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Thrombopoietic agents enhance bone healing in mice, rats, and pigs

Title: Thrombopoietic agents enhance bone healing in mice, rats, and pigs
Authors: Childress, Paul J; Nielsen, Jeffery J; Bemenderfer, Thomas B; Dadwal, Ushashi C; Chakraborty, Nabarun; Harris, Jonathan S; Bethel, Monique; Alvarez, Marta B; Tucker, Aamir; Wessel, Alexander R; Millikan, Patrick D; Wilhite, Jonathan H; Engle, Andrew; Brinker, Alexander; Rytlewski, Jeffrey D; Scofield, David C; Griffin, Kaitlyn S; Shelley, W Christopher; Manikowski, Kelli J; Jackson, Krista L; Miller, Stacy-Ann; Cheng, Ying-Hua; Ghosh, Joydeep; Mulcrone, Patrick L; Srour, Edward F; Yoder, Mervin C; Natoli, Roman M; Shively, Karl D; Gautam, Aarti; Hammamieh, Rasha; Low, Stewart A; Low, Philip S; McKinley, Todd O; Anglen, Jeffrey O; Lowery, Jonathan W; Chu, Tien-Min G; Kacena, Melissa A
Contributors: Orthopaedic Trauma Association; Indiana Clinical and Translational Sciences Institute; NIH
Source: Journal of Bone and Mineral Research ; volume 40, issue 1, page 125-139 ; ISSN 0884-0431 1523-4681
Publisher Information: Oxford University Press (OUP)
Publication Year: 2024
Description: Achieving bone union remains a significant clinical dilemma. The use of osteoinductive agents, specifically bone morphogenetic proteins (BMPs), has gained wide attention. However, multiple side effects, including increased incidence of cancer, have renewed interest in investigating alternatives that provide safer, yet effective bone regeneration. Here we demonstrate the robust bone healing capabilities of the main megakaryocyte (MK) growth factor, thrombopoietin (TPO), and second-generation TPO agents using multiple animal models, including mice, rats, and pigs. This bone healing activity is shown in two fracture models (critical-sized defect [CSD] and closed fracture) and with local or systemic administration. Our transcriptomic analyses, cellular studies, and protein arrays demonstrate that TPO enhances multiple cellular processes important to fracture healing, particularly angiogenesis, which is required for bone union. Finally, the therapeutic potential of thrombopoietic agents is high since they are used in the clinic for other indications (eg, thrombocytopenia) with established safety profiles and act upon a narrowly defined population of cells.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/jbmr/zjae191
DOI: 10.1093/jbmr/zjae191/61193410/zjae191.pdf
Availability: https://doi.org/10.1093/jbmr/zjae191; https://academic.oup.com/jbmr/advance-article-pdf/doi/10.1093/jbmr/zjae191/61193410/zjae191.pdf; https://academic.oup.com/jbmr/article-pdf/40/1/125/61193410/zjae191.pdf
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.151E5AE3
Database: BASE