首页|A distinct "repair" role of regulatory T cells in fracture healing

A distinct "repair" role of regulatory T cells in fracture healing

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Regulatory T cells(Tregs)suppress immune responses and inflammation.Here,we described the distinct nonimmunological role of Tregs in fracture healing.The recruitment from the circulation pool,peripheral induction,and local expansion rapidly enriched Tregs in the injured bone.The Tregs in the injured bone displayed superiority in direct osteogenesis over Tregs from lymphoid organs.Punctual depletion of Tregs compromised the fracture healing process,which leads to increased bone nonunion.In addition,bone callus Tregs showed unique T-cell receptor repertoires.Amphiregulin was the most overexpressed protein in bone callus Tregs,and it can directly facilitate the proliferation and differentiation of osteogenic precursor cells by activation of phosphatidylinositol 3-kinase/protein kinase B signaling pathways.The results of loss-and gain-function studies further evidenced that amphiregulin can reverse the compromised healing caused by Treg dysfunction.Tregs also enriched in patient bone callus and amphiregulin can promote the osteogenesis of human pre-osteoblastic cells.Our findings indicate the distinct and nonredundant role of Tregs in fracture healing,which will provide a new therapeutic target and strategy in the clinical treatment of fractures.

regulatory T cellsfracture healingamphiregulinnon-unionosteogenesis

Tingting Wu、Lulu Wang、Chen Jian、Zhenhe Zhang、Ruiyin Zeng、Bobin Mi、Guohui Liu、Yu Zhang、Chen Shi

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Department of Pharmacy,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China

Hubei Province Clinical Research Center for Precision Medicine for Critical Illness,Wuhan 430022,China

Department of Orthopedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China

National Natural Science Foundation of ChinaNational Natural Science Foundation of China

8227402681901884

2024

医学前沿
高等教育出版社

医学前沿

CSTPCD
影响因子:1.362
ISSN:2095-0217
年,卷(期):2024.18(3)