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Adult Prg4+ progenitors repair long-term articular cartilage wounds in vivo
Mei Massengale, Justin L. Massengale, Catherine R. Benson, Ninib Baryawno, Toshihiko Oki, Matthew L. Steinhauser, Alissa Wang, Deepak Balani, Luke S. Oh, Mark A. Randolph, Thomas J. Gill III, Henry M. Kronenberg, David T. Scadden
Mei Massengale, Justin L. Massengale, Catherine R. Benson, Ninib Baryawno, Toshihiko Oki, Matthew L. Steinhauser, Alissa Wang, Deepak Balani, Luke S. Oh, Mark A. Randolph, Thomas J. Gill III, Henry M. Kronenberg, David T. Scadden
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Research Article Cell biology

Adult Prg4+ progenitors repair long-term articular cartilage wounds in vivo

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Abstract

The identity and origin of the stem/progenitor cells for adult joint cartilage repair remain unknown, impeding therapeutic development. Simulating the common therapeutic modality for cartilage repair in humans, i.e., full-thickness microfracture joint surgery, we combined the mouse full-thickness injury model with lineage tracing and identified a distinct skeletal progenitor cell type enabling long-term (beyond 7 days after injury) articular cartilage repair in vivo. Deriving from a population with active Prg4 expression in adulthood while lacking aggrecan expression, these progenitors proliferate, differentiate to express aggrecan and type II collagen, and predominate in long-term articular cartilage wounds, where they represent the principal repair progenitors in situ under native repair conditions without cellular transplantation. They originate outside the adult bone marrow or superficial zone articular cartilage. These findings have implications for skeletal biology and regenerative medicine for joint injury repair.

Authors

Mei Massengale, Justin L. Massengale, Catherine R. Benson, Ninib Baryawno, Toshihiko Oki, Matthew L. Steinhauser, Alissa Wang, Deepak Balani, Luke S. Oh, Mark A. Randolph, Thomas J. Gill III, Henry M. Kronenberg, David T. Scadden

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Figure 2

Adult Prg4-lineage cells and cartilage wounds.

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Adult Prg4-lineage cells and cartilage wounds.
(A–F) Homeostasis: fluore...
(A–F) Homeostasis: fluorescence images of Prg4 creERt;tdTomato mouse knee articular cartilage given 4 mg tamoxifen at 2.5 months of age and euthanized after 2 weeks. (A) Overview. (B–F) Insets. (B) Maximum intensity projection (projection of brightest signals only). AC, articular cartilage; GP, growth plate; BM, marrow; LIG, ligaments; SYN, synovium; P, periosteum; PAT-C, patellar cartilage; PAT-T, patellar tendon. Dotted lines: tidemark. (G–J) Injury: fluorescence images of Prg4 creERt;tdTomato knee wounds at 7, 10, and 60 dpi, given 4 mg tamoxifen with 1.5 weeks of washout and injured using needle (G–I) or punch (J). Dashed contours outline superficial soft tissue surrounding the wound. Dotted contours outline the wound border. (K) Quantification: Prg4-lineage cells in homeostasis vs. wounds. Soft tissues outside the wound proper were excluded. Sample size: homeostasis marrow (n = 6); 7 dpi (n = 5, 2 received 6 mg tamoxifen, all using needle); 10 dpi (n = 3, needle); 21 dpi (n = 5, 4 needle with 2 using 27G, and 1 punch); 60 dpi (n = 7, 4 needle with 2 using 27G, and 3 punch). One-way ANOVA, F = 15.57 (degrees of freedom between groups = 4 and within groups = 21). *P < 0.05; ***P < 0.001; ****P < 0.0001.

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