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Purine metabolism enhances neovascularization of type H vessels in the induced membrane technique
Yung-Heng Hsu, Guan-Lin Lee, Yu-Chih Lin, Mei-Feng Chen, Yuhan Chang, Ying-Yu Wu, Chih-Chien Hu
Yung-Heng Hsu, Guan-Lin Lee, Yu-Chih Lin, Mei-Feng Chen, Yuhan Chang, Ying-Yu Wu, Chih-Chien Hu
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Research Article Metabolism Vascular biology

Purine metabolism enhances neovascularization of type H vessels in the induced membrane technique

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Abstract

The induced membrane technique (IMT) is a 2-stage surgical intervention for critical-sized bone defects (CSBD), yet the metabolic mechanisms driving neovascularization within the induced membrane remain unclear. Here, we combined a rat IMT model, metabolomic profiling, and endothelial assays to delineate the role of purine metabolism in neovascularization of type H vessels. Using a rat IMT model and metabolomic profiling, we identified purine metabolism as the most substantial pathway during the formation of induced membranes, with consistent trends of adenosine, inosine, hypoxanthine, and xanthosine found in both serum and induced membranes. Histological analysis revealed abundant CD31hiEMCNhi type H vessels, critical for osteogenesis, within the induced membrane. Inhibition of purine metabolism suppressed the CD31hiEMCNhi type H phenotype in human umbilical vein endothelial cells, whereas treatment with inosine, hypoxanthine, or xanthosine promoted endothelial activation and the type H phenotype. Notably, inosine and hypoxanthine displayed parallel changes across consistent systemic (serum) and local alterations (induced membranes), highlighting their potential as serum indicators of induced membrane formation. Collectively, these findings uncover a previously unrecognized metabolic mechanism driving neovascularization of type H vessels in induced membranes and suggest purine metabolites as promising indicators and therapeutic targets for improving IMT outcomes as well as CBSD treatment.

Authors

Yung-Heng Hsu, Guan-Lin Lee, Yu-Chih Lin, Mei-Feng Chen, Yuhan Chang, Ying-Yu Wu, Chih-Chien Hu

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Figure 1

Metabolomic analysis of serum samples from rats undergoing the induced membrane technique.

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Metabolomic analysis of serum samples from rats undergoing the induced m...
(A) Untargeted metabolomic profiling was performed on serum collected from rats subjected to either bone defect (BD) or induced membrane technique (IMT) procedures. Metabolites were considered significant if they met all 3 criteria: P < 0.05, FDR < 0.2, and Fold > 1.5. (B) In the BD model, 2-dimensional micro-CT scans were performed weekly to monitor bone stability at the 3.0 mm femoral defect site (n = 7). (C) Serum metabolite patterns were visualized through partial least squares discriminant analysis (PLS-DA) using samples from week 0 (BD:W0, n = 7, 3 rats were excluded due to hemolysis), week 1 (BD:W1, n = 7), and week 6 (BD:W6, n = 7). Each point represents an individual rat. (D) Metabolic pathway enrichment for BD rat serum was assessed using MetaboAnalyst (Hypergeometric Test). Pathways were prioritized based on significance level, represented as –log10(P value), with those to the right of the red threshold line considered statistically relevant. (E) For IMT-treated rats, weekly 2D micro-CT images were acquired to track femoral changes following implantation and membrane induction (n = 6). (F) PLS-DA was also applied to serum samples from IMT rats at 3 time points: week 0 (IM:W0, shared with C), week 1 (IM:W1, n = 3), and week 6 (IM:W6, n = 3), with each dot representing one rat. (G) Metabolomics pathway enrichment for IMT serum samples was performed using MetaboAnalyst (hypergeometric test), highlighting altered pathways over time. Only pathways to the right of the red dashed significance threshold line were retained. Week 0 represented in this figure should be 10 rats, from which 3 were excluded due to hemolysis causing incorrect results of metabolomics analysis. Arg, arginine; Pro, proline; Phe, phenylalanine; Tyr, tyrosine; Trp, tryptophan.

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