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Age-associated callus senescent cells produce TGF-β1 that inhibits fracture healing in aged mice
Jiatong Liu, … , Hengwei Zhang, Lianping Xing
Jiatong Liu, … , Hengwei Zhang, Lianping Xing
Published April 15, 2022
Citation Information: J Clin Invest. 2022;132(8):e148073. https://doi.org/10.1172/JCI148073.
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Research Article Aging Bone biology Article has an altmetric score of 8

Age-associated callus senescent cells produce TGF-β1 that inhibits fracture healing in aged mice

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Abstract

Cellular senescence plays an important role in human diseases, including osteoporosis and osteoarthritis. Senescent cells (SCs) produce the senescence-associated secretory phenotype to affect the function of neighboring cells and SCs themselves. Delayed fracture healing is common in the elderly and is accompanied by reduced mesenchymal progenitor cells (MPCs). However, the contribution of cellular senescence to fracture healing in the aged has not to our knowledge been studied. Here, we used C57BL/6J 4-month-old young and 20-month-old aged mice and demonstrated a rapid increase in SCs in the fracture callus of aged mice. The senolytic drugs dasatinib plus quercetin enhanced fracture healing in aged mice. Aged callus SCs inhibited the growth and proliferation of callus-derived MPCs (CaMPCs) and expressed high levels of TGF-β1. TGF-β–neutralizing Ab prevented the inhibitory effects of aged callus SCs on CaMPCs and promoted fracture healing in aged mice, which was associated with increased CaMPCs and proliferating cells. Thus, fracture triggered a significant cellular senescence in the callus cells of aged mice, which inhibited MPCs by expressing TGF-β1. Short-term administration of dasatinib plus quercetin depleted callus SCs and accelerated fracture healing in aged mice. Senolytic drugs represent a promising therapy, while TGF-β1 signaling is a molecular mechanism for fractures in the elderly via SCs.

Authors

Jiatong Liu, Jun Zhang, Xi Lin, Brendan F. Boyce, Hengwei Zhang, Lianping Xing

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Figure 8

TGF-β neutralization enhances fracture healing in aged mice.

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TGF-β neutralization enhances fracture healing in aged mice.
Young and a...
Young and aged mice underwent tibial fracture surgery. (A) The expression of Tgfb1 in fracture callus at indicated time points was measured by qPCR. n = 3. Relative mRNA expression is the fold-change versus young mice as 1. (B) The concentration of active TGF-β1 protein in fracture callus at indicated time points was measured by ELISA. n = 4. *P < 0.05, for aged versus young; #P < 0.05, for young versus young 0 dpf; ^P < 0.05, for aged versus aged 0 dpf, by 2-way ANOVA followed by Tukey’s post hoc test (A and B). (C) Outline of the experimental design. Aged mice were given 2 μg in 10 μL TGF-β Ab, 1D11, or isotype IgG vehicle by intra-callus injection on 1, 3, 5, and 7 dpf and sacrificed on 10 dpf (D–F and H–J) or 28 dpf (G). n = 4–5. (D) Callus volume was measured by micro-CT. *P < 0.05, by unpaired, 2-tailed Student’s t test. (E) Representative images of ABH-stained sections showing more woven bone and callus areas in the anti–TGF-β Ab–treated mice. Scale bar: 1 mm. (F) Woven bone and cartilage areas were analyzed using Visiopharm software. (G) Bone stiffness, strength and toughness were assessed by biomechanical testing at 28 dpf. (H) The percentage and number of MPCs identified as CD45–CD31–CD105+ cells in fracture callus were determined by flow cytometry. (I) Representative paraffin sections of callus immunostained with anti-Ki67 Ab to detect proliferating cells (arrowheads). External callus is indicated by the dashed lines. Scale bars: 500 μm. Original magnification, ×4 (enlarged insets). (J) The percentage of Ki67+ cells was quantified by ImageJ. *P < 0.05, by unpaired, 2-tailed Student’s t test (F, G, H, and J).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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