[HTML][HTML] Macrophage TGF-β signaling is critical for wound healing with heterotopic ossification after trauma

NK Patel, JH Nunez, M Sorkin, S Marini, CA Pagani… - JCI insight, 2022 - ncbi.nlm.nih.gov
NK Patel, JH Nunez, M Sorkin, S Marini, CA Pagani, AL Strong, CD Hwang, S Li…
JCI insight, 2022ncbi.nlm.nih.gov
Transforming growth factor–β1 (TGF-β1) plays a central role in normal and aberrant wound
healing, but the precise mechanism in the local environment remains elusive. Here, using a
mouse model of aberrant wound healing resulting in heterotopic ossification (HO) after
traumatic injury, we find autocrine TGF-β1 signaling in macrophages, and not mesenchymal
stem/progenitor cells, is critical in HO formation. In-depth single-cell transcriptomic and
epigenomic analyses in combination with immunostaining of cells from the injury site …
Abstract
Transforming growth factor–β1 (TGF-β1) plays a central role in normal and aberrant wound healing, but the precise mechanism in the local environment remains elusive. Here, using a mouse model of aberrant wound healing resulting in heterotopic ossification (HO) after traumatic injury, we find autocrine TGF-β1 signaling in macrophages, and not mesenchymal stem/progenitor cells, is critical in HO formation. In-depth single-cell transcriptomic and epigenomic analyses in combination with immunostaining of cells from the injury site demonstrated increased TGF-β1 signaling in early infiltrating macrophages, with open chromatin regions in TGF-β1–stimulated genes at binding sites specific for transcription factors of activated TGF-β1 (SMAD2/3). Genetic deletion of TGF-β1 receptor type 1 (Tgfbr1; Alk5), in macrophages, resulted in increased HO, with a trend toward decreased tendinous HO. To bypass the effect seen by altering the receptor, we administered a systemic treatment with TGF-β1/3 ligand trap TGF-βRII-Fc, which resulted in decreased HO formation and a delay in macrophage infiltration to the injury site. Overall, our data support the role of the TGF-β1/ALK5 signaling pathway in HO.
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