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Abstract 11: Noncanonical BMP Signaling Regulates Endochondral Bone Development and Trauma-Induced Heterotopic Ossification

Plastic and Reconstructive Surgery – Global Open: April 2016 - Volume 4 - Issue 4S - p 40
doi: 10.1097/
PRS PSRC Podium Proofs 2016

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Hsiao Hsin Sung, DDS, Shailesh Agarwal, MD, Shawn Loder, BS, James Drake, BS, David Cholok, BS, John Li, MD, Kavitha Ranganathan, MD, Shuli Li, MD, Yuji Mishina, PhD, Benjamin Levi, MD

From the University of Michigan, Ann Arbor, Mich.

PURPOSE: Canonical bone morphogenetic protein signaling plays a central role in endochondral bone development and trauma-induced heterotopic ossification (HO). However, the role of noncanonical bone morphogenetic protein signaling through the transforming growth factor-activated kinase (TAK1) pathway has not been evaluated in HO. We hypothesize that the TAK1 pathway is crucial for endochondral bone development and HO.

METHODS: Cre-conditional TAK1 knockout mice (Prx1-Cre;Tak1 fl/fl ) growth plates were evaluated during early post-natal development (P3-P8). Tamoxifen inducible TAK1 knockout (Ubi.CreERT;Tak1 fl/fl) and Prx1-Cre;Tak1 fl/fl mice and littermate controls underwent Achilles’ tenotomy with 30% TBSA. Micro-computed tomography imaging, histological analysis, osteogenic differentiation and RNA/protein analysis were performed to assess the TAK1 pathway in the cartilaginous HO.

RESULTS: Ubi.CreERT;Tak1 fl/fl mice formed 30% less ectopic bone compared with control 9 weeks after burn/tenotomy (P < 0.05) (A). Prx1-Cre;Tak1 fl/fl mice exhibit smaller tibia bone size, more immature proliferating chondrocytes, and disorganization of mature bone. Mesenchymal cells isolated from tamoxifen-inducible Tak1 knockout mice showed decreased osteogenic and chondrogenic potential compared with cells from littermates (B and C). In vitro inhibition with TAK1 inhibitor NG-25 similarly significantly reduced chondrogenic and osteogenic differentiation (P < 0.05) (D).

CONCLUSIONS: TAK1 plays a prominent role in chondrogenesis during limb development and ectopic bone formation, confirmed by abnormal bone growth and diminished HO in knockout mice. NG-25 appears to be a candidate drug for TAK1 inhibition, which we will evaluate for the treatment of HO using our burn/tenotomy model.

© 2016 American Society of Plastic Surgeons