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Publication : Targeting chondrocytes for arresting bony fusion in ankylosing spondylitis.

First Author  Shao F Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  6540
PubMed ID  34764263 Mgi Jnum  J:314740
Mgi Id  MGI:6826694 Doi  10.1038/s41467-021-26750-6
Citation  Shao F, et al. (2021) Targeting chondrocytes for arresting bony fusion in ankylosing spondylitis. Nat Commun 12(1):6540
abstractText  Bony fusion caused by pathological new bone formation manifests the clinical feature of ankylosing spondylitis (AS). However, the underlying mechanism remains elusive. Here we discovered spontaneous kyphosis, arthritis and bony fusion in mature CD4-Cre;Ptpn11(f/f) mice, which present the pathophysiological features of AS. A population of CD4-Cre-expressing proliferating chondrocytes was SHP2 deficient, which could differentiate into pre-hypertrophic and hypertrophic chondrocytes. Functionally, SHP2 deficiency in chondrocytes impeded the fusion of epiphyseal plate and promoted chondrogenesis in joint cavity and enthesis. Mechanistically, aberrant chondrocytes promoted ectopic new bone formation through BMP6/pSmad1/5 signaling. It is worth emphasizing that such pathological thickness of growth plates was evident in adolescent humans with enthesitis-related arthritis, which could progress to AS in adulthood. Targeting dysfunctional chondrogenesis with Smo inhibitor sonidegib significantly alleviated the AS-like bone disease in mice. These findings suggest that blockade of chondrogenesis by sonidegib would be a drug repurposing strategy for AS treatment.
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