Activin-dependent signaling in fibro/adipogenic progenitors causes fibrodysplasia ossificans progressiva.

Activin-dependent signaling in fibro/adipogenic progenitors causes fibrodysplasia ossificans progressiva.
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DOI:
10.1038/s41467-018-02872-2
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发表时间:
2018-02-02
影响因子:
16.6
通讯作者:
Goldhamer DJ
Goldhamer DJ
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Lees-Shepard JB;Yamamoto M;Biswas AA;Stoessel SJ;Nicholas SE;Cogswell CA;Devarakonda PM;Schneider MJ Jr;Cummins SM;Legendre NP;Yamamoto S;Kaartinen V;Hunter JW;Goldhamer DJ

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进行性骨化性纤维发育不良(FOP)是一种罕见的常染色体显性遗传疾病,其特征是进行性和严重致残的异位骨化(HO)。在这里,我们表明,在精确的FOP遗传小鼠模型(Acvr 1 tnR 206 H)中,脂肪/成脂祖细胞(FAP)是HO的主要起源细胞。将致病的I型骨形态发生蛋白(BMP)受体ACVR 1(R206 H)靶向表达至FAP,概括了在FOP患者中观察到的HO的全谱。表达ACVR 1(R206 H)的FAP(而非野生型FAP)响应激活素配体激活成骨信号传导。野生型Acvr 1等位基因的条件性丧失显著加剧FAP-定向HO,表明突变体和野生型ACVR 1受体复合物竞争激活素配体或II型BMP受体结合伴侣。最后,激活素A的全身抑制完全阻断HO并恢复移植的Acvr 1 R206 H/+ FAP的野生型样行为。了解驱动HO的细胞可能有助于开发细胞特异性治疗方法,以抑制FOP中的灾难性骨形成。进行性骨化性纤维发育不良是一种以异位骨化为特征的严重疾病,由ACVR 1突变引起。在这里,作者表明,突变体ACVR 1在脂肪/成脂祖细胞中的表达再现了疾病进展,并且这可以通过全身抑制小鼠中的激活素A来停止。
Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal-dominant disorder characterized by progressive and profoundly disabling heterotopic ossification (HO). Here we show that fibro/adipogenic progenitors (FAPs) are a major cell-of-origin of HO in an accurate genetic mouse model of FOP (Acvr1tnR206H). Targeted expression of the disease-causing type I bone morphogenetic protein (BMP) receptor, ACVR1(R206H), to FAPs recapitulates the full spectrum of HO observed in FOP patients. ACVR1(R206H)-expressing FAPs, but not wild-type FAPs, activate osteogenic signaling in response to activin ligands. Conditional loss of the wild-type Acvr1 allele dramatically exacerbates FAP-directed HO, suggesting that mutant and wild-type ACVR1 receptor complexes compete for activin ligands or type II BMP receptor binding partners. Finally, systemic inhibition of activin A completely blocks HO and restores wild-type-like behavior to transplanted Acvr1R206H/+ FAPs. Understanding the cells that drive HO may facilitate the development of cell-specific therapeutic approaches to inhibit catastrophic bone formation in FOP. Fibrodysplasia ossificans progressiva is a severe disorder characterized by heterotopic ossification, and is caused by mutations in ACVR1. Here, the authors show that expression of mutant ACVR1 in fibro/adipogenic progenitors recapitulates disease progression, and that this can be halted by systemic inhibition of activin A in mice.
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