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Activin-dependent signaling in fibro/adipogenic progenitors causes fibrodysplasia ossificans progressiva

John B. Lees-Shepard, Masakazu Yamamoto, Arpita A. Biswas, Sean J. Stoessel, Sarah-Anne E. Nicholas, Cathy A. Cogswell, Parvathi M. Devarakonda, Michael J. Schneider, Samantha M. Cummins, Nicholas P. Legendre, Shoko Yamamoto, Vesa Kaartinen, Jeffrey W. Hunter and David J. Goldhamer ()
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John B. Lees-Shepard: University of Connecticut Stem Cell Institute, University of Connecticut
Masakazu Yamamoto: University of Connecticut Stem Cell Institute, University of Connecticut
Arpita A. Biswas: University of Connecticut Stem Cell Institute, University of Connecticut
Sean J. Stoessel: University of Connecticut Stem Cell Institute, University of Connecticut
Sarah-Anne E. Nicholas: University of Connecticut Stem Cell Institute, University of Connecticut
Cathy A. Cogswell: University of Connecticut Stem Cell Institute, University of Connecticut
Parvathi M. Devarakonda: University of Connecticut Stem Cell Institute, University of Connecticut
Michael J. Schneider: University of Connecticut Stem Cell Institute, University of Connecticut
Samantha M. Cummins: University of Connecticut Stem Cell Institute, University of Connecticut
Nicholas P. Legendre: University of Connecticut Stem Cell Institute, University of Connecticut
Shoko Yamamoto: University of Connecticut Stem Cell Institute, University of Connecticut
Vesa Kaartinen: University of Michigan
Jeffrey W. Hunter: Alexion Pharmaceuticals
David J. Goldhamer: University of Connecticut Stem Cell Institute, University of Connecticut

Nature Communications, 2018, vol. 9, issue 1, 1-14

Abstract: Abstract Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal-dominant disorder characterized by progressive and profoundly disabling heterotopic ossification (HO). Here we show that fibro/adipogenic progenitors (FAPs) are a major cell-of-origin of HO in an accurate genetic mouse model of FOP (Acvr1 tnR206H ). Targeted expression of the disease-causing type I bone morphogenetic protein (BMP) receptor, ACVR1(R206H), to FAPs recapitulates the full spectrum of HO observed in FOP patients. ACVR1(R206H)-expressing FAPs, but not wild-type FAPs, activate osteogenic signaling in response to activin ligands. Conditional loss of the wild-type Acvr1 allele dramatically exacerbates FAP-directed HO, suggesting that mutant and wild-type ACVR1 receptor complexes compete for activin ligands or type II BMP receptor binding partners. Finally, systemic inhibition of activin A completely blocks HO and restores wild-type-like behavior to transplanted Acvr1 R206H/+ FAPs. Understanding the cells that drive HO may facilitate the development of cell-specific therapeutic approaches to inhibit catastrophic bone formation in FOP.

Date: 2018
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DOI: 10.1038/s41467-018-02872-2

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