Endocrinology Vol. 141, No. 1 264-273
Copyright © 2000 by The Endocrine Society
Effects of CTGF/Hcs24, a Product of a Hypertrophic Chondrocyte-Specific Gene, on the Proliferation and Differentiation of Chondrocytes in Culture1
Tohru Nakanishi,
Takashi Nishida,
Tsuyoshi Shimo2,
Kappei Kobayashi,
Toshikazu Kubo,
Takuya Tamatani,
Katsunari Tezuka and
Masaharu Takigawa
Department of Biochemistry and Molecular Dentistry (T.N., T.N.,
T.S., M.T.) and Biodental Research Center (T.N., T.N., M.T.), Okayama
University Dental School, Okayama 700-8525; Departments of Orthopedic
Surgery (T.K.) and Microbiology (K.K.), Kyoto Prefectural University of
Medicine, Kyoto 602-8566; and Pharmaceutical Frontier Research
Laboratories, Japan Tobacco, Inc. (T.T., K.T.), Yokohama 236-0004,
Japan
Address all correspondence and requests for reprints to: Masaharu Takigawa, D.D.S., Ph.D., Department of Biochemistry and Molecular Dentistry, Okayama University Dental School, 25-1 Shikata-cho, Okayama 700-8525, Japan. E-mail: takigawa{at}dent.okayama-u.ac.jp
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Abstract
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Recently, we cloned a messenger RNA (mRNA) predominantly expressed in
chondrocytes from a human chondrosarcoma-derived chondrocytic cell
line, HCS-2/8, by differential display PCR and found that its gene,
named hcs24, was identical with that of connective
tissue growth factor (CTGF). Here we investigated CTGF/Hcs24 function
in the chondrocytic cell line HCS-2/8 and rabbit growth cartilage (RGC)
cells. HCS-2/8 cells transfected with recombinant adenoviruses that
generate CTGF/Hcs24 sense RNA (mRNA) proliferated more rapidly than
HCS-2/8 cells transfected with control adenoviruses. HCS-2/8 cells
transfected with recombinant adenoviruses that generate CTGF/Hcs24
sense RNA expressed more mRNA of aggrecan and type X collagen than the
control cells. To elucidate the direct action of CTGF/Hcs24 on the
cells, we transfected HeLa cells with CTGF/Hcs24 expression vectors,
obtained stable transfectants, and purified recombinant CTGF/Hcs24
protein from conditioned medium of the transfectants. The recombinant
CTGF/Hcs24 effectively promoted the proliferation of HCS-2/8 cells and
RGC cells in a dose-dependent manner and also dose dependently
increased proteoglycan synthesis in these cells. In addition, these
stimulatory effects of CTGF/Hcs24 were neutralized by the addition of
anti-CTGF antibodies. Furthermore, the recombinant CTGF/Hcs24
effectively increased alkaline phosphatase activity in RGC cells in
culture. Moreover, RT-PCR analysis revealed that the recombinant
CTGF/Hcs24 stimulated gene expression of aggrecan and collagen types II
and X in RGC cells in culture. These results indicate that CTGF/Hcs24
directly promotes the proliferation and differentiation of
chondrocytes.
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Introduction
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IN THE PROCESS of endochondral ossification,
growth cartilage cells first proliferate and become mature
chondrocytes, which produce much extracellular matrix, mainly composed
of aggrecan and type II collagen (1, 2, 3). Then, the cells become
hypertrophic chondrocytes, which produce type X collagen and alkaline
phosphatase (ALPase), and the matrix is mineralized and invaded by
capillary sprouts; finally, cartilage is replaced by bone (1, 2, 3). Many
kinds of hormones, such as PTH and the active form of vitamin
D3 (4, 5, 6); vitamins, such as ascorbic acid and
retinoic acid (7, 8, 9, 10); and growth factors, such as insulin-like growth
factors (IGFs) (11, 12, 13), basic fibroblast growth factor (14, 15),
transforming growth factor-ß (TGFß) (16, 17, 18), and bone
morphogenetic proteins (BMPs) (19), have been shown to be involved in
the process. However, these factors stimulate the proliferation and
differentiation of chondrocytes at a specific stage and inhibit them at
other stages. For example, IGF-I stimulates the proliferation and
proteoglycan synthesis but inhibits chondrocyte hypertrophy (12, 13),
whereas basic fibroblast growth factor stimulates the proliferation of
rabbit growth cartilage (RGC) cells but inhibits their proteoglycan
synthesis and terminal differentiation (20, 21). On the other hand,
TGFß stimulates both proliferation and proteoglycan synthesis of RGC
cells (18) but inhibits further differentiation of the cells (22). BMPs
also stimulate the proliferation and differentiation of chondrocytes,
especially in the early stage of chondrocyte differentiation (23, 24)
but have not been shown to induce angiogenesis, which is involved in
the final step of endochondral ossification.
To isolate regulatory molecules involved in many stages in the process
of endochondral ossification, we recently isolated, by differential
display PCR (25), several sequence tags that were more highly expressed
in an immortal human chondrocytic cell line, HCS-2/8 (26, 27, 28, 29, 30), than in
osteosarcoma and osteoblastic cell lines (31, 32). In these tags, no.
24 showed high homology with the sequence of connective tissue growth
factor (CTGF) (33, 34, 35) complementary DNA (cDNA), and the gene, named
hcs24, that included the tag no. 24 encoded CTGF protein
(36). It was expressed selectively in the hypertrophic region of costal
cartilage and vertebrate columns of embryonic cartilage tissues, and
its expression was induced by TGFß and BMP-2 (36).
CTGF is a cysteine-rich polypeptide isolated from angioendothelial
cells as a growth factor structurally and functionally related to
platelet-derived growth factor (PDGF) (33). It was recognized by
anti-PDGF antibodies and has PDGF-like mitogenic and chemotactic
activities (33). It belongs to a special gene family, named CCN, that
contains immediate early genes (cyr61 or
cef10) (34). It was also found in skin fibroblasts as
a repairing growth factor (35). However, detailed analysis of neither
its function nor distribution in various tissues, including cartilage,
has been performed.
In this study we investigated the role of CTGF/Hcs24 in the
proliferation and differentiation of chondrocytes using the
chondrocytic cell line HCS-2/8 and RGC cells in culture. Firstly, we
transfected recombinant adenoviruses that expressed sense RNA
[messenger RNA (mRNA)] of CTGF/Hcs24 continuously in HCS-2/8 cells
and tested the effect of CTGF on the proliferation and differentiation
of the cells. Next, we obtained recombinant CTGF/Hcs24 protein
(rCTGF/Hcs24), which was produced by HeLa cells transfected with
expression vectors, and tested its effect on the proliferation and
differentiation of HCS-2/8 cells and RGC cells in culture.
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Materials and Methods
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Cell culture
The human chondrosarcoma-derived chondrocytic cell line HCS-2/8
(26, 27, 28, 29, 30) was inoculated at a density of 5 x
104 cells/cm2 in 10-cm
diameter dishes or 2 x 104
cells/cm2 in 96-well plates (Sumitomo Bakelite
Co. Ltd., Tokyo, Japan) and cultured in DMEM (Nissui Pharmaceutical Co.
Ltd., Tokyo, Japan) containing 10% FBS (Upstate Biotechnology, Inc., Lake Placid, NY). RGC cells were isolated from growth
cartilage of ribs of young rabbits as described previously (2, 4). The
isolated cells were inoculated at a density of 2 x
104 cells/cm2 in 10-cm
diameter dishes, 24-well plates, or 96-well plates (Sumitomo Bakelite
Co. Ltd.) and cultured in
MEM (ICN Biomedicals, Inc.,
Costa Mesa, CA) containing 10% FBS.
Adenovirus-mediated gene transfection
We used adenovirus type 5-based recombinant virus vector, which
lacks E1A, E1B, and E3. AxCALacZ (37), a recombinant virus harboring
the Escherichia coli-galactosidase (ß-gal) gene
(lacZ) under the control of the CAG promoter, which is a
potent promoter consisting of cytomegalovirus (CMV; i.e.
enhancer), chicken ß-actin promoter, and rabbit ß-globulin
polyadenylation signal (37), and pAx1w, a control vector harboring no
foreign gene expression unit, were gifts from Dr. I. Saito (University
of Tokyo, Tokyo, Japan). The recombinant virus that expresses
CTGF/Hcs24 gene was constructed as follows. For construction of sense
RNA (mRNA)-producing vector, the latent coding sequence of CTGF/Hcs24,
which contained the whole coding region of CTGF/Hcs24 cDNA, was cloned
into the EcoRI site of pCAGGS and excised from the
SalI-HindIII site that contained CMV enhancer and
CAG promoter in the up-stream of CTGF/Hcs24 cDNA. Then, the fragments
were cloned into SwaI site of pAx1w. The recombinant
adenoviruses were propagated and titrated as previously described (38),
and adenovirus-mediated gene transfection was performed as described
previously (39). X-gal staining was performed as described previously
(39).
RT-PCR
For quantitation of mRNA expression, the sets of primers
described below were used. The numbers in parentheses are
the expected sizes (base pairs) of PCR products: CTGF/Hcs24 (primers in
the coding region of CTGF/Hcs24), 5'-GACGGCTGCGGCTGCTGC-3' and
5'-CACACCCACTCCTCGCAGCA-3' (344); aggrecan core protein,
5'-CGCGAGACCTGGGTGGATGC-3' and 5'-GAAGGGG/CAGG/CTGGATATTGC-3'
(310); type II collagen,
5'-ATGACAATCTGGCTCCCAACACTGC-3' and
5'-GACCGGCCCTATGTCCACACCGAAT-3' (364); human type X collagen,
5'-AGCCAGGGTTGCCAGGACCA-3' and 5'-TTTTCCCACTCCAGGAGGGC-3' (387); rabbit
type X collagen, 5'-GCCCAAGAGGTGCCCCTGGAATCA-3' and
5'-CCTGAGAA-AGAGGAGTGGACATAC-3' (703); and glyceraldehyde-3-phosphate
dehydrogenase (G3PDH), 5'-ACCACAGTCCATGCCATCAC-3' and
5'-TCCACCACCCTGTTGCTGTA-3' (450). Total RNA (deoxyribonuclease I
treated) was reverse transcribed to cDNA using
oligo(deoxythymidine)16 with AMV-derived reverse
transcriptase (Takara Shuzo Co. Ltd., Tokyo, Japan) for 30 min at 42 C,
and then the cDNA was amplified by the primers with Taq
polymerase (Takara Shuzo Co. Ltd.) using an unsaturated cycle number.
The amplification conditions were as follows: 95 C for 1 min, 57 C for
1 min, and 72 C for 2 min for 30 cycles for G3PDH or for 35 cycles for
others. PCR products were analyzed by agarose gel electrophoresis.
Preparation of recombinant CTGF/Hcs24
For construction of CTGF/Hcs24 expression vector, a DNA fragment
of CTGF/Hcs24 that contained the whole coding region of CTGF/Hcs24 cDNA
was cloned into pcDNA3.1(-) vector, and CTGF/Hcs24 was expressed under
the control of the CMV promoter. This expression vector was introduced
into HeLa cells by electroporation using a Gene Pulser (Bio-Rad Laboratories, Inc., Hercules, CA), and stable transformants that
were resistant to G418 were selected and maintained in ASF104
serum-free medium (Ajinomoto, Tokyo, Japan). rCTGF/Hcs24 was purified
from 35 liters of the conditioned medium of stable transformants
containing 13 µg/ml rCTGF by heparin affinity chromatography
(HiTrap Heparin column, Pharmacia Biotech, Uppsala,
Sweden). After loading of samples, the column was washed with PBS
containing 0.2 M NaCl, and bound proteins were eluted with
PBS containing 0.5 M NaCl. Partially purified rCTGF/Hcs24
eluted from heparin affinity chromatography was further purified by
affinity chromatography using an anti-CTGF antibody that had been
prepared by immunizing rabbits with a synthetic peptide, described
below. rCTGF/Hcs24 eluted with 0.1 M glycine buffer (pH
2.5) was neutralized with 0.1 vol 0.75 M Tris and dialyzed
against PBS. The purity of rCTGF/Hcs24 was analyzed by SDS-PAGE, silver
staining, and Western blotting.
Preparation of antibody
Anti-CTGF antibody was raised in rabbits by immunization with
synthetic peptides of CTGF composed of 20 amino acids, including the
lysine cluster in the C-terminal of CTGF. The amino acid sequence of
the peptide was the same as that of Fisp12 (mouse CTGF homolog), but
different from that of Cyr61. The IgG fraction of the anti-CTGF
antibody purified with Mab Trap G II (Pharmacia Biotech)
was used for Western blotting and neutralizing experiments. The
specificity of the antibody was confirmed by Western blotting using
synthetic peptides of CTGF or Cyr61 composed of 20 amino acids,
described above as competitors (40).
Western blotting
Proteins were separated by SDS-PAGE using the method of Laemmli
(41). Immunoblotting was carried out by the method of Towbin et
al. (42). with minor modifications. Briefly, the proteins were
transferred to a polyvinylidene difluoride membrane. The membrane was
first incubated with 500-fold diluted antirabbit CTGF IgG for 8 h
at 25 C and next with 2000-fold diluted ALPase-conjugated goat
antirabbit IgG for 90 min at 37 C. The membrane was colored with nitro
blue tetrazolium and 5-bromo-4-chloro-3-indolyl phosphate.
Determination of DNA synthesis
HCS-2/8 cells were inoculated at a density of 2 x
104 cells/well of 96-well plates (Sumitomo
Bakelite Co. Ltd.) in 100 µl DMEM containing 10% FBS. When they
reached subconfluence, the concentration of FBS was reduced to 0.5%,
and the cells were preincubated for 24 h. In the case of RGC
cells, the cells were inoculated at a density of 1 x
104 cells/well in 100 µl
MEM containing 10%
FBS. When they reached confluence, the concentration of FBS was reduced
to 0.5%, and the cells were preincubated for 48 h. Then,
rCTGF/Hcs24 protein and/or anti-CTGF antibody dissolved in a small
volume of PBS was added to the cultures. After 22 h,
[3H]thymidine [925 terabecquerels (TBq)/mmol;
Amersham Pharmacia Biotech (Aylesbury, UK)] dissolved in
DMEM was added to the cultures at a final concentration of 740 KBq/ml,
and the cells were incubated for another 4 h. After labeling, the
cell layers were washed three times with PBS and treated successively
with 5% trichloroacetic acid and ethanol-ethyl ether (3:1, vol/vol).
Radioactivity in the residual materials was measured using a Micro
ß-PLUS (Pharmacia Biotech) as described previously
(40).
Determination of proteoglycan synthesis
Proteoglycan synthesis was assayed as described previously with
slight modification (2, 4, 18). HCS-2/8 cells and RGC cells were grown
to confluence in 48-well microplates in DMEM or
MEM, respectively,
containing 10% FBS. They were then preincubated in DMEM containing
0.5% FBS for 24 h and further incubated in the same medium with
rCTGF/Hcs24 (10100 ng/ml) and/or anti-CTGF antibody for 5 h.
Then [35S]sulfate (37 MBq/ml) dissolved in PBS
was added to the cultures at a final concentration of 370 kBq/ml, and
incubation was continued for another 17 h. After labeling, the
cultures were digested with 1 mg/ml actinase E (Kaken Pharmaceuticals,
Tokyo, Japan), and the radioactivity of the material precipitated with
cetylpyridinium chloride was measured in a scintillation counter.
Measurement of ALPase activity
RGC cells were grown in 48-well microplates at a density of
2 x 104 cells/well with
MEM containing
10% FBS for 6 days. Then, the medium was replaced with
MEM
containing 0.5% FBS, and the cells were incubated with rCTGF/Hcs24 for
72 h. After the incubation, the cells were rinsed three times with
ice-cold PBS, homogenized in 0.5 M Tris (pH 9.0) containing
0.9% NaCl and 1% Triton X-100 on ice, and then centrifuged at
12,000 x g for 15 min. ALPase activity in the
resultant supernatants was determined by the method of Majeska and
Rodan (43) with some modifications. The enzyme reaction was initiated
with 0.5 mM p-nitrophenyl phosphate in
0.5 M Tris-HCl (pH 9.0) containing 0.5
mM MgCl2 at 37 C and
terminated by the addition of a quarter volume of 1
M NaOH. The concentration of
p-nitrophenol generated was determined by spectrophotometry
at 410 nm. The enzyme activity is expressed as nanomoles of
p-nitrophenyl phosphate cleaved per min/well.
Statistical analysis
Unless otherwise specified, all experiments were repeated at
least twice, and similar results were obtained in the repeated
experiments. Statistical analysis was performed by Students
t test if necessary. Data are expressed as the mean ±
SD. P < 0.05 was considered
significant.
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Results
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Proliferation of HCS-2/8 cells transfected with recombinant
adenoviruses generating sense RNA of CTGF/Hcs24
We constructed recombinant adenoviruses that express sense RNA
(mRNA) of CTGF/Hcs24 under the control of CAG promoter (Fig. 1A
) and transfected the viruses to HCS-2/8
cells. When recombinant adenoviruses that express ß-galactosidase
were transfected to HCS-2/8 cells at a multiplicity of infection of
4 x 107 plaque-forming units/ml, almost all
cells were positive for X-gal staining (Fig. 1D
, X), indicating
that the cells were successfully transfected with this type of
adenoviruses and expressed ß-gal. Under the same conditions,
adenoviruses containing sense DNA of CTGF/Hcs24 were transfected to
HCS-2/8 cells. To confirm that the transfection with sense adenoviruses
resulted in successful production of CTGF/Hcs24 protein, Western
blotting of cell extracts transfected with sense adenoviruses or
control adenoviruses (Ax1w) was performed using anti-CTGF antibodies
(Fig. 1B
). In the cell extracts transfected with sense adenoviruses, a
large amount of CTGF/Hcs24 protein with an apparent molecular mass of
3638 kDa was produced. The two major bands seems to represent the
difference of glycosylation. Because the sensitivity of Western
blotting was adjusted to suitable detection of overexpressed CTGF/Hcs24
in HCS-2/8 cells transfected with sense adenoviruses (Fig. 1B
, S), no
band was observed in control cultures (Fig. 1
, B, C and CV), but
CTGF/Hcs24 protein was detected in the control HCS-2/8 cells at a
higher sensitivity (data not shown), consistent with the previous
finding about mRNA levels in the cells (36). Under these conditions,
cell number was calculated after 5 days of transfection when the
fastest growing cultures reached confluence. As shown in Fig. 1
, C and
D, HCS-2/8 cells transfected with adenoviruses expressing CTGF/Hcs24
sense RNA (mRNA; S) grew faster than the cells transfected with control
adenoviruses (CV) and reached confluence after 5 days. The cell number
was 140% that of the control cultures.

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Figure 1. Effect of transfection with adenoviruses that
express sense RNA of CTGF/Hcs24 on the proliferation of HCS-2/8 cells.
A, Construction of adenoviruses that express sense RNA of CTGF/Hcs24.
B, Western blotting of the cell lysates prepared from control or sense
adenovirus transfected cells using anti-CTGF antibodies. HCS-2/8 cells
were inoculated at a density of 1 x 105 cells/35-mm
dish. Next day, the medium was removed, and a 100-µl solution of
adenoviruses (final concentration, 4 x 107
plaque-forming units), which express CTGF/Hcs24 sense RNA (mRNA), was
added. After 1-h incubation at 37 C, the cells were fed with 1
ml serum-containing medium. Cell lysates were prepared 5 days after the
infection. About 20 µg of each cell lysate were subjected to
SDS-PAGE, and Western blotting was performed as described in
Materials and Methods. C, Untreated; CV, transfected
with control virus with no insert; S, transfected with sense (mRNA)
virus. The arrow indicates the major bands corresponding
to intact CTGF/Hcs24 protein. Because the sensitivity of Western
blotting was adjusted for suitable detection of overexpressed
CTGF/Hcs24 (B, S), no band was observed in control cultures (B, C and
CV), but at a higher sensitivity CTGF/Hcs24 was observed in control
cultures (data not shown). C, Growth rate of the recombinant
adenovirus-transfected HCS-2/8 cells. HCS-2/8 cells were inoculated,
and adenoviruses were transfected as described in B. Cell number was
estimated 5 days after the infection when the cells were in logarithmic
growth phase. S, Transfected with CTGF/Hcs24 sense virus; X,
transfected with ß-gal-producing virus; CV, transfected with control
virus with no insert. The ordinate indicates the cell
number in 35-mm dishes. Cell numbers were calculated at eight points in
three culture dishes and are given as the mean ± SD.
*, P < 0.01, significantly different from the
control virus-insfected cells. D, Phase contrast microphotographs of
HCS-2/8 cells transfected with adenoviruses that express CTGF/Hcs24
sense RNA (mRNA; S), ß-gal (X), or control vector (CV), which
contains no insert DNA. The transfection was performed under the same
conditions as in B. Photomicrographs were taken 3 days after the
transfection. Magnification, x33.
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Expression of mRNA of CTGF/Hcs24, aggrecan core protein, and type X
collagen in HCS-2/8 transfected with recombinant adenoviruses
generating sense RNA of CTGF/Hcs24
To confirm successful transfection of the adenoviruses at the mRNA
level, RT-PCR with a primer set to amplify CTGF/Hcs24 mRNA was
performed using the RNA prepared from the transfected HCS-2/8 cells
after 3, 7, and 10 days of transfection (Fig. 2
). The expression of G3PDH was also
estimated as a control. Figure 2A
(CTGF/Hcs24) shows the products of
RT-PCR in agarose gels, and Fig. 2B
(CTGF/Hcs24) shows the
densitometric analysis of the PCR products. Transfection with
CTGF/Hcs24 sense adenoviruses effectively increased the expression of
total CTGF/Hcs24 mRNA. The effect was observable after 3 days, reached
a maximum after 7 days, and then declined.

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Figure 2. Effect of transfection with adenoviruses that
express sense RNA of CTGF/Hcs24 on the differentiation of HCS-2/8
cells. A, Adenoviruses that express CTGF/Hcs24 sense RNA (mRNA; lanes
3, 5, and 7) were transfected to HCS-2/8 cells as described in Fig. 1B .
Control viruses were also transfected to HCS-2/8 cells (lanes 2, 4, and
6). Total RNA was prepared from the cells when adenoviruses were
transfected (lane 1) and 3 days (lanes 2 and 3), 7 days (lanes 4 and
5), and 10 days (lanes 6 and 7) after the transfection. RT-PCR was performed using the primers described in Materials
and Methods. CTGF/Hcs24 primers in the coding region of
CTGF/Hcs24 were used: aggrecan core protein (AGR), collagen type X
[ 1(X)], and G3PDH as a typical control. B, Densitmetric analysis
of the results of RT-PCR. , Control viruses; , sense
adenoviruses. The PCR products amplified from total RNA of HCS-2/8
cells prepared after 3, 7, and 10 days of transfection were analyzed.
The amount of PCR products in controls on day 0 were taken as 1.0, and
the relative ratio of the products is indicated in the
ordinate. Each value was corrected using the amount of
PCR products of G3PDH as a standard. Points and
bars are the averages and SDs for values
from five determinations. *, P < 0.05,
significantly different from the control virus-transfected cells.
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Under the same conditions, expression of aggrecan
core protein (AGR), which is a maker of differentiated chondrocytes,
and that of type X collagen [
1(X)], which is a well known marker
of hypertrophic chondrocytes, were estimated by RT-PCR (Fig. 2
). The
expression of mRNA of aggrecan core protein in HCS-2/8 cells
transfected with control adenoviruses started to increase 3 days after
transfection, reached a maximum after 7 days, and then decreased. The
expression of type X collagen started to increase after 7 days, and the
highest expression was observed after 10 days. When HCS-2/8 cells were
transfected with CTGF/Hcs24 sense adenoviruses, aggrecan expression was
up regulated after 310 days. The degree of increase was 2.8-fold 3
days after transfection, and 1.8-fold after 7 days. In addition,
expression of type X collagen mRNA was increased. The maximum level was
observed after 7 days and was 2.2 times the control value.
Stimulation of proliferation of HCS-2/8 cells and RGC cells by
rCTGF/Hcs24 protein
To investigate whether CTGF/Hcs24 is a direct growth-promoting
factor for HCS-2/8 cells, we next prepared rCTGF/Hcs24 and tested its
effect on the proliferation of HCS-2/8 cells. As shown in Fig. 3
, rCTGF/Hcs24 was stably produced by
transfection of HeLa cells with pcDNA3.1(-) expression vector
containing the whole coding region of human CTGF/Hcs24 cDNA under the
control of CMV promoter and purified by heparin affinity chromatography
and anti-CTGF antibody affinity chromatography. About 6.2 mg protein
were purified from 35 liters conditioned medium. Figure 3B
shows the
patterns of SDS-PAGE (silver staining; S) and Western blotting (W) of
the purified rCTGF/Hcs24. Like native CTGF, reported previously (33),
rCTGF/Hcs24 was observed as 36- to 38-kDa protein. This purified
preparation was added to the culture of HCS-2/8 cells. As shown in Fig. 4A
, rCTGF/Hcs24 stimulated the DNA synthesis
of HCS-2/8 cells. The stimulatory effect was dose dependent. A
concentration of 50 ng/ml CTGF/Hcs24 caused the most stimulation, 1.4
times the control level (Fig. 4A
). Addition of 10 µg/ml anti-CTGF
antibody effectively neutralized the stimulatory action of recombinant
protein, whereas nonimmune control serum had no effect (Fig. 5A
). rCTGF/Hcs24 also stimulated the
proliferation of HCS-2/8 cells. When the cells were cultured in the
presence of 50 ng/ml rCTGF/Hcs24 for 5 days, cell number in the treated
group was 132% that in nontreated controls (Fig. 4B
). rCTGF/Hcs24 also
stimulated the DNA synthesis of RGC cells (Fig. 6A
). The stimulatory effect was dose
dependent, reaching a plateau at a concentration of 50 ng/ml. A
concentration of 80 ng/ml CTGF/Hcs24 caused the most stimulation, 1.8
times the control level. In addition, 10 µg/ml anti-CTGF antibody
effectively neutralized the stimulatory action of rCTGF/Hcs24, whereas
nonimmune control serum showed no such effect, indicating that the
stimulatory effect of the rCTGF/Hcs24 preparation was indeed due to
CTGF/Hcs24 itself (data not shown).

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Figure 3. Production of rCTGF/Hcs24 protein from HeLa cells.
A, Construction of CTGF/Hcs24 expression vector under the control of
CMV promoter. B, Silver staining (lane S) and Western blotting (lane W)
of rCTGF/Hcs24 (0.5 and 0.1 µg, respectively) purified from the
conditioned medium of HeLa cells transformed with CTGF/Hcs24 expression
vector.
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Figure 4. Effects of rCTGF/Hcs24 protein on DNA and
proteoglycan syntheses of HCS-2/8 cells in culture. A, For estimation
of DNA synthesis, HCS-2/8 cells were inoculated at a density of 2
x 104 cells/well of 96-well plates in 100 µl DMEM
containing 10% FBS. In the subconfluent stage, the concentration of
FBS was reduced to 0.5%, and the culture was preincubated for 24
h. Then, purified rCTGF/Hcs24 was added to the cultures at the
concentrations indicated. DNA synthesis was measured by the
incorporation of [3H]thymidine after 22 h as
described in Materials and Methods.
Points and bars are the averages and
SDs for triplicate cultures. The ordinate
indicates the percentage of the PBS-treated control value. *,
P < 0.05; **, P < 0.01
(significantly different from the control cultures). For estimation of
proteoglycan synthesis, confluent cultures of HCS-2/8 cells were
preincubated in DMEM containing 0.5% FBS for 24 h and then
incubated in the same medium with or without rCTGF/Hcs24 (10100
ng/ml) for 5 h. Then, [35S]sulfate (37 MBq/ml)
dissolved in PBS was added to the cultures (370 kBq/ml final), and
incubation was continued for another 17 h. Points
and bars are the averages and SDS for
triplicate cultures. *, P < 0.05 (significantly
different from the control cultures). B, For estimation of cell
proliferation, HCS-2/8 cells were inoculated at a density of 50,000
cells/well in 24-well microplates in 1 ml DMEM containing 10% FBS and
50 ng/ml rCTGF/Hcs24. Cell numbers were calculated at eight points in
three culture dishes on days 3 and 6 and are given as the means ±
SDs. *, P < 0.05 (significantly
different from the control cultures).
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Figure 5. Effect of anti-CTGF antibody on CTGF/Hcs24-induced
DNA and proteoglycan syntheses in HCS-2/8 cells. A, For estimation of
DNA synthesis, HCS-2/8 cells were grown and preincubated as described
in Fig. 4A . B, For estimation of proteoglycan synthesis, confluent
cultures of HCS-2/8 cells were preincubated as described in Fig. 4B .
The cultures were then treated with 50 ng/ml rCTGF/Hcs24 (lane 2), 50
ng/ml rCTGF/Hcs24 plus 10 µg/ml (A) or 30 µg/ml (B) anti-CTGF
antibody (lane 3), 50 ng/ml rCTGF/Hcs24 plus preimmune serum (lane 4),
or PBS (lane 1). DNA and proteoglycan syntheses were determined as
described in Materials and Methods.
Columns and bars are the means and
SDs from triplicate cultures. *, P <
0.05, significantly different from the control cultures. **,
P < 0.05, significantly different from the
preimmune serum-treated cultures.
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Figure 6. Effects of rCTGF/Hcs24 protein on the
proliferation, proteoglycan synthesis, and ALPase activity RGC cells in
culture. A, For estimation of DNA synthesis, RGC cells were inoculated
at a density of 1 x 104 cells/well of 96-well plates
in 100 µl MEM containing 10% FBS. When they reached
subconfluence, the cells were incubated in 100 µl MEM containing
0.5% FBS for 48 h, and then rCTGF/Hcs24 was added to the cultures
at the concentrations indicated. PBS was added to the control culture.
DNA synthesis was measured 22 h later as described in
Materials and Methods. Points and
bars are the averages and SDs for
triplicate cultures. *, P < 0.05; **,
P < 0.01 (significantly different from the control
cultures). B, For estimation of proteoglycan synthesis, confluent
cultures of RGC cells were preincubated in DMEM containing 0.5% FBS
for 24 h and then incubated in the same medium with rCTGF/Hcs24
(10100 ng/ml) for 5 h. PBS was added to the control culture.
Then, [35S]sulfate (37 MBq/ml) dissolved in PBS was added
to the cultures (final concentration, 370 kBq/ml), and incubation was
continued for another 17 h. Points and
bars are the averages and SDs for triplicate
cultures. **, P < 0.01 (significantly different
from the control cultures). C, For estimation of ALPase activity,
2 x 104 cells/well of RGC cells were grown in 48-well
microplates with MEM containing 10% FBS until they became slightly
overconfluent. Then, the medium was replaced with MEM containing
0.5% FBS, and rCTGF/Hcs24 was added at the concentrations indicated.
PBS was added to the control culture. ALPase activity was
determined 72 h after the addition. The enzyme activity was
indicated as nanomoles of p-nitrophenol (PNP) per µg
protein. Points and bars are the averages
and SDs for triplicate cultures. *, P
< 0.05; **, P < 0.01 (significantly different
from the 0-time control cultures).
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Stimulation of proteoglycan synthesis in HCS-2/8 cells and RGC by
rCTGF/Hcs24 protein
Proteoglycan synthesis is a good marker of differentiated
chondrocytes (3, 4). When rCTGF/Hcs24 was added to the culture of
HCS-2/8 cells, proteoglycan synthesis increased dose dependently,
reaching a maximum at a concentration of 50 ng/ml (Fig. 4A
). Addition
of 30 µg/ml anti-CTGF antibody effectively neutralized the
stimulatory effect of recombinant protein, whereas nonimmune control
serum had no effect (Fig. 5B
). When rCTGF/Hcs24 was added to confluent
culture of RGC cells, it also increased proteoglycan synthesis in the
cells in a dose-dependent manner (Fig. 6B
). A concentration of 50 ng/ml
rCTGF/Hcs24 had the greatest stimulatory effect on proteoglycan
synthesis in the cells. The maximal stimulation by rCTGF/Hcs24 was
comparable to those of PTH (4, 44), IGFs (12, 20), and TGFß (18, 20).
Increase in ALPase activity in RGC cells by rCTGF/Hcs24 protein
ALPase activity has been shown to be a good marker of hypertrophic
chondrocytes in calcifying cartilage (1, 10). When RGC cells were
cultured with
MEM containing 10% FBS for 6 days, they reached
overconfluence. In this phase, the cells started to show the phenotype
of hypertrophic chondrocytes. When these cells were treated with
rCTGF/Hcs24, ALPase activity in the cells was increased dose
dependently, reaching a plateau at a concentration of 80 ng/ml (Fig. 6C
).
Stimulation of mRNA expression of aggrecan core protein, type II
collagen, and type X collagen in RGC cells by rCTGF/Hcs24 protein
To further clarify the role of CTGF/Hcs24 in the differentiation
of chondrocytes, we next investigated the effect of rCTGF/Hcs24 on the
mRNA expression of aggrecan core protein, type II collagen, and type X
collagen in cultured RGC cells by RT-PCR (Fig. 7
). When RGC cells were cultured in the
presence of 30 and 50 ng/ml rCTGF/Hcs24 for 7 days from day 2 of
culture, the mRNA levels of aggrecan core protein, type II collagen,
and type X collagen were significantly increased. Especially, mRNAs of
aggrecan core protein and type X collagen were markedly increased. The
expression of aggrecan core protein mRNA increased to about 4 times
that of the PBS control at both concentrations. The expression of type
X collagen mRNA also increased to 34 times that of the PBS
control.

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Figure 7. The effect of rCTGF/Hcs24 on the mRNA expression
of aggrecan core protein, type II collagen, and type X collagen in RGC
cells. RGC cells were inoculated at a density of 8 x
104 cells/35-mm dish in MEM containing 10% FBS on day
0, and rCTGF/Hcs24 (30 or 50 ng/ml) was added to the culture on day 2.
The medium was changed on days 2, 4, and 7. On day 9, total RNA was
isolated from the cells for RT-PCR analysis. The resulting PCR products
were analyzed on agarose gel electrophoresis, and the density of each
band was quantitated. Lane 1, Control; lane 2, 30 ng/ml rCTGF/Hcs24;
lane 3, 50 ng/ml rCTGF/Hcs24. The amounts of the products are indicated
on the ordinate as the expression ratio based on the
amounts of PCR products of 18S ribosome RNA as a standard.
Points and bars are the averages and
SDs for for values from five determinations. *,
P < 0.05; **, P < 0.01
(significantly different from the control cultures).
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 |
Discussion
|
|---|
In this study we used two strategies to investigate the roles of
CTGF/Hcs24 in the proliferation and differentiation of chondrocytes:
gene transfection with adenoviruses expressing CTGF/Hcs24 sense RNA
(mRNA) and preparation and usage of rCTGF/Hcs24 for chondrocytes. The
adenovirus system is a powerful tool for introducing foreign DNA units
into cells with high frequency (45, 46, 47). The chondrosarcoma-derived
chondrocytic cell line HCS-2/8 was previously shown to be efficiently
transfected with adenoviruses carrying ß-galactosidase, TGFß, or
heat shock protein genes (39). These genes were continuously
expressed in the cells for at least 21 days. Therefore, experiments for
gene transfection were carried out using the HCS-2/8 cells to
investigate the role of CTGF/Hcs24. To further investigate the role of
CTGF/Hcs24, we applied rCTGF/Hcs24 on HCS-2/8 cells and RGC cells in
primary culture. For production of rCTGF/Hcs24, we used stable
transformants of mammalian cells (HeLa cells). The reason for this is
that rCTGF/Hcs24 produced by E. coli had been predicted to
be biologically inactive because of the high content of cysteine
residues in CTGF protein. As a result, three bands of rCTGF/Hcs24 with
molecular masses of 3638 kDa were obtained, and these differences are
probably due to differential glycosylation because CTGF protein has two
glycosylation sites (33). The low molecular mass form of 20 kDa
detected by Western blotting should be a processed form of CTGF/Hcs24,
because Brigstock et al. (48) identified 10-, 16-, and
20-kDa CTGF-immunoreactive proteins in uterine secretory fluids and
also showed that the 10-kDa protein was active. Therefore, although the
preparation of rCTGF/Hcs24 used in this study was composed of several
bands, they all are CTGF/Hcs24 or CTGF/Hcs24-related protein.
In the transfection experiments we at first clarified the role of
CTGF/Hcs24 in the proliferation of HCS-2/8 cells. Continuous production
of sense RNA (mRNA) of CTGF/Hcs24 in the transfected cells produced a
large amount of CTGF protein and stimulated the proliferation of
HCS-2/8 cells, resulting in an increase in cell number compared with
the controls. These findings clearly show that high level expression of
CTGF/Hcs24 is important for the proliferation of HCS-2/8 cells.
Moreover, rCTGF/Hcs24 stimulated DNA synthesis and proliferation of not
only HCS-2/8 cells, but also RGC cells in primary culture (Figs. 4
and 6
), indicating that CTGF/Hcs24 is a growth-stimulating factor for
chondrocytes.
Control HCS-2/8 cells that were transfected with control adenoviruses
became confluent on day 8 of culture (corresponding to 7 days after
transfection). At this time, expression of mRNA of aggrecan core
protein was the greatest. In addition, gene expression of type X
collagen started to increase on day 8 and continued to increase until
day 11 of culture (corresponding to 10 days after transfection). These
findings indicate that in these conditions, HCS-2/8 cells proliferate
sparsely, mature as they become confluent, and then express
hypertrophic phenotype as they become overconfluent. The weak
expression of type X collagen on day 1 of culture was due to
contamination of cells with hypertrophic phenotype from parent cultures
at the time of subculture.
When HCS-2/8 cells were transfected with adenoviruses expressing
CTGF/Hcs24 sense RNA (mRNA), expression of aggrecan core protein gene,
a maker of chondrocyte maturation, was increased earlier, and the
maximal level was higher than the control values, suggesting that
expression of CTGF/Hcs24 is important for chondrocyte maturation.
Similarly, expression of type X collagen gene, a maker of chondrocyte
hypertrophy, was also increased earlier, and the maximal expression
level was higher than the control values, suggesting that expression of
CTGF/Hcs24 is also important for chondrocyte hypertrophy. The findings
that rCTGF/Hcs24 stimulated proteoglycan synthesis, a marker of
chondrocyte maturation, in HCS-2/8 and RGC cells and increased ALPase
activity, a marker of chondrocyte hypertrophy, in RGC cells provide
direct evidence for stimulatory roles of CTGF/Hcs24 in chondrocyte
maturation and hypertrophy. In addition, RT-PCR revealed that
rCTGF/Hcs24 increased mRNA levels of aggrecan and collagen types II and
X in RGC cells, suggesting that CTGF/Hcs24 stimulates the whole process
of chondrocyte maturation and hypertrophy.
We showed previously that TGFß and BMP promote the expression of
CTGF/Hcs24 mRNA in HCS-2/8 cells (36), and anti-CTGF antibodies
inhibited the TGFß-induced proliferation of HCS-2/8 cells (our
unpublished data). Because TGFß has been shown to be highly expressed
in the hypertrophic region of cartilage tissue (49), it is feasible
that TGFß stimulates the expression of CTGF/Hcs24 mRNA in the
hypertrophic chondrocytes, and the CTGF/Hcs24 protein produced in the
cells promotes both the proliferation of proliferating chondrocytes and
the differentiation of maturing chondrocytes in a paracrine manner
in vivo. It is also feasible that CTGF/Hcs24 mediates the
action of BMP on chondrocytes in the early stage of chondrocyte
differentiation. Further investigations are needed to clarify the
regulation of CTGF/Hcs24 by other growth factors.
It is unknown how CTGF/Hcs24 exhibit multiple modes of action on
chondrocytes, but there are several possibilities. First, we previously
reported that the chondrocytic cell line HCS-2/8 has specific receptors
for CTGF/Hcs24, and the putative molecular mass of the receptors is 240
kDa (50). Because the receptors were phosphorylated by the stimulation
of rCTGF/Hcs24 (our unpublished data), they may mediate some (at least
one) of the effects of CTGF/Hcs24 on chondrocytes. Our preliminary data
revealed that the number of the receptors decreased during
differentiation of chondrocytes, but the effective concentrations of
CTGF/Hcs24 for the proliferation and expression of differentiated
functions shown in this study were almost the same. Therefore, there
might be some intracellular regulation, such as switching putative
multiple signal transduction pathways downstream of CTGF
receptors during proliferation and differentiation of chondrocytes.
Secondly, we have shown that CTGF/Hcs24 has angiogenic activity (40, 51). Lau and colleagues reported that Fisp12, the mouse ortholog of
CTGF, and another CCN family member, Cyr61, mediate endothelial cell
adhesion through integrin
vß3 and induce
angiogenesis (52, 53, 54). Therefore, it is possible that integrin
vß3 also mediates
some, but not all, effects of CTGF/Hcs24 on chondrocytes. Thirdly,
CTGF/Hcs24 has an IGF-binding protein-like domain and weakly binds to
IGFs (55). Because IGFs stimulate the proliferation and proteoglycan
synthesis (11, 12, 13), and IGF-binding proteins are known to modulate
IGFs actions (56, 57), it is feasible that CTGF/Hcs24 modulate the
stimulatory effects of IGF on DNA and proteoglycan syntheses in
chondrocytes. Lastly, CTGF has been suggested to exhibit
growth-promoting and cell adhesion activities through its C-terminal
module, and the 10-kDa fragment (C-terminal portion of CTGF) has been
suggested to be its active form with respect to fibroblast
proliferation (48). However, a recent report about CTGF-like protein,
which lacks C-terminal module, indicates that other domains have also
some rather antagonistic activities (58). Because CTGF/Hcs24 is
produced by hypertrophic chondrocytes, and its target cells are
proliferating and maturing chondrocytes and endothelial cells,
CTGF/Hcs24 produced by hypertrophic chondrocytes may be released
directly or after processing into small fragments by an unknown
protease(s) as a paracrine factor. These CTGF/Hcs24 and its derivatives
might exhibit different activities through different pathways in
vivo. Further investigation is needed to clarify the mechanism of
the multiple modes of CTGF/Hcs24 action, but the present study of two
strategies clearly shows that CTGF/Hcs24 is a novel factor that
stimulates the proliferation and differentiation of chondrocytes in
many stages. Moreover, the finding that CTGF/Hcs24 is a novel potent
angiogenesis factor that stimulates the proliferation, migration, and
tube formation of vascular endothelial cells (51) suggests that
CTGF/Hcs24 produced by hypertrophic chondrocytes may also act on
vascular endothelial cells in bone, which is close to the hypertrophic
zone of cartilage, as a paracrine angiogenesis factor, resulting in the
replacement of cartilage by bone.
Recently, it was found that the cyr61 gene, which is a
member of the CCN gene family and is expressed in mouse 3T3
fibroblasts, was also expressed in developing mouse cartilaginous
elements and placental tissues (59). In addition, its encoded protein
promotes chondrogenesis in mouse limb bud mesenchymal cells (60).
Previously, we showed that CTGF/Hcs24 was highly expressed in the
hypertrophic region of the mouse embryo (E17), and we also revealed its
function on chondrocytes in this report. It is noteworthy that there
are some differences in the expression patterns of cyr61 and
CTGF/Hcs24. The expression of cyr61 was observed
in newly formed cartilaginous elements and was diminished during the
development of the vertebral column of 12.5- to 15.5-day-old embryos
(59). Conversely, expression in the placenta was increased during the
development of embryos (59). In the case of CTGF/Hcs24, in
situ hybridization revealed a high level of expression in
hypertrophic chondrocytes, but not in resting or proliferating
chondrocytes of 17-day-old embryos (36). In addition, Northern blot
analysis showed that the expression of CTGF/Hcs24 mRNA in the adult
placenta was very weak (36). Therefore, although both cyr61
and CTGF/Hcs24 encode novel growth factors that are involved
in chondrogenesis and placental formation, they might act in a
complementary fashion in differential stages of development.
 |
Acknowledgments
|
|---|
We thank Dr. Kojiro Takahashi and Miss Takako Hattori for useful
discussions, and Mrs. Etsuko Fujisawa for secretarial assistance.
 |
Footnotes
|
|---|
1 This work was supported in part by Grants-in-Aid for Scientific
Research from the Ministry of Education, Science, Sports, and Culture
of Japan (to T.N. and M.T.), grants from the the Naito Foundation (to
M.T.), the Nakatomi Health Science Foundation (to M.T.), and the
Foundation for Growth Science in Japan (to M.T.), and Research for the
Future Programme of The Japan Society for the Promotion of Science
(JSPS) (Project: Biological Tissue Engineering, JSPS-RFTF98100201). 
2 On leave of absence from the Department of Oral and Maxillofacial
Surgery II, Okayama University Dental School, Okayama 700, Japan. 
Received April 27, 1999.
 |
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