CD47 is required for mesenchymal progenitor proliferation and fracture repair

Abstract CD47 is a ubiquitous and pleiotropic cell-surface receptor. Disrupting CD47 enhances injury repair in various tissues but the role of CD47 has not been studied in bone injuries. In a murine closed-fracture model, CD47-null mice showed decreased callus bone formation as assessed by microcomp...

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Main Authors: Robert L. Zondervan, Christina A. Capobianco, Daniel C. Jenkins, John D. Reicha, Livia Fredrick, Charles Lam, Jeanna T. Schmanski, Jeffery S. Isenberg, Jaimo Ahn, Ralph S. Marcucio, Kurt D. Hankenson
Format: Article
Language:English
Published: Nature Publishing Group 2025-03-01
Series:Bone Research
Online Access:https://doi.org/10.1038/s41413-025-00409-0
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author Robert L. Zondervan
Christina A. Capobianco
Daniel C. Jenkins
John D. Reicha
Livia Fredrick
Charles Lam
Jeanna T. Schmanski
Jeffery S. Isenberg
Jaimo Ahn
Ralph S. Marcucio
Kurt D. Hankenson
author_facet Robert L. Zondervan
Christina A. Capobianco
Daniel C. Jenkins
John D. Reicha
Livia Fredrick
Charles Lam
Jeanna T. Schmanski
Jeffery S. Isenberg
Jaimo Ahn
Ralph S. Marcucio
Kurt D. Hankenson
author_sort Robert L. Zondervan
collection DOAJ
description Abstract CD47 is a ubiquitous and pleiotropic cell-surface receptor. Disrupting CD47 enhances injury repair in various tissues but the role of CD47 has not been studied in bone injuries. In a murine closed-fracture model, CD47-null mice showed decreased callus bone formation as assessed by microcomputed tomography 10 days post-fracture and increased fibrous volume as determined by histology. To understand the cellular basis for this phenotype, mesenchymal progenitors (MSC) were harvested from bone marrow. CD47-null MSC showed decreased large fibroblast colony formation (CFU-F), significantly less proliferation, and fewer cells in S-phase, although osteoblast differentiation was unaffected. However, consistent with prior research, CD47-null endothelial cells showed increased proliferation relative to WT cells. Similarly, in a murine ischemic fracture model, CD47-null mice showed reduced fracture callus size due to a reduction in bone relative to WT 15 days-post fracture. Consistent with our in vitro results, in vivo EdU labeling showed decreased cell proliferation in the callus of CD47-null mice, while staining for CD31 and endomucin demonstrated increased endothelial cell density. Finally, WT mice with ischemic fracture that were administered a CD47 morpholino, which blocks CD47 protein production, showed a callus phenotype similar to that of ischemic fractures in CD47-null mice, suggesting the phenotype was not due to developmental changes in the knockout mice. Thus, inhibition of CD47 during bone healing reduces both non-ischemic and ischemic fracture healing, in part, by decreasing MSC proliferation. Furthermore, the increase in endothelial cell proliferation and early blood vessel density caused by CD47 disruption is not sufficient to overcome MSC dysfunction.
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spelling doaj-art-c53bcb65aa7a489fa34193358d310d9f2025-08-20T03:05:52ZengNature Publishing GroupBone Research2095-62312025-03-0113111510.1038/s41413-025-00409-0CD47 is required for mesenchymal progenitor proliferation and fracture repairRobert L. Zondervan0Christina A. Capobianco1Daniel C. Jenkins2John D. Reicha3Livia Fredrick4Charles Lam5Jeanna T. Schmanski6Jeffery S. Isenberg7Jaimo Ahn8Ralph S. Marcucio9Kurt D. Hankenson10Department of Orthopaedic Surgery, University of MichiganDepartment of Orthopaedic Surgery, University of MichiganDepartment of Orthopaedic Surgery, University of MichiganDepartment of Orthopaedic Surgery, University of MichiganDepartment of Orthopaedic Surgery, University of MichiganDepartment of Orthopaedic Surgery, University of California at San FranciscoDepartment of Orthopaedic Surgery, University of MichiganDepartment of Diabetes Complications and Metabolism and Arthur Riggs Diabetes and Metabolism Research Institute, City of Hope National Medical CenterDepartment of Orthopaedics, Grady Memorial Hospital and Emory School of MedicineDepartment of Orthopaedic Surgery, University of California at San FranciscoDepartment of Orthopaedic Surgery, University of MichiganAbstract CD47 is a ubiquitous and pleiotropic cell-surface receptor. Disrupting CD47 enhances injury repair in various tissues but the role of CD47 has not been studied in bone injuries. In a murine closed-fracture model, CD47-null mice showed decreased callus bone formation as assessed by microcomputed tomography 10 days post-fracture and increased fibrous volume as determined by histology. To understand the cellular basis for this phenotype, mesenchymal progenitors (MSC) were harvested from bone marrow. CD47-null MSC showed decreased large fibroblast colony formation (CFU-F), significantly less proliferation, and fewer cells in S-phase, although osteoblast differentiation was unaffected. However, consistent with prior research, CD47-null endothelial cells showed increased proliferation relative to WT cells. Similarly, in a murine ischemic fracture model, CD47-null mice showed reduced fracture callus size due to a reduction in bone relative to WT 15 days-post fracture. Consistent with our in vitro results, in vivo EdU labeling showed decreased cell proliferation in the callus of CD47-null mice, while staining for CD31 and endomucin demonstrated increased endothelial cell density. Finally, WT mice with ischemic fracture that were administered a CD47 morpholino, which blocks CD47 protein production, showed a callus phenotype similar to that of ischemic fractures in CD47-null mice, suggesting the phenotype was not due to developmental changes in the knockout mice. Thus, inhibition of CD47 during bone healing reduces both non-ischemic and ischemic fracture healing, in part, by decreasing MSC proliferation. Furthermore, the increase in endothelial cell proliferation and early blood vessel density caused by CD47 disruption is not sufficient to overcome MSC dysfunction.https://doi.org/10.1038/s41413-025-00409-0
spellingShingle Robert L. Zondervan
Christina A. Capobianco
Daniel C. Jenkins
John D. Reicha
Livia Fredrick
Charles Lam
Jeanna T. Schmanski
Jeffery S. Isenberg
Jaimo Ahn
Ralph S. Marcucio
Kurt D. Hankenson
CD47 is required for mesenchymal progenitor proliferation and fracture repair
Bone Research
title CD47 is required for mesenchymal progenitor proliferation and fracture repair
title_full CD47 is required for mesenchymal progenitor proliferation and fracture repair
title_fullStr CD47 is required for mesenchymal progenitor proliferation and fracture repair
title_full_unstemmed CD47 is required for mesenchymal progenitor proliferation and fracture repair
title_short CD47 is required for mesenchymal progenitor proliferation and fracture repair
title_sort cd47 is required for mesenchymal progenitor proliferation and fracture repair
url https://doi.org/10.1038/s41413-025-00409-0
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