Accelerated Healing of Traumatic Fractures and Nonunion

Abstract

Depletion of marrow CAR cells, which are early osteoblast progenitors increases bone mass, 10 fold likely by eliminating BMPR inhibitors. Confirming a central role for CAR cells, depleting LepR+ cells in LepR-Cre mice similarly decreases marrow BMPR inhibitors and markedly increases bone mass . Thus, CAR/LepR+ cells are not only osteoblast progenitors, but also the principal source of BMP inhibitors in marrow, negatively regulating bone formation. Using a polymer scaffold to improve toughness and cell infiltration we will assess CAR cell free bone cells as well as viral BMP2 on segmental defect nonunion healing in WT mice . Relevant to our prior identification of 3.6Col1a1 cells as essential for periosteal callus formation the critical window for proliferation of these cells is the first 10-14 days after fracture. Single-cell RNAseq of periosteal callus from 3.6Col1-TK mice shows that nonhealing bones have no deficit in MSCs but are depleted of osteoblasts as well as chondrocytes. Data using Rosa-TK mice shows that proliferation of both early and mature osteoblasts is essential for fracture callus formation, suggesting that the mature osteoblast is a post-mitotic cell in the setting of fracture healing.

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Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2023
Accession Number
AD1212468

Entities

People

  • Matthew Silva
  • Steven Teitelbaum

Organizations

  • University of Washington

Tags

DTIC Thesaurus Topics

  • Bone And Bones
  • Bone Diseases
  • Bone Fractures
  • Cell Physiological Processes
  • Cells
  • Connective Tissue Cells
  • Diseases
  • Health Services
  • Mechanical Properties
  • Medical Personnel
  • Osteoblasts
  • Osteogenesis
  • Pain
  • Peptide Growth Factors
  • Physical Properties

Fields of Study

  • Medicine

Readers

  • Immunology and Pathology
  • Trauma Surgery or Emergency Medicine.