Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis

Abstract Foxo1 upregulation is linked to defective fracture healing under diabetic conditions. Previous studies demonstrated that diabetes upregulates Foxo1 expression and activation and diabetes impairs ciliogenesis resulting in defective fracture repair. However, the mechanism by which diabetes ca...

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Main Authors: Zahra Chinipardaz, Gongsheng Yuan, Min Liu, Dana T. Graves, Shuying Yang
Format: Article
Language:English
Published: Nature Publishing Group 2023-08-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-023-01562-3
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author Zahra Chinipardaz
Gongsheng Yuan
Min Liu
Dana T. Graves
Shuying Yang
author_facet Zahra Chinipardaz
Gongsheng Yuan
Min Liu
Dana T. Graves
Shuying Yang
author_sort Zahra Chinipardaz
collection DOAJ
description Abstract Foxo1 upregulation is linked to defective fracture healing under diabetic conditions. Previous studies demonstrated that diabetes upregulates Foxo1 expression and activation and diabetes impairs ciliogenesis resulting in defective fracture repair. However, the mechanism by which diabetes causes cilia loss during fracture healing remains elusive. We report here that streptozotocin (STZ)-induced type 1 diabetes mellitus (T1DM) dramatically increased Foxo1 expression in femoral fracture calluses, which thereby caused a significant decrease in the expression of IFT80 and primary cilia number. Ablation of Foxo1 in osteoblasts in OSX cretTA Foxo1 f/f mice rescued IFT80 expression and ciliogenesis and restored bone formation and mechanical strength in diabetic fracture calluses. In vitro, advanced glycation end products (AGEs) impaired cilia formation in osteoblasts and reduced the production of a mineralizing matrix, which were rescued by Foxo1 deletion. Mechanistically, AGEs increased Foxo1 expression and transcriptional activity to inhibit IFT80 expression causing impaired cilia formation. Thus, our findings demonstrate that diabetes impairs fracture healing through Foxo1 mediated inhibition of ciliary IFT80 expression and primary cilia formation, resulting in impaired osteogenesis. Inhibition of Foxo1 and/or restoration of cilia formation has the potential to promote diabetes-impaired fracture healing.
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spelling doaj.art-0bd42a1be2e54b4e9d3b91d023402d682023-11-19T12:22:42ZengNature Publishing GroupCell Death Discovery2058-77162023-08-01911810.1038/s41420-023-01562-3Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesisZahra Chinipardaz0Gongsheng Yuan1Min Liu2Dana T. Graves3Shuying Yang4Department of Basic and Translation Sciences, School of Dental Medicine, University of PennsylvaniaDepartment of Basic and Translation Sciences, School of Dental Medicine, University of PennsylvaniaDepartment of Periodontics, School of Dental Medicine, University of PennsylvaniaDepartment of Periodontics, School of Dental Medicine, University of PennsylvaniaDepartment of Basic and Translation Sciences, School of Dental Medicine, University of PennsylvaniaAbstract Foxo1 upregulation is linked to defective fracture healing under diabetic conditions. Previous studies demonstrated that diabetes upregulates Foxo1 expression and activation and diabetes impairs ciliogenesis resulting in defective fracture repair. However, the mechanism by which diabetes causes cilia loss during fracture healing remains elusive. We report here that streptozotocin (STZ)-induced type 1 diabetes mellitus (T1DM) dramatically increased Foxo1 expression in femoral fracture calluses, which thereby caused a significant decrease in the expression of IFT80 and primary cilia number. Ablation of Foxo1 in osteoblasts in OSX cretTA Foxo1 f/f mice rescued IFT80 expression and ciliogenesis and restored bone formation and mechanical strength in diabetic fracture calluses. In vitro, advanced glycation end products (AGEs) impaired cilia formation in osteoblasts and reduced the production of a mineralizing matrix, which were rescued by Foxo1 deletion. Mechanistically, AGEs increased Foxo1 expression and transcriptional activity to inhibit IFT80 expression causing impaired cilia formation. Thus, our findings demonstrate that diabetes impairs fracture healing through Foxo1 mediated inhibition of ciliary IFT80 expression and primary cilia formation, resulting in impaired osteogenesis. Inhibition of Foxo1 and/or restoration of cilia formation has the potential to promote diabetes-impaired fracture healing.https://doi.org/10.1038/s41420-023-01562-3
spellingShingle Zahra Chinipardaz
Gongsheng Yuan
Min Liu
Dana T. Graves
Shuying Yang
Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
Cell Death Discovery
title Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
title_full Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
title_fullStr Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
title_full_unstemmed Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
title_short Diabetes impairs fracture healing through Foxo1 mediated disruption of ciliogenesis
title_sort diabetes impairs fracture healing through foxo1 mediated disruption of ciliogenesis
url https://doi.org/10.1038/s41420-023-01562-3
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