Loss of Notch signaling in skeletal stem cells enhances bone formation with aging

Lindsey H Remark1, Kevin Leclerc1, Malissa Ramsukh1

  • 1Department of Orthopaedic Surgery, NYU Robert I. Grossman School of Medicine, New York, NY, USA.

Bone Research
|September 26, 2023
PubMed

Insights

Aging impairs bone health by altering skeletal stem and progenitor cells (SSPCs). Targeting Notch signaling rejuvenates these cells, restoring bone mass and improving repair, offering a therapeutic strategy for skeletal aging.

Area of Science:

  • Cell Biology
  • Skeletal Biology
  • Aging Research

Background:

  • Skeletal stem and progenitor cells (SSPCs) are crucial for bone maintenance and repair.
  • Aging leads to a decline in osteoblastogenesis and an increase in adipogenesis within SSPCs, compromising skeletal integrity.
  • The molecular drivers of age-related SSPC dysfunction are not fully understood.

Purpose of the Study:

  • To investigate the role of Notch signaling in age-related SSPC fate determination.
  • To explore the therapeutic potential of modulating Notch signaling to counteract skeletal aging.

Main Methods:

  • Single-cell RNA sequencing to identify molecular changes in aging SSPCs.
  • In vivo genetic manipulation using conditional knockout mice to delete Nicastrin, a Notch pathway component, in SSPCs.
  • Assessment of bone mass, bone marrow adiposity, and bone repair capacity.

Main Results:

  • Elevated Notch signaling was observed in SSPCs during aging.
  • Deletion of Nicastrin in SSPCs of middle-aged mice resulted in increased osteo-lineage gene expression and enhanced trabecular bone mass.
  • Reduced bone marrow adiposity and improved bone repair were observed in mice with modulated Notch activity.
  • The transcription factor Ebf3 was identified as a downstream mediator of Notch signaling in SSPCs, dysregulated with aging.

Conclusions:

  • Notch signaling critically regulates SSPC cell fate decisions.
  • Moderating Notch signaling effectively ameliorates the skeletal aging phenotype, promoting increased bone mass and repair.
  • Targeting Notch signaling, potentially via Ebf3, represents a promising therapeutic avenue for rejuvenating the aged skeleton.

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