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Updated: Mar 18, 2026

Single Myofiber Culture Assay for the Assessment of Adult Muscle Stem Cell Functionality Ex Vivo
Published on: February 15, 2021
Cyclooxygenase-2 deficiency impairs muscle-derived stem cell-mediated bone regeneration via cellular autonomous and
Xueqin Gao1,2,3, Arvydas Usas1,4, Aiping Lu1,2,3
1Stem Cell Research Center, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Abstract:
This study investigated the role of cyclooxygenase-2 (COX-2) expression by donor and host cells in muscle-derived stem cell (MDSC)-mediated bone regeneration utilizing a critical size calvarial defect model. We found that BMP4/green fluorescent protein (GFP)-transduced MDSCs formed significantly less bone in COX-2 knock-out (Cox-2KO) than in COX-2 wild-type (WT) mice. BMP4/GFP-transduced Cox-2KO MDSCs also formed significantly less bone than transduced WT MDSCs when transplanted into calvarial defects created in CD-1 nude mice. The impaired bone regeneration in the Cox-2KO MDSCBMP4/GFP group is associated with downregulation of BMP4-pSMAD1/5 signaling, decreased osteogenic differentiation and lowered proliferation capacity after transplantation, compared with WT MDSCBMP4/GFP cells. The Cox-2KO MDSCBMP4/GFP group demonstrated a reduction in cell survival and direct osteogenic differentiation in vitro These effects were mediated in part by the downregulation of Igf1 and Igf2. In addition, the Cox-2KO MDSCBMP4/GFP cells recruited fewer macrophages than the WT MDSC/BMP4/GFP cells in the early phase after injury. We concluded that the bone regeneration capacity of Cox-2KO MDSCs was impaired because of a reduction in cell proliferation and survival capacities, reduction in osteogenic differentiation and a decrease in the ability of the cells to recruit host cells to the injury site.
Insights
Cyclooxygenase-2 (COX-2) is crucial for muscle-derived stem cell (MDSC) bone regeneration. COX-2 deficiency in MDSCs impairs their proliferation, survival, and ability to recruit host cells, hindering bone formation.
Area of Science:
- Regenerative Medicine
- Stem Cell Biology
- Skeletal Biology
Background:
- Muscle-derived stem cells (MDSCs) show promise for bone regeneration.
- The role of cyclooxygenase-2 (COX-2) in MDSC-mediated bone repair is not fully understood.
Purpose of the Study:
- To investigate the impact of COX-2 expression in donor and host cells on MDSC-driven bone regeneration.
- To elucidate the mechanisms underlying impaired bone formation in the absence of COX-2.
Main Methods:
- Utilized a critical size calvarial defect model in mice.
- Employed COX-2 knock-out (Cox-2KO) and wild-type (WT) mice and MDSCs.
- Transplanted BMP4/green fluorescent protein (GFP)-transduced MDSCs.
- Analyzed bone formation, cellular signaling (BMP4-pSMAD1/5), osteogenic differentiation, proliferation, survival, and macrophage recruitment.
Main Results:
- Cox-2KO MDSCs formed significantly less bone than WT MDSCs in both Cox-2KO and WT host mice.
- Impaired bone regeneration was linked to downregulated BMP4-pSMAD1/5 signaling, reduced osteogenic differentiation, and lower proliferation capacity.
- Cox-2KO MDSCs exhibited decreased cell survival and osteogenic differentiation in vitro, partly due to Igf1 and Igf2 downregulation.
- Cox-2KO MDSCs recruited fewer macrophages early after injury.
Conclusions:
- COX-2 expression is essential for optimal MDSC-mediated bone regeneration.
- COX-2 deficiency in MDSCs compromises bone formation by reducing cell proliferation, survival, osteogenic differentiation, and host cell recruitment.
- Targeting COX-2 may enhance the efficacy of stem cell therapies for bone repair.
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