Wnt1 Boosts Fracture Healing by Enhancing Bone Formation in the Fracture Callus.


Journal

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
ISSN: 1523-4681
Titre abrégé: J Bone Miner Res
Pays: United States
ID NLM: 8610640

Informations de publication

Date de publication:
05 2023
Historique:
revised: 09 02 2023
received: 08 11 2022
accepted: 02 03 2023
medline: 15 5 2023
pubmed: 10 3 2023
entrez: 9 3 2023
Statut: ppublish

Résumé

Despite considerable improvement in fracture care, 5%-10% of all fractures still heal poorly or result in nonunion formation. Therefore, there is an urgent need to identify new molecules that can be used to improve bone fracture healing. One activator of the Wnt-signaling cascade, Wnt1, has recently gained attention for its intense osteoanabolic effect on the intact skeleton. The aim of the present study was to investigate whether Wnt1 might be a promising molecule to accelerate fracture healing both in skeletally healthy and osteoporotic mice that display a diminished healing capacity. Transgenic mice for a temporary induction of Wnt1 specifically in osteoblasts (Wnt1-tg) were subjected to femur osteotomy. Non-ovariectomized and ovariectomized Wnt1-tg mice displayed significantly accelerated fracture healing based on a strong increase in bone formation in the fracture callus. Transcriptome profiling revealed that Hippo/yes1-associated transcriptional regulator (YAP)-signaling and bone morphogenetic protein (BMP) signaling pathways were highly enriched in the fracture callus of Wnt1-tg animals. Immunohistochemical staining confirmed increased activation of YAP1 and expression of BMP2 in osteoblasts in the fracture callus. Therefore, our data indicate that Wnt1 boosts bone formation during fracture healing via YAP/BMP signaling both under healthy and osteoporotic conditions. To further test a potential translational application of Wnt1, we applied recombinant Wnt1 embedded into a collagen gel during critical-size bone-defect repair. Mice treated with Wnt1 displayed increased bone regeneration compared to control mice accompanied by increased YAP1/BMP2 expression in the defect area. These findings are of high clinical relevance because they indicate that Wnt1 could be used as a new therapeutic agent to treat orthopedic complications in the clinic. © 2023 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Identifiants

pubmed: 36891752
doi: 10.1002/jbmr.4797
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

749-764

Informations de copyright

© 2023 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Références

Wildemann B, Ignatius A, Leung F, et al. Non-union bone fractures. Nat Rev Dis Primers. 2021;7(1):57. https://doi.org/10.1038/s41572-021-00289-8.
Wong SA, Rivera KO, Miclau T 3rd, Alsberg E, Marcucio RS, Bahney CS. Microenvironmental regulation of chondrocyte plasticity in endochondral repair-a new frontier for developmental engineering. Front Bioeng Biotechnol. 2018;6:58. https://doi.org/10.3389/fbioe.2018.00058.
Bhandari M, Tornetta P 3rd, Sprague S, et al. Predictors of reoperation following operative management of fractures of the tibial shaft. J Orthop Trauma. 2003;17(5):353-361.
Zura R, Xiong Z, Einhorn T, et al. Epidemiology of fracture nonunion in 18 human bones. JAMA Surg. 2016;151(11):e162775. https://doi.org/10.1001/jamasurg.2016.2775.
Alt V, Miclau T. Osteoporotic fractures - the biological perspective. Injury. 2016;47(Suppl 1):S1-S2. https://doi.org/10.1016/S0020-1383(16)30001-8, 26768281.
Nikolaou VS, Efstathopoulos N, Kontakis G, Kanakaris NK, Giannoudis PV. The influence of osteoporosis in femoral fracture healing time. Injury. 2009;40(6):663-668. https://doi.org/10.1016/j.injury.2008.10.035.
Fuchs T, Stolberg-Stolberg J, Michel PA, et al. Effect of bone morphogenetic protein-2 in the treatment of long bone non-unions. J Clin Med. 2021;10(19):4597. https://doi.org/10.3390/jcm10194597.
Henssler L, Kerschbaum M, Mukashevich MZ, Rupp M, Alt V. Molecular enhancement of fracture healing - is there a role for bone morphogenetic protein-2, parathyroid hormone, statins, or sclerostin-antibodies? Injury. 2021;52(Suppl 2):S49-S57. https://doi.org/10.1016/j.injury.2021.04.068.
James AW, LaChaud G, Shen J, et al. A review of the clinical side effects of bone morphogenetic protein-2. Tissue Eng Part B Rev. 2016;22(4):284-297. https://doi.org/10.1089/ten.TEB.2015.0357.
Haffner-Luntzer M. Experimental agents to improve fracture healing: utilizing the WNT signaling pathway. Injury. 2021;52(Suppl 2):S44-S48. https://doi.org/10.1016/j.injury.2020.11.051.
Baron R, Kneissel M. WNT signaling in bone homeostasis and disease: from human mutations to treatments. Nat Med. 2013;19(2):179-192. https://doi.org/10.1038/nm.3074.
Liedert A, Rontgen V, Schinke T, et al. Osteoblast-specific Krm2 overexpression and Lrp5 deficiency have different effects on fracture healing in mice. PLoS One. 2014;9(7):e103250. https://doi.org/10.1371/journal.pone.0103250.
Burgers TA, Vivanco JF, Zahatnansky J, Moren AJ, Mason JJ, Williams BO. Mice with a heterozygous Lrp6 deletion have impaired fracture healing. Bone Res. 2016;4:16025.
Li C, Ominsky MS, Tan HL, et al. Increased callus mass and enhanced strength during fracture healing in mice lacking the sclerostin gene. Bone. 2011;49(6):1178-1185. https://doi.org/10.1016/j.bone.2011.08.012.
McGee-Lawrence ME, Ryan ZC, Carpio LR, Kakar S, Westendorf JJ, Kumar R. Sclerostin deficient mice rapidly heal bone defects by activating beta-catenin and increasing intramembranous ossification. Biochem Biophys Res Commun. 2013;441(4):886-890. https://doi.org/10.1016/j.bbrc.2013.10.155.
Morse A, Yu NY, Peacock L, et al. Endochondral fracture healing with external fixation in the Sost knockout mouse results in earlier fibrocartilage callus removal and increased bone volume fraction and strength. Bone. 2015;71:155-163. https://doi.org/10.1016/j.bone.2014.10.018.
Haffner-Luntzer M, Heilmann A, Rapp AE, et al. Antagonizing midkine accelerates fracture healing in mice by enhanced bone formation in the fracture callus. Br J Pharmacol. 2016;173(14):2237-2249.
Minear S, Leucht P, Jiang J, et al. Wnt proteins promote bone regeneration. Sci Transl Med. 2010;2(29):29ra30. https://doi.org/10.1126/scitranslmed.3000231.
Bhandari M, Schemitsch EH, Karachalios T, et al. Romosozumab in skeletally mature adults with a fresh unilateral tibial diaphyseal fracture: a randomized phase-2 study. J Bone Joint Surg. 2020;102(16):1416-1426. https://doi.org/10.2106/JBJS.19.01008.
Schemitsch EH, Miclau T, Karachalios T, et al. A randomized, placebo-controlled study of romosozumab for the treatment of hip fractures. J Bone Joint Surg Am. 2020;102(8):693-702. https://doi.org/10.2106/JBJS.19.00790.
Luther J, Yorgan TA, Rolvien T, et al. Wnt1 is an Lrp5-independent bone-anabolic Wnt ligand. Sci Transl Med. 2018;10(466):eaau7137. https://doi.org/10.1126/scitranslmed.aau7137.
Keupp K, Beleggia F, Kayserili H, et al. Mutations in WNT1 cause different forms of bone fragility. Am J Hum Genet. 2013;92(4):565-574. https://doi.org/10.1016/j.ajhg.2013.02.010.
Vollersen N, Zhao W, Rolvien T, et al. The WNT1(G177C) mutation specifically affects skeletal integrity in a mouse model of osteogenesis imperfecta type XV. Bone Res. 2021;9(1):48. https://doi.org/10.1038/s41413-021-00170-0.
Wang F, Rummukainen P, Heino TJ, Kiviranta R. Osteoblastic Wnt1 regulates periosteal bone formation in adult mice. Bone. 2021;143:115754. https://doi.org/10.1016/j.bone.2020.115754.
Turin CG, Joeng KS, Kallish S, et al. Heterozygous variant in WNT1 gene in two brothers with early onset osteoporosis. Bone Rep. 2021;15:101118. https://doi.org/10.1016/j.bonr.2021.101118.
Joeng KS, Lee YC, Lim J, et al. Osteocyte-specific WNT1 regulates osteoblast function during bone homeostasis. J Clin Invest. 2017;127(7):2678-2688. https://doi.org/10.1172/JCI92617.
Rontgen V, Blakytny R, Matthys R, et al. Fracture healing in mice under controlled rigid and flexible conditions using an adjustable external fixator. J Orthop Res. 2010;28(11):1456-1462. https://doi.org/10.1002/jor.21148.
Bouxsein ML, Boyd SK, Christiansen BA, Guldberg RE, Jepsen KJ, Muller R. Guidelines for assessment of bone microstructure in rodents using micro-computed tomography. J Bone Miner Res. 2010;25(7):1468-1486. https://doi.org/10.1002/jbmr.141.
Haffner-Luntzer M, Heilmann A, Rapp AE, et al. Midkine-deficiency delays chondrogenesis during the early phase of fracture healing in mice. PLoS One. 2014;9(12):e116282. https://doi.org/10.1371/journal.pone.0116282.
Uren A, Reichsman F, Anest V, et al. Secreted frizzled-related protein-1 binds directly to Wingless and is a biphasic modulator of Wnt signaling. J Biol Chem. 2000;275(6):4374-4382. https://doi.org/10.1074/jbc.275.6.4374.
Rapp AE, Bindl R, Erbacher A, et al. Autologous mesenchymal stroma cells are superior to allogeneic ones in bone defect regeneration. Int J Mol Sci. 2018;19(9):2526. https://doi.org/10.3390/ijms19092526.
Soleimani M, Nadri S. A protocol for isolation and culture of mesenchymal stem cells from mouse bone marrow. Nat Protoc. 2009;4(1):102-106. https://doi.org/10.1038/nprot.2008.221.
Ahmad M, Stirmlinger N, Jan I, et al. Downregulation of the autism Spectrum disorder gene Shank2 decreases bone mass in male mice. JBMR Plus. 2023;7(2):e10711. https://doi.org/10.1002/jbm4.10711.
Ahmad M, Kroll T, Jakob J, Rauch A, Ploubidou A, Tuckermann J. Cell-based RNAi screening and high-content analysis in primary calvarian osteoblasts applied to identification of osteoblast differentiation regulators. Sci Rep. 2018;8(1):14045. https://doi.org/10.1038/s41598-018-32364-8.
Schindelin J, Arganda-Carreras I, Frise E, et al. Fiji: an open-source platform for biological-image analysis. Nat Methods. 2012;9(7):676-682. https://doi.org/10.1038/nmeth.2019.
Khanal A, Yoshioka I, Tominaga K, Furuta N, Habu M, Fukuda J. The BMP signaling and its Smads in mandibular distraction osteogenesis. Oral Dis. 2008;14(4):347-355.
Murnaghan M, McIlmurray L, Mushipe MT, Li G. Time for treating bone fracture using rhBMP-2: a randomised placebo controlled mouse fracture trial. J Orthop Res. 2005;23(3):625-631. https://doi.org/10.1016/j.orthres.2004.12.008.
Hankenson KD, Gagne K, Shaughnessy M. Extracellular signaling molecules to promote fracture healing and bone regeneration. Adv Drug Deliv Rev. 2015;94:3-12. https://doi.org/10.1016/j.addr.2015.09.008.
Kegelman CD, Nijsure MP, Moharrer Y, et al. YAP and TAZ promote periosteal osteoblast precursor expansion and differentiation for fracture repair. J Bone Miner Res. 2021;36(1):143-157. https://doi.org/10.1002/jbmr.4166.
Pinzone JJ, Hall BM, Thudi NK, et al. The role of Dickkopf-1 in bone development, homeostasis, and disease. Blood. 2009;113(3):517-525. https://doi.org/10.1182/blood-2008-03-145169.
Feng G, Chang-Qing Z, Yi-Min C, Xiao-Lin L. Systemic administration of sclerostin monoclonal antibody accelerates fracture healing in the femoral osteotomy model of young rats. Int Immunopharmacol. 2015;24(1):7-13. https://doi.org/10.1016/j.intimp.2014.11.010.
Chen X, Yuan W, Li Y, Luo J, Hou N. Role of Hippo-YAP1/TAZ pathway and its crosstalk in cardiac biology. Int J Biol Sci. 2020;16(13):2454-2463. https://doi.org/10.7150/ijbs.47142.
Fukui H, Miyazaki T, Chow RW, et al. Hippo signaling determines the number of venous pole cells that originate from the anterior lateral plate mesoderm in zebrafish. Elife. 2018;7:e29106. https://doi.org/10.7554/eLife.29106.
Park HW, Kim YC, Yu B, et al. Alternative Wnt signaling activates YAP/TAZ. Cell. 2015;162(4):780-794. https://doi.org/10.1016/j.cell.2015.07.013.
Heallen T, Zhang M, Wang J, et al. Hippo pathway inhibits Wnt signaling to restrain cardiomyocyte proliferation and heart size. Science. 2011;332(6028):458-461. https://doi.org/10.1126/science.1199010.
Alrefaei AF, Munsterberg AE, Wheeler GN. FZD10 regulates cell proliferation and mediates Wnt1 induced neurogenesis in the developing spinal cord. PLoS One. 2020;15(6):e0219721. https://doi.org/10.1371/journal.pone.0219721.
Koolen M, Longoni A, van der Stok J, Van der Jagt O, Gawlitta D, Weinans H. Complete regeneration of large bone defects in rats with commercially available fibrin loaded with BMP-2. Eur Cell Mater. 2019;38:94-105. https://doi.org/10.22203/eCM.v038a08.
Krishnan L, Priddy LB, Esancy C, et al. Hydrogel-based delivery of rhBMP-2 improves healing of large bone defects compared with autograft. Clin Orthop Relat Res. 2015;473(9):2885-2897. https://doi.org/10.1007/s11999-015-4312-z.
Haffner-Luntzer M, Kemmler J, Heidler V, et al. Inhibition of midkine augments osteoporotic fracture healing. PLoS One. 2016;11(7):e0159278. https://doi.org/10.1371/journal.pone.0159278.

Auteurs

Melanie Haffner-Luntzer (M)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Deniz Ragipoglu (D)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Mubashir Ahmad (M)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Astrid Schoppa (A)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Lena Steppe (L)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Verena Fischer (V)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

Julia Luther (J)

Institute of Osteology and Biomechanics, University Clinics Hamburg, Hamburg, Germany.

Timur Yorgan (T)

Institute of Osteology and Biomechanics, University Clinics Hamburg, Hamburg, Germany.

Ernesto Bockamp (E)

Institute of Translational Immunology (TIM), University Medical Center, Johannes Gutenberg-University Mainz, Mainz, Germany.

Michael Amling (M)

Institute of Osteology and Biomechanics, University Clinics Hamburg, Hamburg, Germany.

Thorsten Schinke (T)

Institute of Osteology and Biomechanics, University Clinics Hamburg, Hamburg, Germany.

Anita Ignatius (A)

Institute of Orthopedic Research and Biomechanics, University Medical Center Ulm, Ulm, Germany.

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