Fibrillin-1 deficiency in the outer perichondrium causes longitudinal bone overgrowth in mice with Marfan syndrome

Lauriane Sedes1, Elisa Wondimu1, Brittany Crockett1

  • 1Department of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10021, USA.

Insights

Marfan syndrome (MFS) causes tall stature due to fibrillin-1 mutations. This study reveals the outer perichondrium drives long bone overgrowth by altering TGFβ signaling, impacting growth plate differentiation.

Area of Science:

  • Genetics and Molecular Biology
  • Skeletal Biology
  • Connective Tissue Disorders

Background:

  • Marfan syndrome (MFS) is a genetic disorder affecting connective tissue, primarily known for causing disproportionate tall stature.
  • Mutations in the fibrillin-1 gene are the main cause of MFS, impacting the extracellular matrix and transforming growth factor beta (TGFβ) signaling.
  • The molecular mechanisms underlying long bone overgrowth in MFS remain poorly understood, unlike its cardiovascular manifestations.

Purpose of the Study:

  • To identify the specific tissue responsible for long bone overgrowth in Marfan syndrome.
  • To elucidate the molecular mechanisms involving fibrillin-1, TGFβ signaling, and chondrogenesis in MFS-related bone elongation.
  • To investigate the role of latent TGFβ-binding proteins (LTBPs) in MFS bone growth.

Main Methods:

  • Utilized the Cre-LoxP recombination system in mice to study fibrillin-1 deficiency.
  • Employed metatarsal bone cultures to analyze long bone growth in vitro.
  • Performed gene expression analysis and immunohistochemistry on perichondrium and growth plate tissues.
  • Measured TGFβ release from cultured bones and assessed the effect of recombinant TGFβ1.

Main Results:

  • Identified the outer perichondrium as the primary site responsible for long bone overgrowth in MFS mouse models.
  • Demonstrated decreased accumulation of LTBP-3 and LTBP-4 in the fibrillin-1-deficient perichondrium.
  • Observed reduced levels of activated Smad2, indicating diminished TGFβ signaling in MFS perichondrium.
  • Mutant metatarsal bones exhibited increased length and reduced TGFβ release in vitro, which was normalized by exogenous TGFβ1.

Conclusions:

  • Longitudinal bone overgrowth in MFS is attributed to impaired LTBP-3 and LTBP-4 sequestration in the fibrillin-1-deficient outer perichondrium.
  • This deficiency leads to reduced local TGFβ signaling, consequently affecting differentiation in the epiphyseal growth plate.
  • Targeting TGFβ signaling pathways presents a potential therapeutic strategy for managing bone overgrowth in Marfan syndrome.

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