Agrin induces long-term osteochondral regeneration by supporting repair morphogenesis.

Authors
Eldridge, Suzanne E  ORCID logo  https://orcid.org/0000-0002-1630-6261
Wang, Hui 
Roelofs, Anke J 

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Type
Article
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Abstract

Cartilage loss leads to osteoarthritis, the most common cause of disability for which there is no cure. Cartilage regeneration, therefore, is a priority in medicine. We report that agrin is a potent chondrogenic factor and that a single intraarticular administration of agrin induced long-lasting regeneration of critical-size osteochondral defects in mice, with restoration of tissue architecture and bone-cartilage interface. Agrin attracted joint resident progenitor cells to the site of injury and, through simultaneous activation of CREB and suppression of canonical WNT signaling downstream of β-catenin, induced expression of the chondrogenic stem cell marker GDF5 and differentiation into stable articular chondrocytes, forming stable articular cartilage. In sheep, an agrin-containing collagen gel resulted in long-lasting regeneration of bone and cartilage, which promoted increased ambulatory activity. Our findings support the therapeutic use of agrin for joint surface regeneration.

Publication Date
2020-09-02
Online Publication Date
Acceptance Date
2020-08-13
Keywords
Agrin, Animals, Cartilage, Articular, Cell Differentiation, Chondrocytes, Chondrogenesis, Mice, Sheep, Tissue Scaffolds
Journal Title
Sci Transl Med
Journal ISSN
1946-6234
1946-6242
Volume Title
12
Publisher
American Association for the Advancement of Science (AAAS)
Rights
All rights reserved
Sponsorship
Medical Research Council (MR/L022893/1)
Medical Research Council (MC_PC_12009)
Medical Research Council (MR/R015635/1)
Medical Research Council (MC_PC_17230)