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Erschienen in: Current Osteoporosis Reports 3/2021

14.04.2021 | Genetics (D Karasik and C Ackert-Bicknell, Section Editors)

Do Interactions of Vitamin D3 and BMP Signaling Hold Implications in the Pathogenesis of Fibrodysplasia Ossificans Progressiva?

verfasst von: Jessica L. Pierce, Daniel S. Perrien

Erschienen in: Current Osteoporosis Reports | Ausgabe 3/2021

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Abstract

Purpose of Review

Fibrodysplasia ossificans progressiva (FOP) is a debilitating rare disease known for episodic endochondral heterotopic ossification (HO) caused by gain-of-function mutations in ACVR1/ALK2. However, disease severity varies among patients with identical mutations suggesting disease-modifying factors, including diet, may have therapeutic implications. The roles of vitamin D3 in calcium metabolism and chondrogenesis are known, but its effects on BMP signaling and chondrogenesis are less studied. This review attempts to assess the possibility of vitamin D’s effects in FOP by exploring relevant intersections of VD3 with mechanisms of FOP flares.

Recent Findings

In vitro and in vivo studies suggest vitamin D suppresses inflammation, while clinical studies suggest that vitamin D3 protects against arteriosclerosis and inversely correlates with non-genetic intramuscular HO. However, the enhancement of chondrogenesis, BMP signaling, and possibly Activin A expression by vitamin D may be more relevant in FOP.

Summary

There appears to be little potential for vitamin D to reduce HO in FOP, but testing the potential for excess vitamin D to promote HO may be warranted.
Literatur
1.
Zurück zum Zitat Bridges AJ, Hsu KC, Singh A, Churchill R, Miles J. Fibrodysplasia (myositis) ossificans progressiva. Semin Arthritis Rheum. 1994;24(3). Bridges AJ, Hsu KC, Singh A, Churchill R, Miles J. Fibrodysplasia (myositis) ossificans progressiva. Semin Arthritis Rheum. 1994;24(3).
6.
Zurück zum Zitat Pignolo RJ, Shore EM, Kaplan FS. Fibrodysplasia ossificans progressiva: diagnosis, management, and therapeutic horizons. Pediatr Endocrinol Rev. 2013;10(2):437–48.PubMedPubMedCentral Pignolo RJ, Shore EM, Kaplan FS. Fibrodysplasia ossificans progressiva: diagnosis, management, and therapeutic horizons. Pediatr Endocrinol Rev. 2013;10(2):437–48.PubMedPubMedCentral
19.
Zurück zum Zitat Chakkalakal SA, Uchibe K, Convente MR, Zhang D, Economides AN, Kaplan FS, et al. Palovarotene inhibits heterotopic ossification and maintains limb mobility and growth in mice with the human ACVR1R206H fibrodysplasia ossificans progressiva (FOP) mutation. J Bone Miner Res. 2016;31:1666–75. https://doi.org/10.1002/jbmr.2820.CrossRefPubMed Chakkalakal SA, Uchibe K, Convente MR, Zhang D, Economides AN, Kaplan FS, et al. Palovarotene inhibits heterotopic ossification and maintains limb mobility and growth in mice with the human ACVR1R206H fibrodysplasia ossificans progressiva (FOP) mutation. J Bone Miner Res. 2016;31:1666–75. https://​doi.​org/​10.​1002/​jbmr.​2820.CrossRefPubMed
20.
Zurück zum Zitat Pignolo RJ, Baujat G, Brown MA, De Cunto C, Di Rocco M, Hsiao EC, et al. Natural history of fibrodysplasia ossificans progressiva: cross-sectional analysis of annotated baseline phenotypes. Orphanet Journal of Rare Diseases. 2019;14(1). https://doi.org/10.1186/s13023-019-1068-7. Pignolo RJ, Baujat G, Brown MA, De Cunto C, Di Rocco M, Hsiao EC, et al. Natural history of fibrodysplasia ossificans progressiva: cross-sectional analysis of annotated baseline phenotypes. Orphanet Journal of Rare Diseases. 2019;14(1). https://​doi.​org/​10.​1186/​s13023-019-1068-7.
24•.
Zurück zum Zitat . Wakahashi K, Minagawa K, Kawano Y, Kawano H, Suzuki T, Ishii S, et al. Vitamin D receptor–mediated skewed differentiation of macrophages initiates myelofibrosis and subsequent osteosclerosis. Blood. 2019;133(15):1619–29. https://doi.org/10.1182/blood-2018-09-876615Wakahashi et al. showed that vitamin D promotes the proinflammatory polarization of macrophages via the VDR. This could be a key mechanistic link to heterotopic ossification and FOP, as the importance of macrophages has been demonstrated in multiple mouse models of HO and FOP.CrossRefPubMed . Wakahashi K, Minagawa K, Kawano Y, Kawano H, Suzuki T, Ishii S, et al. Vitamin D receptor–mediated skewed differentiation of macrophages initiates myelofibrosis and subsequent osteosclerosis. Blood. 2019;133(15):1619–29. https://​doi.​org/​10.​1182/​blood-2018-09-876615Wakahashi et al. showed that vitamin D promotes the proinflammatory polarization of macrophages via the VDR. This could be a key mechanistic link to heterotopic ossification and FOP, as the importance of macrophages has been demonstrated in multiple mouse models of HO and FOP.CrossRefPubMed
27.
Zurück zum Zitat • Hatsell SJ, Idone V, Alessi Wolken DM, Huang L, Kim HJ, Wang L, et al. ACVR1R206H receptor mutation causes fibrodysplasia ossificans progressiva by imparting responsiveness to activin A. Sci Transl Med. 2015;7(303) This study demonstrates that ALK2R206H is sensitized to inappropriate activation by Activin A, which is required for HO progression in the ACVR1R206H mouse model of FOP. • Hatsell SJ, Idone V, Alessi Wolken DM, Huang L, Kim HJ, Wang L, et al. ACVR1R206H receptor mutation causes fibrodysplasia ossificans progressiva by imparting responsiveness to activin A. Sci Transl Med. 2015;7(303) This study demonstrates that ALK2R206H is sensitized to inappropriate activation by Activin A, which is required for HO progression in the ACVR1R206H mouse model of FOP.
32.
Zurück zum Zitat Shah PB, Zasloff MA, Drummond D, Kaplan FS. Spinal deformity in patients who have fibrodysplasia ossificans progressiva. J Bone Joint Surg Am. 1994;76(10):1442–50.CrossRef Shah PB, Zasloff MA, Drummond D, Kaplan FS. Spinal deformity in patients who have fibrodysplasia ossificans progressiva. J Bone Joint Surg Am. 1994;76(10):1442–50.CrossRef
35.
Zurück zum Zitat Cohen RB, Hahn GV, Tabas JA, Peeper J, Levitz CL, Sando A, et al. The natural history of heterotopic ossification in patients who have fibrodysplasia ossificans progressiva. A study of forty-four patients. J Bone Joint Surg Am. 1993;75(2):215–9.CrossRef Cohen RB, Hahn GV, Tabas JA, Peeper J, Levitz CL, Sando A, et al. The natural history of heterotopic ossification in patients who have fibrodysplasia ossificans progressiva. A study of forty-four patients. J Bone Joint Surg Am. 1993;75(2):215–9.CrossRef
37.
Zurück zum Zitat • Convente MR, Chakkalakal SA, Yang E, Caron RJ, Zhang D, Kambayashi T, et al. Depletion of mast cells and macrophages impairs heterotopic ossification in an Acvr1(R206H) mouse model of fibrodysplasia ossificans progressiva. J Bone Miner Res. 2018;33(2):269–82. https://doi.org/10.1002/jbmr.3304This represents the first demonstration that innate immune cells contribute to HO in a model of FOP that expresses the clinically relevant ALK2R206H mutation.CrossRefPubMed • Convente MR, Chakkalakal SA, Yang E, Caron RJ, Zhang D, Kambayashi T, et al. Depletion of mast cells and macrophages impairs heterotopic ossification in an Acvr1(R206H) mouse model of fibrodysplasia ossificans progressiva. J Bone Miner Res. 2018;33(2):269–82. https://​doi.​org/​10.​1002/​jbmr.​3304This represents the first demonstration that innate immune cells contribute to HO in a model of FOP that expresses the clinically relevant ALK2R206H mutation.CrossRefPubMed
43.
59.
66.
Zurück zum Zitat Chen J, Dosier CR, Park JH, De S, Guldberg RE, Boyan BD, et al. Mineralization of three-dimensional osteoblast cultures is enhanced by the interaction of 1α,25-dihydroxyvitamin D3 and BMP2 via two specific vitamin D receptors. J Tissue Eng Regen Med. 2016;10(1):40–51. https://doi.org/10.1002/term.1770.CrossRefPubMed Chen J, Dosier CR, Park JH, De S, Guldberg RE, Boyan BD, et al. Mineralization of three-dimensional osteoblast cultures is enhanced by the interaction of 1α,25-dihydroxyvitamin D3 and BMP2 via two specific vitamin D receptors. J Tissue Eng Regen Med. 2016;10(1):40–51. https://​doi.​org/​10.​1002/​term.​1770.CrossRefPubMed
74.
Zurück zum Zitat Luderer HF, Nazarian RM, Zhu ED, Demay MB. Ligand-dependent actions of the vitamin D receptor are required for activation of TGF-β signaling during the inflammatory response to cutaneous injury. 2013;154(1):16-24. doi: https://doi.org/10.1210/en.2012-1579. Luderer HF, Nazarian RM, Zhu ED, Demay MB. Ligand-dependent actions of the vitamin D receptor are required for activation of TGF-β signaling during the inflammatory response to cutaneous injury. 2013;154(1):16-24. doi: https://​doi.​org/​10.​1210/​en.​2012-1579.
79.
80.
Zurück zum Zitat McCabe KM, Zelt JG, Kaufmann M, Laverty K, Ward E, Barron H, et al. Calcitriol accelerates vascular calcification irrespective of vitamin K status in a rat model of chronic kidney disease with hyperphosphatemia and secondary hyperparathyroidism. J Pharmacol Exp Ther. 2018;366(3):433–45. https://doi.org/10.1124/jpet.117.247270.CrossRefPubMed McCabe KM, Zelt JG, Kaufmann M, Laverty K, Ward E, Barron H, et al. Calcitriol accelerates vascular calcification irrespective of vitamin K status in a rat model of chronic kidney disease with hyperphosphatemia and secondary hyperparathyroidism. J Pharmacol Exp Ther. 2018;366(3):433–45. https://​doi.​org/​10.​1124/​jpet.​117.​247270.CrossRefPubMed
81.
Zurück zum Zitat Orfanidou T, Malizos KN, Varitimidis S, Tsezou A. 1,25-Dihydroxyvitamin D(3) and extracellular inorganic phosphate activate mitogen-activated protein kinase pathway through fibroblast growth factor 23 contributing to hypertrophy and mineralization in osteoarthritic chondrocytes. Exp Biol Med (Maywood). 2012;237(3):241–53. https://doi.org/10.1258/ebm.2011.011301.CrossRef Orfanidou T, Malizos KN, Varitimidis S, Tsezou A. 1,25-Dihydroxyvitamin D(3) and extracellular inorganic phosphate activate mitogen-activated protein kinase pathway through fibroblast growth factor 23 contributing to hypertrophy and mineralization in osteoarthritic chondrocytes. Exp Biol Med (Maywood). 2012;237(3):241–53. https://​doi.​org/​10.​1258/​ebm.​2011.​011301.CrossRef
89.
Metadaten
Titel
Do Interactions of Vitamin D3 and BMP Signaling Hold Implications in the Pathogenesis of Fibrodysplasia Ossificans Progressiva?
verfasst von
Jessica L. Pierce
Daniel S. Perrien
Publikationsdatum
14.04.2021
Verlag
Springer US
Erschienen in
Current Osteoporosis Reports / Ausgabe 3/2021
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-021-00673-z

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