Int J Med Sci 2021; 18(8):1824-1830. doi:10.7150/ijms.51946 This issue

Research Paper

Potential role of myeloid-derived suppressor cells in transition from reaction to repair phase of bone healing process

Hotaka Kawai1✉, May Wathone Oo1, Hidetsugu Tsujigiwa2, Keisuke Nakano1, Kiyofumi Takabatake1, Shintaro Sukegawa1,3, Hitoshi Nagatsuka1

1. Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
2. Department of Life Science, Faculty of Science, Okayama University of Science, Okayama, Japan.
3. Department of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa 760-8557, Japan.

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Kawai H, Oo MW, Tsujigiwa H, Nakano K, Takabatake K, Sukegawa S, Nagatsuka H. Potential role of myeloid-derived suppressor cells in transition from reaction to repair phase of bone healing process. Int J Med Sci 2021; 18(8):1824-1830. doi:10.7150/ijms.51946. Available from

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Graphic abstract

Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature myeloid cells with immunosuppressive functions; these cells play a key role in infection, immunization, chronic inflammation, and cancer. Recent studies have reported that immunosuppression plays an important role in the healing process of tissues and that Treg play an important role in fracture healing. MDSCs suppress active T cell proliferation and reduce the severity of arthritis in mice and humans. Together, these findings suggest that MDSCs play a role in bone biotransformation. In the present study, we examined the role of MDSCs in the bone healing process by creating a bone injury at the tibial epiphysis in mice. MDSCs were identified by CD11b and GR1 immunohistochemistry and their role in new bone formation was observed by detection of Runx2 and osteocalcin expression. Significant numbers of MDSCs were observed in transitional areas from the reactionary to repair stages. Interestingly, MDSCs exhibited Runx2 and osteocalcin expression in the transitional area but not in the reactionary area. And at the same area, cllagene-1 and ALP expression level increased in osteoblast progenitor cells. These data is suggesting that MDSCs emerge to suppress inflammation and support new bone formation. Here, we report, for the first time (to our knowledge), the role of MDSCs in the initiation of bone formation. MDSC appeared at the transition from inflammation to bone making and regulates bone healing by suppressing inflammation.

Keywords: myeloid-derived suppressor cells (MDSC), bone healing, transition period, new bone formation