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Publication : Inhibition of overactive TGF-β attenuates progression of heterotopic ossification in mice.

First Author  Wang X Year  2018
Journal  Nat Commun Volume  9
Issue  1 Pages  551
PubMed ID  29416028 Mgi Jnum  J:257692
Mgi Id  MGI:6119070 Doi  10.1038/s41467-018-02988-5
Citation  Wang X, et al. (2018) Inhibition of overactive TGF-beta attenuates progression of heterotopic ossification in mice. Nat Commun 9(1):551
abstractText  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-beta 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-beta that recruit mesenchymal stromal/progenitor cells (MSPCs) in the HO microenvironment. Transgenic expression of active TGF-beta in tendon induces spontaneous HO, whereas systemic injection of a TGF-beta 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-beta type II receptor in MSPCs inhibits HO progression in HO mouse models. Our study points toward elevated levels of active TGF-beta as inducers and promoters of ectopic bone formation, and suggest that TGF-beta might be a therapeutic target in HO.
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