Ontology highlight
ABSTRACT: Skeletal healing requires the coordinated resolution of inflammation and precise lineage commitment of mesenchymal progenitors, yet the mechanisms coupling these processes remain incompletely defined. Here, we reveal that lymphatic vessels in bone serve as dynamic orchestrators bridging inflammatory clearance with stromal fate determination during regeneration. Using lineage tracing in Lyve1-creERT2; tdTomato mice and genetic ablation approaches, we demonstrate that injury-induced lymphangiogenesis is essential for timely osteogenesis. Prior depletion of lymphatic endothelial cells (LECs) exacerbates inflammation and impairs bone regeneration following injury. Notably, we identify Lyve1highmacrophages as lymphatic endothelial-like cells capable of transdifferentiation following efferocytosis. Mechanistically, engulfment of apoptotic cells activates fatty acid β-oxidation, increasing acetyl-CoA level that drive histone acetylation at the Lyve1 and Vegfc promoters, thereby licensing the macrophages-to-LECs transition. During the remodeling phase, lymphatic vessels help maintain local lipid homeostasis. Lymphatic impairment during bone repair leads to accumulation of polyunsaturated fatty acid-containing phosphatidylethanolamines (PE-PUFAs), which stabilize PPARγ through ZDHHC4-mediated palmitoylation. This process blocks ubiquitin-proteasome degradation and skews LepR+ bone mesenchymal stromal cells (BMSCs) toward adipogenesis at the expense of osteogenesis. Age-related lymphatic insufficiency recapitulates this pathological cascade, manifesting as impaired drainage, systemic lipid dysregulation, and compromised bone quality. Collectively, our findings establish lymphatic vessels, reconstructed by macrophages-to-LECs transdifferentiation, as stage-specific niche that guides osteogenic-adipogenic fate decision of BMSCs through lymphatic drainage capacity in skeletal repair.
INSTRUMENT(S): Liquid Chromatography MS - alternating - reverse-phase
PROVIDER: MTBLS13645 | MetaboLights | 2026-01-17
REPOSITORIES: MetaboLights
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