BMP signaling maintains auricular chondrocyte identity and prevents microtia development by inhibiting protein kinase A

Reviewer #1 (Public Review):

Summary:
In this manuscript, Ruichen Yang et al. investigated the importance of BMP signaling in preventing microtia. The authors showed that Cre recombinase-mediated deletion of Bmpr1a using skeletal stem-specific Cre Prx1Cre leads to microtia in adult and young mice. In these mice, the distal auricle is more affected than the middle and proximal. In these Bmpr1a floxed Prx1Cre mice, auricle chondrocytes start to differentiate into osteoblasts through an increase in PKA signaling. The authors showed human single-cell RNA-Seq data sets where they observed increased PKA signaling in microtia patients which resembles their animal model experiments.

Strengths:
Although the importance of BMP signaling in skeletal tissues has been previously reported, the importance of its role in microtia prevention is novel and very promising to study in detail. The authors satisfied the experimental questions by performing the correct methods and explaining the results in detail.

Weaknesses:
There are minor concerns like typo mistakes and missing control data histology pictures which should be corrected.

Reviewer #2 (Public Review):

This is a nice story about auricular chondrocyte maintenance, its molecular mechanism, and the role of the BMP 1 receptor in microtia disease conditions. A detailed analysis of different parts of the ear, their proliferation, and their differentiation condition with histological and immunofluorescence analysis strengthens the evidence. Further validation with patient sample RNA-Seq also helps the study end with an informative story.

From the public point of view, I want to say that the authors want to explain how auricular chondrocytes differ from growth plates or other chondrocytes. The authors show that Prxx1 is a good marker to differentiate auricular chondrocytes from different types of chondrocytes, which I doubt because other chondrocytes have an expression of Prxx1 at a lower level.

Another thing the authors mention is that microtia conditions develop through reduced size without affecting proliferation and apoptosis. The authors never provide any evidence about how the ablation of Bmpr1a affects the size, protein trafficking, and ECM organization.

Crosstalk between BMP-PKA in auricular chondrocytes and switching the chondrocytes' cell fate in osteoblast cells are not entirely stable by these studies for physiological functions.