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Osteoclasts protect bone blood vessels against senescence through the angiogenin/plexin-B2 axis
Open accessAbstract
Synthetic glucocorticoids (GCs), one of the most effective treatments for chronic inflammatory and autoimmune conditions in children, have adverse effects on the growing skeleton. GCs inhibit angiogenesis in growing bone, but the underlying mechanisms remain unclear. Here, we show that GC treatment in young mice induces vascular endothelial cell senescence in metaphysis of long bone, and that inhibition of endothelial cell senescence improves GC-impaired bone angiogenesis with coupled osteogenesis. We identify angiogenin (ANG), a ribonuclease with pro-angiogenic activity, secreted by osteoclasts as a key factor for protecting the neighboring vascular cells against senescence. ANG maintains the proliferative activity of endothelial cells through plexin-B2 (PLXNB2)-mediated transcription of ribosomal RNA (rRNA). GC treatment inhibits ANG production by suppressing osteoclast formation in metaphysis, resulting in impaired endothelial cell rRNA transcription and subsequent cellular senescence. These findings reveal the role of metaphyseal blood vessel senescence in mediating the action of GCs on growing skeleton and establish the ANG/PLXNB2 axis as a molecular basis for the osteoclast-vascular interplay in skeletal angiogenesis.
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“Nevertheless, findings from the present study and our recent work on glucocorticoid-induced BMAds69 collectively suggest that BMAds are more susceptible or rapidly acquire a senescence phenotype compared to other cell types in the bone and/or bone marrow, likely because the master regulators of adipogenesis such as PPARγ and CEBPα also function as senescence gene activators.”
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Malaise, O., Paulissen, G., Deroyer, C., Ciregia, F., Poulet, C., Neuville, S., Plener, Z., Daniel, C., Gillet, P., Lechanteur, C., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10225331 · Cited by 9
“senescence in the metaphysis of the long bone [28,29], with a reduction in cell proliferation.”
BackgroundZhang, W., Ding, F., Rong, X., Ren, Q., Hasegawa, T., Liu, H., & Li, M. (2024) · Aging Cell · doi:10.1111/acel.14374 · Cited by 10
“Healthy bone blood vessels play a crucial role in maintaining bone metabolism homeostasis, and their injury is closely linked to bone loss, particularly in type H blood vessels (Hu et al., 2021; Liu et al., 2021 ; Wang et al., 2022 ).”
Pro-aging effects of chronic glucocorticoid signaling
Lambertucci, F., Castinetti, F., Martins, I., López-Otı́n, C., & Kroemer, G. (2026) · Cell Metabolism · doi:10.1016/j.cmet.2026.05.002 · Cited by 8
Bidirectional regulation between bone and vasculature: Mechanisms of osteogenesis and angiogenesis
Wang, T., Yao, H., Jin, F., Yang, Y., Zhang, C., Du, C., Zhang, Z., Zheng, L., Chen, J., & Fang, X. (2026) · Journal of Advanced Research · doi:10.1016/j.jare.2026.02.042 · Cited by 3
Sulfated chitosan enhances BMP-2-mediated spinal fusion via skeletal stem cell rejuvenation in aging
Wang, X., Huang, D., Ji, L., Yu, Y., Zhu, F., Wang, J., & Liu, C. (2025) · Bioactive Materials · doi:10.1016/j.bioactmat.2025.08.044 · Cited by 2
“This observation suggests that excessive osteoclast inhibition impairs angiogenesis, consistent with reports that osteoclast lineage cells secrete factors like PDGF-BB [32] and ANG [33] to support H-type vessel formation and protect against vascular senescence.”
Antioxidant Senotherapy by Natural Compounds: A Beneficial Partner in Cancer Treatment
Aleksandrova, Y. R., & Неганова, М. Е. (2025) · Antioxidants · doi:10.3390/antiox14020199 · Cited by 8
“…[35], MMP-3 [35,36], MMP-9 [37], MMP-10 Growth factors - Increased secretion of amphiregulin (AREG) [55,56], epiregulin (EREG) [57], angiogenin [58], insulin-like growth factor binding proteins (IGFBPs) -3 [59], -4 [60], -5 [61] - Decreased expression of vascular endothelial growth factor…”
Marrow Adipocyte Senescence in the Pathogenesis of Bone Loss
Froemming, M. N., Khosla, S., & Farr, J. N. (2024) · Current Osteoporosis Reports · doi:10.1007/s11914-024-00875-1 · Cited by 7
“For example, another setting that has been associated with accelerated bone loss in young adult mice as well as the premature accumulation of senescent cells in the bone microenvironment is glucocorticoid therapy [13 •• , 47].”
Plexin‐ B2 Mediates Orthodontic Tension‐Induced Osteogenesis via the RhoA /F‐Actin/ YAP Pathway
Li, Q., Chen, X., Li, X., Jiang, X., Li, X., Men, X., Li, Y., & Chen, S. (2024) · Journal of Periodontal Research · doi:10.1111/jre.13358 · Cited by 5
Feng, G., Zhang, P., Huang, J., Yu, Y., Yang, F., Zhao, X., Wang, W., Li, D., Sun, S., Niu, X., et al. (2023) · Journal of Functional Biomaterials · doi:10.3390/jfb14010031 · Cited by 8
“Osteogenesis requires an adequate blood supply [38], and vascular damage easily results in an inability to deliver nutrients to the femoral head [1].”
BackgroundCharacterization and Function of the Interaction of Angiogenin With Alpha-Actinin 2
Weng, C., Dong, H.-J., Mao, J.-J., Lang, X.-B., & Chen, J.-H. (2022) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2022.837971 · Cited by 6
“The ANG/PLXNB2 axis has been demonstrated to play pivotal roles in ANG functions in diverse physiologic and pathologic processes (Yu et al., 2017; Bai et al., 2020; Li et al., 2020b; Liu et al., 2021).”
BackgroundZhang, P., Zhang, H., Zemin, L., Pang, S., Hu, J., Wang, Y., Su, Z., Wang, J., Xiao, Y., Wang, K., et al. (2026) · Advanced Functional Materials · doi:10.1002/adfm.202529224 · Cited by 4
“After staining, the samples were then analyzed using the ImageStreamX Mark II system (Amnis, Seattle,WA)followingestablishedprotocols[61].”
Self-citationPlexin B2 in physiology and pathophysiology of the central nervous system
Wang, Q., Zhang, Y., Ma, K., Lin, P., Wang, Y., Wang, R., Li, H., Li, Z., & Wang, G. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.114627 · Cited by 5
Targeting injury-triggered grancalcin from senescent macrophages enhances aged bone healing
Dong, Y., Shen, X., Zhuang, Q., Jin, S., Song, Z., Ling, Z., & Jiang, H. (2025) · Acta Biomaterialia · doi:10.1016/j.actbio.2025.12.031 · Cited by 4
Liu, Z., Yu, L., Zhang, Y., Liu, K., Zhai, H., Xu, X., Lu, Q., Li, X., Li, Z., Yang, J., et al. (2025) · Communications Biology · doi:10.1038/s42003-025-09078-5 · Cited by 4
“A substantial amount of research has con fi rmed that high doses of GC can directly cause endothelial cell injury and inhibit local angiogenesis 38,39 .”
The correlation between fluoride-induced bone damage and reduced DLAV formation in Zebrafish Larvae.
Lan, A.-L., Gong, Y., Li, X.-F., Wang, Y.-F., Zheng, D., Tang, H.-M., Wang, S.-Q., Tang, W.-C., Huang, C., Guan, Z., et al. (2024) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2024.117366 · Cited by 4
“Sufficient angiogenesis during chondrogenesis and osteogenesis is responsible for bone mineralization (Guo et al., 2020; Liu et al., 2021; Ramasamy et al., 2016), and the DLAV can reflect the vascular development of the trunk (Wang et al., 2023).”
Huang, X.-Z., Jie, S., Li, W., & Liu, C. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e33867 · Cited by 4
“For example, GC stimulation in young mice elicits the senescence of vascular endothelial cells in long bone metaphysis, and suppression of such senescence promotes GCs-impaired osteogenesis-angiogenesis coupling [33].”
BackgroundGli1+ Progenitors Mediate Glucocorticoid-Induced Osteoporosis In Vivo
Yang, P., Shen, F., You, C., Lou, F., & Shi, Y. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25084371 · Cited by 3
Ding, W., Su, Y., Mo, J., Sun, D., Cao, C., Zhang, X., & Wang, Y. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e29984 · Cited by 2
Zhang, W., & Wang, Y. (2021) · Computational and Mathematical Methods in Medicine · doi:10.1155/2021/7936548 · Cited by 4
“and continue to childhood and adulthood [12].”
RetractedWu, J., Yan, X., Chen, M., Nie, H., Yuan, Z., Yuan, F.-L., & Li, X. (2026) · Journal of Orthopaedic Translation · doi:10.1016/j.jot.2026.101194 · Cited by 4
“Age-associated loss of osteogenic vessels, endothelial metabolic decline, reduced brain and muscle ARNT-like protein 1 (BMAL1) activity, and microRNA-mediated impairment of angiogenesis-osteogenesis coupling collectively weaken the vascular arm of the system [42,49,50].”
Zhang, S., Liu, Y., Deng, S.-S., Gao, Z.-H., Wang, J., & Liu, C.-S. (2026) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.2520755123 · Cited by 3
Zhao, J., Sheng, X., Ding, Y., Wen, H., Zheng, L., Sun, Y. X., He, R., Li, C., Qin, T., Wu, T., et al. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2025.10.019 · Cited by 4
“Furthermore, previous findings have indicated the engagement of cellular senescence pathways with neovascularization [24,65], a critical contributor to the emerging concept of the neurovascular unit in CNS diseases [66,67].”
Wang, P., Yang, M., Liu, W., & Chen, C. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.114963 · Cited by 4
Sadlowski, A. J., See, J., Bharill, S., Zhang, W., Otte, A., Loscalzo, E., Yousefzadeh, N., Gough, E., Nilles, T. L., Barik, S., et al. (2025) · Journal of Bone and Mineral Research · doi:10.1093/jbmr/zjaf041 · Cited by 3
“6 To explore the relevance in humans, we performed a case–control study on a unique population of youth treated with chronic GCs. Dystrophinopathies, including Duchenne muscular dystrophy (DMD) and Becker MD, are progressive X-linked neuromuscular disorders caused by pathogenic variants in the…”
Luminescent sensing of conformational integrin activation in living cells
Villari, G., Gioelli, N., Gino, M., Zhang, H., Hodge, K., Cordero, F., Zanivan, S. R., Zhu, J., & Serini, G. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.115319 · Cited by 3
“…47,48 and RAB1A 49 ) and its rescue from lysosomal degradation (SNX17 29,46 ), angiogenic factors and their signaling pathways (FGFR1, 53,54 ANG, 55 and SEMA4D and its receptor PLXNB1 56,57 ), and the key small GTPase directly involved in the activation of talin-1 and integrins, namely RAP1B.”
Crosstalk between bone and vasculature within bone
Xia, W., Wang, W., Qin, Y. L., Ding, Y., Li, W., Ge, G., Li, W., Zhang, W., Yang, H., Wang, L., et al. (2025) · Fundamental Research · doi:10.1016/j.fmre.2024.12.021 · Cited by 3
“ANG can regulate the function of hematopoietic stem/progenitor cells, and ANG expression may be growth stage dependent in terms of the cell lineage in which it is expressed [ 82–84 ].”
Cellular senescence in musculoskeletal diseases: biological mechanisms and clinical implications
Li, B.-F., Qi, W.-R., Zhang, B., Ma, S., Zhang, W., Zhang, C., Xiang, W., Chen, R., Bai, C.-Q., Fei, J., et al. (2026) · Theranostics · doi:10.7150/thno.130018 · Cited by 2
“Synthetic steroid therapy can impair endothelial cell ribosomal RNA (rRNA) transcription and trigger cellular senescence in bone blood vessels [187].”
Zhang, W.-D., Liu, T., Rong, X., Liu, H.-R., & Li, M.-Q. (2026) · Bone · doi:10.1016/j.bone.2026.117859 · Cited by 2
Ren, Q.-H., Rong, X., Liu, T., Zhang, Z.-C., Zhang, W.-D., Liu, H.-R., Guan, S., & Li, M.-Q. (2025) · Biochemical Pharmacology · doi:10.1016/j.bcp.2025.117586 · Cited by 2
Development of a Complex Human In Vitro Model of Endochondral Ossification
Ji, E., Urdalleta, A. G., Witte‐Bouma, J., Kremers, G., Maggio, N. D., Banfi, A., Farrell, E., & Lolli, A. (2025) · Tissue Engineering Part C Methods · doi:10.1177/19373341251378152 · Cited by 2
“To date, there have been in vitro models demonstrating osteoclast – vasculature interactions 18,27 – 29 but none yet in the context of modeling EO in vitro combined with a 3D vasculature and a self-assembled cartilage template.”
Liu, X., Long, G., Wang, Q.-W., Wang, J., Chen, X., Zhou, Y., You, K., Li, H., Jiang, Y., Zhang, Z., et al. (2025) · Free Radical Biology & Medicine · doi:10.1016/j.freeradbiomed.2025.06.029 · Cited by 2
Self-citationTao, Z., Wang, S., Liu, J., Zhu, T., Jiang, J., Liu, S., & Ma, X. (2024) · Advanced Science · doi:10.1002/advs.202409128 · Cited by 3
Xie, Y.-H., Su, J., Yang, M., Liu, Z., Chen, T., Qian, J.-K., Yu, B., & Zhang, X.-R. (2024) · Communications Biology · doi:10.1038/s42003-024-07288-x · Cited by 2
“Recent literature indicates that glucocorticoid treat-ment in adult mice can rapidly induce cellular senescence in bone marrow adipocyte lineage cells, with a subsequent spread to vascular cells and osteoblasts 44,45 .”
Self-citationGuo, Z.-B., Guo, D., Kong, D., Bian, S., Zhao, L., Li, Q., Lin, L.-L., Hao, J., Sun, L., & Li, Y. (2023) · Molecular Biology Reports · doi:10.1007/s11033-023-08721-w · Cited by 2
“As a crosscell membrane protein, PLXNB2 is a functional receptor of ANG, and the regulation of angiogenesis by the ANGPLXNB2 axis could maintain vascular renewal in nontumor tissues [16], regulate angiogenesis induced by tumour cells, and promote tumour progression [17], which is also consistent with the PLXNB2-relate…”
ResultOezel, L., Wergen, N. M., Zimmermann, R., Popov, S., Gürsoy, B., Grassmann, J. P., Benölken, N., Kuebart, T., Bittersohl, B., & Grotheer, V. (2026) · Biology · doi:10.3390/biology15110858 · Cited by 1
“There is little data on the impact of ANG on OP, but a study by Liu et al. suggests that ANG’s importance in bone metabolism may have been underestimated [74].”
InfluentialSchwarzer, A. C. D. A. P., Bohnsack, M. T., & Bohnsack, K. E. (2026) · Trends in Biochemical Sciences · doi:10.1016/j.tibs.2026.03.005 · Cited by 1
Metadata
- Authors
- Liu, X., Chai, Y., Liu, G., Su, W., Guo, Q., Lv, X., Gao, P., Yu, B., Ferbeyre, G., Cao, X., & Wan, M.
- Affiliations
- Johns Hopkins University (US)
- Nanfang Hospital (CN)
- Université de Montréal (CA)
- Corresponding author
- Wan, Mei
- ORCID
- Venue
- Nature Communications
- Published
- 2021-03-23
- Volume
- 12
- Issue
- 1
- Pages
- 1832-1832
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC7987975
- OpenAlex
- W3138375299
- Cited by
- 116
- References
- 124
- Citations by year
- 2026: 15 · 2025: 23 · 2024: 27 · 2023: 29 · 2022: 16 · 2021: 6
- FWCI
- 6.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Tufts Medical Center
- Johns Hopkins University
- National Institutes of Health (1s10od016374-01, 1r56ag059578-01)
- National Institute on Aging (R56 AG059578, P01AG066603)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Keywords
- osteoclasts, endothelial cell senescence, angiogenin, Plexin-B2, synthetic glucocorticoids, bone angiogenesis, metaphysis, rDNA transcription, bone formation, growing skeleton, glucocorticoid adverse effects
- MeSH terms
- Animals, Bone Development, Glucocorticoids, Humans, Immunohistochemistry, Methylprednisolone, Mice, Inbred BALB C, Mice, Inbred C57BL, Neovascularization, Pathologic, Nerve Tissue Proteins, Osteoclasts, Osteogenesis, Recombinant Proteins, Ribonuclease, Pancreatic, RNA, Ribosomal, Signal Transduction, Tomography Scanners, X-Ray Computed, Cellular Senescence, Apoptosis, In Situ Hybridization, Fluorescence, Neovascularization, Physiologic, RNA, Small Interfering, Endothelial Cells, Cell Proliferation, Mice, Human Umbilical Vein Endothelial Cells
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