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Department of Bioengineering, University of California, San Diego, La Jolla, California 92093-0412
Address all correspondence and requests for reprints to: Dr. John A. Frangos, Department of Bioengineering, University of California, San Diego, La Jolla, California 92093-0412.
| Abstract |
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| Introduction |
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It has become increasingly evident that a significant and rapid flow of fluid occurs through the interstitial spaces of bone (2). Using markers such as colloidal thorium dioxide (3), horseradish peroxidase (4), and ferritin (5, 6, 7), it has been demonstrated that interstitial fluid (ISF) flow is driven from the endosteum toward the periosteal surface in cortical bone. ISF flow is driven by both the hydrostatic pressure gradient across the cortex, as well as skeletal loading (8, 9). Theoretical calculations based on these flow measurements suggest shear stresses on the order of 830 dynes/cm2 within the cortical bone (10).
Changes in flow may be responsible for the induction of bone formation in regions of elevated fluid pressure due to fluid shifts and hypertension (6, 11). These observations are notable in that the localized remodeling is independent of mechanical loading. We have hypothesized that ISF flow mediates both local and systemic bone homeostasis by stimulating the release of autocrine/paracrine factors that alter the dynamic balance between osteoblast and osteoclast activity. In cultured osteoblasts, we have demonstrated that fluid flow increases levels of intracellular cAMP and IP3 and increases production of NO and PGE2 (12, 13, 14, 15).
In vivo, PG production mediates load-induced bone remodeling by both increasing the number of progenitor and osteoblast cells and by inhibiting osteoclast activity (9, 16, 17, 18). Furthermore, PGE2 synthesis itself may mediate mechanical loading-induced remodeling (16). It is likely, therefore, that PG production represents an early event in the flow-induced signal transduction pathway for osteoblasts.
In the present study, we examined the initial events by which fluid flow induces PG production in osteoblasts. Using a series of inhibitors, activators and calcium chelators, we evaluated the cellular signaling pathways necessary for PGE2 production in flow-stimulated osteoblasts.
The results presented here suggest that the flow-induced production of PGE2 is mediated by G proteins. The majority of the G proteins involved in PGE2 production were pertussis toxin-sensitive. In addition, chelation of extracellular or intracellular calcium also decreased PGE2 production in flow-stimulated osteoblasts, suggesting a role for calcium in this signal transduction cascade.
| Materials and Methods |
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Osteoblasts grown to confluence on slides were subjected to fluid flow in a flow chamber as described earlier (20). Parallel-plate flow chambers with 250-µm gap widths were perfused by constant pressure head, steady flow loops. Total cell perfusate volume was approximately 15 ml. Cells were exposed to a defined shear stress of 24 dynes/cm2 for 6 h. This level of shear has been shown to elicit a large increase in PGE2 production (12), and is in the predicted physiological range (10).
Slides were rinsed with HBSS and incubated in complete media with or without: GDPßS (Sigma Chemical Co., St. Louis, MO), 100 µM, 24 h; pertussis toxin (Sigma), 1 µg/ml, 1 h; EGTA (Sigma), 2 mM, 30 min.; and quin 2/AM (Calbiochem, San Diego, CA), 30 µM, 30 min. Osteoblasts were then subjected to flow. The perfusion media consisted of M199 (Sigma) supplemented with 10% fetal bovine serum (Hyclone Laboratories, Logan, Utah), 1% penicillin/streptomycin (Sigma), and 1% glutamine (Sigma) plus appropriate concentration of inhibitor or vehicle, except for quin 2/AM which was not present in the perfusion media. ATP free M199 was obtained from GIBCO. Cell viability was verified by trypan blue staining for each chemical treatment. In all cases, viability was greater than 98%.
Stationary controls were maintained in petri dishes and given fresh media in a manner identical to the positive treatments. We have shown previously that sham loading of the flow loop does not significantly stimulate the cells as measured by NO or cGMP production (21).
PGE2 determination
One milliliter cell perfusate samples were taken from the flow
system in intervals ranging from 5 min to 1 h for up to 6 h.
An equal volume of fresh media were returned to the system, so that the
total volume was constant. The media samples were assayed for
PGE2 by RIA. The assay buffer consisted of 100
mM NaCl, 10 mM disodium phosphate, 0.5
mM EDTA, and 0.15% BSA (all from Sigma). Rabbit
anti-PGE2 polyclonal antiserum was obtained from Chemicon
(Temecula, CA). Tritiated PGE2 was from New England Nuclear
(Boston, MA). At the end of each experiment, the cell layer was scraped
into 3 ml of 4 mM EDTA solution, and the total cellular
protein was measured using a modified Lowry method (Sigma kit no.
5656). By assaying the levels of PGE2 in the perfusate over
a period of 6 h and taking into account the PGE2
removed during sampling, cumulative PGE2 production as a
function of time was determined (20). Production rates were normalized
by the total protein on each slide.
Statistics
The slope of the cumulative production curve represents the
PGE2 production rate. Slopes for long term production (06
h) were calculated by linear regression of all time points for each
trial (14 (n = 2) or 21 (n = 3) points in regression). Short
term (02 h) production rates were calculated by linear regression of
3 data points for each trial (6 or 9 points in regression). Note that
n = 2 for all conditions except pertussis toxin, where n = 3.
Error represents standard error of regression coefficients (22).
Data for each experiment was regressed according to the following
formula (23):
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If ß(flow) = 0, flow did not stimulate PGE2 production.
If ß(flow, GDPßS) = 0, GDPßS did not affect flow-induced
PGE2 production. If ß(flow, GDPßS) was not equal to
zero, then the significance is determined by Students t
test where:
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| Results |
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Preincubation in 1 µg/ml PTX, a Gi/Go
inhibitor, for 1 h partially inhibited the long term (06 h)
flow-induced PGE2 production 72 ± 6% (Fig. 3
and
Table 1
). Longer preincubations with PTX (24 h) gave similar results
(data not shown).
Calcium chelation
The shear stress signal transduction mechanism of osteoblasts was
further examined to determine the role of calcium in flow-induced
PGE2 production. Chelating extracellular calcium with EGTA
(2 mM) significantly attenuated the increase in
PGE2 production (83 ± 7%). Likewise, chelating
intracellular calcium with quin 2/AM (30 µM, 30 min
preincubation only) decreased the production of flow-induced
PGE2 by 65 ± 8% (Table 1
).
Mass transfer
Osteoblasts were exposed to flow in the absence of ATP to
determine what role, if any, the mass transfer of ATP plays in the
mechanism of flow stimulation. Osteoblasts exposed to flow in the
presence of ATP produced 5585 ± 350 pg PGE2/mg
protein·h which was statistically equivalent to the 5750 ± 620
pg PGE2/mg protein·h produced in the absence of ATP.
Likewise, PGE2 production in stationary cultures was
unaffected by the presence or absence of ATP.
| Discussion |
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The near total inhibition of shear-induced PGE2 stimulation by GDPßS shows that a G protein-dependent pathway mediated flow responses. More specifically, PTX-sensitive G proteins appear to be responsible for the majority of the flow-induced prostaglandin production in osteoblasts. Similar findings were reported for flow-induced PGI2 production in endothelial cells (28).
In osteoblasts, changes in intracellular calcium have been associated with PTH, vitamin D metabolites, PGE2, and endothelin-1 stimulation (28, 29, 30, 31, 32). Calcium can either be released from intracellular stores or obtained from the extracellular media. This study suggests that calcium from both pools is necessary for flow-induced PGE2 production. It is likely, however, that quin2 also chelates calcium of extracellular origin which has diffused into the osteoblasts. This calcium dependence is similar to thrombin-induced PGE2 synthesis (33). Chelating either intracellular or extracellular calcium stores significantly blocked PGE2 stimulation (65 ± 8% and 83 ± 7% respectively). The large degree of inhibition by extracellular calcium chelation and the G protein dependence of the flow responses suggests that G proteins may directly activate calcium ion channels. Alternatively, the observed effect can be due to decreases in intracellular calcium associated with a net efflux upon extracellular chelation. Intracellular calcium is likely to act as a cofactor for the activation of phospholipase A2 and diacylglycerol lipase.
Flow may influence osteoblast function through shear stress, streaming potentials, or enhanced mass transfer of a regulatory substance(s). In endothelial cells, some responses to flow appear to be dependent on the presence of ATP in the flow media (34, 35). This implies that flow is not directly stimulating the cells but is merely enhancing the mass transfer of ATP to the cell surface. It has been hypothesized that in the presence of exogenous ATP, flow may stimulate cells by increasing the ATP levels near the cell membrane thus overcoming local degradation by ectonucleases (34, 35). We show, however, that flow-induced production of PGE2 was not related to the presence or absence of ATP in the flow media. This suggests that flow-induced PGE2 production is stimulated by mechanical forces rather than increased mass transfer of ATP. Moreover, we have previously shown that the flow-induced production of cAMP in osteoblasts was mediated by shear stress and not mass transfer (13).
Flow-stimulated PGE2 production was consistently marked by a biphasic response. At approximately 2 h after the initiation of fluid flow, production rates increased 2- to 3-fold above the short term (02 h) production rate. we have shown previously that the biosynthetic machinery necessary to produce PGE2 is upregulated by flow within 2 h (36). This biphasic response is consistent with cyclooxygenase induction (37). Taken together, this suggests that flow-stimulated AA release and not cyclooxygenase induction is the rate limiting step in flow-induced PGE2 production.
It is increasingly evident that fluid flow plays an important physiological and pathological role in bone maintenance and remodeling. We have proposed that fluid flow, induced by either mechanical loading or vascular pressure gradients across the cortex, stimulates second messengers that can selectively alter the balance between osteoblast and osteoclast activity.
From the pharmacological data presented here, it is possible to
delineate the probable events leading to flow-induced PG production. We
propose that fluid flow activates (directly or indirectly) G proteins
and causes changes in intracellular calcium levels either by release
from intracellular stores or by calcium influx. Arachidonate, which is
liberated via phospholipases, is then metabolized to PGE2
(Fig. 4
).
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| Acknowledgments |
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| Footnotes |
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Received August 19, 1996.
| References |
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