[HTML][HTML] Tendon-derived cathepsin K–expressing progenitor cells activate Hedgehog signaling to drive heterotopic ossification

H Feng, W Xing, Y Han, J Sun, M Kong… - The Journal of …, 2020 - Am Soc Clin Investig
H Feng, W Xing, Y Han, J Sun, M Kong, B Gao, Y Yang, Z Yin, X Chen, Y Zhao, Q Bi, W Zou
The Journal of Clinical Investigation, 2020Am Soc Clin Investig
Heterotopic ossification (HO) is pathological bone formation characterized by ossification
within muscle, tendons, or other soft tissues. However, the cells of origin and mechanisms
involved in the pathogenesis of HO remain elusive. Here we show that deletion of
suppressor of fused (Sufu) in cathepsin K–Cre–expressing (Ctsk-Cre–expressing) cells
resulted in spontaneous and progressive ligament, tendon, and periarticular ossification.
Lineage tracing studies and cell functional analysis demonstrated that Ctsk-Cre could label …
Heterotopic ossification (HO) is pathological bone formation characterized by ossification within muscle, tendons, or other soft tissues. However, the cells of origin and mechanisms involved in the pathogenesis of HO remain elusive. Here we show that deletion of suppressor of fused (Sufu) in cathepsin K–Cre–expressing (Ctsk-Cre–expressing) cells resulted in spontaneous and progressive ligament, tendon, and periarticular ossification. Lineage tracing studies and cell functional analysis demonstrated that Ctsk-Cre could label a subpopulation of tendon-derived progenitor cells (TDPCs) marked by the tendon marker Scleraxis (Scx). Ctsk+Scx+ TDPCs are enriched for tendon stem cell markers and show the highest self-renewal capacity and differentiation potential. Sufu deficiency caused enhanced chondrogenic and osteogenic differentiation of Ctsk-Cre–expressing tendon-derived cells via upregulation of Hedgehog (Hh) signaling. Furthermore, pharmacological intervention in Hh signaling using JQ1 suppressed the development of HO. Thus, our results show that Ctsk-Cre labels a subpopulation of TDPCs contributing to HO and that their cell-fate changes are driven by activation of Hh signaling.
The Journal of Clinical Investigation