[HTML][HTML] Inhibition of overactive TGF-β attenuates progression of heterotopic ossification in mice

X Wang, F Li, L Xie, J Crane, G Zhen, Y Mishina… - Nature …, 2018 - nature.com
X Wang, F Li, L Xie, J Crane, G Zhen, Y Mishina, R Deng, B Gao, H Chen, S Liu, P Yang…
Nature communications, 2018nature.com
Acquired heterotopic ossification (HO) is a painful and debilitating disease characterized by
extraskeletal bone formation after injury. The exact pathogenesis of HO remains unknown.
Here we show that TGF-β initiates and promotes HO in mice. We find that calcified cartilage
and newly formed bone resorb osteoclasts after onset of HO, which leads to high levels of
active TGF-β that recruit mesenchymal stromal/progenitor cells (MSPCs) in the HO
microenvironment. Transgenic expression of active TGF-β in tendon induces spontaneous …
Abstract
Acquired heterotopic ossification (HO) is a painful and debilitating disease characterized by extraskeletal bone formation after injury. The exact pathogenesis of HO remains unknown. Here we show that TGF-β initiates and promotes HO in mice. We find that calcified cartilage and newly formed bone resorb osteoclasts after onset of HO, which leads to high levels of active TGF-β that recruit mesenchymal stromal/progenitor cells (MSPCs) in the HO microenvironment. Transgenic expression of active TGF-β in tendon induces spontaneous HO, whereas systemic injection of a TGF-β neutralizing antibody attenuates ectopic bone formation in traumatic and BMP-induced mouse HO models, and in a fibrodysplasia ossificans progressive mouse model. Moreover, inducible knockout of the TGF-β type II receptor in MSPCs inhibits HO progression in HO mouse models. Our study points toward elevated levels of active TGF-β as inducers and promoters of ectopic bone formation, and suggest that TGF-β might be a therapeutic target in HO.
nature.com