Cellular Hypoxia Promotes Heterotopic Ossification by Amplifying BMP Signaling.
Cellular Hypoxia Promotes Heterotopic Ossification by Amplifying BMP Signaling.
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DOI:
10.1002/jbmr.2848
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发表时间:
2016-09
影响因子:
6.2
通讯作者:
Pignolo, Robert J.
中科院分区:
文献类型:
--
作者:
Wang, Haitao;Lindborg, Carter;Lounev, Vitali;Kim, Jung-Hoon;McCarrick-Walmsley, Ruth;Xu, Meiqi;Mangiavini, Laura;Groppe, Jay C.;Shore, Eileen M.;Schipani, Ernestina;Kaplan, Frederick S.;Pignolo, Robert J.
Hypoxia and inflammation are implicated in the episodic induction of heterotopic endochondral ossification (HEO); however, the molecular mechanisms are unknown. HIF-1α integrates the cellular response to both hypoxia and inflammation and is a prime candidate for regulating HEO. We investigated the role of hypoxia and HIF-1α in fibrodysplasia ossificans progressiva (FOP), the most catastrophic form of HEO in humans. We found that HIF-1α increases the intensity and duration of canonical bone morphogenetic protein (BMP) signaling through Rabaptin 5 (RABEP1)-mediated retention of Activin A receptor, type I (ACVR1), a BMP receptor, in the endosomal compartment of hypoxic connective tissue progenitor cells from patients with FOP. We further show that early inflammatory FOP lesions in humans and in a mouse model are markedly hypoxic, and inhibition of HIF-1α by genetic or pharmacologic means restores canonical BMP signaling to normoxic levels in human FOP cells and profoundly reduces HEO in a constitutively active Acvr1Q207D/+ mouse model of FOP. Thus, an inflammation and cellular oxygen-sensing mechanism that modulates intracellular retention of a mutant BMP receptor determines, in part, its pathologic activity in FOP. Our study provides critical insight into a previously unrecognized role of HIF-1α in the hypoxic amplification of BMP signaling and in the episodic induction of HEO in FOP, and further identifies HIF-1α as a therapeutic target for FOP and perhaps non-genetic forms of HEO.
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