TrkA, triggering mast cells to secrete NT3 after trauma.

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NGF and lipid A in LPS cobind to TrkA, triggering mast cells to secrete ...
(A) Western blotting and densitometric quantification (right) of NT3 in BMMCs after LPS (100 ng/mL) or RD (1 μM) treatment for 1 hour, with β-actin as the loading control, n = 3 biological replicates. (B and C) Representative (B) expression of Tlr4 (Padj > 0.05, log2FC < 1) in the GSE64287 dataset, confirmed by (C) Western blotting. (D) Western blotting and densitometric quantification (right) of LPS competitive binding to His-tagged or Fc-tagged TrkA in vitro (n = 3 biological replicates). (E) Binding model for LPS (yellow) with TrkA (purple), showing key atoms in LPS (blue sticks) and residues in TrkA (green sticks). (F–I) Representative (F) planar chemical structure, (G) lowest free energy 3D structure of LPS, (H) hydrogen bonds between LPS and TrkA in lipid A (red arrows) or PS (black arrow), and (I) schematic of LPS delipidation strategy. (J) Western blotting and densitometric quantification (right) of TrkATyr490 in BMMCs after treatment with LPS, PS, or rmNGF for 1 hour, with β-actin as the loading control, n = 3 biological replicates. (K and L) Western blotting and quantification (right) of NT3 in BMMCs after pretreatment with LPS (100 ng/mL) or PBS, followed by treatment with rmNGF (0–100 ng/mL) or GW (1 μM) for 1 hour, with β-actin as the loading control, n = 4 biological replicates. (M) IF double-staining images and quantification (right) of CAM1+ (green)/NT3+ (red) cells in injured tendon sections, with DAPI counterstaining (blue). Scale bar: 5 μm (left) and 1 μm (right), n = 5 biological replicates. Data are representative of 2 independent experiments (A–D and J–M). Data shown as mean ± SD, compared by Student’s t test (B–D) or 1-way ANOVA (J–M).

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