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Hedgehog Signaling Controls Bone Homeostasis by Regulating Osteogenic/Adipogenic Fate of Skeletal Stem/Progenitor Cells in Mice
Authors:Liwei Zhang  Xuejie Fu  Li Ni  Cunchang Liu  Yixin Zheng  Hongji You  Meng Li  Chunmei Xiu  Lei Zhang  Tingting Gong  Na Luo  Zunyi Zhang  Guangxu He  Shijun Hu  Huilin Yang  Di Chen  Jianquan Chen
Affiliation:1. Orthopedic Department, Taizhou Hospital Affiliated to Wenzhou Medical University, Zhejiang, China;2. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

LZ, XF and LN are contributed equally to this article.

Contribution: Formal analysis, ​Investigation, Visualization, Writing - review & editing;3. Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China

LZ, XF and LN are contributed equally to this article.

Contribution: ​Investigation, Writing - original draft, Writing - review & editing;4. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Contribution: ​Investigation, Validation, Writing - review & editing;5. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Contribution: Formal analysis, ​Investigation, Writing - review & editing;6. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Contribution: ​Investigation, Methodology, Writing - review & editing;7. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Contribution: ​Investigation, Writing - review & editing;8. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Contribution: Formal analysis;9. Key Laboratory of Mammalian Organogenesis and Regeneration, Hangzhou Normal University, Zhejiang, China

Contribution: Resources, Writing - review & editing;10. Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, China

Contribution: Funding acquisition, Resources, Writing - review & editing;11. Institute for Cardiovascular Science, Medical College, Soochow University, Suzhou, China

Contribution: Resources, Writing - review & editing;12. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China

Contribution: Resources, Writing - review & editing;13. Faculty of Pharmaceutical Sciences, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China

Contribution: Resources, Writing - review & editing;14. Orthopedic Institute, Medical College, Soochow University, Suzhou, China

Abstract:Skeletal stem/progenitor cells (SSPCs) can differentiate into osteogenic or adipogenic lineage. The mechanism governing lineage allocation of SSPCs is still not completely understood. Hedgehog (Hh) signaling plays an essential role in specifying osteogenic fate of mesenchymal progenitors during embryogenesis. However, it is still unclear whether Hh signaling is required for lineage allocation of SSPCs in postnatal skeleton, and whether its dysregulation is related to age-related osteoporosis. Here, we demonstrated that Hh signaling was activated in metaphyseal SSPCs during osteogenic differentiation in the adult skeleton, and its activity decreased with aging. Inactivation of Hh signaling by genetic ablation of Smo, a key molecule in Hh signaling, in Osx-Cre–targeted SSPCs and hypertrophic chondrocytes led to decreased bone formation and increased bone marrow adiposity, two key pathological features of age-related osteoporosis. Moreover, we found that the bone-fat imbalance phenotype caused by Smo deletion mainly resulted from aberrant allocation of SSPCs toward adipogenic lineage at the expense of osteogenic differentiation, but not due to accelerated transdifferentiation of chondrocytes into adipocytes. Mechanistically, we found that Hh signaling regulated osteoblast versus adipocyte fate of SSPCs partly through upregulating Wnt signaling. Thus, our results indicate that Hh signaling regulates bone homeostasis and age-related osteoporosis by acting as a critical switch of cell fate decisions of Osx-Cre–targeted SSPCs in mice and suggest that Hh signaling may serve as a potential therapeutic target for the treatment of osteoporosis and other metabolic bone diseases. © 2021 American Society for Bone and Mineral Research (ASBMR).
Keywords:GENETIC ANIMAL MODELS  HEDGEHOGS  STROMAL/STEM CELLS  OSTEOPOROSIS  AGING
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