Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult

Heterotopic ossification (HO) is one of the most intractable disorders following musculoskeletal injury and is characterized by the ectopic presence of bone tissue in the soft tissue leading to severe loss of function in the extremities. Recent studies have indicated that immune cell infiltration an...

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Main Authors: Juehong Li, Ziyang Sun, Gang Luo, Shuo Wang, Haomin Cui, Zhixiao Yao, Hao Xiong, Yunwei He, Yun Qian, Cunyi Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.649285/full
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author Juehong Li
Juehong Li
Ziyang Sun
Ziyang Sun
Gang Luo
Gang Luo
Shuo Wang
Shuo Wang
Haomin Cui
Haomin Cui
Zhixiao Yao
Zhixiao Yao
Hao Xiong
Hao Xiong
Yunwei He
Yunwei He
Yun Qian
Yun Qian
Cunyi Fan
Cunyi Fan
author_facet Juehong Li
Juehong Li
Ziyang Sun
Ziyang Sun
Gang Luo
Gang Luo
Shuo Wang
Shuo Wang
Haomin Cui
Haomin Cui
Zhixiao Yao
Zhixiao Yao
Hao Xiong
Hao Xiong
Yunwei He
Yunwei He
Yun Qian
Yun Qian
Cunyi Fan
Cunyi Fan
author_sort Juehong Li
collection DOAJ
description Heterotopic ossification (HO) is one of the most intractable disorders following musculoskeletal injury and is characterized by the ectopic presence of bone tissue in the soft tissue leading to severe loss of function in the extremities. Recent studies have indicated that immune cell infiltration and inflammation are involved in aberrant bone formation. In this study, we found increased monocyte/macrophage and mast cell accumulation during early HO progression. Macrophage depletion by clodronate liposomes and mast cell stabilization by cromolyn sodium significantly impeded HO formation. Therefore, we proposed that the dietary phytochemical quercetin could also suppress immune cell recruitment and related inflammatory responses to prevent HO. As expected, quercetin inhibited the monocyte-to-macrophage transition, macrophage polarization, and mast cell activation in vitro in a dose-dependent manner. Using a murine burn/tenotomy model, we also demonstrated that quercetin attenuated inflammatory responses and HO in vivo. Furthermore, elevated SIRT1 and decreased acetylated NFκB p65 expression were responsible for the mechanism of quercetin, and the beneficial effects of quercetin were reversed by the SIRT1 antagonist EX527 and mimicked by the SIRT agonist SRT1720. The findings in this study suggest that targeting monocyte/macrophage and mast cell activities may represent an attractive approach for therapeutic intervention of HO and that quercetin may serve as a promising therapeutic candidate for the treatment of trauma-induced HO by modulating SIRT1/NFκB signaling.
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spelling doaj.art-c099bf09d7ec4d13849d25efd4dea38f2022-12-21T22:04:09ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-05-011210.3389/fimmu.2021.649285649285Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory InsultJuehong Li0Juehong Li1Ziyang Sun2Ziyang Sun3Gang Luo4Gang Luo5Shuo Wang6Shuo Wang7Haomin Cui8Haomin Cui9Zhixiao Yao10Zhixiao Yao11Hao Xiong12Hao Xiong13Yunwei He14Yunwei He15Yun Qian16Yun Qian17Cunyi Fan18Cunyi Fan19Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaYouth Science and Technology Innovation Studio of Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaHeterotopic ossification (HO) is one of the most intractable disorders following musculoskeletal injury and is characterized by the ectopic presence of bone tissue in the soft tissue leading to severe loss of function in the extremities. Recent studies have indicated that immune cell infiltration and inflammation are involved in aberrant bone formation. In this study, we found increased monocyte/macrophage and mast cell accumulation during early HO progression. Macrophage depletion by clodronate liposomes and mast cell stabilization by cromolyn sodium significantly impeded HO formation. Therefore, we proposed that the dietary phytochemical quercetin could also suppress immune cell recruitment and related inflammatory responses to prevent HO. As expected, quercetin inhibited the monocyte-to-macrophage transition, macrophage polarization, and mast cell activation in vitro in a dose-dependent manner. Using a murine burn/tenotomy model, we also demonstrated that quercetin attenuated inflammatory responses and HO in vivo. Furthermore, elevated SIRT1 and decreased acetylated NFκB p65 expression were responsible for the mechanism of quercetin, and the beneficial effects of quercetin were reversed by the SIRT1 antagonist EX527 and mimicked by the SIRT agonist SRT1720. The findings in this study suggest that targeting monocyte/macrophage and mast cell activities may represent an attractive approach for therapeutic intervention of HO and that quercetin may serve as a promising therapeutic candidate for the treatment of trauma-induced HO by modulating SIRT1/NFκB signaling.https://www.frontiersin.org/articles/10.3389/fimmu.2021.649285/fullquercetinheterotopic ossificationSIRT1mast cellsmacrophages
spellingShingle Juehong Li
Juehong Li
Ziyang Sun
Ziyang Sun
Gang Luo
Gang Luo
Shuo Wang
Shuo Wang
Haomin Cui
Haomin Cui
Zhixiao Yao
Zhixiao Yao
Hao Xiong
Hao Xiong
Yunwei He
Yunwei He
Yun Qian
Yun Qian
Cunyi Fan
Cunyi Fan
Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
Frontiers in Immunology
quercetin
heterotopic ossification
SIRT1
mast cells
macrophages
title Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
title_full Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
title_fullStr Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
title_full_unstemmed Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
title_short Quercetin Attenuates Trauma-Induced Heterotopic Ossification by Tuning Immune Cell Infiltration and Related Inflammatory Insult
title_sort quercetin attenuates trauma induced heterotopic ossification by tuning immune cell infiltration and related inflammatory insult
topic quercetin
heterotopic ossification
SIRT1
mast cells
macrophages
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.649285/full
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