T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration

Last decade has witnessed increasing evidence which highlights the roles of immune cells in bone regeneration. Numerous immune cell types, including macrophages, T cells, and neutrophils are involved in fracture healing by orchestrating a series of events that modulate bone formation and remodeling....

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Main Authors: Haixing Wang, Yashi Li, Haoxin Li, Xu Yan, Zhaowei Jiang, Lu Feng, Wenhui Hu, Yinuo Fan, Sien Lin, Gang Li
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Journal of Orthopaedic Translation
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214031X24001621
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author Haixing Wang
Yashi Li
Haoxin Li
Xu Yan
Zhaowei Jiang
Lu Feng
Wenhui Hu
Yinuo Fan
Sien Lin
Gang Li
author_facet Haixing Wang
Yashi Li
Haoxin Li
Xu Yan
Zhaowei Jiang
Lu Feng
Wenhui Hu
Yinuo Fan
Sien Lin
Gang Li
author_sort Haixing Wang
collection DOAJ
description Last decade has witnessed increasing evidence which highlights the roles of immune cells in bone regeneration. Numerous immune cell types, including macrophages, T cells, and neutrophils are involved in fracture healing by orchestrating a series of events that modulate bone formation and remodeling. In this review, the role of T cell immunity in fracture healing has been summarized, and the modulatory effects of T cell immunity in inflammation, bone formation and remodeling have been highlighted. The review also summarizes the specific roles of different T cell subsets, including CD4+ T cells, CD8+ T cells, regulatory T cells, T helper 17 cells, and γδ T cells in modulating fracture healing. The current therapeutics targeting T cell immunity to enhance fracture healing have also been reviewed, aiming to provide insights from a translational standpoint. Overall, this work discusses recent advances and challenges in the interdisciplinary research field of T cell related osteoimmunology and its implications in fracture healing. The translational potential of this article: Delayed unions or non-unions of bone fractures remain a challenge in clinical practice. Developing a deep understanding of the roles of immune cells, including T cells, in fracture healing will facilitate the advancement of novel therapeutics of fracture nonunion. This review summarizes the current understanding of different T cell subsets involved in various phases of fracture healing, providing insights for targeting T cells as an alternative strategy to enhance bone regeneration.
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issn 2214-031X
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spelling doaj-art-83f837de60a94addace1336f0920137c2025-02-06T05:11:44ZengElsevierJournal of Orthopaedic Translation2214-031X2025-03-01518293T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regenerationHaixing Wang0Yashi Li1Haoxin Li2Xu Yan3Zhaowei Jiang4Lu Feng5Wenhui Hu6Yinuo Fan7Sien Lin8Gang Li9Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong Province, China; Department of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, ChinaCentre for Regenerative Medicine and Health, Hong Kong Institute of Science & Innovation, Chinese Academy of Sciences, Hong Kong, ChinaOrthopaedic Center, Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, Zhanjiang, Guangdong Province, ChinaThe Third Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, ChinaDepartment of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China; Corresponding author. Department of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, 999077, China.Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong Province, China; Department of Orthopaedics & Traumatology, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China; Corresponding author. Institute of Biomedicine and Biotechnology, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, Guangdong Province, 518000, China.Last decade has witnessed increasing evidence which highlights the roles of immune cells in bone regeneration. Numerous immune cell types, including macrophages, T cells, and neutrophils are involved in fracture healing by orchestrating a series of events that modulate bone formation and remodeling. In this review, the role of T cell immunity in fracture healing has been summarized, and the modulatory effects of T cell immunity in inflammation, bone formation and remodeling have been highlighted. The review also summarizes the specific roles of different T cell subsets, including CD4+ T cells, CD8+ T cells, regulatory T cells, T helper 17 cells, and γδ T cells in modulating fracture healing. The current therapeutics targeting T cell immunity to enhance fracture healing have also been reviewed, aiming to provide insights from a translational standpoint. Overall, this work discusses recent advances and challenges in the interdisciplinary research field of T cell related osteoimmunology and its implications in fracture healing. The translational potential of this article: Delayed unions or non-unions of bone fractures remain a challenge in clinical practice. Developing a deep understanding of the roles of immune cells, including T cells, in fracture healing will facilitate the advancement of novel therapeutics of fracture nonunion. This review summarizes the current understanding of different T cell subsets involved in various phases of fracture healing, providing insights for targeting T cells as an alternative strategy to enhance bone regeneration.http://www.sciencedirect.com/science/article/pii/S2214031X24001621Bone formationFracture healingMesenchymal stem cellOsteoimmunologyT cell
spellingShingle Haixing Wang
Yashi Li
Haoxin Li
Xu Yan
Zhaowei Jiang
Lu Feng
Wenhui Hu
Yinuo Fan
Sien Lin
Gang Li
T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
Journal of Orthopaedic Translation
Bone formation
Fracture healing
Mesenchymal stem cell
Osteoimmunology
T cell
title T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
title_full T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
title_fullStr T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
title_full_unstemmed T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
title_short T cell related osteoimmunology in fracture healing: Potential targets for augmenting bone regeneration
title_sort t cell related osteoimmunology in fracture healing potential targets for augmenting bone regeneration
topic Bone formation
Fracture healing
Mesenchymal stem cell
Osteoimmunology
T cell
url http://www.sciencedirect.com/science/article/pii/S2214031X24001621
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