Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice

Abstract Background Diabetes mellitus (DM) causes bone dysfunction due to poor bone quality, leading to severe deterioration in patient of quality of life. The mechanisms of bone metabolism in DM remain unclear, although chemical and/or mechanical factors are known to disrupt the homeostasis of oste...

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Main Authors: Hitomi Fujikawa, Hideto Kojima, Tomoya Terashima, Miwako Katagi, Takafumi Yayama, Kosuke Kumagai, Kanji Mori, Hideki Saito, Shinji Imai
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06710-5
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author Hitomi Fujikawa
Hideto Kojima
Tomoya Terashima
Miwako Katagi
Takafumi Yayama
Kosuke Kumagai
Kanji Mori
Hideki Saito
Shinji Imai
author_facet Hitomi Fujikawa
Hideto Kojima
Tomoya Terashima
Miwako Katagi
Takafumi Yayama
Kosuke Kumagai
Kanji Mori
Hideki Saito
Shinji Imai
author_sort Hitomi Fujikawa
collection DOAJ
description Abstract Background Diabetes mellitus (DM) causes bone dysfunction due to poor bone quality, leading to severe deterioration in patient of quality of life. The mechanisms of bone metabolism in DM remain unclear, although chemical and/or mechanical factors are known to disrupt the homeostasis of osteoblasts and osteoclasts. The purpose of this study was to identify the changes of osteoblasts and osteoclasts under long-term hyperglycaemic conditions, using a mouse fracture model of long-term hyperglycemia (LT-HG). Methods C57BL/6J mice and green fluorescent protein (GFP) -positive bone marrow transplanted C57BL/6J mice with LT-HG, maintained under a state of hyperglycaemia for 2 months, were used in this study. After the experimental fracture, we examined the immunohistochemical expression of proinsulin and tumor necrosis factor (TNF) -α at the fracture site. C57BL/6J fracture model mice without hyperglycaemia were used as controls. Results In the LT-HG mice, chondrocyte resorption was delayed, and osteoblasts showed an irregular arrangement at the callus site. The osteoclasts were scattered with a decrement in the number of nuclei. The expression of proinsulin was confirmed in bone marrow derived cells (BMDCs) with neovascularization 2 and 3 weeks after fracture. Immunopositivity for TNF-α was also confirmed in immature chondrocytes and BMDCs with neovascularization at 2 weeks, and the number of positive cells was not decreased at 3 weeks. Examination of GFP-grafted hyperglycaemic mice showed that the majority of cells at the fracture site were GFP-positive. Immunohistochemistry showed that the rate of double positives was 15% for GFP and proinsulin and 47% for GFP and TNF-α. Conclusion LT-HG induces an increase in the number of proinsulin and TNF-α positive cells derived from BMDCs. We suggest that proinsulin and TNF-α positive cells are involved in both bone formation and bone resorption after fracture under hyperglycaemic conditions, resulting in the delay of bone healing.
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spelling doaj.art-0e3531dc925b44ee93b3f43e4075843f2023-07-23T11:03:50ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-0124111010.1186/s12891-023-06710-5Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic miceHitomi Fujikawa0Hideto Kojima1Tomoya Terashima2Miwako Katagi3Takafumi Yayama4Kosuke Kumagai5Kanji Mori6Hideki Saito7Shinji Imai8Department of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Stem Cell Biology and Regenerative Medicine, Shiga University of Medical ScienceDepartment of Stem Cell Biology and Regenerative Medicine, Shiga University of Medical ScienceDepartment of Stem Cell Biology and Regenerative Medicine, Shiga University of Medical ScienceDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceDepartment of Orthopaedic Surgery, Shiga University of Medical ScienceAbstract Background Diabetes mellitus (DM) causes bone dysfunction due to poor bone quality, leading to severe deterioration in patient of quality of life. The mechanisms of bone metabolism in DM remain unclear, although chemical and/or mechanical factors are known to disrupt the homeostasis of osteoblasts and osteoclasts. The purpose of this study was to identify the changes of osteoblasts and osteoclasts under long-term hyperglycaemic conditions, using a mouse fracture model of long-term hyperglycemia (LT-HG). Methods C57BL/6J mice and green fluorescent protein (GFP) -positive bone marrow transplanted C57BL/6J mice with LT-HG, maintained under a state of hyperglycaemia for 2 months, were used in this study. After the experimental fracture, we examined the immunohistochemical expression of proinsulin and tumor necrosis factor (TNF) -α at the fracture site. C57BL/6J fracture model mice without hyperglycaemia were used as controls. Results In the LT-HG mice, chondrocyte resorption was delayed, and osteoblasts showed an irregular arrangement at the callus site. The osteoclasts were scattered with a decrement in the number of nuclei. The expression of proinsulin was confirmed in bone marrow derived cells (BMDCs) with neovascularization 2 and 3 weeks after fracture. Immunopositivity for TNF-α was also confirmed in immature chondrocytes and BMDCs with neovascularization at 2 weeks, and the number of positive cells was not decreased at 3 weeks. Examination of GFP-grafted hyperglycaemic mice showed that the majority of cells at the fracture site were GFP-positive. Immunohistochemistry showed that the rate of double positives was 15% for GFP and proinsulin and 47% for GFP and TNF-α. Conclusion LT-HG induces an increase in the number of proinsulin and TNF-α positive cells derived from BMDCs. We suggest that proinsulin and TNF-α positive cells are involved in both bone formation and bone resorption after fracture under hyperglycaemic conditions, resulting in the delay of bone healing.https://doi.org/10.1186/s12891-023-06710-5Long-term hyperglycaemiaFracture healingTNF-αProinsulinBone marrow transplantation
spellingShingle Hitomi Fujikawa
Hideto Kojima
Tomoya Terashima
Miwako Katagi
Takafumi Yayama
Kosuke Kumagai
Kanji Mori
Hideki Saito
Shinji Imai
Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
BMC Musculoskeletal Disorders
Long-term hyperglycaemia
Fracture healing
TNF-α
Proinsulin
Bone marrow transplantation
title Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
title_full Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
title_fullStr Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
title_full_unstemmed Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
title_short Expression of proinflammatory cytokines and proinsulin by bone marrow-derived cells for fracture healing in long-term diabetic mice
title_sort expression of proinflammatory cytokines and proinsulin by bone marrow derived cells for fracture healing in long term diabetic mice
topic Long-term hyperglycaemia
Fracture healing
TNF-α
Proinsulin
Bone marrow transplantation
url https://doi.org/10.1186/s12891-023-06710-5
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