Identification of Periostin as a critical niche for myofibroblast dynamics and fibrosis during tendon healing.

Ackerman JE., Muscat SN., Adjei-Sowah E., Korcari A., Nichols AEC., Buckley MR., Loiselle AE.

Tendon injuries are a major clinical problem, with poor patient outcomes caused by abundant scar tissue deposition during healing. Myofibroblasts play a critical role in the initial restoration of structural integrity after injury. However, persistent myofibroblast activity drives the transition to fibrotic scar tissue formation. As such, disrupting myofibroblast persistence is a key therapeutic target. While myofibroblasts are typically defined by the presence of αSMA+ stress fibers, αSMA is expressed in other cell types including the vasculature. As such, modulation of myofibroblast dynamics via disruption of αSMA expression is not a translationally tenable approach. Recent work has demonstrated that Periostin-lineage (PostnLin) cells are a precursor for cardiac fibrosis-associated myofibroblasts. In contrast to this, here we show that PostnLin cells contribute to a transient αSMA+ myofibroblast population that is required for functional tendon healing, and that Periostin forms a supportive matrix niche that facilitates myofibroblast differentiation and persistence. Collectively, these data identify the Periostin matrix niche as a critical regulator of myofibroblast fate and persistence that could be targeted for therapeutic manipulation to facilitate regenerative tendon healing.

DOI

10.1016/j.matbio.2023.12.004

Type

Journal article

Journal

Matrix biol

Publication Date

01/2024

Volume

125

Pages

59 - 72

Keywords

Extracellular matrix, Periostin, Scar tissue, Tendon, Humans, Myofibroblasts, Cicatrix, Periostin, Fibrosis, Cell Differentiation, Tendons

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