Age-related inflammation triggers skeletal stem/progenitor cell dysfunction

AM Josephson, V Bradaschia-Correa… - Proceedings of the …, 2019 - National Acad Sciences
AM Josephson, V Bradaschia-Correa, S Lee, K Leclerc, KS Patel, E Muinos Lopez, HP Litwa…
Proceedings of the National Academy of Sciences, 2019National Acad Sciences
Aging is associated with impaired tissue regeneration. Stem cell number and function have
been identified as potential culprits. We first demonstrate a direct correlation between stem
cell number and time to bone fracture union in a human patient cohort. We then devised an
animal model recapitulating this age-associated decline in bone healing and identified
increased cellular senescence caused by a systemic and local proinflammatory environment
as the major contributor to the decline in skeletal stem/progenitor cell (SSPC) number and …
Aging is associated with impaired tissue regeneration. Stem cell number and function have been identified as potential culprits. We first demonstrate a direct correlation between stem cell number and time to bone fracture union in a human patient cohort. We then devised an animal model recapitulating this age-associated decline in bone healing and identified increased cellular senescence caused by a systemic and local proinflammatory environment as the major contributor to the decline in skeletal stem/progenitor cell (SSPC) number and function. Decoupling age-associated systemic inflammation from chronological aging by using transgenic Nfkb1KO mice, we determined that the elevated inflammatory environment, and not chronological age, was responsible for the decrease in SSPC number and function. By using a pharmacological approach inhibiting NF-κB activation, we demonstrate a functional rejuvenation of aged SSPCs with decreased senescence, increased SSPC number, and increased osteogenic function. Unbiased, whole-genome RNA sequencing confirmed the reversal of the aging phenotype. Finally, in an ectopic model of bone healing, we demonstrate a functional restoration of regenerative potential in aged SSPCs. These data identify aging-associated inflammation as the cause of SSPC dysfunction and provide mechanistic insights into its reversal.
National Acad Sciences