Recent studies have identified a specialized subset of CD31hiendomucinhi (CD31hiEMCNhi) vascular endothelium that positively regulates bone formation. However, it remains unclear how CD31hiEMCNhi endothelium levels are coupled to anabolic bone formation. Mice with an osteoblast-specific deletion of Shn3, which have markedly elevated bone formation, demonstrated an increase in CD31hiEMCNhi endothelium. Transcriptomic analysis identified SLIT3 as an osteoblast-derived, SHN3-regulated proangiogenic factor. Genetic deletion of Slit3 reduced skeletal CD31hiEMCNhi endothelium, resulted in low bone mass because of impaired bone formation and partially reversed the high bone mass phenotype of Shn3−/− mice. This coupling between osteoblasts and CD31hiEMCNhi endothelium is essential for bone healing, as shown by defective fracture repair in SLIT3-mutant mice and enhanced fracture repair in SHN3-mutant mice. Finally, administration of recombinant SLIT3 both enhanced bone fracture healing and counteracted bone loss in a mouse model of postmenopausal osteoporosis. Thus, drugs that target the SLIT3 pathway may represent a new approach for vascular-targeted osteoanabolic therapy to treat bone loss. Recombinant SLIT3 represents a new mechanistic approach to treating osteoporosis by increasing skeletal CD31hiEMCNhi vascular endothelium.
Targeting skeletal endothelium to ameliorate bone loss
R. Xu,A. Yallowitz,A. Qin,Zhuhao Wu,Dong Yeon Shin,Jung-Min Kim,Shawon Debnath,G. Ji,M. Bostrom,Xu Yang,Chao Zhang,Han Dong,P. Kermani,Sarfaraz Lalani,Na Li,Yifang Liu,Michael G. Poulos,A. Wach,Yi Zhang,Kazuki Inoue,Annarita Di Lorenzo,Baohong Zhao,J. Butler,Jae-hyuck Shim,L. Glimcher,M. Greenblatt
Published 2018 in Nature Medicine
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- Publication year
2018
- Venue
Nature Medicine
- Publication date
2018-03-30
- Fields of study
Biology, Medicine
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Semantic Scholar, PubMed
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