175 expression profiling of glucocorticoid-inhibited osteoblasts

Nathalie Leclerc1, Cynthia A Luppen1, Vincent V Ho1, Shailender Nagpal1, Joseph G Hacia1, Elisheva Smith2 and Baruch Frenkel1,2 1Department of Biochemistry and Molecular Biology, Institute for Genetic Medicine, Keck School of Medicine at the University of Southern California, 2250 Alcazar Street, Los Angeles, California 90033, USA 2Department of Orthopedic Surgery, Institute for Genetic Medicine, Keck School of Medicine at the University of Southern California, 2250 Alcazar Street, Los Angeles, California 90033, USA

(Requests for offprints should be addressed to Baruch Frenkel; Email: [email protected])

Abstract

Glucocorticoid (GC) treatment for the management of autoimmune and inflammatory diseases is associated with decreased bone formation and increased risk for fracture. In MC3T3-E1 cell cultures, 0·1 – 1 µM dexamethasone (DEX) arrests development of the osteoblast phenotype when administration commences at a commitment stage around the time of confluency. To gain new insights into GC-induced osteoporosis, we performed microarray-based analysis of GC-arrested MC3T3-E1 cultures, 2·5 days after the administration of DEX. Of the .12 000 transcripts interrogated, 74 were up-regulated and 17 were down-regulated by at least 2·5-fold (P¯0·05). Some of these , such as Mmp13, Serum/GC-regulated kinase and Tieg, have previously been reported as GC-responsive. Others are shown here for the first time to respond to GCs. DEX strongly repressed Krox20/Egr2 at both the mRNA and the level. This is especially significant because mice lacking this develop osteoporosis. The data also suggest that the bone morphogenetic protein (BMP) pathway, which is involved in regulating bone mass, and other pathways that influence BMP signaling, are abrogated by GCs: (i) DEX increased the mRNA levels of the BMP antagonists and Dan; (ii) DEX increased the levels of p21 Rasgap3 and Ptpn16/MKP-1 mRNAs, negative regulators of the MAP kinase pathway; and (iii) DEX decreased Cox mRNA levels. DEX also increased mRNA levels, which negatively regulate bone mass in vivo, as well as the adipocytic marker Fkbp51. These and other observations disclose novel gene targets, whose regulation by GCs in osteoblasts may shed light on and provide new therapeutic approaches to osteoporosis. Journal of Molecular Endocrinology (2004) 33, 175–193

Introduction resorption has been suggested to contribute to GC-induced osteoporosis (Luckert & Kream 1996, Glucocorticoids (GCs) are used extensively for the Luckert 1997), it is now clear that the main treatment of autoimmune and inflammatory mechanism underlying long-term GC-induced diseases, including arthritis, asthma, multiple bone loss is the impairment of osteoblast function sclerosis, systemic lupus erythematosus, inflamma- and bone formation (Canalis 1996, Manolagas & tory bowel disease and chronic active hepatitis. In Weinstein 1999, Rubin & Bilezikian 2002). addition, GCs are used in combination with other Regarding their adverse effects on osteoblasts, drugs to reduce inflammation associated with GCs have been reported to attenuate cell hematologic and other , and to suppress the proliferation and differentiation, promote apop- immune system following organ transplantation. tosis, abrogate collagen metabolism, interfere with Perhaps the most disturbing side effect of GC the autocrine/paracrine action of insulin-like treatment is rapid bone loss and increased risk of growth factor-I and bone morphogenetic protein-2 fracture (Van Staa et al. 2000). Although bone (BMP-2), and inhibit the bone-specific transcription

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factor Runx2 (Chen et al. 1983, Delany et al. 1995a, exception of those shown in Fig. 1, where cells Linkhart et al. 1996, Lian et al. 1997, Rogatsky et al. were plated in 12-well plates (25 000 cells/well). 1997, Chang et al. 1998, Weinstein et al. 1998, Cultures were maintained in -MEM (Invitrogen Luppen et al. 2003b). While some of these effects, Corp., Carlsbad, CA, USA) containing 10% such as the induction of apoptosis, were demon- FBS (Invitrogen Corp.) and 1·5% penicillin- strated in vivo, most of the studies were performed streptomycin (Invitrogen Corp.). To support differ- in vitro, alas under conditions that do not fully entiation, 50 µg/ml ascorbic acid (Sigma) and recapitulate the inhibitory action of GCs on the 10 mM -glycerophosphate (Sigma) were added to ultimate osteoblast phenotype – deposition of confluent cultures and the medium was then mineralized extracellular matrix. In fact, in many changed every other day. in vitro studies, GCs surprisingly stimulated osteo- blast proliferation and function (Tenenbaum & Calcium deposition Heersche 1985, Bellows et al. 1987, Pockwinse et al. 1995). Inhibition of mineralized extracellular Calcium deposition was demonstrated by alizarin matrix formation by GCs was recapitulated in vitro red staining or quantitated using the Sigma using the MC3T3-E1 cell line and occurred only Diagnostics Kit 587 as previously described when GC treatment commenced prior to the (Luppen et al. 2003a,b). seventh day of culture (Lian et al. 1997). In our quest for molecular mechanisms under- Apoptosis lying GC-induced osteoporosis, we continued to employ the MC3T3-E1 culture model and Apoptosis was evaluated using either acridine identified a narrow developmental window during orange staining as previously described (Mandavilli which cells are susceptible to the adverse effect of & Rao 1996) or the Apopercentage dye (Biocolor, GCs. This window encompasses a commitment http://www.bicolor.co.uk). stage, occurring around the time of confluency, during which the cells undergo a uniquely RNA preparation and cRNA array hybridization regulated post-confluent cell cycle. Unlike cell cycle progression prior to confluency, the differentiation- Total RNA was isolated from control and related cell cycle is abrogated by GCs, concomitant DEX-treated cells using Trizol reagent (Invitrogen with the inhibition of mineralization. At the Corp.) according to the manufacturer’s instruc- commitment stage, GCs activate the tions, and further cleaned by two successive glycogen synthase kinase 3, a key negative phenol/chloroform extractions, followed by selec- regulator of the Wnt and other signaling pathways tive binding to a silica-gel-based membrane using (Smith et al. 2002). RNeasy spin columns (Qiagen). Double-stranded In order to gain further insights into molecular cDNA was synthesized from 10 µg total RNA using events associated with the adverse effects of GCs, an oligo-dT primer with a 5-T7 RNA polymerase we employed oligonucleotide microarrays to com- promoter sequence and the SuperScript II cDNA pare gene expression profiles between MC3T3-E1 synthesis kit (LifeTechnologies, Gaithersburg, MD, cultures that have just undergone commitment USA). The cDNA was phenol/chloroform ex- and those arrested by DEX. Here we discuss the tracted and recovered by ethanol precipitation. potential significance of the effects of DEX on Three micrograms double-stranded cDNA were subsets of these genes which encode transcription used for the synthesis of biotin-labeled cRNA factors, secreted , receptors, signaling (Enzo Eukaryotic Gene Expression Labeling Kit; molecules, and metabolic . Affymetrix Inc., Sant Clara, CA, USA), which was hybridized to Affymetrix murine MG-U74Av2 gene chips (Affymetrix Inc., Santa Clara, CA, Materials and methods USA). Unbound cRNA was washed, and hybrid- ized cRNA was labeled with a phycoerythrin- Cell culture streptavidin conjugate. Fluorescent hybridization MC3T3-E1 cells were plated in 100-mm dishes signals were detected using a Hewlett Packard (300 000 cells/plate) for all experiments with the GeneArray Scanner.

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Microarray data analysis 5 mM MgCl2, 0·5 mM EDTA, 28% glycerol) Raw gene expression scores were generated for containing protease and inhibitors every gene in every sample using GENECHIP (5 mM NaF, 0·1 mM Na3VO4, 5 µg/ml aprotinin, Software v5·0 (Affymetrix Inc.) with the default 5 µg/ml leupeptin, 1 mM dithiothreitol, 1 mM setups. To normalize the relative hybridization phenylmethylsulfonyl fluoride, 20 µM MG132). signal for each transcript, multiplicative scaling The cells were further subjected to successive passes factors were calculated based on the median through 18·5-, 20·5-, and 23-gauge needles, followed by centrifugation at 16 000 r.p.m. for intensity of the 60th to 95th percentile of gene  expression scores. All scores were set to a minimum 30 min at 4 C to remove cell debris. The protein value of 100 to minimize noise associated with rare concentration in the cell extract was determined transcripts (Karaman et al. 2003). The averages using the Micro BCA Protein Assay (Pierce, of normalized data from three control and three Rockford, IL, USA) and 30 µg were subjected to DEX-treated samples were calculated, and only electrophoresis in a 10% polyacrylamide denatur- differences of at least 2·5-fold with P^0·05 (equal ating gel. The proteins were then transferred onto a variance two-tail t-test) are reported herein. nitrocellulose membrane and Krox20 was detected using specific antibodies (1:150 dilution) from Covance (Richmond, CA, USA) and the enhanced Reverse transcription and polymerase chain chemoluminescence system (Amersham). reaction (RT-PCR) The double-stranded cDNA from above was subjected to gene-specific PCR amplification to Results confirm expression results for selected genes. The Dexamethasone specifically inhibits cDNA was PCR-amplified (MJ Research Inc., mineralization when administration Waltham, MA, USA) in a total volume of 25 µl commences at a commitment stage associated containing 5 pmoles of each primer, 1 µCi with confluency [-32P]dCTP (Perkin Elmer Life Sciences Inc., Boston, MA, USA), 0·25 nmoles unlabeled dCTP, We utilized the MC3T3-E1 cell culture model, in 1·25 nmoles each of dATP, dTTP, and dGTP, and which GCs severely inhibit development of the 0·5 units Taq polymerase (Invitrogen Corp.). For osteoblast phenotype (Smith et al. 2000). As shown each of the analyzed genes, preliminary exper- by biochemical determination of calcium depo- iments were performed with increasing amounts of sition, DEX inhibited mineralization in a manner input cDNA to achieve close-to-linear conditions of strongly dependent on both the concentration signal/input ratio, and equal cDNA input for all and the timing of DEX administration (Fig. 1A). samples was based on amplification of ribosomal First, consistent with previous reports (reviewed by protein L10A (rpL10A) cDNA, which itself varied Ishida & Heersche 1998), DEX was inhibitory by less than 25% between samples. The PCR only at the pharmacological concentrations of 100 primers are listed in Table 1. The amplified PCR and 1000 nM, whereas 10 nM was stimulatory. products were resolved by electrophoresis in a 5% Secondly, DEX at 100 and 1000 nM had a polyacrylamide gel. Following drying, the gels were maximal inhibitory effect when administered exposed to a storage phosphor screen (Molecular commencing on day 3, as cells became confluent. Dynamics, Sunnyvale, CA, USA) and the signal Consistent with our previous work (Smith et al. associated with the products was measured using 2000), little or no inhibition was observed when Storm 840 Phosphor Analyzer and Image Quant DEX was administered after the cells had Software (Molecular Dynamics). committed to mineralization, around day 4. Most remarkably, exposure of the cultures to 100 or 1000 nM DEX commencing at early stages – prior Western blot analysis to confluency – rendered them resistant to the later Cells were washed and collected in phosphate- inhibitory potential of the drug at the same doses buffered saline, centrifuged, and pellets were (Fig. 1A). Moreover, the 100 nM dose, which was resuspended in 1·5 packed cell volume of lysis inhibitory when treatment commenced on days buffer (100 mM Hepes pH 7·5, 500 mM KCl, 2–4, was stimulatory when treatment commenced www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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Accession Primers Annealing No. of size number (Top-forward; bottom: reverse) temp (°C) cycles (base pairs)

Gene osteoblasts DEX-treated of analysis Microarray · C-mer proto-oncogene U21301 58CAGTACAGCACACAGCATCC 55 29 402 58CTTTCCCACACGTGAGATATC

(2004) Cox-1 M34141 58CTCGACAACTACCAGTGTG 54 30 378 58CAGAAGCTGAACATCTGG Krox20 (early growth response 2) M24377 58ATCACAGGCAGGAGAGAGTC 65 28 554

33, 58AGGCTGTGGTTGAAGCTG

175–193 Enpp2 AW122933 58AGCTATTCGGAAATTCTGACCCTCA 58 30 245 58GGAGAAAAACAGCACAGTCATTCAG FK506 binding protein 5 (51 kDa) U16959 58ACATTTGATTGCCGAGATG 55 29 460 58ACTCTCGGAGCTTCAGGTAG Follistatin Z29532 58TCCACTTGTGTGGTGGATCAGACCA 58 30 543 58CAAAGGCTATGTCAACACTGAACAT Growth arrest specific 6 X59846 58AGAGGTGTTCGAGAACGAC 55 29 442 58GCAGAGGCAAGAGTAGGAG Haptoglobin M96827 58GAGTCATGCCTATCTGCCTGCCTTC 58 33 340 58ATCCCAGCTGCGTACCAGGTGTCCT 13 X66473 58GATGACCTGTCTGAGGAAG 54 29 357 58ATCAGACCAGACCTTGAAG Procollagen, type VIII, alpha 1 X66976 58CTCTACAGCTGCTGGGAATAC 55 29 561 58TTCCAGGCATTCCATGAC RhoGAP8 (expressed sequence C78947) AI843580 58AGGTCTGACTGTGGCTTG 60 40 254 58GTCACTTTATACTCCCAGTCTG Downloaded fromBioscientifica.com at09/25/202108:14:17PM Ribosomal protein L10A U12403 58CGCCGCAAGTTTCTGGAGAC 61 29 327 58CTTGCCAGCCTTGTTTAGGC TGF inducible early growth response AF064088 58CGTCTAGTGTCTCAGTGCTC 55 29 490 58CTCTTTGAAAGGAGTGGC Thrombospondin 1 M62470 58CCTCATTTGTTGTGTGACTGAGTAA 58 30 566 58TTGTTGTTCCTTGTACATAAGAAAC Thrombospondin 2 L07803 58GAAGAATATTTTGTCCCTCTGGTGG 58 30 201 www.endocrinology.org 58TCCACAAAAATCTAAAAAGTGCAGG

Primers usually anneal with two adjacent exons, to confirm lack of genomic DNA contamination. However, the primer pairs for Enpp2, Follistatin, Haptoglobin, and 1 and 2 targeted the 38UTR sequences present on the microarray chip. via freeaccess Microarray analysis of DEX-treated osteoblasts · N LECLERC and others 179

plated and treated in parallel to those used for the microarray analysis, is shown in Fig. 2C-F. Interestingly, the DEX-induced arrest was not associated with increased, but rather with decreased, apoptosis (Fig. 2G-J). In vitro inhibition of osteoblast apoptosis has been demonstrated by several investigators, although promotion of apop- tosis in vivo and in vitro has been reported by others (reviewed by Zalavras et al. 2003). The total RNA collected from the day-6 cultures was interrogated by MG-U74Av2 gene chips (Affymetrix Inc.). Of the over 12 000 transcripts represented on the microarray, expression of the vast majority (99%) did not change by more than 2·5-fold (P^0·05) in response to DEX. In con- trast, 74 genes were up-regulated and 17 were down-regulated by d2·5-fold (P^0·05). The expression levels of the 91 DEX-responsive genes, including 82 with known functions and 9 expressed sequence tags (ESTs), as well as the unedited list of raw data, are posted on our web site (http:// hacialab.usc.edu/supplement/frenkel, Tables S1, S2). The potential significance of some of these findings is discussed below. Figure 1 DEX inhibition of calcium deposition is dependent on the dose and the time of treatment commencement. MC3T3-E1 cells were plated (day 0) in Dexamethasone-responsive genes encoding 12-well plates and treated with 10, 100, or 1000 nM transcription factors DEX commencing on the indicated days. (A) Calcium deposition was biochemically quantitated on day 32. (B) DEX treatment altered by d2·5-fold the expres- Calcium deposition is demonstrated in day-13 cultures sion of zinc finger transcription factors (Krox20, by alizarin red staining. In panel B, [DEX]=1000 nM. Kruppel-like factor 13, transforming growth factor (TGF)- inducible early growth response), basic on day 0 or day 1 (Fig. 1A). Cultures treated with leucine-zipper DNA-binding proteins (CAAT/ 1000 nM DEX commencing on day 1 were less enhancer binding protein  and , nuclear factor inhibited than those treated from day 2 or day 3. I/B), and a basic helix-loop-helix transcription Figure 1B presents an independent experiment factor (Drosophila period homolog) (Table 2). with 1000 nM DEX, demonstrating similar results of calcium deposition by alizarin red staining. Krox20 (Early growth response 2, Egr2) In order to identify genes that link the GC inhibitory activity at the commitment stage to the The Egr genes (Krox for the murine homologs) are abrogation of the osteoblast phenotype, we treated mitogen-inducible, immediate early genes encoding MC3T3-E1 cultures with 1000 nM DEX com- transcription factors with three zinc fingers. Egr mencing on day 3, and performed a comprehensive proteins control cell proliferation and differentia- gene expression analysis after 2·5 days. This tion in a variety of tissues including the brain and experimental design provides a comparison peripheral nerves, the vasculature, the kidney and between steady-state mRNA levels in osteoblasts the skeleton (McMahon et al. 1990, Sukhatme undergoing normal, uninterrupted differentiation 1992, Beckmann & Wilce 1997, Khachigian & and those not allowed to undergo commitment. Collins 1998). Although Krox20/Egr2 is expressed The morphological difference between differentiat- mainly in the adult thymus and in the embryonic ing and arrested cultures is demonstrated in central and peripheral nervous systems (Wilkinson Fig. 2A–B. Alizarin red staining of day-14 cultures, et al. 1989, Topilko et al. 1994), the gene is also www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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expressed in differentiating osteoblasts (Levi et al. 5·8-fold by DEX (Table 2) and this result was 1996). Krox20/Egr2 null mice have a severe confirmed by RT-PCR (Fig. 3A). Furthermore, as osteoporotic phenotype, attributable to reduced demonstrated by Western analysis, DEX strongly bone formation (Levi et al. 1996). In our microarray reduced Krox20 protein levels in MC3T3-E1 analysis, Krox20/Egr2 mRNA levels were repressed cultures (Fig. 3B). Thus, decreased Krox20/Egr2 in response to GCs may contribute to bone loss by abrogating the transcriptional control of Krox20/ Egr2 target genes. Such targets may include the Biglycan, 1(I) and 2(I) Collagen genes, encoding components of the bone extracellular matrix, which have been shown to respond to another Krox family member, c-Krox (Galera et al. 1996, Heegaard et al. 1997). In addition, the decrease in Krox20/Egr2 may be involved in the DEX- induced up-regulation of Follistatin (Table 3, Fig. 4 and see below), which is negatively regulated by Krox20/Egr2 (Seitanidou et al. 1997).

TGF- inducible early growth response (Tieg, Kruppel-like factor 10) and Kruppel-like factor 13 (Klf13) DEX-treated MC3T3-E1 cells had 5·8-fold less Tieg mRNA compared with control cultures (Table 2) and the GC-mediated repression was confirmed by RT-PCR (Fig. 4). Tieg encodes a member of the Sp1/Kruppel-like transcription factor family. Tieg was originally identified in human osteoblasts as a transcript that was rapidly induced by TGF- (Subramaniam et al. 1995) and was later shown to be stimulated, albeit to a lesser extent, by other TGF- family members including activin and BMPs (Hefferan et al. 2000). Thus, the decreased Tieg mRNA levels may result from abrogated BMP signaling in the DEX-treated cultures as suggested by our previous (Luppen et al. 2003b) and current studies (see below). In contrast to Tieg, another Sp1/Klf mRNA encoding Klf13

Figure 2 The effects of DEX on cell morphology and apoptosis. MC3T3-E1 cells were plated (day 0) in 100-mm plates and treated with 1000 nM DEX commencing on day 3. (A, B) Brightfield micrographs of day-5 cultures (×200). (C, D) Micrographs of alizarin red-stained cultures on day 14 (×200). (E, F) Scans of the same stained plates. (G, H) Acridine orange staining of day-14 cultures. Bright nuclei denote cells undergoing apoptosis. (I, J) Apopercentage staining of cells undergoing apoptosis on day 7; reproduced with permission from CRC Press (Zalavras et al. 2003). Several stained cells are indicated by arrows. This method is based on the flip-flopping of plasma membrane phosphatidylserine (Biocolor).

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Table 2 Transcription factor genes altered by DEX. Data are means±S.E.M. (n=3). Only genes altered by ≥2·5-fold are listed

Fold induction/ Accession Affymetrix repression no. identification Control DEX by DEX Gene Period homolog (Drosophila) AF022992 93619_at 236±17 1116±50 4·7 CCAAT/enhancer binding protein X61800 160894_at 1101±57 4881±239 4·4 (C/EBP),  /B Y07685 160859_s_at 619±29 2199±83 3·6 Zinc finger protein 99 U62906 104010_at 116±16 389±45 3·3 Kruppel-like factor 13 (Klf13) AW125783 160617_at 912±137 2758±187 3·0 CCAAT/enhancer binding protein M61007 92925_at 2136±203 6083±237 2·8 (C/EBP),  TGF- inducible early growth AF064088 99603_g_at 703±144 120±21 −5·8 response (Tieg) Early growth response 2 (Egr2/Krox20) M24377 102661_at 1028±189 177±38 −5·8 was up-regulated 3·0-fold by DEX (Table 2). Klf13 mRNA level was increased by 3·1-fold (Table 3) is a positive regulator of erythropoiesis (Asano et al. and this increase, possibly related to the suppres- 2000), and is also expressed in the skeleton during sion of Krox20/Egr2 (see above), was confirmed mouse development (Martin et al. 2001). The role by RT-PCR (Fig. 4). The mRNA for Dan (aka of Klf13 in osteoblasts, and its possible involvement neuroblastoma suppressor of tumorigenicity 1) was in the effects of GCs in these cells, remains to be increased by 3·3-fold (Table 3). Since both explored. follistatin and Dan bind to and inactivate BMPs (reviewed by Canalis et al. 2003), and since BMPs are required for osteoblast differentiation in vitro Dexamethasone-responsive genes encoding and control bone mass in vivo (Yamaguchi et al. cell surface and secreted proteins 1991, Sampath et al. 1992, Yamaguchi et al. 2000, Follistatin and Dan (Differential screening-selected gene Xiao et al. 2002, Styrkarsdottir et al. 2003, Yang aberrant in neuroblastoma) et al. 2003), the stimulation of Follistatin and Dan DEX stimulated the expression of two genes mRNAs may contribute to GC-induced osteo- encoding secreted BMP antagonists. Follistatin porosis. We have recently shown that GC- inhibition of MC3T3-E1 osteoblast differentiation was also associated with a 100-fold decrease in Bmp-2 gene expression, and that addition of recombinant BMP-2 rescued the osteoblast pheno- type (Luppen et al. 2003a,b). The GC-mediated repression of Bmp-2 was not disclosed by the microarray analysis because the overall level of its mRNA was close to the background noise level of Figure 3 DEX represses the transcription factor the microarray assay. The relationship between the Krox20/Egr2 at the mRNA and protein levels. down-regulation of Bmp-2 and the up-regulation of MC3T3-E1 cells were plated (day 0) in 100-mm plates and treated with 1000 nM DEX commencing on day 3. Follistatin and Dan remains to be explored. (A) RT-PCR analysis of Krox20/Egr2 mRNA in representative cultures treated for 60 h with either DEX or vehicle. Ribosomal protein L10A (rpL10A) serves as Thrombospondins control. (B) Western blot analysis of Krox20 in DEX increased the mRNA levels for Thrombospondin representative cultures treated for 72 h. The top panel shows the 56 kDa band representing Krox20 and the 1 and 2 by 5·3-fold and 2·9-fold respectively (Table bottom panel shows two non-specific bands of 63 and 3), and these results were confirmed by RT-PCR 68 kDa demonstrating equal loading. (Fig. 4). Thrombospondins are non-collagenous www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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Table 3 Genes for cell surface and secreted proteins altered by DEX. Data are means±S.E.M. (n=3). Only genes altered by ≥2·5-fold are listed

Fold induction/ Accession Affymetrix repression no. identification Control DEX by DEX Gene Haptoglobin M96827 96092_at 272±81 2180±327 8·0 Integrin binding sialoprotein (Bsp) L20232 100476_at 1143±838 8410±809 7·4 Ectonucleotide / AW122933 97317_at 205±69 1408±90 6·9 2 (Enpp2) Collagen, type VIII, alpha 1 X66976 100308_at 1161±256 6909±471 6·0 Thrombospondin 1 M62470 160469_at 915±121 4881±185 5·3 Matrix metalloproteinase 13 (collagenase 3) X66473 100484_at 2241±1152 11601±558 5·2 Cysteine-rich protein 61 (Cyr61) M32490 92777_at 942±102 3325±582 3·5 Neuroblastoma, suppression of D50263 101969_at 486±61 1584±14 3·3 tumorigenicity 1 (Dan) A disintegrin and metalloproteinase D50411 92414_at 140±31 445±48 3·2 domain 12 (Adam12) Follistatin Z29532 98817_at 938±428 2929±258 3·1 Thrombospondin 2 L07803 94930_at 1203±364 3500±85 2·9 Collagen, type XI, alpha 1 D38162 100481_at 645±106 1853±331 2·9 Chondroitin sulfate proteoglycan 2 D45889 100019_at 708±106 1758±165 2·5

secreted that associate with the motility, proliferation, apoptosis, differentiation, extracellular matrix, but do not appear to cytoskeletal organization and transcriptional regu- contribute directly to tissue integrity. Rather, the lation by modulating the assembly of cell surface proteins influence cell functions such as adhesion, multi-protein complexes. The two Thrombospondin genes are expressed with different developmental and spatial patterns (Iruela-Arispe et al. 1993, Tooney et al. 1998). Thrombospondin 1 is widely expressed and is involved in cytoskeletal organiz- ation during tissue repair, possibly mediating some of the effects of TGF-1 (reviewed by Chen et al. 2000). Thrombospondin 2 has a more restricted expression pattern and is synthesized primarily in connective tissues (reviewed by Bornstein et al. 2000). Both thrombospondin 1 and 2 are found in sites of new bone formation and both are produced by cultured osteoblasts (Robey et al. 1989, Carron et al. 1999). Although Thrombospondin 1 mRNA level was shown to increase during MC3T3-E1 culture progression (Sherbina & Bornstein 1992), thrombospondins seem to negatively regulate osteogenesis, based on the increase in osteoblast number, endosteal bone formation and cortical Figure 4 RT-PCR analysis. Expression level of the bone thickness observed in Thrombospondin 2 indicated genes was quantitated in day-6 MC3T3-E1 knock-out mice (Hankenson & Bornstein 2002). cultures by RT-PCR using primers listed in Table 1. Therefore, the GC-induced Thrombospondin mRNA Shown are results from a representative DEX-treated and a representative control culture. The arrow indicates levels may contribute to bone loss in vivo. the Tieg cDNA amplicon. Ribosomal protein L10A Furthermore, because both thrombospondin 1 and (rpL10A) amplification serves as internal control. 2 inhibit (reviewed by Bornstein 2000

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Downloaded from Bioscientifica.com at 09/25/2021 08:14:17PM via free access Microarray analysis of DEX-treated osteoblasts · N LECLERC and others 183 and by Chen et al. 2000), their stimulation by GCs represented on the microarray (Table S2; http:// may compromise the perfusion to bone and other hacialab.usc.edu/supplement/frenkel), DEX al- organs, and contribute to GC-induced apoptosis tered the expression of only one gene, Mmp13, in vivo. which was increased by 5·2-fold (Table 3). This increase was confirmed by RT-PCR (Fig. 4) and is consistent with previous reports (Shalhoub et al. Collagens 1992, Delany et al. 1995b). Induction of Mmp13 Ninety percent of the organic bone matrix is mRNA may contribute to GC-induced osteo- collagen, mostly type I. GCs are known to inhibit porosis by interfering with collagen type I the expression of type I collagen genes in several homeostasis and should also be considered in the cell types (reviewed by Kucharz 1988), including context of GC treatment of arthritis patients, given osteoblasts (Choe et al. 1978, Delany et al. 1995a, the high affinity of Mmp13 for type II collagen Mahonen et al. 1998, Luppen et al. 2003b). In the (Knauper et al. 1996). present study, the genes encoding the 1(I) and the 2(I) Collagen chains were inhibited by 1·9- fold and 1·7-fold respectively (Table S2; http:// A disintegrin and metalloprotease domain 12 (Adam 12) hacialab.usc.edu/supplement/frenkel), missing the Adam12 gene expression was up-regulated 3·2-fold 2·5-fold cutoff set for the initial analysis of the by DEX (Table 3). Adams are membrane- microarray data. It is noteworthy that GCs further anchored cell surface glycoproteins involved in inhibit osteoblast collagen synthesis at the protein cell fusion, cell adhesion, proteolysis and subse- level (Luppen et al. 2003b). quent signaling. In MC3T3-E1 cultures, Adam12 is In contrast to type I collagen chains, DEX highly expressed prior to confluency and is down- increased the mRNA levels for 1(VIII) and 1(XI) regulated immediately thereafter and through- Collagen chains by 5·9-fold and 2·9-fold respectively out differentiation (Inoue et al. 1998). It remains (Table 3). 1(VIII) Collagen was further tested by to be seen whether persistence of Adam12 RT-PCR analysis, which confirmed the microarray mRNA contributes to GC-inhibition of osteoblast data (Fig. 4). Type VIII collagen, a short-chain differentiation. network-forming collagen prominently expressed by endothelial cells of the vasculature and the Descemet’s membrane of the cornea, is also found Ectonucleotide pyrophosphatase/ in newborn mouse calvaria and skin (Muragaki (Enpp2) et al. 1992). Type XI collagen, a fibril-forming Enpps exist as both membrane and soluble collagen, is also expressed in the cornea but is proteins, and are expressed in cells from most mainly found in cartilage, where it copolymerizes tissues, including osteoblasts (Goding et al. 1998). with type II collagen and regulates chondrocyte They hydrolyze phosphodiester bonds in nucle- differentiation and spatial organization of the oside triphosphates, leading to the generation of growth plate (Li et al. 1995). The potential impact inorganic pyrophosphate, a physiologic calcifica- of increased collagens type VIII and XI on the tion inhibitor (Bollen et al. 2000, Terkeltaub 2001, physiological assembly of the bone extracellular Johnson et al. 2003). Enpp2 mRNA level was matrix remains to be explored. It would also be up-regulated several-fold in response to DEX interesting to test whether GCs induce collagens (Table 3, Fig. 4), potentially contributing to the type VIII and XI in the cornea, because this could decreased accumulation of calcium (Figs 1 and 2). provide an insight into GC-induced glaucoma Besides its role in regulating pyrophosphate levels, (Schacke et al. 2002). Enpp2 is also involved in the synthesis of lysophosphatidic acid (Tokumura et al. 2002), which can promote osteoblast proliferation and Matrix metalloproteinase 13 (Mmp13, aka survival (Grey et al. 2001, 2002). While opposite collagenase 3) actions of DEX apparently override the mitogenic Collagens are primarily degraded by collagenases, potential of Enpp2, the putative increase in specific proteinases of the matrix metallo- lysophosphatidic acid may help explain the proteinases (MMP) family. Among all the MMPs inhibition of apoptosis observed in DEX-treated www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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MC3T3-E1 (Fig. 2) and other osteoblastic cell Integrin binding sialoprotein (aka bone cultures (Zalavras et al. 2003). sialoprotein, Bsp) Consistent with previous reports (Ogata et al. 1995, Cysteine-rich protein 61 (Cyr61) Chen et al. 1996), DEX stimulated Bsp gene The gene encoding Cyr61 is a growth factor- expression by 7·4-fold (Table 3). Bsp is a late inducible immediate early gene. Its product is an marker for osteoblast differentiation, and the gene extracellular matrix-associated signaling protein product constitutes approximately 12% of the that promotes cell proliferation, migration and non-collagenous bone extracellular matrix proteins adhesion (Kireeva et al. 1996, Yang & Lau 1991). (reviewed by Ganss et al. 1999). It stimulates Unexpectedly, our microarray analysis indicated a osteoblastic cell adhesion and proliferation (Mintz 3·5-fold DEX-mediated increase in Cyr61 mRNA et al. 1993, Zhou et al. 1995) and has been proposed level (Table 3). Cyr61 is expressed during to function in the initiation of hydroxyapatite embryogenesis of the circulatory system and the crystal formation (Hunter & Goldberg 1993). Given cartilaginous skeleton (O’Brien & Lau 1992). Cyr61 the general inhibitory effect of DEX on the mRNA has been detected in human osteoblasts osteoblast phenotype, including the down- (Schutze et al. 1998, Lechner et al. 2000), and is regulation of other late differentiation markers up-regulated by cytokines such as tumor necrosis such as osteocalcin (Lian et al. 1997, Luppen et al. factor (TNF)- and interleukin (IL)-1, which are 2003b), the stimulation of Bsp mRNA level is important stimulators of bone resorption (Schutze somewhat surprising. While it cannot explain the et al. 1998). Interestingly, Cyr61 was the most inhibition of the osteoblast phenotype in this study, up-regulated gene in a microarray analysis of mice it may explain the positive effect that GCs have fed with cadmium, an in vivo model for cadmium- on cultured osteoblasts under different conditions induced osteoporosis (Regunathan et al. 2003). It is (Tenenbaum & Heersche 1985, Bellows et al. 1987, possible that osteoblast-derived Cyr61 contributes Leboy et al. 1991, Shalhoub et al. 1992). to the increased bone resorption observed in the initial phase of GC-induced osteoporosis. Dexamethasone-responsive genes involved in signal transduction Acute phase proteins Protein kinases and The microarray analysis revealed the stimulation by DEX of five genes encoding proteins with Our microarray analysis revealed d2·5-fold known functions in the immune system: hapto- alteration in the mRNA levels for nine protein globin, orosomucoid 1 and 2, the Ia-associated kinases and phosphatases in response to DEX. The invariant chain of the major histocompatibility data provide evidence for increases in both protein complex class II, and sterile alpha motif domain tyrosine kinases and phosphatases, and for a and domain-containing protein 1 (Table decrease in MAP kinase (MAPK) activity. S2; http://hacialab.usc.edu/supplement/frenkel). Of these, the first three are known as acute phase Protein tyrosine phosphatase (PTP) non- type 16 proteins, and they were induced by 8·0-, 17·8-, (Ptpn16) and 5·3-fold respectively (Table 3 and Table S2; http://hacialab.usc.edu/supplement/frenkel). PTPs are either membrane receptors or non- Notably, a structural role for orosomucoid 1 in receptor proteins. DEX increased the expression of bone was suggested based on its presence in bone Ptpn16 mRNA level by 4·4-fold (Table 4). Ptpn16 is extracts (Mbuyi et al. 1982). Haptoglobin was an immediate early gene that encodes the PTP shown to affect bone cells in an organ culture non-receptor MAPK phosphatase-1 (MKP-1), system, probably through induction of prostanoids also called dual specificity phosphatase 1 for its (Lerner & Frohlander 1992). Specifically, treatment ability to dephosphorylate both phospho-tyrosines with haptoglobin resulted in higher levels of and phospho-threonines (Keyse & Emslie 1992). prostaglandin (PG) E2 and increased bone resorp- MKP-1 inactivates MAPKs (Alessi et al. 1993), tion. The GC-stimulation of osteoblastic Haptoglobin and GCs have previously been shown to mRNA level was confirmed by RT-PCR (Fig. 4). inhibit MAPKs by elevating Mkp-1 mRNA level

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Table 4 Genes for signaling molecules altered by DEX. Data are means±S.E.M. (n=3). Only genes altered by ≥2·5-fold are listed

Fold induction/ Accession Affymetrix repression no. identification Control DEX by DEX Gene C-mer proto-oncogene U21301 92698_at 208±55 1051±83 5·0 Growth arrest specific 6 (Gas6) X59846 99067_at 1639±173 7978±598 4·9 Cdc42 guanine nucleotide exchange factor AI647003 100958_at 342±102 1584±151 4·6 9-like (EST C79050) Protein tyrosine phosphatase, non-receptor X61940 1004598_at 192±16 850±126 4·4 type 16 (Ptpn16) Leukemia inhibitory factor receptor D17444 104658_at 166±16 727±42 4·4 Rho GTPase-activating protein 8 (expressed AI843580 103511_at 100±0 321±45 3·2 sequence C78947) receptor 2 M63503 93091_s_at 1271±194 3789±393 3·0 p21 Ras GTPase-activating protein 3 U20238 93319_at 714±94 1947±184 2·7 (p21 Rasgap3) Aplysia ras-related homolog B (RhoB) X99963 101030_at 1127±126 3002±142 2·7 Portein tyrosine phosphatase, receptor type, D13903 93896_at 151±50 387±54 2·6 D (PtpD) Rho guanine nucleotide exhange factor 5 AA726063 160977_at 274±40 100±0 −2·7 (Rhogef5)

in fibroblasts and mast cells (Kassel et al. 1996). Because signals mediated by these receptors 2001). Moreover, a recent study linked MKP-1 contribute to osteoblast proliferation and differen- up-regulation to the GC-inhibition of osteoblast tiation (Canalis 1985), increased RptpD expression proliferation (Engelbrecht et al. 2003), and admin- may adversely affect osteoblast function. istration of the tyrosine phosphatase inhibitor sodium orthovanadate prevented bone loss in C-mer proto-oncogene and Growth arrest specific 6 GC-treated rats (Hulley et al. 2002). The MAPK (Gas6) pathway plays a role in osteoblast differentiation by potentiating BMP signaling (Suzawa et al. 2002), Along with the increase in PTP mRNA levels, parathyroid hormone/parathyroid hormone- DEX also stimulated the genes encoding C-mer, a related peptide (PTH/PTHrP) signaling (Carpio receptor tyrosine kinase, and its ligand, Gas6 et al. 2001, Miao et al. 2001), and by phosphorylat- (Nagata et al. 1996, Chen et al. 1997). The 5·0-fold ing and activating the osteoblast master regulator stimulation of both genes (Table 4) was supported Runx2 (Xiao et al. 2000). Thus, DEX stimulation of by RT-PCR (Fig. 4). Gas6 is a member of the Ptpn16 mRNA probably plays an important role in vitamin K-dependent family of growth factors, and GC-induced osteoporosis. has mitogenic, survival and adhesive properties in a variety of normal and cell types (Goruppi et al. 1996, Li et al. 1996, Nakano et al. 1996, Receptor protein tyrosine phosphatase type D (RptpD) Yanagita et al. 2001, Funakoshi et al. 2002, Shankar DEX also increased RptpD mRNA level by 2·6-fold et al. 2003). These effects are probably mediated (Table 4). RptpD belongs to the leukocyte antigen through interactions with members of the Axl related (LAR) family of protein tyrosine phos- family of kinases, including C-mer (Varnum et al. phatases (Mizuno et al. 1993). Although RptpD ex- 1995, McCloskey et al. 1997). Because Gas6/Axl pression is largely restricted to the brain, our data signaling has been shown to inhibit osteogenic demonstrate that it is also expressed in osteoblasts. differentiation of vascular pericytes (Collett et al. Known substrates for LAR phosphatases include 2003), it is possible that the DEX-induction of Gas6 the insulin receptor and the epidermal growth and C-mer mRNA levels plays a role in GC-induced factor receptor (Hashimoto et al. 1992, Zhang et al. osteoporosis. www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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Fibroblast growth factor tyrosine kinase receptor 2 (Fgfr2) (see above) and the up-regulation of p21 Rasgap3, DEX increased the level of Fgfr2 mRNA by could severely compromise osteoblast function. 3·0-fold (Table 4). Fgfr1–4 binds fibroblast growth factor (FGF), leading to cell growth, differentiation, RhoB and Rho regulators migration and chemotaxis (reviewed by Galzie et al. DEX increased RhoB mRNA level by 2·7-fold 1997) and the Fgfr2 gene is expressed during (Table 4). Despite this increase, our results suggest osteogenesis in vivo (Eswarakumar et al. 2002). that overall Rho signaling is probably decreased in However, increased Fgfr2-mediated signaling could DEX-treated cells, because the Rhogef5 mRNA level be detrimental to bone through mechanisms similar was decreased by 2·7-fold and the Rhogap8 mRNA to those operative in patients with Crouzon, Apert level was increased by 3·2-fold. The increase in and Pfeiffer syndromes, who have constitutively Rhogap8 expression was confirmed by RT-PCR active mutant forms of Fgfr2 (Mansukhani et al. (Fig. 4). Rho belongs to the Rho/Rac/Cdc42 2000). family, which regulates the organization of the actin cytoskeleton at focal adhesions, and in Small G proteins and their regulators filipodia and lamellipodia. Therefore, the decrease Of the 91 genes that responded to DEX by in Rho signaling may be related to the morphologi- d2·5-fold, 22 are involved in intracellular signal- cal arrest of DEX-treated MC3T3-E1 cultures in ing, and of these, five are small G proteins or their the so-called cobblestone stage (Fig. 2B). regulators. Small G proteins (also called small GTP binding proteins or small ) are divided into EST C79050 (Cdc42 gef9-like gene) five families: Ras, Rho/Rac/Cdc42, , Sar1/ Unlike the inhibition of Rhogef5, DEX stimulated Arf, and (reviewed by Takai et al. 2001). the expression of a Cdc42 gef9-like gene by 4·6-fold By transducing upstream signals to downstream (Table 4). Thus, whereas Rho and Ras signaling effectors, small G proteins serve as molecular are probably attenuated in DEX-treated cells, switches that regulate processes as diverse as Cdc42-dependent pathways might in fact be cytoskeletal reorganization, intracellular vesicle stimulated. This result is somewhat surprising trafficking, nucleocytoplasmic transport and gene because another Cdc42 gef gene, Fgd1, is specifically expression. In the absence of activating signals, expressed in calcified tissues (Gorski et al. 2000), small G proteins are found in their inactive, where it might contribute to bone cell differentia- GDP-bound form. Upon stimulation, GDP is tion through activation of c-jun N terminal kinase exchanged for GTP, a process controlled by (Zheng et al. 1996). specific guanine exchange factors (GEFs), leading to activation of the downstream effector(s). The signal transduction is terminated by the intrinsic Dexamethasone-responsive genes encoding GTPase activity of the small G proteins, which is metabolic enzymes under the control of specific GTPase activating Prostaglandin-endoperoxide synthase 1 (aka proteins (GAPs). cyclooxygenase 1, Cox1) The two Cox enzymes, Cox1 and Cox2, are p21 Rasgap3 integral membrane proteins which localize pri- DEX increased p21 Rasgap3 mRNA level by marily to the endoplasmic reticulum, and function 2·7-fold (Table 4), which can be expected to inhibit in PG biosynthesis. Cox1 is constitutively expressed Ras signaling and the downstream MAPK and and is thought to be involved in cell signaling and phosphatidylinositol 3-kinase pathways (reviewed tissue homeostasis. Cox2 is expressed in a limited by Takai et al. 2001). As mentioned above, MAPKs number of cell types and is probably responsible for contribute to osteoblast differentiation by support- prostanoid biosynthesis in response to mitogens and ing the actions of BMPs, PTH, PTHrP and Runx2 pro-inflammatory factors (reviewed by Smith et al. (Xiao et al. 2000, Carpio et al. 2001, Miao et al. 1996). The microarray analysis indicated a 2·8-fold 2001, Suzawa et al. 2002). The DEX-mediated DEX-mediated decrease in Cox1 mRNA level inhibition of the MAPK pathway, both via MKP-1 (Table 5), and this result was confirmed by

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Table 5 Metabolic enzyme genes altered by DEX. Data are means±S.E.M. (n=3). Only genes altered by ≥2·5-fold are listed

Fold induction/ Accession Affymetrix repression no. identification Control DEX by DEX Gene Aldehyde dehydrogenase family 1, M74570 100068_at 100±0 578±97 5·8 subfamily A1 Glutamine synthetase U09114 94852_at 158±29 753±164 4·8 Glutamate-cysteine , catalytic subunit U85414 99649_at 269±28 959±62 3·6 Pyruvate dehydrogenase kinase 4 AJ001418 102049_at 718±66 2541±132 3·5 Hydroxysteroid 17- dehydrogenase 11 AA822174 102370_at 930±40 3181±88 3·4 Xanthine dehydrogenase X75129 97950_at 558±95 1898±80 3·4 Galactokinase AV217354 161363_r_at 210±55 595±42 2·8 Ferredoxin reductase D49920 92754_at 376±50 1061±76 2·8 Cytochorome P450, 1b1, benz[a]anthracene X78445 99979_at 1128±346 2871±315 2·5 inducible Carnitine palmitoyltransferase 1, liver AF017175 93320_at 1018±116 395±66 −2·6 Prostaglandin-endoperoxide synthase 1 M34141 95597_at 338±31 123±19 −2·8 (Cox-1) RIKEN cDNA 2610002H19 gene AV069997 162469_at 4556±310 1508±436 −3·0 (cytochrome c-1) Platelet-activating factor acethylhydrolase, U57746 100576_at 828±130 250±36 −3·3 isobform 1b, 1

RT-PCR (Fig. 4). Cox2 mRNA level was decreased and activity in GC-treated cultures of normal by 2·1-fold, less than our 2·5-fold cutoff (Table S2; human osteoblast-like and osteosarcoma cells http://hacialab.usc.edu/supplement/frenkel). Both (Nawata et al. 1995). Ferredoxin reductase, a Cox1 and Cox2 genes are known to be expressed in component of the mitochondrial electron transport osteoblastic cells, in association with osteogenesis chain, is involved in the first step of steroid (Sato et al. 1997), and PGs are known to contribute synthesis. Hydroxysteroid 17- dehydrogenase is to BMP signaling (Chikazu et al. 2002) and bone also expressed in bone cells (Sasano et al. 1997, formation (as well as resorption) (reviewed by Raisz Eyre et al. 1998), where it converts estrone 1999 and by Pilbeam et al. 2002). Thus, produced by Cyp1B1 to estradiol. Given the down-regulation of Cox genes in osteoblasts could well-established anti-apoptotic properties of estro- contribute to the GC-mediated inhibition of gens in osteoblasts (Gohel et al. 1999, Manolagas osteoblast function and bone formation. et al. 2002), the putative stimulation of estradiol synthesis may help explain the unexpected Steroidogenic enzymes inhibition of apoptosis in GC-treated osteoblast cultures (Fig. 2G–J and Zalavras et al. 2003). In DEX induced the expression of three genes addition, GC-induced estradiol synthesis may involved in the synthesis of steroid hormones: contribute to the attenuation of bone resorption cytochrome P450 1b1 (2·6-fold), Ferredoxin reductase and the low bone turnover seen after long-term GC (2·8-fold), and Hydroxysteroid 17- dehydrogenase 11 treatment. (3·4-fold), (Table 5). Cytochrome P450 1b1 (Cyp1B1) is involved in the metabolism of diverse substrates including steroids, fatty acids and Additional genes altered by DEX xenobiotics. The gene is broadly expressed in bone (Sasano et al. 1997, Eyre et al. 1998), where it is FK506 binding protein 5 (aka Fkbp51) responsible for the local production of estrogens The transcript encoding Fkbp51 was induced (Nawata et al. 1995). The up-regulation of Cyp1B1 is 7·0-fold after DEX treatment, and this result was consistent with the reported increase in its mRNA confirmed by RT-PCR (Fig. 4). Fkbp51 is a www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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member of the immunophilin and is and Dan. DEX could also have inhibited BMP involved in protein folding and trafficking, includ- action through parallel pathways known to interact ing the nuclear transport of the GC receptor with BMP signaling. For example, DEX increased following ligand binding (Davies et al. 2002). Fkbp51 the expression of the genes encoding p21 Rasgap3 mRNA is abundant in T cells and thymus, and and the PTPs Ptpn16 and RptpD. These effects increases during GC-induced apoptosis of murine probably result in the inhibition of the MAPK thymoma cells (Baughman et al. 1995). The gene pathway, which is known to synergize with product also selectively accumulates during adipo- Smad-mediated BMP signaling and to transmit genesis (Yeh et al. 1995). Noteworthy, the decrease Smad-independent signals (Lou et al. 2000, Gallea in bone volume in GC-induced osteoporosis is et al. 2001, Lai & Cheng 2002, Suzawa et al. 2002, accompanied by increased marrow fat (Meunier Hassel et al. 2003). In addition, the DEX-induced et al. 1971, Burkhardt et al. 1987, Nuttall & Gimble decrease in Cox mRNA levels can be expected to 2000). Thus, the increase in Fkbp51 mRNA level inhibit BMP signaling because PGs, the products of may reflect a GC-induced switch from an osteo- Cox activity, support BMP action (Chikazu et al. blastic to an adipocytic phenotype (Wang et al. 2002). Evidence for abrogated BMP signaling in 1977, Nuttall et al. 1998). the GC-treated cultures is provided by the 5·8-fold decreased expression of Tieg, a BMP-responsive gene (Hefferan et al. 2000). Discussion Along with the alterations that may contribute to osteoblast dysfunction, the expression of several This study provides an extensive profile of the genes was inconsistent with the overall adverse effect alterations in gene expression that occur when GCs of GCs. For example, DEX stimulated the expres- block the progression of MC3T3-E1 osteoblast sion of genes involved in the synthesis of estrogens, cultures through a commitment stage around the known to promote osteoblast differentiation and time of confluency. While some of the disclosed preserve bone mass (Qu et al. 1998, Gohel et al. 1999, genes have previously been described as GC- Manolagas et al. 2002). Cyr61, an extracellular responsive (e.g. Mmp13, Serum/GC-regulated kinase, matrix-associated protein that promotes cell pro- Tieg, Fkbp51), the response of many others, such as liferation (Kireeva et al. 1996), was also induced by Krox20/Egr2, Thrombospondin 1 and 2, and Follistatin, DEX, as was Bsp, a late marker for osteoblast is described here for the first time. Based on these differentiation (Mintz et al. 1993, Zhou et al. 1995). data, several potential mechanisms by which GCs Indeed, GCs can either stimulate or suppress impair osteoblast function and induce osteoporosis osteoblast function in vitro, depending on their con- can be proposed. centration, the specific culture system and the The strong repression of Krox20/Egr2 in GC- administration protocol. We performed our micro- treated cells, shown here at both the mRNA and array analysis under conditions where the adverse protein levels, most likely contributes to GC- effects apparently override the stimulatory ones. induced osteoporosis, because Krox20 gene ablation This study employed a cell line, MC3T3-E1, a in the mouse leads to osteoblast insufficiency and novel culture system in which GCs inhibit bone loss (Levi et al. 1996). Decreased Krox20 commitment to the ultimate osteoblast phenotype, mRNA levels could result in decreased collagen i.e. elaboration of mineralized extracellular matrix. synthesis (Galera et al. 1996) and may also This inhibitory effect is associated with alterations contribute to the observed increase in the mRNA in pathways, which critically contribute to bone for Follistatin, a BMP antagonist negatively health in vivo, including the Wnt (Smith et al. 2002) regulated by Krox20 (Seitanidou et al. 1997). and the BMP signaling pathways (Luppen et al. BMP signaling plays a key role in regulating 2003b). Furthermore, some GC-responsive genes bone mass and skeletal integrity (Styrkarsdottir et al. identified in the present study (e.g. Krox 20/Egr2 2003). Taken together, a number of changes and thrombospondin 2) have been directly linked to observed following DEX treatment can be bone health in vivo. However, extrapolation of expected to ultimately inhibit BMP signaling. Most observations made in the MC3T3-E1 cell line to directly, DEX increased the expression of genes GC-induced osteoporosis will require careful encoding the secreted BMP antagonists, Follistatin studies with other osteoblast culture systems,

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Downloaded from Bioscientifica.com at 09/25/2021 08:14:17PM via free access Microarray analysis of DEX-treated osteoblasts · N LECLERC and others 189 animal models and/or human bone biopsies, which Two of the most attractive potential mechanisms will have to demonstrate, for example, similar emerging from this study are the suppression alterations in gene expression in vivo and a role for of Krox20/Egr2 and the abrogation of BMP these alterations in mediating the adverse effects of signaling. GCs on bone mass and quality. Analysis of gene expression using microarrays suffers a number of inherent limitations. First, by Supplemental material setting our cutoff to a 2·5-fold change, we filtered out some smaller, yet possibly important effects. Supplemental material, including the complete set Such appears to be the case for the mRNAs of raw microarray data and the list of the 91 genes encoding the type I collagen chains, which were most responsive to DEX, is available online at down-regulated by only 1·7- to 1·9-fold in the http://hacialab.usc.edu/supplement/frenkel. DEX-treated cultures. A second obvious limitation is that the microarray analysis is confined to the RNA level. This limitation too is well demonstrated Acknowledgements by the inhibition of type I collagen gene expression, which reaches a factor of 4- to 10-fold when The authors thank Dr Jack Turman (University of measured in the same cultures at the protein level Southern California) for generously providing the (Luppen et al. 2003b). Thirdly, we only reported Krox20 antibodies. The authors are also grateful robust effects (d2·5-fold, P^0·05) for genes whose to Vijaya Rao, Sara Martinez and Jack Chen for expression levels were above a predetermined their contribution to the calcium assays and the threshold (see Materials and methods). Along with RT-PCR analyses. This study was supported by many potentially misleading differences within the grants from the National Institutes of Health noise range, this approach could have filtered out (AR47052), the Arthritis Foundation (Atlanta, GA, important effects of DEX on rare transcripts. USA) and the Robert E and May R Wright Our RT-PCR analyses generally confirmed the Foundation (Los Angeles, CA, USA). N L is the microarray results. Most of the primers used for recipient of an Arthritis Foundation postdoctoral RT-PCR amplified protein-coding sequences training grant. spanning adjacent exons, in order to disclose poss- ible contamination of the cDNA-derived signal by amplification of genomic DNA. In contrast, the References sequences represented on the microarrays usually interrogate the 3-UTRs of mRNAs. The general Alessi DR, SmytheC&Keyse SM 1993 The human CL100 gene encodes a Tyr/Thr- which potently and agreement between the microarray and the RT- specifically inactivates MAP kinase and suppresses its activation by PCR results, despite the difference in sequences oncogenic ras in Xenopus oocyte extracts. Oncogene 8 2015–2020. targeted by the two methods, increases our confi- Asano H, Li XS & Stamatoyannopoulos G 2000 FKLF-2: a novel Kruppel-like transcriptional factor that activates globin and other dence in the disclosed effects of DEX. However, the erythroid lineage genes. Blood 95 3578–3584. difference between the sequences targeted by the Baughman G, Wiederrecht GJ, Campbell NF, Martin MM & microarray versus the RT-PCR analysis can lead to Bourgeois S 1995 FKBP51, a novel T-cell-specific immunophilin capable of inhibition. Molecular Cell Biology 15 disagreement between the two methods in cases 4395–4402. where DEX affects, for example, alternative poly- Beckmann AM & Wilce PA 1997 Egr transcription factors in the adenylation or alternative splicing. This could have nervous system. Neurochemistry International 31 477–510. Bellows CG, Aubin JE & Heersche JN 1987 Physiological been the case for four of the twenty genes tested, concentrations of glucocorticoids stimulate formation of bone where the RT-PCR results were different from nodules from isolated rat calvaria cells in vitro. Endocrinology 121 those of the microarray analysis. These four genes 1985–1992. Bollen M, Gijsbers R, Ceulemans H, Stalmans W & Stefan C 2000 are denoted by asterisks in Table S1 (http:// Nucleotide / on the move. hacialab.usc.edu/supplement/frenkel). Critical Reviews in Biochemistry and Molecular Biology 35 393–432. In summary, we used oligonucleotide microarray Bornstein P 2000 Matricellular proteins: an overview. Matrix Biology analysis to identify DEX-responsive genes in 19 555–556. Bornstein P, Armstrong LC, Hankenson KD, Kyriakides TR & MC3T3-E1 osteoblast cultures and highlight Yang Z 2000 Thrombospondin 2, a matricellular protein with potential mechanisms of GC-induced osteoporosis. diverse functions. Matrix Biology 19 557–568. www.endocrinology.org Journal of Molecular Endocrinology (2004) 33, 175–193

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