Endocrinology Vol. 138, No. 9 3606-3612
Copyright © 1997 by The Endocrine Society
Ascorbic Acid Alters Collagen Integrins in Bone Culture1
Deepica R. Ganta,
Mary-Beth McCarthy and
Gloria A. Gronowicz
Department of Orthopaedics, University of Connecticut Health
Center, Farmington, Connecticut 06032
Address all correspondence and requests for reprints to: Gloria Gronowicz, Department of Orthopaedics MC 1110, University of Connecticut Health Center, Farmington, Connecticut 06030. E-mail:
gronowicz{at}NSO1.uchc.edu
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Abstract
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The effects of ascorbic acid on collagen synthesis, mineralization, and
integrins were investigated in a mineralizing organ culture system
derived from 20-day fetal rat parietal bones. A significant
dose-dependent decrease in calcification at 96 h was demonstrated
with decreasing concentrations of ascorbic acid (1000 µg/ml). No
effect on DNA content, [3H]thymidine incorporation, or
dry weight was found in control (100 µg/ml ascorbic acid) bones
compared with bones treated with decreased ascorbic acid concentrations
(10, 1, and 0 µg/ml). Collagen synthesis, measured by
[3H]proline incorporation, and
1(I) procollagen
messenger RNA levels were also unaffected. However, ascorbic acid
produced a dose-dependent decrease in the hydroxyproline content, with
a maximal 76.8% decrease in bones without ascorbic acid compared with
the control bones with 100 µg/ml ascorbic acid. Light microscopy of
the ascorbic acid-deficient bones revealed a disruption of the
osteoblast layer with misshapen osteoblasts and a decrease in the
osteoid seam. The loss of osteoblast organization was also confirmed by
analyzing the integrins for collagen by Northern and Western blot and
immunofluorescence microscopy. A dose-dependent decrease in
2 and ß1 integrin messenger RNA levels and
in
1,
2, and ß1 protein
were found in 96-h bone cultures deficient in ascorbic acid. These
integrin subunits mediate the binding of osteoblasts to collagen.
Immunofluorescence microscopy also demonstrated a dose-dependent
decrease in
2 and ß1 staining of the
osteoblast layer. However, the protein levels of
3 and
5 subunits were not affected. No ß5 was
detected, whereas only bones cultured without ascorbic acid
demonstrated a small decrease in
v and ß3
protein levels. The
3,
5,
v, and ß3 subunits are involved in cell
binding to extracellular matrix proteins other than collagen. Thus, the
integrins for collagen are down-regulated, probably in response to the
underhydroxylated collagen fibrils, which causes a disruption of
osteoblast organization leading to a decrease in mineralization of
bone. Integrin assays for specific extracellular proteins may be useful
tools in detecting matrix defects in various metabolic bone diseases.
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Introduction
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ASCORBIC acid is important for collagen
synthesis in connective tissue due to its role as a cofactor for
proline hydroxylase and lysine hydroxylase (1, 2), which are involved
in the hydroxylation of collagen. A Na+-dependent
transporter specific for ascorbic acid is present in the plasma
membrane of osteoblasts and is essential for maintenance of
intracellular ascorbate concentrations (3, 4). In limb bud rudiment
bones from 7-day-old chicks, 50100 µg/ml of ascorbic acid was
necessary to produce a maximal increase in dry weight and collagen
content in culture (5). Osteoblast proliferation (6, 7) and alkaline
phosphatase expression (8, 9) were also dependent on ascorbate levels.
Whether ascorbates effect on osteoblast growth and differentiation is
mediated through collagen alone or through other pathways remains to be
determined. One pathway, which was explored in this work, is the
collagen receptors or integrins. In addition, osteoblast
differentiation as mediated by 1,25(OH)2 vitamin
D3, retinoic acid, and bone morphogenic proteins was also
affected by the concentration of ascorbic acid (10, 11, 12, 13). Thus,
ascorbic acid appears to be essential for normal bone formation.
Because integrins are able to transduce signals from the extracellular
matrix to the intracellular compartment and to initiate proliferation
and differentiation through various intracellular signaling pathways
(14), their presence in osteoblasts may be important in regulating
osteoblast function. Integrins have been shown to be involved in many
cellular processes such as development, wound repair, tumor invasion,
and inflammation (15, 16). Integrins are composed of an
ß
heterodimer. Various combinations of the
and ß subunits produce
receptors with different ligand specificities. There are 16 known
subunits and 8 known ß subunits (14, 15). The integrin superfamily
has been shown to use primarily an arginine-glycine-asparate (RGD)
sequence to recognize and bind ligands (15, 16). Thus, RGD peptides are
competitive inhibitors of integrins that bind to these amino acid
sequences in bone matrix proteins such as collagen, fibronectin,
osteopontin, thrombospondin, vitronectin, and bone sialoprotein (17, 18). Puleo and Bizios (19) showed that the tetrapeptide RGDS inhibits
the binding of primary rat osteoblasts to fibronectin (19). The
intracellular domains of integrins are thought to interact directly
with cytoskeletal proteins such as talin and
-actinin (20, 21, 22).
In addition, the interaction of integrins with other intracellular
proteins such as focal adhesion kinase, which binds the
ß1 integrin cytoplasmic tail leading to the formation of
focal adhesion sites (23, 24), initiates a cell signaling cascade that
has been shown to regulate cell proliferation and differentiation
(14).
The integrin subunits
v,
1,
2,
3,
4,
5,
ß5, and ß1 but not ß2 have
been found in human osteoblasts (25 28). The
ß1 subunit, the major ß subunit in bone, is found in
the receptors for collagen, fibronectin, laminin, and vitronectin. The
ß3 subunit is also found in osteoblasts (25, 27, 28).
Each integrin heterodimer mediates the binding of the osteoblast to a
specific ligand or extracellular matrix protein found in bone. For
collagen there are several possible integrin heterodimers for
osteoblast adhesion to collagen;
1ß1,
2ß1,
3ß1, and
vß3. Binding to collagens I, IV, and V has
been shown to involve different integrins (29); however, the
specificity of the collagen receptors in osteoblasts is not known.
Also, little is known about the regulation of osteoblast integrins by
hormones or factors, such as ascorbic acid.
Previous work from our laboratory has shown that hormone and growth
factors regulate the production of extracellular matrix proteins and
their integrins. Glucocorticoids decrease the integrins for collagen
and fibronectin in primary rat osteoblasts, transformed rat osteoblast
cultures (30), and bone organ culture (31) and have been shown to have
similar effects on collagen and fibronectin synthesis (31).
Insulin-like growth factor I stimulated ß1 levels in bone
organ culture (32) and is known to be anabolic for many of the bone
matrix proteins and bone formation. Therefore, we undertook this study
to determine whether a nonhormonal agent, such as ascorbic acid, would
alter the collagen integrin along with collagen synthesis, or whether
integrins could be independently regulated.
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Materials and Methods
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Culture conditions
Fetal 20-day-old parietal bones were isolated from pregnant
Sprague-Dawley rats (Charles River Farms, Wilmington, MA) and cultured
as described previously (33) in Fitton-Jackson-modified BGJb medium
(Gibco BRL, Grand Island, NY) with 0, 1, 10, or 100 µg/ml ascorbic
acid on a rocking platform at 37 C in a 5% CO2 atmosphere.
The medium was supplemented with 1% ITS+ containing 6.25 µg/ml
transferrin, 6.25 ng/ml selenous acid and insulin, 1.25 mg/ml BSA, and
5.35 µg/ml linoleic acid (Collaborative Research, Lexington, MA). The
medium was changed daily.
Dry weight and calcium content
Parietal bones were extracted twice for 30 min with 1 ml 5%
trichloroacetic acid (TCA). Calcium content was measured in the pooled
TCA washes by a colorimetric assay with o-cresolpthalein
complexone (Sigma, St. Louis, MO). The decalcified bones were washed
twice with 1 ml acetone and twice with 1 ml ether, air dried for
24 h, and weighed.
DNA content
The TCA extracted and dried bones were homogenized in 0.5
M acetic acid. The DNA content of the homogenate was
measured according to the fluorimetric method of Kissane and Robbins
(34).
Immunofluorescence
Bones were fixed with 5% paraformaldehyde and 2% sucrose in
0.1 M sodium cacodylate buffer, pH 7.4, for 1.5 h on
ice, washed in 5% sucrose in buffer, and frozen in liquid nitrogen.
Cryostat sections were cut and placed on chrome-alum-treated slides
(0.5% Knox gelatin and 0.05% chromium potassium sulfate
dodecahydrate). Sections were washed once in PBS, incubated with 1%
gelatin in PBS, and treated with a 1:50 dilution of an affinity
purified polyclonal rabbit antibody to the human integrin subunit
ß1 (Chemicon International Inc., Temecula, CA) or a
monoclonal antihuman
2 integrin antibody (Gibco BRL) for
2 h. After rinsing three times with PBS, the sections were
incubated in a 1:300 dilution of rhodamine-conjugated goat antirabbit
IgG (Chemicon) for 1 h. The tissue was visualized with a Nikon
Optiphot fluorescence microscope (Nikon Co., Melville, NY), with 2.5%
n-propyl gallate in 1:1 PBS/glycerol to prevent quenching.
Western blot analysis
Protein was isolated from bones by solubilizing the samples in
RIPA buffer (10 mM Tris-HCl, 150 mM NaCl, 1%
Triton X-100, 0.1% SDS, 1 mM EDTA, pH 7.4) containing the
protease inhibitors 10 µg/ml aprotinin, 2 µg/ml pepstatin, and 2
µg/ml leupeptin (Boehringer Mannheim) and 0.5 mM
phenylmethylsulfonyl fluoride (Sigma). The protein concentration was
determined by using a BCA protein assay kit obtained from Pierce
(Rockford, IL), and 70 µg of protein was boiled in sample buffer
consisting of 2% SDS, 10% glycerol, 60 mM Tris, pH 8.8,
and 0.001% bromophenol blue. The proteins were electrophoresed in SDS
polyacrylamide gels and transferred to polyvinylidine difluoride
(Millipore, Bedford, MA) according to the manufacturers directions.
The membranes were blocked in T-TBS (0.1% Tween 20 in 20
mM Tris-HCl, pH 7.6, 137 mM NaCl) with 5% skim
milk powder. After washing in T-TBS, the blots were incubated with the
appropriate antibody for 2 h at room temperature. Antibodies to
1,
2,
3,
5,
v, ß1, ß3, and
ß5 were obtained from Chemicon. Blots were washed and
incubated with horseradish peroxidase-conjugated secondary antibody
(Pierce), and positive bands were detected using the Pierce
chemiluminescence kit. Blots were also stripped for reprobing with
different primary antibodies by incubating in 100 mM
2-mercaptoethanol, 2% SDS, 62.5 mM Tris, pH 6.8, for 30
min at 50 C. Relative protein levels were determined by densitometry
with the Scan Maker IIsp (Microteck Lab Inc., Redondo Beach, CA) and
Sigma Scan (Jandell Co., San Rafael CA). The densitometry of two-thirds
of each band (entire width and diameter) was measured. From this
densitometric number, the background densitometry of the autoradiograph
from the same region above each band was subtracted. Three scans were
performed on each band, and the SE of the mean was
determined. The densitometric scan of the integrin band from the bones
treated with 100 µg/ml ascorbic acid was arbitrarily set at 100, and
the other values for the integrin bands found in bones treated with
varying concentrations of ascorbic acid were expressed relative to the
100 µg/ml ascorbic acid band. Western blots were performed for each
integrin subunit three times with similar results.
Collagen synthesis
During the last 2 h of the culture period, 10 µCi/ml
[3H]proline (44.5 Ci/mmol) (DuPont Co., Boston, MA) was
added to each bone. After labeling, the bones were extracted and dried
as described above and homogenized in 0.5 N NaOH. To determine the
incorporation of [3H]proline into collagen, the bone
homogenates were digested with purified bacterial collagenase according
to the method of Peterkofsky and Diegelmann (35). The percentage of
collagen being synthesized was corrected for the relative abundance of
proline in collagen-digestible protein (CDP) and noncollagen proteins
(NCP) (36). Bones were also labeled with 10 µCi/ml
[3H]proline for 4 h at 20 h of culture.
Tritiated proline was measured in the medium after each daily change of
medium until 96 h to determine whether newly synthesized collagen
was being released from the extracellular matrix due to degradation or
changes in collagen fibril formation.
Thymidine incorporation
During the last 2 h of the culture period, 10 µCi/ml
methyl[3H]thymidine (DuPont) was added to each bone. At
the end of the culture period, bones were extracted, dried, homogenized
in tissue solubilizer (Soluene, Packard, Meriden, CT), and counted in a
scintillation counter.
Northern blot analysis
RNA was obtained from 1012 parietal bones by using the
thiocynate-phenol chloroform extraction method of Chomczynski and
Sacchi (37). RNA was denatured, eletrophoresed through 0.8% agarose
containing 2.2 M formaldehyde, and transferred to a nylon
membrane in 10x SCC via Posiblot (Stratagene, La Jolla, CA). The bound
RNA was immobilized in an UV Stratalinker (Stratagene), prehybridized,
and then hybridized in 50% formamide, 5x SSC, 0.1% SDS, 0.1
M NaPO4, 5x Denhardts solution, and 100 µg
salmon sperm DNA/ml at 42 C. The human ß1,
2, and
3 complementary DNA (cDNA) inserts
were obtained from Telios Pharmaceuticals (Gibco BRL). The
1(I)
procollagen cDNA probe was obtained from Dr. Barbara Kream (38). The
actin probe was generously given to us by Dr. Don Cleveland. These
probes were labeled with [32]deoxy-GTP using random
primer nucleotides (39). The filter was washed with 2x SCC/1% SDS at
65 C and exposed to Kodak XAR-5 film (Eastman Kodak, Rochester, NY) at
-20 C. Relative hybridization levels were determined by densitometry.
Each band was normalized to the actin band to correct for any loading
discrepancies. The
2 and
3 human cDNA
probe had difficulty hybridizing with the rat messenger RNA (mRNA), and
the film required long exposure times. This may be due to poor homology
in sequence between human and rat integrin subunits. The
1 and
5 human cDNA probes were unable to
hybridize with rat RNA.
Statistical analyses
Data were analyzed using a nonparametric one-way ANOVA, followed
by Students, Neuman-Keuls test to determine significance between
groups.
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Results
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During 96 h of culture, 20-day-old fetal parietal bones
demonstrated significant growth. These control bones were cultured with
100 µg/ml ascorbic acid. The bones displayed a 2.0-fold increase in
calcium content from 9 ± 1 µg to 18 ± 1 µg, and a
1.6-fold increase in dry weight from 137 ± 7 µg at 0 time to
216 ± 13 µg at 96 h. Decreasing the concentration of
ascorbic acid to 10, 1, or 0 µg/ml had no significant effect on dry
weight, DNA content, or thymidine incorporation at 96 h (Table 1
). Ascorbic acid did not affect calcium
content of the bones cultured for 24 h (Fig. 1
). However, at 96 h, calcium
content decreased by approximately 35% with 1 µg/ml and 0 µg/ml
ascorbic acid in comparison with bones treated with 100 µg/ml
ascorbic acid (Fig. 1
) (P < 0.01).
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Table 1. Effect of ascorbic acid on dry weight, DNA, and
thymidine content in 20-day-old fetal rat parietal bones for 96 h
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Figure 1. Effect of varying concentrations of ascorbic acid
on calcium content in 20-day-old fetal rat parietal bones. Bones
cultured for 24 h with 0, 1, 10, and 100 µg/ml ascorbic acid
showed no significant difference in calcium content. At 96 h,
calcium content was significantly decreased with 0 and 1 µg/ml
ascorbic acid compared with control bones treated with 100 µg/ml
ascorbic acid. Three experiments with a total of 1415 bones per
group. Bars, Mean ± SEM; *,
P < 0.01 compared with 100 µg/ml at 96 h.
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Light microscopic examination of parietal bones cultured for 96 h
with 100 µg/ml ascorbic acid showed a contiguous layer of osteoblasts
along osteoid and a smoothly contoured mineralized matrix (Fig. 2A
). Bones treated with lower
concentrations of ascorbic acid, 10 µg/ml, 1 µg/ml, and 0 µg/ml
ascorbic acid (Fig. 2B
, C, and D, respectively) demonstrated misshapen
and disorganized preosteoblasts and osteoblasts. In bones treated with
1 and 0 µg/ml ascorbic acid, the mineralized matrix was unevenly
contoured, and the osteoid seam was narrow and discontinous compared
with the control bones.

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Figure 2. Light microscopy of bones treated for 96 h
with 100 (A), 10 (B), 1 (C), and 0 (D) µg/ml ascorbic acid.
Arrows in B, C, and D show osteoblasts, located along
osteoid seam overlying mineralized matrix, which are swollen and
discontiguous in comparison with osteoblasts in control bone (A). In
addition, the mineralizing front is uneven in bones treated with 1
µg/ml (C) and 0 µg/ml (D) ascorbic acid. Magnification, x250;
bar, 20 µm.
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No significant differences in the percent collagen synthesized, as
determined by [3H]proline incorporation into CDP or NCP,
was found between groups treated with varying concentrations of
ascorbic acid for 24 h (not shown) and 96 h (Table 2
). No differences in CDP and NCP were
apparent. For assaying [3H]proline release into the
medium, bones were pulsed in the last 4 h of a 24-h period of
culture with varying concentrations of ascorbic acid. New medium was
added, and the bones were cultured for an additional 72 h for a
total of 96 h with a daily change of medium. The amount of
[3H]proline in the daily medium did not differ between
groups (data not shown), suggesting that there was no increased release
of collagen or its fragments into the medium.
Northern analysis of
1(I) procollagen mRNA at 96 h was also
unaffected by varying concentrations of ascorbic acid (Fig. 3
, top lane). Therefore, both mRNA and
protein levels of type I collagen were not changed. However, the
hydroxyproline content of the bone was 76.8% less for bones cultured
without ascorbic acid and 50.0% less for bones treated with 1 µg/ml
ascorbic acid in comparison with the control group (100 µg/ml
ascorbic acid) (Fig. 4
). These results
reveal that collagen synthesis continued at the same level, but the
collagen produced was substantially underhydroxylated in bones without
ascorbate.

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Figure 4. Hydroxyproline content of bones cultured for 24
and 96 h with 100, 10, 1, and 0 µg/ml ascorbic acid.
Hydroxyproline content of bones treated with varying concentrations of
ascorbic acid for 24 h was unchanged. Bones cultured for 96 h
with 0, 1, and 10 µg/ml ascorbic acid showed a significant decrease
in comparison to control bones treated with 100 µg/ml ascorbic acid.
Two experiments with a total of 12 bones. Bars,
Mean ± SEM; *, P < 0.01 compared
with 0 µg/ml at 96 h.
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Next, we studied the effect of ascorbic acid deficiency on the message
levels of receptors for collagen on osteoblasts at 96 h.
2ß1 is a major collagen integrin in bone,
but it can also bind laminin (15). Northern blot analysis demonstrated
a dose-dependent decrease in
2 and ß1 mRNA
levels (Fig. 3
). There was a 74.6% and 96.4% decrease in
2 and ß1, respectively, in bones cultured
without ascorbic acid. No effect on the
3 subunit was
found. The integrin
3ß1 binds collagen,
laminin, and fibronectin (15). Other integrins such as
1ß1 bind collagen and laminin,
5ß1 binds fibronectin, and
vß1 binds vitronectin and fibronectin.
However,
1,
5, and
v mRNA
could not be studied due to the lack of specific rat probes and the
inability of the human probes to hybridize with rat mRNA.
To be able to assay for more integrin subunits in bone and examine
integrin protein levels, Western blot analysis was performed on bones
cultured for 96 h with varying concentrations of ascorbic acid
(Fig. 5
). The relative density of each
integrin subunit was plotted and compared with control bones treated
with 100 µg/ml ascorbic acid, which was arbitrarily set at 100. The
Western blots demonstrated a significant, dose-dependent decrease in
1,
2, and ß1 protein in
parietal bones cultured with varying concentrations of ascorbate. The
3 and
5 integrin subunits were not
significantly affected by ascorbic acid. The
v and
ß3 subunits were slightly decreased in bones cultured
without ascorbic acid, whereas no ß5 was detected in
fetal rat parietal bones.

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Figure 5. Western blots of integrin subunits from bones
treated with 0, 1, 10, and 100 µg/ml ascorbic acid for 96 h (A)
and their relative densities (B). Three experiments.
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Immunofluorescence staining of the bone confirmed the
concentration-dependent decrease in
2 and
ß1 integrin subunits at 96 h of culture (Fig. 6
). In control bones, staining for both
subunits was found primarily in the osteoblast layer overlying the bone
(Figs. 6A
and C). Weak ß1 staining was also seen in the
cells of the periosteum (Fig. 6A
). Immunofluorescent labeling of
ß1 and
2 was markedly diminished in a
dose-dependent manner in bones treated with 0, 1, and 10 µg/ml
ascorbic acid in comparison with the control bones with 100 µg/ml
ascorbic acid. Only bones treated with 1 and 100 µg/ml ascorbic acid
are illustrated in Fig. 6
. The control bones incubated with nonimmune
serum showed little or no staining (Fig. 6E
).
 |
Discussion
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In fetal rat parietal bones, ascorbic acid deficiency inhibited
calcification, but did not affect type I collagen message or protein
levels at 96 h. However, collagen was significantly
underhydroxylated in bones treated with 0, 1, and 10 µg/ml ascorbic
acid compared with control bones with 100 µg/ml. Light microscopic
examination of the bones deficient in ascorbic acid demonstrated an
irregular-shaped mineralizing front with a disrupted layer of misshapen
osteoblasts. Integrins, which are involved in cell signaling and
attachment to the extracellular matrix, were down-regulated in a
dose-dependent manner in ascorbic acid-deficient bones. Specifically,
the protein levels of the integrin subunits that form the collagen
receptors,
1ß1 and
2ß1, were decreased, whereas
3,
5, and
v were not
significantly affected. Message levels for the integrin subunits
2 and ß1 were also inhibited with no
change in
3 mRNA levels.
Changes in message and protein levels of the collagen integrins
preceded any changes in collagen synthesis. These data suggest that
integrin synthesis is regulated independently of the synthesis of their
attachment proteins. Instead, integrin synthesis may be modulated by
engagement of the integrin with its substrate. In bone culture, the
integrins involved in binding collagen and not other matrix proteins,
were down-regulated, which demonstrates the specificity of integrin
function and regulation. If integrins are able to respond rapidly and
specifically to a change in the organization of the matrix, then they
may be a useful therapeutic tool to detect alterations in matrix
structure in metabolic bone diseases, such as osteogenesis imperfecta.
Mutations in pro
1 and pro
2 chains of type I collagen have been
shown to cause osteogenesis imperfecta (40, 41), however, the integrins
for collagen have not been studied in these patients.
The decrease in calcification associated with ascorbic acid deficiency
in our system may be attributed to the improper formation of collagen
fibrils, which may directly decrease the ability of the matrix to
calcify, and/or may be due to an effect on integrin expression, which
affects osteoblast function, leading to the decrease in mineralization.
Ascorbic acid is necessary for the hydroxylation of collagen, and the
presence of hydroxyproline is essential to stabilize the triple helix
of two
1 and one
2 chains to form collagen fibrils. Because type
I collagen accounts for approximately 90% of the organic matrix of
bone, defects in collagen synthesis or assembly profoundly affect the
structure of bone. There are a large number of matrix proteins that
bind collagen such as decorin, osteonectin, fibronectin,
thrombospondin, type V collagen, and vitronectin, among others, and
therefore, the improper assembly of collagen fibrils may lead to the
inability of some of these proteins to bind collagen and to nucleate
hydroxyapatite deposition (42). Interestingly, the
vß3 that binds the bone matrix protein
osteopontin was the only other integrin, besides the collagen
integrins, that was decreased. (The
vß3
also binds fibrinogen, von Willebrand factor, and vitronectin.)
However,
vß3 was decreased only in bones
cultured without ascorbic acid. Osteopontin has been shown by
immunogold electron microscopy to be extensively associated with
collagen fibrils (43). Therefore, perhaps the underhydroxylated
collagen fibrils are also defective in their ability to interact with
other extracellular matrix proteins such as osteopontin, which leads to
a decrease in calcification. The underhydroxylated collagen molecules
appeared to have been maintained in the matrix, because there was no
increase in [3H]proline labeling in the supernatant of
the bone cultures nor a decrease in [3H]proline labeling
of the cell layer.
Osteoblast activity may also be impaired by ascorbic acid deficiency
due to the accumulation of nonhelical, underhydroxylated procollagen in
their rough endoplasmic reticulum, as has been found in chondrocytes
(44). The accumulation of underhydroxylated procollagen within cells
may affect the osteoblasts ability to secrete bone matrix proteins
and to synthesize and process other proteins essential for osteoblast
function. However, collagen continued to be synthesized at the same
rate in bones with decreased ascorbic acid levels compared with bones
with 100 µg/ml ascorbic acid.
Finally, the defective collagen fibrils may not be recognized by the
integrins on the surface of the osteoblast due to conformational
changes in collagen. Precedence for this hypothesis is found in studies
in which the triple helical structure of collagen VI appeared to be
important for adhesion of various cell lines (29). The amount of
2 integrins on MG-63 and HOS cells also affected the
ability of the cells to contract collagen gels (45), whereas
1ß1 has been shown to mediate collagen
matrix reorganization by myofibroblasts after injury (46). Thus,
integrins on osteoblasts may be unable to bind to the underhydroxylated
collagen and are down-regulated, leading to a loss of cell adhesion and
osteoblast organization. Because osteoblast secretion of bone matrix
proteins is polarized, the loss of osteoblast organization may lead to
disorganized matrix assembly and decreased bone formation.
Unfortunately, there is no information on how the disruption of
physical integrity of collagen fibrils by the formation of
underhydroxylated type I collagen may modify integrin binding and
expression. Integrin function appears to be essential for bone
formation, as shown by experiments in which synthetic peptides
containing a RGD sequence, competitive inhibitors of integrins, were
able to inhibit mineralization in fetal rat bone cultures (47). The
control, inactive RAD peptide, had no effect on calcification.
Interestingly, osteoblast organization was disrupted and collagen
synthesis was not affected, similar to our findings with decreased
concentrations of ascorbic acid.
The effect of ascorbic acid on extracellular matrix proteins and their
receptors along with an effect on alkaline phosphatase levels (8, 9)
and cell proliferation (6, 7) in bone cell cultures, has led to the
hypothesis that there is a matrix-generated signal that is dependent on
collagen organization and the presence of ascorbic acid (8, 9). Without
these signals, or with inappropriate signals, the subsequent induction
of osteoblast differentiation and calcification may be impaired,
leading to a disruption of the osteoblast layer and a decrease in
mineralization, as was found in this bone organ culture system and in
swine in vivo with ascorbic acid deficiency (48). In swine,
ossification was not only deranged but also there were fewer
osteoblasts and a loosening of the periosteum from the cortex, which
suggests defective integrin function, because integrins maintain tissue
integrity. In addition to ascorbic acids effect on osteoblasts, it
may also affect other cells in bone. Immunofluorescence microscopy of
2ß1 was not only seen in the osteoblast
layer but also in the periosteum. Thus, a decrease in
2ß1 in other cells may affect their
function. With prolonged ascorbic acid deficiency, collagen protein
levels are inhibited, which would further impair bone formation (49, 50). Thus, ascorbic acid is essential for normal bone formation due to
its effects on collagen hydroxylation and integrins for collagen.
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Footnotes
|
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1 This work was supported by a high school research fellowship from the
American Heart Association Connecticut Affiliate, Inc. (to D.F.G.) and
a NIH Grant AR42367 from the National Institute of Arthritis and
Musculoskeletal and Skin Diseases (to G.G.). 
Received March 10, 1997.
 |
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