Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing

Abstract A high prevalence of rotator cuff tears presents a major clinical challenge. A better understanding of the molecular mechanisms underlying enthesis development and healing is needed for developing treatments. We recently identified hedgehog (Hh)-lineage cells critical for enthesis developme...

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Main Authors: Fei Fang, Matthew Casserly, Julia Robbins, Stavros Thomopoulos
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Regenerative Medicine
Online Access:https://doi.org/10.1038/s41536-025-00392-4
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author Fei Fang
Matthew Casserly
Julia Robbins
Stavros Thomopoulos
author_facet Fei Fang
Matthew Casserly
Julia Robbins
Stavros Thomopoulos
author_sort Fei Fang
collection DOAJ
description Abstract A high prevalence of rotator cuff tears presents a major clinical challenge. A better understanding of the molecular mechanisms underlying enthesis development and healing is needed for developing treatments. We recently identified hedgehog (Hh)-lineage cells critical for enthesis development and repair. This study revealed cell-cell communication within the Hh-lineage cell population. To further characterize the role of Hh signaling, we used mouse models to activate and inactivate the Hh pathway in enthesis progenitors. Activation of Hh target genes during enthesis development increased its mineralization and mechanical properties. Activation of Hh signaling at the injured mature enthesis promoted fibrocartilage formation, enhanced mineralization, and increased expression of chondrogenic and osteogenic markers, which implies that Hh signaling drives cell differentiation to regenerate the damaged enthesis. Conversely, deletion of Hh target genes impaired enthesis healing. In summary, this study revealed a new strategy for enthesis repair via activation of Hh signaling in endogenous cells.
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spelling doaj-art-2dc8beb71b29443983bd6452cee50cd02025-01-26T12:19:06ZengNature Portfolionpj Regenerative Medicine2057-39952025-01-0110111010.1038/s41536-025-00392-4Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healingFei Fang0Matthew Casserly1Julia Robbins2Stavros Thomopoulos3Leni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount SinaiLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount SinaiLeni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount SinaiDepartment of Orthopedic Surgery, Columbia UniversityAbstract A high prevalence of rotator cuff tears presents a major clinical challenge. A better understanding of the molecular mechanisms underlying enthesis development and healing is needed for developing treatments. We recently identified hedgehog (Hh)-lineage cells critical for enthesis development and repair. This study revealed cell-cell communication within the Hh-lineage cell population. To further characterize the role of Hh signaling, we used mouse models to activate and inactivate the Hh pathway in enthesis progenitors. Activation of Hh target genes during enthesis development increased its mineralization and mechanical properties. Activation of Hh signaling at the injured mature enthesis promoted fibrocartilage formation, enhanced mineralization, and increased expression of chondrogenic and osteogenic markers, which implies that Hh signaling drives cell differentiation to regenerate the damaged enthesis. Conversely, deletion of Hh target genes impaired enthesis healing. In summary, this study revealed a new strategy for enthesis repair via activation of Hh signaling in endogenous cells.https://doi.org/10.1038/s41536-025-00392-4
spellingShingle Fei Fang
Matthew Casserly
Julia Robbins
Stavros Thomopoulos
Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
npj Regenerative Medicine
title Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
title_full Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
title_fullStr Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
title_full_unstemmed Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
title_short Hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
title_sort hedgehog signaling directs cell differentiation and plays a critical role in tendon enthesis healing
url https://doi.org/10.1038/s41536-025-00392-4
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AT juliarobbins hedgehogsignalingdirectscelldifferentiationandplaysacriticalroleintendonenthesishealing
AT stavrosthomopoulos hedgehogsignalingdirectscelldifferentiationandplaysacriticalroleintendonenthesishealing