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Study 30 of 32Abaloparatide (Tymlos) literatureRegenerative therapy · Observational2026

CXCL12-abundant reticular cell lineage is the key source of endosteal osteoblasts and adipocytes in adult bone marrow.

The Cxcl12+ lineage is a key source of endosteal osteoblasts and adipocytes in adult bone marrow, highlighting its potential as a target for age-related bone disease therapies.

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Where it sits

this study against the rest of the abaloparatide (tymlos) corpus
9
Preclinical
10
Observational · this one
0
Open-label
2
Randomised
11
Reviews

Summary and findings

This study investigated the contribution of CXCL12-abundant reticular (CAR) cells to osteoblasts and adipocytes in adult bone marrow using a Cxcl12-Cre knock-in mouse model. The findings indicate that the Cxcl12+ lineage accounted for over 60% of endosteal osteoblasts in skeletally mature adult mice. Additionally, this lineage was responsible for the majority of bone marrow adipocytes.

How much of this paper we could read: full text read (0.80). We had a clear abstract, so the summary below closely tracks the paper. What this means →
over 60% of endosteal osteoblasts in skeletally mature adult mice from Cxcl12+ lineage2026

Abstract

The authors’ words, as Regenerative therapy supplied them

<h4>Introduction</h4>CXCL12-abundant reticular (CAR) cells, characterized by high expression of CXCL12, are perisinusoidal bone marrow stromal cells that establish the hematopoietic stem cell niche. Although CAR cells are postulated to become precursor cells of both osteoblasts and adipocytes, the spatiotemporal dynamics of CAR cells-particularly their contribution to osteoblasts-remain poorly understood. Here, we defined the contribution of the endogenous <i>Cxcl12</i>-expressing (Cxcl12<sup>+</sup>) lineage to the skeleton from development to adulthood.<h4>Methods</h4>A novel <i>Cxcl12</i>-Cre knock-in mouse model was generated that allows permanent lineage tracing of CAR cells and their progeny.<h4>Results</h4>Lineage tracing revealed that the Cxcl12<sup>+</sup> lineage arose perinatally and was initially localized around sinusoids in the bone marrow. During aging, these cells expanded and progressively populated non-sinusoidal regions distal to the sinusoids. While the contribution of the lineage to osteogenesis was negligible during postnatal growth, the lineage accounted for over 60% of endosteal osteoblasts in both cortical and trabecular bones in skeletally mature adult mice. Additionally, the lineage gave rise to the majority of bone marrow adipocytes. This lineage did not contribute to periosteal osteoblasts or extra-bone adipocytes. Furthermore, intermittent administration of the anabolic agent parathyroid hormone significantly promoted osteoblast differentiation from this lineage. Single-cell RNA sequencing confirmed the presence of both osteogenic and adipogenic precursors within the traced population.<h4>Conclusions</h4>The <i>Cxcl12</i>-expression-based lineage tracing approach revealed the CAR cell lineage as the key source of endosteal osteoblasts and adipocytes in adult bone marrow, suggesting their important role in skeletal homeostasis. This lineage may represent a promising therapeutic target for age-related bone diseases.

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