Endocrinology Vol. 142, No. 2 940-947
Copyright © 2001 by The Endocrine Society
Bone Anabolic Effects of Sonic/Indian Hedgehog Are Mediated By BMP-2/4-Dependent Pathways in the Neonatal Rat Metatarsal Model
Venkatesh Krishnan,
Yanfei L. Ma,
Jane M. Moseley,
Andrew G. Geiser,
Sylvie Friant and
Charles A. Frolik
Endocrinology Division (V.K., Y.M., S.F., C.A.F.), Eli Lilly & Co., Lilly Corporate Center, Indianapolis, Indiana
46285; St.
Vincents Institute of Medical Research (J.M.M.), Victoria 3065,
Australia
Address all correspondence and requests for reprints to: Venkatesh Krishnan, Endocrinology Division, Eli Lilly & Co., Lilly Corporate Center, Indianapolis, Indiana 46285. E-mail:
Krishnan_Gary{at}lilly.com
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Abstract
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A neonatal rat metatarsal organ culture model has been employed to
study the anabolic effects of Sonic/Indian hedgehog and BMP-4. In this
culture system, a significant increase in endochondral ossification is
measured by an increase in length of mineralized bone, after daily
treatment for 7 days with Sonic hedgehog protein (Shh-N). Previous
evidence indicated that PTH related protein (PTHrP) is a critical
target of hedgehog function in endochondral ossification. Using a PTHrP
blocking antibody, it is shown that hedgehog mediates this activity via
pathways other than through PTHrP. A dose-related increase in
endochondral ossification is observed when metatarsals are treated with
25 ng/ml recombinant human bone morphogenetic protein 4 (BMP-4).
However, this activity is not evident at higher doses of BMP-4 (200
ng/ml). High doses of BMP-4 resulted in increased expression of noggin
messenger RNA and cotreatment of noggin and Shh-N resulted in reversal
of the anabolic action of Shh-N. This observation suggests that BMP-4
signaling can influence the Shh-N mediated increase in endochondral
ossification. Finally, we show that the Shh-N and BMP-4 mediated
increase in endochondral ossification is reversed by treatment with
antisense oligonucleotides targeted against Cbfa1. Thus, this report
identifies Shh-N as an inducer of endochondral ossification that
mediates its effect via BMP-4 and Cbfa1-dependent pathways.
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Introduction
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WE HAVE employed a previously reported
(1) neonatal rat metatarsal organ culture model, which
allows us to study endochondral ossification in the context of a
developing long bone. We believe that this organ culture targets all
the cell types that are potentially involved in endochondral
ossification and thereby provides a more natural microenvironment to
study complex biomolecules. The mineralized area in the putative
diaphysis region is imaged and quantified. This region includes
mineralized bone along with mineralized hypertrophic chondrocytes.
Hence, this model is truly representative of endochondral ossification.
We have defined anabolic activity in this model as one that increases
endochondral ossification.
Indian hedgehog (Ihh) is a member of the vertebrate family of Hedgehog
genes that include Sonic hedgehog (Shh) and Desert hedgehog (Dhh)
(2). Indian hedgehog is expressed in a discrete portion of
the developing growth cartilage at the border of maturing and
hypertrophic chondrocytes (3). It is believed that Ihhs
effect on chondrocyte growth and differentiation is primarily mediated
by PTH-related protein (PTHrP) and its cognate receptor
(4). A recent report by Pathi and co-workers has revealed
yet another BMP-2/4 related pathway that may be downstream of Ihh
(5). Prior use of bone explants to study the role of Ihh
and PTHrP have revealed an inhibitory effect of PTHrP and Ihh on
cartilage differentiation as measured by collagen X expression
(6). However, recent studies in mice null for the Ihh gene
reveal that these factors may also have a growth and differentiation
promoting role during endochondral ossification (7). Ihh
and Shh are highly homologous and bind the receptor ptc with similar
affinity and are capable of being used interchangeably in experimental
systems (3). In this report, we use a neonatal rat
metatarsal culture model (8, 9) to study the effect of the
N-terminal 19-kDa Shh protein fragment (Shh-N) on longitudinal growth.
We observe an anabolic effect for both Shh-N and BMP-4 and these two
pathways were found to work in concert in the model. Noggin is a
secreted protein that antagonizes the BMP-2/4 signaling by tethering
the ligand and preventing it from binding to its cognate receptor
(10). We provide evidence that noggin is up-regulated by
treatment with 200 ng/ml BMP-4, and is capable of blocking the anabolic
effect of both Shh-N and BMP-4. Furthermore, we show an increase in
osteocalcin expression after treatment of metatarsals with 1
nM Shh-N, 25 ng/ml BMP-4 and BMP-4 + Shh-N. Finally, with
the use of antisense Cbfa1/Osf-2 oligonucleotides, we show that both
Shh-N and BMP-4 cannot mediate their effect in the absence of Cbfa1
expression. Collectively, this report points to a BMP-2/4 and
Cbfa1-dependent pathway of endochondral ossification that is induced by
Shh-N, and presumably Ihh, in cultured neonatal rat metatarsals.
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Materials and Methods
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Reagents
All chemicals were obtained from Sigma-Aldrich Corp. unless otherwise indicated. Recombinant hBMP-4,
recombinant mouse noggin and mShh-N were purchased from R&D Systems
(Minneapolis, MN). Rat PTHrP (134) was purchased from
Bachem Bioscience, Inc. (King of Prussia, PA).
Genosys Corp. (Houston, TX) synthesized the scrambled and antisense
Cbfa1 phosphorothiate substituted oligonucleotides. The real time
taqman primers were purchased from Perkin-Elmer Corp.
(Foster City, CA).
Human Ihh protein
Human Ihh was cloned from human liver messenger RNA (mRNA) using
RT-PCR with a specific set of primers and its sequence was subsequently
verified (2). A construct containing the nucleotides to
generate an N-terminal fragment (amino acid residues 28202) was
synthesized using a pBluescript KSII vector (Stratagene,
La Jolla, CA). This construct was used to generate in vitro
translated radiolabeled N-terminal human Ihh that was
immunoprecipitated (IPd) using the mShh-N antibody from R&D Systems.
In vitro translation was performed using the Promega Corp. (Madison, WI) T3/T7 reticulocyte lysate kit.
Immunoprecipitation was performed using protein A Sepharose beads
conjugated with 100 µl of 1:10 diluted Shh-N antibody ± Shh-N 2
µg/ml, or control IgG, for 2 h. Fifty microliters of the
reticulocyte lysate was incubated at 30 C along with the conjugate for
2 h. Five or 10 µl of the supernatant was boiled in the presence
of SDS loading buffer, run onto a 10% SDS-PAGE and visualized by
autoradiography. The Shh-N (2 µg/µl) precleared antibody was used
to ascertain specificity of the protein product.
Rat neonate metatarsal culture
Metatarsals were cultured as previously described
(1). Newborn Sprague Dawley rats (Harlan Sprague Dawley, Inc., Indianapolis, IN) were killed at day 0, and the
metatarsals were surgically isolated and placed in BGJ media
(Life Technologies, Inc., Rockville, MD), without serum
containing 100 µg/ml antibiotic/antimycotic solution (Life Technologies, Inc.). Metatarsals were cultured for 7 days in
this media in a 96-well round bottom Petri dish (Nunclon, Nunc
Products, Denmark) under 5% CO2 at 37 C. Wells
were replaced with fresh media containing appropriate treatments every
24 h for 7 days. The metatarsals were imaged under a light
microscope on day 0 and day 7 and changes in mineralization were
quantified using Image Pro analysis software.
Calcein staining and histopathological analysis
At the end of the culture, metatarsals were fixed in 10%
buffered formalin for 24 h at 4 C. Half of the metatarsals were
routinely processed (11) and embedded in plastic. The
other half of the metatarsals were subsequently decalcified in
Decalcifier II (Surgipath Medical Industries Inc., Richmond, IL) for
4 h at 4 C and then processed for paraffin embedding. Longitudinal
5-µm sections were stained with either toluidine blue or hematoxylin
and eosin. One set of metatarsals were stained for 2 h, before
embedding in plastic, with Calcein (500 ng/ml) and were subsequently
sectioned and imaged under a fluorescent microscope.
cAMP assay
This assay was performed as described earlier (12).
PTHrP ± 3F5 was incubated overnight at 4 C and 100 µl of this
mix was added to 900 µl of assay reaction buffer.
mRNA analysis
Metatarsals were pulverized after culture in a guanidinium
thiocyanate solution as previously described (13). The
lysate was placed onto a sucrose density gradient and total RNA was
pelleted after ultracentrifugation at 25 C for 20 h at 32,000 rpm
in a SW41Ti (Beckman Coulter, Inc.) rotor. RNA pellets
were precipitated using isopropanol and subsequently washed with 70%
ethanol 30% water. Total RNA was dissolved in water and 250 ng was
used in a RT reaction using the Superscript II kit (Life Technologies, Inc.) and random hexamer primers. Subsequently, an
aliquot of the RT reaction was subjected to 30 cycles of PCR using
Platinum Taq polymerase and specific primers for noggin,
osteocalcin (rat and mouse) and GAPDH. PCR were annealed at 60 C, 54 C
and 54 C, respectively, in a 25 µl reaction. Ten microliters were
loaded onto a 1.5% TAE gel and the products were analyzed after
ethidium bromide staining.
Primer information
All custom primers were obtained from Life Technologies, Inc.
Rat noggin primers. 241 GGAGGCATGGAGCGCTGCCC (forward)
990 GGATCCATCAAGTGTCTGG (reverse)
Human Ihh primers. 1 CCGGCGCCTCATGACCCAGCGCTGCAAGGA
(forward) 1211 GGAGTCGCCGTGCCAGCCTCAAGGTCTC (reverse)
Rat GAPDH primers. 301 TCGTGGAGTCTACTGGCGTCTT (forward)
1075 CCTCTCTCTTGCTCTCAGTATC (reverse)
Rat osteocalcin primers. 474 AGTCACCAACCACAGCATCC
(forward) 801 TTTGTCCCTTCCCTTCTGCC (reverse)
Quantitative PCR analysis
Poly A mRNA was isolated from rat neonate metatarsals treated
with 25 ng/ml BMP-4, 1 nM Shh-N, and Shh-N+ BMP-4 for
72 h by using RNA isolation kit from Promega Corp.
Osteocalcin and GAPDH was measured by real time PCR that allows a
quantitative evaluation of the steady-state mRNA levels.
Mouse and rat GAPDH. 200 GGCAAATTCAACGGCACAGT (sense)
269 AGATGGTGATGGGCTTCCC (antisense) 221 AAGGCCGAGAATGGGAAGCTTGTCATC
(taqman probe)
Rat osteocalcin. 1131 ATGAGGACCCTCTCTCTG (sense) 1193
TGCCAGGTCAGAGAGGC (antisense) 1151 CACTCTGCTGGCCCTGACTGCA (taqman
probe)
The taqman probe consists of an oligonucleotide with a 5'-reporter dye
and a 3-quencher dye. The fluorescent reporter dye FAM
(6carboxyfluorescein) was covalently linked to the 5' end of the
oligonucleotide, and the reporter was quenched by TAMRA
(6-carboxytetramethylrhodamine) that is located in the 3' end. The
quencher suppressed fluorescence until the PCR when the probe was
cleaved which released the fluorescent radicals. The resulting increase
in fluorescence was measured and reflects the amount of specific mRNA
present in each tube. The results are shown as fold or percent changes
over vehicle controls.
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Results
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The neonatal rat metatarsal culture model
Saggital sections obtained from the cultured metatarsals
embedded in plastic clearly indicate the mineralized portion of the
bone (Fig. 1A
). Furthermore, at higher
magnification (Fig. 1B
) plump cuboidal osteoblasts (OB) and
multinucleated osteoclasts (OC) can be seen which suggests, that after
7 days of culture the organ is viable and is capable of responding to
bone modeling or anabolic agents. To identify the mineralized region
within the metatarsal that is being quantified we visualized the
mineralization after calcein staining of the metatarsal. Figure 2
(brightfield) shows the presence of a
calcified matrix and the measured value (shown in brackets) can be
overlaid onto the calcein stained (Fig. 2
; darkfield) area of the
metatarsal section. Anabolic activity of a particular treatment is the
increase in endochondral ossification which was defined by longitudinal
extensions within this calcified region comparing the day 0 and day 7
images of the same metatarsal.

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Figure 1. A, Hematoxylin and eosin stained histologic
section of neonate rat metatarsal rudiment after the 7-day culture in
BGJ media. The endochondral ossification through the zones of
hypertrophic, calcified cartilage and primary center of ossification is
clearly shown. B, High power view of the toluidine blue stained
histologic section of the neonate rat metatarsal rudiment. OB,
Osteoblast; OC, osteoclast.
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Figure 2. Fluorescent microscopic section
(bottom) showing the mineralized cartilage and primary
bone labeled with calcein. Calcein fluorochrome 0.5 mg/ml was given on
the first day of culture for 2 h following several rinses. The
mineralized zone correlated to the area between the two ends of lower
growth plates on toluidine blue stained section (top)
from the same metatarsal rudiment.
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Human Ihh is recognized by mShh-N antibody
Reticulocyte lysates from in vitro translated
human Ihh complementary DNA (partial fragment; 28202 aa) can be
immunoprecipitated with a mShh-N antibody (Fig. 3
). There are two bands which correspond
to full-length (
19 kDa) and a lower molecular weight band as a
result of aberrant 3' translation using the in vitro system.
The antibody was raised against a N termini peptide and can detect full
length and 3' truncated proteins. In contrast, neither the Shh-N
precleared antibody nor the IgG could immunoprecipitate these bands
(Fig. 3
). Twenty-five microliters of this reticulocyte lysate was found
to increase secreted alkaline phosphatase activity by 3-fold in
C3H10T1/2 cells after 3 days of treatment (data not shown). Earlier
reports have used both Ihh and Shh-N interchangeably (3)
and since recombinant mShh-N protein gave us consistent results and
could block the detection of the in vitro translated Ihh
protein, subsequent experiments were performed using the recombinant
Shh-N protein.

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Figure 3. Immunoprecipitation (IP) of the N-terminal
fragment (28202 aa) of human Ihh using mShh antibody. Ten microliters
of control (1) in vitro translated vector, 5 (2) and 10
µl (3) of in vitro-translated Ihh N-terminal fragment
IPd using Shh antibody, 10 µl of same lysate as in lane 3, IPd
with Shh antibody preincubated with mouse Shh-N (4), and finally lysate
from lane 3 IPd with control rabbit IgG.
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Shh-N is anabolic in the rat metatarsal culture model
Metatarsals treated with a range of Shh-N concentrations (10
-12 to 10
-7 M) showed a
dose-dependent increase in anabolic activity, with maximal activation
at 10 nM Shh-N (Fig. 4A
). It
has been reported that PTHrP is a target gene for Ihh signaling and
that PTHrP acts as a feedback inhibitor of Ihh signaling. To study the
role of PTHrP in mediating this effect we used the 3F5 PTHrP-blocking
antibody (5 µg/ml) together with PTHrP and Shh-N. Cotreatment with 10
µg/ml of 3F5 decreases the PTHrP induced dose-dependent increase in
cAMP levels, observed in UMR 106.01 cells (Table 1
). The actual dose for the antibody
seems to be slightly different for the two assays. As shown in Fig. 4B
, 1
nM rPTHrP (134) cotreatment with 5 µg/ml 3F5 antibody
results in complete reversal of PTHrP-mediated anabolic activity.
However, cotreatment of metatarsals with 1 or 0.1 nM Shh-N
and the 3F5 antibody does not result in a significant change in
Shh-N-mediated anabolic activity. In contrast, IgG cotreated with 1
nM rPTHrP and 1 nM or 0.1 nM Shh-N
does not block the anabolic activity of both PTHrP and Shh-N. This
result suggests that Shh-N- induced anabolic activity in these
metatarsals is not mediated by PTHrP.

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Figure 4. A, Anabolic activity of Shh-N shown at
concentrations ranging from 1 pM to 100 nM,
compared with vehicle control. *, Statistically significant over
vehicle control (P < 0.05; t test).
B, Anabolic activity of Shh-N (1, 0.1 nM) is measured in
the presence of IgG or 3F5, (5 µg/ml, PTHrP blocking antibody). One
nanomolar concentration rat PTHrP (134) was used as a positive
control. *, Statistically significant over vehicle control
(P < 0.05; t test).
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BMP-4 exhibits dose-dependent anabolic activity
Metatarsals were treated with recombinant human BMP-4 at
concentrations ranging from 25 ng/ml to 200 ng/ml. An anabolic effect
was observed at a concentration of 25 ng/ml but this effect was less
evident at higher concentrations of 100 ng/ml and 200 ng/ml (Fig. 5
). To investigate the reason why this
anabolic effect was lost at higher doses, mRNA from these metatarsals
were subjected to a RT-PCR using two sets of primers for GAPDH and
noggin. It has been reported that noggin expression is under the
control of BMP-2/4 signaling and noggin can inhibit the BMP-2/4
pathway, which provides a negative feedback loop for BMP-2/4 signaling
(10). Accordingly, we found an increase in noggin mRNA as
the concentration of BMP-4 was increased from the anabolic 25 ng/ml to
the restrictive 200 ng/ml amount (Fig. 6
;
compare lanes 2 through 8). Hence, we hypothesize that the lack of
anabolic activity at higher doses of BMP-4 may result from a negative
feedback control mechanism which is mediated by noggin.

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Figure 5. BMP-4 has a varied effect that is anabolic at
lower concentrations of 100 ng/ml and 25 ng/ml. The high dose of BMP-4
(200 ng/ml) is not anabolic and this dose abolished the anabolic
activity of 1 nM Shh-N in cotreated samples. *,
Statistically significant over vehicle control (P
< 0.05; t test).
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Figure 6. RT-PCR analysis of rat noggin and rat GAPDH
transcripts in the presence of increasing amounts of BMP-4 (25 to 200
ng/ml), 1 nM Shh-N, a combination of the high dose of BMP-4
and Shh-N, and a 100 bp DNA marker (M). The 600-bp fragment within the
ladder is overloaded for convenience. Lanes from products run without
reverse transcriptase have been denoted as -RT.
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Role of BMP-4 in Shh-N mediated anabolic activity
To study any interactions between BMP-4 and Shh-N mediated
anabolic activity we cotreated metatarsals with the high dose of BMP-4
(200 ng/ml) and 1 nM Shh-N. To our surprise, 200 ng/ml of
BMP-4 was capable of blocking Shh-N mediated anabolic activity (Fig. 5
). Furthermore, an increased expression of noggin was observed in
these metatarsals (Fig. 6
, compare lanes 2 and 12). Cotreatment of 25
ng/ml hBMP-4 and 1 nM Shh-N did not result in an additional
increase in endochondral ossification than either treatment alone (Fig. 5
). Cotreatment of metatarsals with 1 nM Shh-N and 25 ng/ml
BMP-4 or 200 ng/ml of BMP-4, completely reversed the anabolic activity
of Shh-N at the higher dose (200 ng/ml) of BMP-4, but it did not
further increase the anabolic activity at the lower dose (25 ng/ml) of
BMP-4 (Fig. 5
). Finally, addition of exogenous amounts of recombinant
noggin (20 µg/ml) to 1 nM Shh-N or 25 ng/ml BMP-4,
reversed the anabolic activity of both agents (Fig. 7
). In contrast the anabolic activity of
1 nM PTHrP is not significantly altered in the presence of
20 µg/ml of recombinant noggin (Fig. 7
).

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Figure 7. Neonatal rat metatarsals were treated with vehicle
control, 20 µg/ml noggin, 1 nM Shh-N, 1 nM
PTHrP, 25 ng/ml BMP-4, noggin + Shh-N, noggin + BMP-4, and noggin +
PTHrP for 7 days. Noggin cotreatment results in statistically
significant decrease in Shh-N mediated anabolic activity
(P < 0.05).
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Role of Cbfa1 in mediating anabolic activity of BMP-4
Cbfa1/Osf-2 is an osteoblast specific transcription factor that
has been shown to be essential for bone formation (14).
Previous reports have shown that BMP-4 treatment of C2C12 cells results
in an increase in Cbfa1/Osf-2 mRNA, which is consistent with our
observations (data not shown) (15, 16).
To determine the role of Cbfa1 in mediating the anabolic activity
of BMP-4, we used a previously characterized antisense oligonucleotide
(17) that attenuates Cbfa1 expression, along with a
control scrambled sense oligonucleotide that does not affect Cbfa1
levels. These antisense oligonucleotides have been directed against the
nucleotides immediately 5' of the runt domain and have been shown to
decrease alkaline phosphatase activity in primary rat osteoblasts
(17). These oligonucleotides were added to the culture
1 h before treatment of metatarsals with BMP-4 (25 ng/ml). To
confirm the effect of this antisense oligonucleotide approach, we
measured the mRNA levels of osteocalcin, an osteoblast specific marker,
in both scrambled and antisense oligonucleotide-treated metatarsals. We
saw a significant decrease (
85%) in osteocalcin mRNA compared with
minimal change in GAPDH mRNA (
5%) as measured by real time PCR
after day 3 of treatment with 10 µM of antisense
oligonucleotide (Fig. 9A
). In contrast, the scrambled sense
oligonucleotide did not have an effect on osteocalcin mRNA (Fig. 8A
). Furthermore, only the antisense
oligonucleotide and not the scrambled sense oligonucleotide, resulted
in complete blockade of BMP-4 and Shh-N mediated anabolic activity
(Fig. 8B
). Finally, we measured osteocalcin mRNA, a downstream target
of Cbfa1, using real time PCR in metatarsals treated with BMP-4 (25
ng/ml), Shh-N 10 nM, and Shh-N+ BMP-4. An approximately
3-fold increase in osteocalcin mRNA was observed with BMP-4 treatment
and an approximately 2-fold increase was observed with 10
nM Shh-N. As seen earlier cotreatment with both agents did
not increase the osteocalcin mRNA levels over and above that of BMP-4
alone (Fig. 9
). Collectively, these
results suggest a mechanistic link between Shh-N/Ihh-N, BMP-2/4, and
Cbfa1/Osf-2 in mediating the anabolic affects of Shh-N/Ihh-N.

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Figure 9. Real-time PCR results showing fold increase over
vehicle control in osteocalcin mRNA after 3 days of treatment with 1
nM Shh-N, 25 ng/ml BMP-4, and Shh-N + BMP-4. Results are
presented as a mean ± SD, from four separate studies.
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Figure 8. Real-time PCR analysis of rat osteocalcin and rat
GAPDH transcripts from RNA obtained from rat metatarsals treated with
10 µM of antisense (AS) or scrambled sense (Scr) oligos.
Results are expressed as percent inhibition compared with vehicle
control. 8B. Anabolic activity of 1 nM Shh-N and 25 ng/ml
of BMP-4 is reversed by a 1-h pretreatment with 10 µM
Cbfa1 antisense oligo (AS) but is not affected by pretreatment with 10
µM scrambled sense (Scr). *, Statistically significant
over vehicle control (P < 0.05; t
test).
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Discussion
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In this study, an ex vivo organ culture of rat
neonate metatarsals has been used to model endochondral ossification.
Histopathological analysis of a cross-section of the rat neonatal
metatarsals after 7 days of culture in BGJ serum-free media, revealed a
viable organ with the presence of plump cuboidal osteoblasts and
multinucleated osteoclasts. In addition, hypertrophic chondrocytes,
packed in a columnar fashion were present, juxtaposed with the
calcein-stained mineral found in the mid-diaphysis region. This model
would accordingly measure mineralization of both hypertrophic
chondrocytes and bone and would reflect changes in the process of
endochondral ossification. The observed increase in this mineralized
area after 7 days of treatment with known anabolic agents such as BMP-4
and PTHrP lend credence to this model as a method of studying bone
anabolic activity.
Earlier reports have shown that treatment of chick bone explants with
PTHrP (retroviral overexpression) leads to decreased collagen X
expression, a marker for hypertrophic cartilage, suggesting an
inhibitory role for PTHrP and Ihh in cartilage differentiation
(18). However, in the same study it was suggested that Ihh
is also important for chondrocyte differentiation, as exemplified by
the short-limb dwarfism phenotype in the Ihh knockout mouse
(19). Osteoblasts are primarily responsible for laying
down the collagen Ienriched matrix that accounts for most of the
mineral present in the mid-diaphysis region (20). It is
noteworthy that treatment of these metatarsals with 1 to 100
nM calcitonin did not affect their mineralization (data not
shown), in spite of the presence of multinucleated osteoclasts (refer
to Fig. 1B
). The ability of recombinant BMP-4 to elicit an anabolic
response provided initial validation that this model is responsive to a
known anabolic agent. Interestingly, the appearance of noggin mRNA at
higher doses of BMP-4 suggests that this anabolic activity can be
controlled by a negative feedback loop mediated by noggin
(21). This observation may have important implications
when targeting modulators of BMP-2/4 activity for the treatment of
osteoporosis.
The process of fracture healing is shown to result in the
formation of a pseudo growth plate, which provides for the
recapitulation of the endochondral ossification within the
microenvironment of the fracture (22). Correspondingly, it
has been reported that BMP-2/4 transcripts along with that of Ihh have
been identified in such microenvironments (18). Hence,
there is precedence for these two signaling molecules to be coexpressed
in areas undergoing new bone formation. In Ihh null mice, a specific
effect on osteoblast development is observed, such that the bone collar
which is derived from diaphyseal osteoblasts is lacking in these mice.
This observation points to chondrocyte maturation-independent effects
of Ihh and is consistent with the loss of Cbfa1/Osf-2 expression in
these mice (19). Because PTHrP blocking antibody fails to
inhibit this Shh-Ninduced anabolic activity, it can be inferred that
Shh-N/Ihh targets areas other than the PTHrP-responsive tissues, in
this model. In support of this hypothesis it has been reported that the
ROS17/2.8 cell line model with some features of a mature rat
osteoblast, expresses Ihh and its cognate receptor patched. However, it
remains to be seen whether this can effectively explain all of Shh-N's
anabolic activity (23). In addition, the inability of a
constitutively active PTHrP receptor (PTHRI) to rescue the short-limbed
phenotype of Ihh null mice, when expressed as a transgene, is
indicative of nonPTHrP pathways mediating Ihh action (7).
Based on our results using Cbfa1 antisense oligonucleotides it can be
inferred that Shh-N/Ihh anabolic action is mediated by osteoblasts and
chondrocytes that express Cbfa1 (20, 24, 25). The precise
details of mechanism will become more apparent with the availability of
more sensitive techniques to detect Ihh protein as it is found to
migrate across the critical cell layers during endochondral
ossification.
Our results indicate that BMP-4 signaling pathways mediate bone
anabolic activity of Shh-N/Ihh, in this organ culture model. This
observation provides additional evidence that these two signaling
molecules are intricately intertwined during embryonic and postnatal
limb development (26, 27, 28). This observation that Shh/Ihh,
BMP-2/4 and noggin signaling are intertwined has been previously
implicated in somitogenesis (29, 30). However, the
relationship between Shh-N and BMP-4 has been antagonistic unlike our
current report, which seems to indicate that BMP-2/4 signaling may
mediate the anabolic action of Shh/Ihh during endochondral
ossification. The recent evidence that BMP-4 has a role in cartilage
differentiation may shed some light (5) on the mechanism
of this anabolic activity in the metatarsal model. An increase in
chondrocyte differentiation caused by Shh-N/Ihh or BMP-4 could lead to
increase in the presence of chondro-osteoblast precursors or to an
increased scaffold laid down by the maturing chondrocytes. This would
eventually result in increased mineralization. However, treatment of
these metatarsals with 1, 10 nM Shh-N did not alter the
level of collagen X mRNA as detected by RT-PCR (data not shown). This
result would suggest that the anabolic activity for Shh-N/Ihh is not
solely mediated by increase in the number of hypertrophic chondrocytes.
Finally the observation that Cbfa1 antisense oligonucleotides block the
anabolic activity of Shh-N and BMP-4 indicates that compromising the
ability of an osteoblast to deposit bone matrix will interfere with
endochondral ossification. Evidence for this role is provided by the
finding that expression of a dominant negative Cbfa1 in mature
osteoblasts severely affects bone volume without affecting osteoblast
number (31).
In conclusion, this report has identified a mechanistic link
between Shh-N/Ihh, BMP-2/4, and Cbfa1 signaling in mediating bone
anabolic activity in an organ culture model. This activity of Shh-N/Ihh
is independent of PTHrP but is dependent on BMP-2/4 and Cbfa1/Osf-2
signaling. Future studies on the mechanism of this anabolic action and
the role of the individual cell types in mediating this anabolic action
will shed light on the complex pathway of endochondral
ossification.
 |
Acknowledgments
|
|---|
The authors acknowledge the critical review of this manuscript
by Drs. Jude E. Onyia and John T. Martin. The authors acknowledge the
technical assistance of Zeng, Q.-Q., and R. L. Cain, in isolating
rat neonate metatarsals.
Received April 27, 2000.
 |
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