Pharmacologic targeting of a stem/progenitor population in vivo is associated with enhanced bone regeneration in mice

Authors:
  • NRNoopur Raje
    Noopur Raje
  • JSJesse A. Schoonmaker
    Jesse A. Schoonmaker
  • THTeru Hideshima
    Teru Hideshima
  • MWMarc N. Wein
    Marc N. Wein
  • DJDallas C. Jones
    Dallas C. Jones
  • SVSonia Vallet
    Sonia Vallet
  • MBMary L. Bouxsein
    Mary L. Bouxsein
  • SCShweta Chhetri
    Shweta Chhetri
  • YSY. David Seo
    Y. David Seo

Abstract
Drug targeting of adult stem cells has been proposed as a strategy for regenerative medicine, but very few drugs are known to target stem cell populations in vivo. Mesenchymal stem/progenitor cells (MSCs) are a multipotent population of cells that can differentiate into muscle, bone, fat, and other cell types in context-specific manners. Bortezomib (Bzb) is a clinically available proteasome inhibitor used in the treatment of multiple myeloma. Here, we show that Bzb induces MSCs to preferentially undergo osteoblastic differentiation, in part by modulation of the bone-specifying transcription factor runt-related transcription factor 2 (Runx-2) in mice. Mice implanted with MSCs showed increased ectopic ossicle and bone formation when recipients received low doses of Bzb. Furthermore, this treatment increased bone formation and rescued bone loss in a mouse model of osteoporosis. Thus, we show that a tissue-resident adult stem cell population in vivo can be pharmacologically modified to promote a regenerative function in adult animals.

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