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Msx2 Exerts Bone Anabolism via Canonical Wnt Signaling*DS PDF

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THEJOURNALOFBIOLOGICALCHEMISTRYVOL.283,NO.29,pp.20505–20522,July18,2008 ©2008byTheAmericanSocietyforBiochemistryandMolecularBiology,Inc. PrintedintheU.S.A. Msx2 Exerts Bone Anabolism via Canonical Wnt Signaling*□S Receivedforpublication,February1,2008,andinrevisedform,May7,2008 Published,JBCPapersinPress,May15,2008,DOI10.1074/jbc.M800851200 Su-LiCheng1,Jian-SuShao1,JunCai,OscarL.Sierra,andDwightA.Towler2 FromtheDepartmentofMedicine,DivisionofBoneandMineralDiseases,WashingtonUniversitySchoolofMedicine, St.Louis,Missouri63110 Msx2isahomeodomaintranscriptionfactorfirstidentifiedin calcitriol-regulated transcript in osteoprogenitors isolated craniofacialboneandhumanfemoralosteoblasts.Wehypothe- from human femur, and subsequently shown to be highly sized that Msx2 might activate skeletal Wnt signaling. There- expressed in the murine embryonic craniofacial skeleton (2). fore,weanalyzedtheeffectsofCMV-Msx2transgene(Msx2Tg) Soon thereafter, Msx2 was identified as a transcriptional expression on skeletal physiology and composition. Skeletal repressoroftheosteoblast-specificosteocalcin(OC)3promoter Msx2 expression was increased 2–3-fold by Msx2Tg, with (3,4).StudiesofMsx2-regulatedgeneexpressioninbonehave expandedproteinaccumulationinmarrow,secondaryossifica- emphasized its role as a transcriptional repressor of the late tion centers, and periosteum. Microcomputed tomography osteogenic phenotype (5–7). For example, in the developing established increased bone volume in Msx2Tg mice, with tooth,wherestage-specificosteogenicgeneexpressionprofiles increasednumbersofplate-liketrabeculae.Histomorphometry arespatiallyresolved,Msx2andOCexhibitreciprocalpatterns revealed increased bone formation in Msx2Tg mice versus ofmRNAaccumulation(8).Msx2suppressesOCgeneexpres- non-Tg siblings, arising from increased osteoblast numbers. sion in a cell-autonomous fashion, mediated via antagonistic While decreasing adipogenesis, Msx2Tg increased osteogenic protein-protein interactions between Msx2 and Runx2-con- differentiation via mechanisms inhibited by Dkk1, an antago- tainingcomplexesthatsupportOCpromoteractivity(6,7). nistofWntreceptorsLRP5andLRP6.BonefromMsx2Tgmice However, elegant genetic studies have demonstrated that elaborated higher levels of Wnt7 canonical agonists, with Msx2 also promotes craniofacial bone mineralization and is diminished Dkk1, changes that augment canonical signaling. necessaryforrobusttrabecularandcorticalboneformation(9, Analysis of non-Tg and Msx2Tg siblings possessing the TOP- 10).Msx2(cid:1)/(cid:1)miceexhibitparietalforamina,characterizedby GAL reporter confirmed this; Msx2Tg up-regulated skeletal reducedmineralizationincalvarialfieldsthatgiverisetomem- (cid:1)-galactosidase expression (p < 0.01), along with Wnt7a and branous bone (9). Moreover, Msx2(cid:1)/(cid:1) mice exhibit a global, Wnt7b, and reduced circulating Dkk1. To better understand low turnover osteopenia (9). Simultaneous deletion of both molecularmechanisms,westudiedC3H10T1/2osteoprogeni- Msx2 and Msx1, a homologous Msx gene family member, tor cells. As in bone, Msx2 increased Wnt7 genes and down- results in the complete absence of craniofacial bone (9, 11). regulated Dkk1, while inducing the osteoblast gene alkaline Furthermore,anonsynonymousCCCtoCACmutationatthe phosphatase.Msx2-directedRNAinterferenceincreasedDkk1 7thcodonoftheMsx2homeodomaincausesBoston-typeauto- expressionandpromoteractivity,whilereducingWnt7a,Wnt7b, somaldominantcraniosynostosis,characterizedbyprecocious and alkaline phosphatase. Moreover, Msx2 inhibited Dkk1 pro- mineralizationanddifferentiationofosteoblastsinthecalvarial moteractivityandreducedRNApolymeraseassociationwithDkk1 suture (12). In vivo and in vitro data indicate that this chromatin. RNA interference-mediated knockdown of Wnt7a, Msx2(P148H)variantismostlikelyagain-of-functionvariant; Wnt7b, and LRP6 significantly reduced Msx2-induced alkaline Msx2(P148H) exhibits increased DNA binding to the Msx phosphatase. Msx2 exerts bone anabolism in part by reducing CTGAATTRGbindingcognate(13,14).Intriguingly,however, Dkk1 expression and enhancing Wnt signaling, thus promoting the frequency of transgene-induced craniosynostotic bone is osteogenicdifferentiationofskeletalprogenitors. threetimemoreprevalentinwild-typeMsx2transgenicmice than Msx2(P148H) transgenic mice (71 versus 27%, respec- Msx2,alsoknownasHox-8,isahomeodomaintranscription 3The abbreviations used are: OC, osteocalcin; ALP, alkaline phosphatase; factor first characterized by Sharpe and co-workers (1) as a BMD,bonemineraldensity;BSP,bonesialoprotein;C3H10T1/2,murine multipotentmesenchymalcellline;ChIP,chromatinimmunoprecipitation; CMV,cytomegalovirusimmediatelyearlyenhancer/promoter;CTX,typeI *Thisworkwassupported,inwholeorinpart,byNationalInstitutesofHealth collagenC-terminaltelopeptide;FBS,fetalbovineserum;Fzd,frizzledWnt GrantsAR43731andHL81138(toD.A.T.)andtheBarnes-JewishHospital co-receptor; micro-CT, microcomputed tomography; Msx, muscle seg- Foundation.Thecostsofpublicationofthisarticleweredefrayedinpartby menthomeoboxgene;Msx2Tg,transgenicmouseexpressingMsx2cDNA the payment of page charges. This article must therefore be hereby fromtheCMVpromoter;Osx,osterix;PBS,phosphate-bufferedsaline;PKC, marked“advertisement”inaccordancewith18U.S.C.Section1734solelyto proteinkinaseC;polII,RNApolymeraseII;RT-qPCR,reversetranscription- indicatethisfact. quantitativePCR;siRNA,smallinterferingRNA;Tg,transgenicmouse;TCF, □S Theon-lineversionofthisarticle(availableathttp://www.jbc.org)contains T-cellfactor;LEF,lymphoidenhancerfactor;TOPGAL,TCF/LEFoptimalpro- supplementalFigs.S1–S6. moter-galactosidasereportertransgenicmouse;TRAP5c,osteoclasttar- 1Bothauthorscontributedequallytothiswork. trate-resistantacidphosphatase;Wnt,Wingless/intgenefamily;WT,wild- 2Towhomcorrespondenceshouldbeaddressed:InternalMedicine,Bone type sibling mouse; sibs, siblings; DMEM, Dulbecco’s modified Eagle’s andMineralDiseases,WashingtonUniversitySchoolofMedicine,Campus medium; E3, ubiquitin-protein isopeptide ligase; ELISA, enzyme-linked Box8301,660SouthEuclidAve.,St.Louis,MO63110.Fax:314-454-8434; immunosorbentassay;BFR,boneformationrate;RNAi,RNAinterference; E-mail:[email protected]. TV,tissuevolume. This is an Open Access article under the CC BY license. JULY18,2008•VOLUME283•NUMBER29 JOURNALOFBIOLOGICALCHEMISTRY 20505 WntSignalsMediateMsx2BoneAnabolism tively)(13).ThissuggeststhatinvivotheP148Hmutationper- Cruz Biotechnology (Santa Cruz, CA). The Wnt1 antibody turbsotherimportantMsx2functions(13).Indeed,theregion (ab15251-500, lot 315275, rabbit polyclonal antibody) pur- of the homeodomain N-terminal arm altered by the P148H chasedfromAbcamwasalsousedandprovedtobesuperiorfor substitutionparticipatesinregulatoryprotein-proteininterac- Wnt1immunohistochemistry.Thealkalinephosphatase-con- tions with Dlx5 (5, 15) and other transcription factors (5–7). jugatedgoatanti-rabbitsecondaryantibodyusedforWestern ConsistentwiththeMsx2gain-of-functionmodelarisingfrom blots with rabbit primary immunoreagents was sc-2057 (lot CMV-Msx2transgenicmice,distaltrisomyofchromosome5q, I12503,SantaCruzBiotechnology).Wnt10bantibody(ratanti- the physical region encompassing the Msx2 gene, has been mouse, monoclonal antibody 2110, clone 254206) was pur- identifiedinsixpatientswithcraniosynostosis(16);thisdem- chased from R & D Systems (Minneapolis, MN). Goat poly- onstrates the exquisite sensitivity of the developing human clonal antibody to LRP5 (sc-21390) and the donkey anti-goat craniofacial skeleton to Msx2 gene dosage (10, 17). Although secondaryantibody(sc-2022)werebothpurchasedfromSanta detailshaveemergedastohowMsx2inhibitsosteoblasttermi- CruzBiotechnology.VECTASTAINEliteABCperoxidasesec- nal differentiation via cell-autonomous actions (5–7), little is ondary antibody immunovisualization kits directed toward knownofthemechanismswherebyMsx2promotesosteoblast- goat (PK-6105) or rabbit (PK-6101) primary antibodies were mediated bone formation. The mechanistic underpinnings of purchasedfromVectorLaboratories(Burlingame,CA).Anti- the low turnover osteopenia demonstrated in Msx2(cid:1)/(cid:1) long bodies to pol II (N-20, sc-899, SantaCruzBiotechnology)and boneduringpostnatalgrowthhaveyettobedetermined(9).In phospho-pol II (H5, MMS-129R, Covance) were used in ChIP seminal studies of calvarial bone formation, Maxson and co- assaysasdescribedpreviously(6,24).Theamplimerpairs5(cid:2)-CGG workers(10,11)showedthatMsx2promotestheproliferative AGGTCCCGAAGTTGAG-3(cid:2)and5(cid:2)-AAAGGTCAGGAA expansionandsurvivalofneuralcrest-derivedosteoblasts. AAGAGAGGTCACT-3(cid:2)and5(cid:2)-ATTATTGGTGACTTG Recently,weidentifiedthatMsx2participatesintheectopic GTGGTGATCT-3(cid:2)and5(cid:2)-ATTTTATGAGGCACAGTT medialarterycalcificationcharacteristicoftypeIIdiabetes(18, GATGTCTT-3(cid:2)wereusedforquantifyingDNAinprecipitates 19). Murine models of diabetic medial calcification spatially byfluorescenceqPCRfortheDkk1andosteopontingenes,respec- resolved adventitial Msx2-expressing cells and the ALP-posi- tively.Primerpairsweredirectedtoregionsjustdownstreamof tivemedialcalcifyingvascularcellsthatdirectmatrixmineral- thetranscriptioninitiationsite,withintheearlyregionsencoding ization;therefore,wededucedthatMsx2-expressingcellselab- thepolII-dependentprimarytranscripts.Asecondamplimerpair orateparacrinesignalsthatcontrolosteogenicdifferentiation directed(cid:3)1.5kbintotheDkk1gene(5(cid:2)-GAAAGCATCATT ofneighboringprogenitors(19).Indeed,weshowedthatcon- GAA AAC CTT GGT-3(cid:2) and 5(cid:2)-GCC TTC CCC GCA GTA ditioned media from Msx2-expressing C3H10T1/2 cells pos- ACA-3(cid:2))wasalsousedtoconfirmtheeffectsofMsx2onpol sessed a pro-osteogenic, adipostatic activity (19) resembling II-Dkk1 chromatin interactions. For Western blot assays, thatofcanonicalWntligandssuchasWnt3a(20),Wnt7a(21), antigen-antibodycomplexesweredetectedbyalkalinephos- andWnt10b(22,23).MolecularprofilingbyquantitativeRT- phatase-dependent disodium 3-(4-methoxyspiro[1,2-diox- qPCRdemonstratedup-regulationofcanonicalWntagonists etane-3,2(cid:2)-(5(cid:2)-chloro)-tricyclo[3.3.13,7]decan]-4-yl)phenyl Wnt3aandWnt7ainaortictissues(19).Bycontrast,expression phosphate chemiluminescence (Tropix, Applied Biosystems, ofaorticDkk1,theprototypicvertebrateinhibitorofcanonical Foster City, CA). Conjugated secondary antibodies, blocking Wnt signaling, was concomitantly down-regulated by Msx2 reagents,andperoxidase-basedimmunovisualizationkitswere (19).ExogenousrecombinantDkk1antagonizedMsx2regula- purchased from Tropix or Vector Laboratories (Burlingame, tion of osteogenesis and adipogenesis (19). Thus, Msx2-pro- CA).Custom-synthesizedoligodeoxynucleotidesweresynthe- ducingvascularadventitialcellsenhancedaorticWntsignaling sized and purchased from Invitrogen. TOPGLOW (catalog andpromotedectopicmineraldepositionviaosteogenicmech- number 21-204) and FOPGLOW (catalog number 21-205) anisms(19). luciferase reporter plasmids were purchased from Millipore. To better understand the mechanisms whereby Msx2 aug- PCRwasusedtogeneratecDNAinsertsforexpressionplas- mentsorthotopiclongboneformation,wehaveevaluatedthe midsforpcDNA3-Wnt7aandpcDNA3-Wnt7busingmeth- skeletal phenotype of adult CMV-Msx2 (Msx2Tg) transgenic ods described previously (8). Dkk1 promoter-luciferase mice(19).WeshowthataugmentingMsx2expressioninlong reporter constructs 1141 DKK1LUC ((cid:1)1141 to (cid:1)1), 451 bonedirectsbonemesenchymalprogenitorstoosteogeniclin- DKK1LUC((cid:1)451to(cid:1)1),170DKK1LUC((cid:1)170to(cid:1)1),120 eage,enhancingskeletalosteoblastnumbers,mineralizingsur- DKK1LUC ((cid:1)120 to (cid:1)1), and 70 DKK1LUC ((cid:1)70 to (cid:1)1) face, trabecular number, and trabecular bone formation via were generated by ligating the indicated segments of the canonicalWntsignals. mouseDkk1promoterintopGL2Basic(Promega);methods have been detailed previously (25). The numbering of base EXPERIMENTALPROCEDURES pairsisrelativetothestartsiteofDkk1exon1(physicalbase Antibodies, ChIP Assays, Luciferase Assays, Plasmids, and pair position 30,620,374 of mouse chromosome 19, RefSeq Other Reagents—Antibodies for Msx2 (sc-15396, lot C0404, GeneNM_010051).Thecontrolminimalpromoter-reporter polyclonal antibody), Wnt7a/b (sc-32865, lot F2006, rabbit RSVLUC has been described previously (25). Transient polyclonal), Wnt1 (sc-5630, lot E2605, goat polyclonal anti- transfections and luciferase assays were carried out as body),Wnt3a(sc-28824,lotK0205,rabbitpolyclonalantibody), detailedpreviously(6).Custom-synthesizedsiRNAreagents Dkk1, (sc-25516, lot J1404, rabbit polyclonal antibody), actin werepurchasedfromQiagen(Valencia,CA).Commercially (sc-8432), and eIF2(cid:1)(sc-11386) were purchased from Santa availablesiRNAswerepurchasedfromSantaCruzBiotech- 20506 JOURNALOFBIOLOGICALCHEMISTRY VOLUME283•NUMBER29•JULY18,2008 WntSignalsMediateMsx2BoneAnabolism nologyasindicated.SYBRGreenwaspurchasedfromeither ImmunohistochemistryandWesternBlotAnalysis—Multiple RocheAppliedScienceorAppliedBiosytems.Total(cid:2)-cate- commerciallyavailableimmunoreagentsweretestedforsensi- ninELISAkit(catalognumber900-135)waspurchasedfrom tivityandspecificity,andonlythosethatprovedsensitiveand AssayDesigns(AnnArbor,MI).Allotherreagentswerepur- specificarereportedhere.Priortoimmunohistochemistry,the chasedeitherfromInvitrogen,Fisher,orSigma. specificityoftheantibodyreagentswasfirstgaugedbyWestern Assays of Osteogenic and Adipogenic Potential of Primary blotanalysisasdetailedpreviously(30),usingproteinextracts Mouse Bone Cell Cultures—Calvarial osteoblasts were pre- preparedfromthefollowing:(a)C3H10T1/2cellstransduced paredfromneonatalmousecalvariabytimedcollagenasediges- witheithercontrolSFG-LacZvirusorwithSFG-Msx2andthen tionusingmethodsdescribedpreviously(26).Bonemesenchy- (b)mouseprimarycalvarialosteoblastcellextractsfromeither malcellswereisolatedfromthemarrowcompartmentoflong WTorMsx2Tgmice.Onlythosereagentsthatgeneratedsingle bones of 4-month-old Msx2Tg and WT mice using methods immunoreactive bands of the appropriate relative mass fol- described previously (27) and then tested for the capacity to lowingSDS-PAGEandWesternblotanalysiswereutilizedfor undergo osteogenic or adipogenic differentiation. For osteo- immunoperoxidasestaining.Forneonatallongbones,follow- genicdifferentiation,cellswereseededin96-welltissueculture ing48hoffixationin10%neutralbufferedformalin,samples platesatadensityof1(cid:4)105cells/well,leftundisturbedfor7 wereembeddedinparaffinwithoutdecalcification,and5-(cid:3)m longitudinal sections were prepared for Msx2, Wnt7a/b, and days,andthenmaintainedinmineralizationmedium(modified Eagle’s medium containing 10% FBS, 50 (cid:3)g/ml ascorbic acid, Wnt1 immunohistochemistry. For adult long bones, ossicles and 10 mM (cid:2)-glycerophosphate) for 3 additional weeks. Cul- were fixed for 48–72 h in 10% neutral buffered formalin and tures were subsequently stained for calcium deposition using thendecalcifiedfor3weeksat4°Cin0.375MEDTA,pH8,with constant gentle stirring. Decalcified adult long bones were Alizarinred.Wellscontainingrednoduleswith15ormorecells embeddedinparaffin,and5-(cid:3)msectionswerecutforsubse- were considered positive. The osteogenic potential was deter- quentimmunohistochemistryusingmethodsdescribedprevi- minedasthepercentofpositivewellsintotalwells.Foradipogenic differentiationassays,bonemesenchymalcellswereseededat1(cid:4) ously(19).Briefly,afterdeparaffinizationofthesectionswith xylene and rehydration via graded aqueous ethanolic baths, 107cellsper10-cmculturedish.Sevendayslater,cellsweretreated withadipogenicmediumcontaininginsulin(5(cid:3)g/ml),dexameth- endogenousperoxidaseswerequenchedbytreatmentwith1% asone(10(cid:1)7M),andindomethacin(50(cid:3)M)for9additionaldays. H2O2 in methanol for 20 min, rinsed with water for 1 min, followedby10moreminofrinsinginPBS,andthenincubated Cultures were stained with the lipotrophic dye Oil Red O as inblockingsolution(10%normalserumcognatetothesecond- detailedpreviously(28,29).Thenumbersofadipocytecolonies aryantibodyand5%bovineserumalbumininPBS)for30min wereenumerated,anddatawereexpressedasthepercentoftotal at 25°C. Sections were then incubated with 2 (cid:3)g/ml primary cellcoloniesthatstainedpositivewithOilRedO. antibody in blocking solution overnight ((cid:5)18 h) at 4°C. The CMV-Msx2(Msx2Tg)andTOPGALTransgenicMice—The nextmorning,afterwashingthreetimesfor10minwithPBSat generationandmaintenanceofCMV-Msx2Tgmice(Msx2Tg) room temperature, antigen-antibody complexes were tagged ontheC57Bl/6murinebackgroundhavebeendetailedprevi- withVECTASTAINEliteABCperoxidasekitsdirectedtoward ously (19). Msx2Tg mice were generated essentially as eithergoat(PK6105)orrabbit(PK6101)primaryantibodiesas described by Maxson and co-workers (13). The eukaryotic appropriate(seeabove),byincubatingsectionswith1:200dilu- pcDNA3-Msx2 expression construct DT21.14 (30) was tion of the biotinylated secondary antibody for 30 min. After digested with BglII and NruI to release the 3.2-kb fragment washing and incubation with ABC anti-biotin reagent, speci- encoding the CMV immediate early promoter, mouse Msx2 menswereagainwashedtwotimesfor10minwithsterilePBS, cDNA (with N-terminal Met-FLAG tag), and the bovine and complexes were visualized by diaminobenzidine staining growth hormone 3(cid:2)-untranslated region and polyadenylation (SK-4100),withstainintensitymonitoredbymicroscopy.Reac- signal from pcDNA3 (Invitrogen). This 3.2-kb fragment was tionswerestoppedbyrinsingwithtapwater.Equaltimeofstain usedtogeneratetransgenicmicemadebymaleC57Bl/6pro- developmentwasutilizedforbothWTandMsxTgtissuesec- nuclearinjectionattheWashingtonUniversityMouseGenet- tionsmonitoredinparallel.Afterdehydrationingradedetha- ics Core. PCR genotyping for the CMV-Msx2-bGHpoly(A) noltoxylene,samplesweremountedusingVectaMountper- transgene was directed toward uniquely juxtaposed 3(cid:2)-cDNA manent mounting media and digital images were captured Msx2 (5(cid:2)-TGT GCT CCC CAT CCC GCC TGT TGG ACT using a Leica 4100 DM microscope coupled with a DFC 420 CTA-3(cid:2))andvector3(cid:2)-untranslatedregionsequences(5(cid:2)-AAG digitalcamera,operatedwithFW4000software(LeicaMicro- GACAGTGGGAGTGGCACCTTCCAGGGT-3(cid:2))usingthe systems,Bannockburn,IL)asdetailedpreviously(19). indicated primers, following the protocol of Stratman et al. Histochemistry and Histomorphometric Methods—Histo- (31).TOPGALmice(32)(TCF/LEFOptimalPromoter/Galac- chemistryforLacZactivityinMsx2Tg;TOPGALandTOPGAL tosidase reporter transgenic mice) were purchased from The mice was carried out essentially as detailed previously (19). Jackson Laboratories (mouse stock 004623; genotyping Long bones from Msx2Tg;TOPGAL and TOPGAL siblings amplimers, 5(cid:2)-GAG TGA CGG CAG TTA TCT GGA AGA wereexcised,rinsedtwiceinPBS,andthenembeddedinOCT TCA GGA-3(cid:2) and 5(cid:2)-GGA AAC CGA CAT CGC AGG CTT (Sakura Tissue-Tek). Subsequently, 25-(cid:3)m-thick longitudinal CTG CTT CAA TCA-3(cid:2)). TOPGAL mice were bred with frozensectionsofnondecalcifiedspecimenswereanalyzedby Msx2TgmicetogenerateMsx2Tg;TOPGALanimalsonamixed histochemistry for (cid:2)-galactosidase (LacZ) enzyme activity as C57Bl/6:CD1background. detailed previously for mouse aortas (19), comparing LacZ JULY18,2008•VOLUME283•NUMBER29 JOURNALOFBIOLOGICALCHEMISTRY 20507 WntSignalsMediateMsx2BoneAnabolism staining of proximal tibiae in Msx2Tg;TOPGAL versus TOP- ingDkk1,Msx2,Msx2(P148H),andMsx2(T147A)weregener- GALanimals. ated using methods detailed previously (28). Transduction of For dynamic and static histomorphometric studies, C3H10T1/2 cells and primary mouse mesenchymal cells was 6-month-old male mice (7 Msx2Tg, 11 WT siblings) were performed as detailed (28). Cells transduced with SFG-LacZ sequentiallydosedat8and3dayspriortosacrifice,firstwith encoding(cid:2)-galactosidasewereusedasanegativecontrol.The subcutaneoustetracycline(1mg/0.1mlper30-gbodyweight) expression of Msx2 and Dkk1 in SFG-Msx2- and SFG-Dkk1- andthenwithsubcutaneouscalcein(1mg/0.1mlper30-gbody transducedcellswasverifiedviarealtimeRT-qPCRanalysisof weight),respectively.Followingeuthanasiaviaexsanguination mRNA(seebelow). underketamine-xylazineanesthesia,righthindlimbsweredis- Gene Expression by Fluorescence RT-qPCR—Two-step RT- sectedenbloc,andthecombinedfemur,genu,andtibiawere qPCR was used to quantify gene expression in total RNA dissectedfreeofadherentmuscleandfascia.Carefullyliberated extracted from either mouse bone (44) or cultured cells (28) rightfemurswerefixedin10%neutralbufferedformalinat4°C usingtherespectivemethodsdetailedpreviously.Amixtureof for2days,washedtwicefor15mininPBS,andthenstoredin randomhexamersandoligo(dT)wasusedtoprimecDNAsyn- 70%ethanoluntilembeddedinOsteo-BedResinforprepara- thesis,sothatrelativemRNAaccumulationcouldbenormal- tionoflongitudinalplasticsections.Dynamicandstatichisto- izedtothesignalobtainedfor18SribosomalRNAinparallel. morphometrywasperformedunderafee-for-servicecontract AmplimerpairsusedforquantitativeRT-qPCRwereasfollows: withMDSPharmaServices,formerlySkeleTech,Inc.(Bothell, Msx2, 5(cid:2)-CCG CCG CCC AGA CAT A-3(cid:2) and 5(cid:2)-CTT CCG WA),usingOsteomeasuresoftware(33),andfollowingnomen- GTT GGT CTT GTG TTT C-3(cid:2); Wnt1, 5(cid:2)-AAA TGG CAA clature and recommendations of the American Society for TTC CGA AAC CG-3(cid:2) and 5(cid:2)-CGA AGA TGA ACG CTG Bone and Mineral Research Histomorphometry Committee TTTCTCG-3(cid:2);Wnt3a,5(cid:2)-CATGCACCTCAAGTGCAA (34).Forboneformationrate(BFR),thetissuevolumereferent ATG-3(cid:2)and5(cid:2)-TGAGGAAATCCCCGATGGT-3(cid:2);Wnt5a, (TV), i.e. BFR/TV (%), was chosen to facilitate comparisons 5(cid:2)-CCA CGC TAA GGG TTC CTA TGA G-3(cid:2) and 5(cid:2)-TGT withcontemporaryreportsofWnt-regulated(35),Dkk1-regu- CCTACGGCCTGCTTCA-3(cid:2);Wnt7a,5(cid:2)-TGGATGCCC lated(36),andotheranabolicresponses(37–41)inthemouse GGGAGATC-3(cid:2)and5(cid:2)-CCGACCCGCCTCGTTATT-3(cid:2); skeleton. Wnt7b,5(cid:2)-TTCTGGAGGACCGCATGAA-3(cid:2)and5(cid:2)-GGT ConebeamMicro-CTImaging—Thelefttibiaeobtainedfrom CCAGCAAGTTTTGGTGGTA-3(cid:2);Wnt10b,5(cid:2)-CGAGAA 6-month-oldmicedescribedabovewereusedtoassesstrabec- TGCGGATCCACAA-3(cid:2)and5(cid:2)-CCGCTTCAGGTTTTC ularbonesusingScancomicro-CT40(ScancoUSAInc.,South- CGT TA-3(cid:2); bacterial (cid:2)-galactosidase/LacZ, 5(cid:2)-GGT TAC eastern,PA)atanenergysettingof55kV,currentsettingof145 GAT GCG CCT ATC TAC AC-3(cid:2) and 5(cid:2)-CTC CGC GGG mA,andwithanintegrationtimeof300ms.Afixedthreshold AAC AA CG-3(cid:2); ALP, 5(cid:2)-ACA CCA ATG TAG CCA AGA of270Hounsfieldunitswasusedtoseparatebonefromback- ATG TCA-3(cid:2) and 5(cid:2)-GAT TCG GGC AGC GGT TAC T-3(cid:2); ground.Atotalof300–350transverseCTsliceswasobtained, Dkk1, 5(cid:2)-GCT GCA TGA CGC ACG CTA T-3(cid:2) and 5(cid:2)-AGA and three-dimensional analysis was performed on trabecular GGGCATGCATATTCCATTT-3(cid:2);Runx2,5(cid:2)-AGGAGG bonesinthe50slices(16(cid:3)mthick/slice)startingatabout0.1 GAC TAT GGC GTC AA-3(cid:2) and 5(cid:2)-TCG GAT CCC AAA mm below the lowest point of the growth plate. Trabecular AGAAGCTTT-3(cid:2);Osx,5(cid:2)-CCCTTCTCAAGCACCAAT morphometric parameters, including the percentage of bone GG-3(cid:2)and5(cid:2)-AAGGGTGGGTAGTCATTTGCATA-3(cid:2); volumepertotalvolume(%BV/TV),trabecularthickness(Tb BSP,5(cid:2)-CAGAGGAGGCAAGCGTCACT-3(cid:2)and5(cid:2)-GCT Th, (cid:3)m), trabecular number (per mm3), trabecular spacing GTCTGGGTGCCAACACT-3(cid:2);LRP5,5(cid:2)-GAGCGAGGA ((cid:3)m),structuremodelindex,andconnectivitydensity(connec- GGC CAT CAA-3(cid:2) and 5(cid:2)-GCC CGA GAT GAC AAT GTT tionspermm3)wereacquiredbydirectmethodofcalculation CT-3(cid:2); LRP6, 5(cid:2)-TGT GGG CCT GAC CGT GTT-3(cid:2) and (42). 5(cid:2)-TTCGAGCCTGGACCTTGGT-3(cid:2);18SrRNA,5(cid:2)-CGG Serum ELISAs for Tartrate-resistant Acid Phosphatase CTACCACATCCAAGGAA-3(cid:2)and5(cid:2)-GCTGGAATTACC (TRAP5c), CTX, and Dkk1—After overnight fasting, mice GCGGCT-3(cid:2). were anesthetized and blood was withdrawn from the infe- KnockdownofMsx2-WntSignalingComponentsbysiRNAin rior vena cava in heparinized syringes. Blood samples were C3H10T1/2MouseMesenchymalOsteoprogenitors—Commer- layered on top of Microtainer Serum Separator tubes cially available siRNAs directed to murine Wnt1 (sc-36840), (365956; BD Biosciences) and incubated overnight at 4°C. Wnt5a (sc-41113), Wnt7a (sc-41115), Wnt7b (sc-41117), Sera were obtained after centrifugation at 2,000 (cid:4) g for 20 Wnt10b (sc-37186), and control siRNA (sc-44230) were pur- min at room temperature. Serum concentration of oste- chased from Santa Cruz Biotechnology. Sequences for these oclast-derived tartrate-resistant acid phosphatase form 5b reagentscanbeobtaineduponrequestfromthemanufacturer. was determined by using MouseTRAP assay kit (Code CustomsiRNAsusedforknockdownofLRP5,LRP6,andMsx2 TR103; IDS Inc., Fountain Hills, AZ). Commercial ELISAs wereorderedfromQiagen(Valencia,CA)ashighperformance for CTX (RatLaps, 1RTL4000, Nordic Bioscience Diagnos- purity-grade reagents. The siRNA designed for Msx2 knock- ticsviaIDSInc.)andDkk1(DuoSetDY1765;R&DSystems) down was derived from the viral RNAi strategy previously werecarriedoutperthemanufacturer’sinstructions. describedbyCossuandco-workers(45).Customsequencesfor Transfection and Retroviral Transduction—The pseudo- mouseLRP5andLRP6knockdownweredesignedusingEasy typedretrovirusSFG-LacZ(43)wasthekindgiftofDr.DanOry siRNAsoftware(ProteinLounge,SanDiego).Specificreagents (WashingtonUniversity,St.Louis).SFGretrovirusesexpress- used for Msx2, LRP5, and LRP6 knockdown were as follows: 20508 JOURNALOFBIOLOGICALCHEMISTRY VOLUME283•NUMBER29•JULY18,2008 WntSignalsMediateMsx2BoneAnabolism Msx2,5(cid:2)-r(CAGUACCUGUCCAUAGCAG)dTdT-3(cid:2)and Msx2mRNAwassignificantlyincreasedincalvarialosteoblasts 5(cid:2)-r(CUG CUA UGG ACA GGU ACU G)dTdT-3(cid:2); LRP5, (2.57(cid:6)0.07-fold)andbonemarrowcellcultures(1.81(cid:6)0.17- 5(cid:2)-r(GGA GAU CCU UAG UGC UCU G)dTdT-3(cid:2) and 5(cid:2)- fold)inMsx2TgmiceascomparedwithWTlittermates(p(cid:7) r(CAG AGC ACU AAG GAU CUC C)dTdT-3(cid:2); LRP6, 0.05forboth).Westernblotanddigitalimageanalysisofosteo- 5(cid:2)-r(GAG AAU GCA ACG AUU GUA G)dTdT-3(cid:2) and blastextractsisolatedfromlongboneandcalvariaconfirmed 5(cid:2)-r(CUACAAUCGUUGCAUUCUC)dTdT-3(cid:2)andordered that Msx2 protein levels paralleled the transgene-mediated fromQiagen(Valencia,CA). increases in mRNA accumulation (Fig. 1A). We localized the Targeted mRNA degradation using siRNA technology was spatialpatternsofMsx2expressioninlongbonefromMsx2Tg performed essentially as described by Brazas and Hagstrom micebyimmunoperoxidasestainingin3-day-oldmice.Overall (46),accordingtotheprotocolprovidedbySantaCruzBiotech- signal intensity was increased in Msx2Tg versus WT siblings, nology.Briefly,C3H10T1/2cellswereseededat2(cid:4)105/wellin becauseofexpandedMsx2immunoreactivityinthebonemar- 6-well cluster plates (35-mm diameter wells) in DMEM con- rowcompartment,theperiosteum,andsecondaryossification taining 10% FBS the day before lipofection. To prepare lipid- centers(Fig.1Bandsupplementalmaterial).Secondary(epiph- siRNAcomplexes,80pmoloftheindicatesiRNAduplexin100 yseal) ossification centers begin to form in mice in the first (cid:3)l of Transfection Medium (sc-36868) and 6 (cid:3)l of siRNA postnatalweek(47,48);inlongbonesectionswheresecondary Transfection Reagent (sc-29528) in 100 (cid:3)l of Transfection ossificationcenterswerevisualized,Msx2expressioninassoci- Medium were combined, incubated for 30 min at 25°C, and atedhypertrophicchondrocyteswasalsoexpandedinMsx2Tg thendilutedwith800(cid:3)lofpre-warmedTransfectionMedium. mice (Fig. 1B). The recently described accumulation of Msx2 Cellwererinsedoncewithserum-freeDMEM,and1000(cid:3)lof proteininasubsetofearlyhypertrophiczonechondrocyteswas lipid-siRNA admixture described above was applied per well. also noted (49) and was enhanced in Msx2Tg versus WT sibs Afterincubationfor6hat37°Cinahumidified5%CO cell (Fig.1B).Noimmunoreactivitywasobservedintheabsenceof 2 culturechamber,anadditional1mlof20%FBSinDMEMwas primaryantibody(Fig.1B,rightpanel).Intheepiphysealossi- addedperwell,andlipofectionwasallowedtocontinuedover- fication center, Msx2 appeared to localize primarily to chon- night.Thenextmorning,thelipofectionmediawasaspirated, drocyte nuclei (Fig. 1C). However, in marrow and periosteal andtransfectedmonolayerscellsre-fedwithfreshC3H10T1/2 venues,bothnuclearandcytoplasmicMsx2immunoreactivity growthmedia(10%FBSinDMEM).Twentyfourhourslater, wereclearlynoted(Fig.1D),presumablyreflectingstage-spe- total cellular RNA was harvested as detailed previously (19) cificre-localizationofMsx2inbonemesenchymalprogenitors using Ambion Turbo DNase treatment and removal kit asdescribedrecently(50). (AM1907;AppliedBiosystems)toremovealltracesofgenomic ToexaminetheeffectsofMsx2onbonecontentandstruc- DNA.QuantitativeRT-qPCRwascarriedoutintriplicateusing ture,weperformedconebeammicro-CTanalysisoftheproxi- methodsdescribedpreviously(28).EfficiencyoftargetmRNA maltibia(51),comparingMsx2TgversusWTsiblings.Consist- knockdown of (cid:5)30% (range 30–50%) was observed for all ent with increased BMD (see below), Msx2Tg mice exhibited siRNAreagentspresented,usingRT-qPCRfortargetedmRNA significant increases in trabecular bone volume (Tb.BV/TV; accumulationasanassay.ForRNAiusingprimarybonemar- 40%increase),trabecularnumber(Tb.N;20%),andtrabecular row cell cultures from Msx2Tg mice, the above protocol was connectivitydensity(80%increase;Fig.2,A–C).Thestructure alsoimplemented,exceptthatTransIT-TKOtransfectionrea- model index (SMI), an index that diminishes as trabeculae gent (Mirus, Madison, WI) was used to introduce the siRNA become more sturdy and plate-like (52), was 40% lower in reagents. Msx2Tgmice(Fig.2D;p(cid:8)0.04);thus,trabeculaeinMsx2Tg Statistics—For statistical testing of dynamic histomor- mice were more plate-like than those of their WT sibs (52). phometry, micro-CT, and gene expression results, analyses Although Msx2Tg-dependent increases in tibial trabecular were performed using Student’s t test as described previ- thicknessdidnotreachsignificancebymicro-CT(notshown), ously (44). All data are presented as the means (cid:6) S.E. of staticmorphometryoffemoraltrabeculaedidestablishasignif- measurement to facilitate meaningful comparisons (95% icant15%increaseinfemoraltrabecularthickness(Tb.Th)and confidenceinterval(cid:6)1.96S.E.). confirmedMsx2-dependentincreasesinTb.NandTb.BV/TV (Fig. 3). Long bone cortical thickness was also significantly RESULTS increased by 33% in Msx2Tg versus WT siblings (p (cid:7) 0.05). CMV-Msx2 Transgenic Mice Exhibit Higher Bone Volume Thus, augmenting Msx2 expression in bone significantly with Greater Numbers of Plate-like Trabeculae as Compared increasestrabecularbonemassaccrual. withWild-typeLittermates—Wedemonstratedpreviouslythat Msx2Tg Mice Exhibit Greater Osteoblast Numbers and Msx2 stimulated osteogenic differentiation but inhibited adi- Increased Trabecular Bone Formation—Detailed static and pogenesisinculturedC3H10T1/2mesenchymalcells(28,29). dynamichistomorphometry(34,53)ofsecondaryspongiosain Wewishedtobetterunderstandthephysiologicalrelevanceof thedistalfemurrevealedthecellularmechanismsofMsx2long osteogenic-adipogeniclineageallocationbyMsx2onpostnatal bone anabolism. Significant increases in trabecular bone vol- bone homeostasis. Therefore, we extended our studies to the ume/total volume (Tb.BV/TV; Fig. 3A), Tb.N (Fig. 3B), and evaluation of bone and body composition in our CMV-Msx2 Tb.Th(Fig.3C)inMsx2Tgmice(n(cid:8)7)versusnontransgenic transgenic (Msx2Tg) mice (19), a murine model previously siblings(n(cid:8)11)wereobservedat6monthsofage.Importantly, demonstrated by Maxson and co-workers (13) to efficiently thetrabecularboneformationrate/tissuevolume(BFR/TV;tis- recapitulate key features of Msx2 actions in craniosynostosis. suevolumereferent)wasincreased76%(p(cid:8)0.03;Fig.3D).A JULY18,2008•VOLUME283•NUMBER29 JOURNALOFBIOLOGICALCHEMISTRY 20509 WntSignalsMediateMsx2BoneAnabolism FIGURE2.Msx2Tgmiceexhibitgreatertrabecularbonevolumeandnum- bersofplate-liketrabeculaeascomparedwithnon-TgWTsiblings.Fol- lowingeuthanasia,lefttibiaefrommaleMsx2Tg(n(cid:8)7)andWTnon-Tgmale siblings(n(cid:8)11)weredissected,fixedinethanol,andanalyzedbymicro-CT. A, total bone volume was increased as a percentage of tissue volume in Msx2Tgversusnon-Tgsibs.Additionally,trabecularnumber(B)andconnec- tivity density, an index of trabecular strut-like interaction, is increased in Msx2Tganimals(C).Notethatthestructuralmodelingindex,aparameterthat decreasesastrabeculaebecomemoresturdyandplate-like(52),isdecreased in Msx2Tg mice (D). Tb.BV/TV, trabecular bone volume; Tb.N, trabecular number. similarchangewasnotedwhenbonesurfacereferentwasused for BFR (WT (cid:8) 52.5 (cid:6) 9.1 (cid:3)m3/(cid:3)m2/year versus Msx2Tg (cid:8) 73.7 (cid:6) 8.4 (cid:3)m3/(cid:3)m2/year, p (cid:8) 0.065 for the 40% BFR/BS increase). A 2.7-fold increase in osteoid surface/bone surface wasseenwithnochangeinosteoidthickness(notshown),indi- catingnormalandunchangedmatrixmineralization.Because mineralizingsurface(MS/BS;Fig.3E)wasincreasedwithouta changeinmatrixappositionrate(MAR;Fig.3F),thisstrongly suggestedMsx2Tg-inducedincreasesinBFR/TVwerebecause ofincreasednumbersofosteoblasts.Osteoblastnumberswere indeed increased; the osteoblast perimeter/bone perimeter (Ob.Pm/B.Pm)was50%greaterinMsx2Tgversusnon-Tgsibs (p(cid:8)0.001;Fig.3G).Bycontrast,osteoclastnumberswerenot increased (Oc.Pm/B.Pm; Fig. 3H). Increased bone formation without significant changes in osteoclast-mediated bone resorptionwasconfirmedbyserummarkeranalysis(54);serum TRAP5c (tartrate-resistant acid phosphatase; WT (cid:8) 1.09 (cid:6) 0.11IU/mlversusMsx2Tg(cid:8)1.01(cid:6)0.17IU/ml;p(cid:8)0.68)and CTX(collagenC-terminaltelopeptide;WT(cid:8)29.7(cid:6)4.2ng/ml versus Msx2Tg (cid:8) 23.0 (cid:6) 3.6 ng/ml; p (cid:8) 0.28) did not differ between Msx2Tg and non-Tg sibs. Thus, Msx2Tg increases long bone mass and trabecular bone formation by increasing FIGURE1.SkeletalaccumulationofMsx2proteinisincreasedinMsx2Tg thetotalnumberoftrabecularbone-formingosteoblasts,with- mice.MicetransgenicforMsx2expressionenhancedbytheCMVpromoter weregeneratedasdetailedpreviously(19).Cellularextractspreparedfrom outsignificantchangesinosteoclast-mediatedboneresorption. primarycellculturesofneonatalcalvarialandlongboneosteoblastswere analyzedforMsx2proteinaccumulationbyWesternblotanalysis.Expression levelswerereferencedtothatofactinexpression.A,notethatMsx2protein accumulationinbothcalvarialandlongbonemesenchymalcellculturesis ossificationcentersofMsx2Tgmice.Nosignalwasobservedintheabsenceof enhanced2-foldbyMsx2Tg.LevelsofMsx2mRNAaccumulationwereequiv- primaryantibody.C,higherpowermagnificationofchondrocytesinsecond- alentlyincreased(p(cid:7)0.05,seetext).B,immunoperoxidasestainingforMsx2 aryossificationcenterssuggestedonlynuclearlocalizationofMsx2inboth expressionwasmoreintenseinlongbonesfromMsx2TgversusWTsiblings, WT(shown)andMsx2Tgmice(notshown).D,inmarrowspongiosa(leftpanel) localizedtoearlyhypertrophiczone(HZ)chondrocytes,andperiostealand andperiosteal(rightpanel)skeletalcompartments,bothnuclear(whitearrow- marrow compartments of the metaphysis (MET) and diaphysis (DIA). heads)andnon-nuclear(blackarrowheads)Msx2proteinaccumulationwas Expanded Msx2 protein accumulation was also observed in secondary observed.Aby,antibody. 20510 JOURNALOFBIOLOGICALCHEMISTRY VOLUME283•NUMBER29•JULY18,2008 WntSignalsMediateMsx2BoneAnabolism 0.37,p(cid:8)0.05)witha10%percentreductionintotalbodyfat (WT (cid:8) 14.4 (cid:6) 0.53%; Msx2Tg (cid:8) 13.03 (cid:6) 0.42%, p (cid:8) 0.04) versusnontransgeniclittermates.Nodifferenceinoverallbody weightwasobserved(WT(cid:8)14.74(cid:6)0.28g;Msx2Tg(cid:8)15.16(cid:6) 0.52 g; p (cid:8) 0.23). The significant differences in BMD and fat masspersistedafter4monthsofchallengewithhighfatdiets withcontenttypicalofwesternizedsocieties;wholebodyBMD remainedsignificantlyelevated(WT(cid:8)51.84(cid:6)0.46mg/cm2 versusMsx2Tg(cid:8)52.92(cid:6)0.42mg/cm2,p(cid:8)0.04),andfatmass was reduced (WT (cid:8) 45.3 (cid:6) 0.84% versus Msx2Tg (cid:8) 43.1 (cid:6) 0.61%;p(cid:8)0.02)inMsx2Tgmice(Fig.4A).Again,nodifference inoverallbodyweightwasdetectedbetweenobeseMsx2Tgand non-Tglittermates(p(cid:8)0.43;Fig.4A).Serumleptin,anadipo- kine marker of body fat content (55), was also reduced in Msx2Tg versus non-Tg sibs after dietary challenge (WT (cid:8) 1773(cid:6)384pg/ml;Msx2Tg(cid:8)452(cid:6)174;p(cid:7)0.001;Fig.4B). Consistentwiththewholebodychangesintissuecomposition, examination of proximal tibiae revealed reduced marrow fat accumulation by histology in Msx2Tg mice; Fig. 4C is repre- sentativeofresultsobservedfromeightanimalsstudied,fourof eachgenotype(seesupplementalmaterial).Quantitativeanal- ysisoflongbonemesenchymalcellsisolatedfromfourWTand seven Msx2Tg mice fed high fat diets for 4 months demon- stratedareductioninoilredO-positiveadipocyticcolonyfor- mation(WT(cid:8)76.4(cid:6)0.8%,Msx2Tg(cid:8)35.7(cid:6)6.0%oilred-O positivecolonies;seeFig.4D).Thus,ascomparedwithnon-Tg WTlittermates,Msx2Tgmiceexhibitgloballyenhancedbone mass,withreciprocalreductionsinbodyfatandlongbonemar- rowfat. LongBoneMesenchymalCellsDerivedfromMsx2Transgenic Mice Exhibit Enhanced Osteogenic Differentiation in Vitro in Addition to Reduced Adipogenic Differentiation—To further study the mechanisms of increased bone formation and reducedadiposeinMsx2Tgmice,weisolatedlongbonemes- enchymalcellsandcalvarialosteoblastsfromWTandMsx2Tg miceandcomparedtheirosteogenicactivitiesincultures.The FIGURE3.Boneformationandnumbersofosteoblastsareincreasedin osteogenic potential of Msx2Tg bone mesenchymal cell cul- Msx2Tgwithoutsignificantchangesinnumbersofosteoclasts.Following tures,whichcontainbothosteoblastandadipocyteprecursor euthanasia,femursweredissectedandanalyzedbystaticanddynamichisto- cells, was increased 1.5-fold relative to WT littermate bone morphometryinthetrabecularspongiosaofthedistalrightfemur(0.5–1.6 mmproximaltothegrowthplate).ForMsx2Tg,n(cid:8)7;fornon-Tgsibs,n(cid:8)11. mesenchymal cell cultures (WT (cid:8) 37.5 (cid:6) 5.6%, Msx2Tg (cid:8) A, as initially observed by micro-CT, histological assessment confirmed 56.3(cid:6)8.4%mineralizedcolonies;seeFig.5A).Moreover,cal- increasedbonevolumeaspercentoftotaltissuevolumeinMsx2Tgversus non-Tgsibs.Trabecularnumber(B)andtrabecularthickness(C)werealso varial osteoblasts or bone mesenchymal cells from Msx2Tg increased.Dynamichistomorphometryrevealedincreasesinboneformation mice exhibited significantly increased ALP activity (2.08 (cid:6) (D, tissue volume referent). Mineralizing surface is increased (E) without 0.07-fold;seeFig.5B)andequivalentlyelevatedmRNAaccu- changesinmineralappositionrate(F),arisingfromincreasesinnumbersof bone-formingosteoblasts(G)inMsx2Tgmice.Nosignificantchangeinbone- mulation for ALP, osterix (Osx), and bone sialoprotein (Fig. resorbing osteoclast numbers (H) or activity (see text) was observed in 5C).Intriguingly,nochangewasobservedintherelativeaccu- Msx2Tgmiceversusnon-Tgsibs.Tb.BV/TV,trabecularbonevolume;Tb.N,tra- becularnumber;Tb.Th,trabecularthickness;MS,mineralizingsurface;Oc, mulation of Runx2 message (Fig. 5C). Accumulation of the osteoclast;Ob.Pm,osteoblastperimeter/boneperimeter. nucleartranscriptionalco-adapter,(cid:2)-catenin,hasbeenshown to be critical to the elaboration of osteoblast development Msx2TransgenicMiceExhibitGloballyHigherBoneMineral downstreamofosteogenicWntsignaling(56).Therefore,cel- Density,withLowerBodyandMarrowFatasComparedwith lularextractsofbonemesenchymalcellculturefromWTand Wild-typeLittermates—Globalanalysisofbodycompositionby Msx2Tgmicewereprepared,and(cid:2)-cateninproteinaccumula- dual electron x-ray absorptiometry (44) in 1-month-old sibs tionwasquantifiedbyELISA.Totalcellular(cid:2)-cateninprotein confirmed and extended the detailed histomorphometry of waselevated1.6-foldinMsx2Tgversusnon-Tglongbonecell hindlimblongbone;wholebodydualelectronx-rayabsorpti- cultures(Fig.5D,p(cid:8)0.02)and2-foldincalvarialosteoblasts ometryindicatedthattheMsx2Tgskeletongloballyexhibiteda (datanotshown).Thus,theexvivoosteogenicpotentialofmes- small but statistically significant 3.3% greater bone mineral enchymalprogenitorsisolatedfromMsx2Tgmiceisenhanced density(BMD;WT(cid:8)30.38(cid:6)0.39mg/cm2;Msx2Tg(cid:8)31.39(cid:6) comparedwithnon-TgWTsibs,consistentwiththeincreased JULY18,2008•VOLUME283•NUMBER29 JOURNALOFBIOLOGICALCHEMISTRY 20511 WntSignalsMediateMsx2BoneAnabolism osteoblast numbers observed in Msx2Tg mice long bone as quantifiedbyhistomorphometry. Msx2Tg Activation of Osteogenic Differentiation Is Antago- nizedbyDkk1,anInhibitorofCanonicalWntSignaling—The reciprocalcontrolofbonemesenchymalcellosteogenesisand adipogenesisbytheMsx2transgenewashighlyreminiscentof the effects of canonical Wnt signaling (22, 23). Wnt10b has beenshowntopromoteosteogenesisandsuppressadipogenic differentiationfrommultipotentmarrowosteoprogenitors(22, 23).IfparacrinecanonicalWntsignalscontributetotheeffects ofMsx2Tgonbonemarrowosteogenesis,thenDkk1,ahighly specificinhibitorofLRP5/6Wntreceptorsignalingcomplexes (36),shouldantagonizeMsx2Tgactions.Wethusgenerateda retroviral expression construct, SFG-Dkk1, to augment Dkk1 production by bone mesenchymal cells. We first tested the effectsofSGF-Dkk1transductiononC3H10T1/2cellcultures previously transduced with SFG-Msx2; in this validated cell culture model, Msx2 actions are antagonized by exogenous recombinant purified Dkk1 (19). As shown in Fig. 6A, SFG- Dkk1 completely abrogated the effects of SFG-Msx2 on ALP inductioninC3H10T1/2cells.Wenextevaluatedtheeffectsof SFG-Dkk1 transduction on osteogenic differentiation using calvarialosteoblastsisolatedfromMsx2Tgversusnon-Tgsib- lings. As compared with control virus (SFG-LacZ), transduc- tionwithSFG-Dkk1profoundlyinhibitedthemineralizednod- ule formation up-regulated by the Msx2 transgene (Fig. 6B). Thus,Msx2Tginductionofosteogenicdevelopmentintrans- genic osteoblasts is dependent upon endogenous paracrine canonicalWntsignalingcascades. TheMsx2TransgeneUp-regulatesWnt7butSuppressesDkk1 ProteinAccumulationinCalvarialOsteoblastsandLongBone MesenchymalCells—Ourstudiesofarterialcalcificationhave revealed that Msx2 controls osteogenic lineage allocation of aorticvascularprogenitors(28)viaparacrineWntsignals(19). The body composition changes observed in response to Msx2TgresembledthoseofthecanonicalligandWnt10b(20, 22, 23). Moreover, because SFG-Dkk1 inhibited Msx2Tg actions, this strongly suggested that modulation of Wnt and Dkk1proteinbiogenesiscontributestoMsx2boneanabolism (seeaboveandRef.28).Totestthisnotion,weanalyzedprotein accumulation of Wnt1, Wnt3a, Wnt7 (antibody recognizes both Wnt7a and Wnt7b), Wnt10b, and Dkk1-prominent genomic targets of Msx2 first identified in aortic adventitial myofibroblaststransducedwithSFG-Msx2(19).Ascompared with non-Tg sibs, Msx2Tg up-regulated Wnt1 and Wnt7 in calvarial osteoblasts (cid:3)3-fold, but suppressed Dkk1 protein weightwereobservedbetweengenotypes;however,wholebodybonemin- eraldensity(BMD)wasincreasedinMsx2Tgmice(n(cid:8)22)versusnon-TgWT (n(cid:8)34)siblings.Bycontrast,fatmasspercentagewasdecreasedinMsx2Tg animals.B,decreasesinfatmassinMsx2Tgmicewereparalleledbyeven greaterreductionsinserumleptin(WT,n(cid:8)11;Msx2Tg,n(cid:8)7).C,histologic analysisofWTandMsx2Tgsiblingsdemonstratedthatmarrowfatwasalso diminishedinMsx2Tganimalsversusnon-Tgsibswhenfedwesternizeddiets. FIGURE 4. Msx2Tg mice exhibit globally increased bone mass and Thehistologyshownisrepresentativeofresultsobtainedfromeightanimals reducedfatmassthannon-Tgsiblings.Beginningat1monthofage,male analyzed(WT,n(cid:8)4;Msx2Tg,n(cid:8)4;seesupplementalmaterial).D,adipocytic (shown)andfemale(notshown)Msx2Tgandnon-Tg(WT)siblingcohorts OilRedO-positivecolonieswerequantifiedinprimarybonemarrowmesen- werefedhighfatdietcompositiontypicalofwesternsocietiesfor16weeks. chymalcellculturesobtainedfromWT(n(cid:8)4)andMsx2Tg(n(cid:8)7)micethat Subsequently, animals were weighed, and body composition was deter- hadbeenfedthehighfatdietfor4months(see“ExperimentalProcedures”). minedbydualelectronx-rayabsorptiometry.A,nodifferencesinoverallbody NotetherelativereductioninadipogenicpotentialbytheMsx2transgene. 20512 JOURNALOFBIOLOGICALCHEMISTRY VOLUME283•NUMBER29•JULY18,2008 WntSignalsMediateMsx2BoneAnabolism Higher power magnification more clearly revealed vascular sinusoid Wnt7 staining pattern in marrow (seesupplementalmaterial),aswell as in Haversian bone vasculature (Fig. 7E, asterisk and stout arrow) andinosteocytes(Fig.7E,longthin arrows). Of note, the pattern of Wnt7 protein accumulation was completely distinct from that of Wnt1 immunoperoxidase staining, which clearly localized to marrow megakaryocytic cells (data not shown). Thus, Msx2Tg controls canonical Wnt ligand protein expression, consistently augment- ingtheaccumulationofWnt7while reducing Dkk1 protein levels in osteoblasts derived from calvaria andlongbone. Msx2TgEnhancesCanonicalWnt SignalinginLongBoneinVivo—To confirm that the Msx2Tg enhances endogenous canonical Wnt signal- ing in bone, we crossed Msx2Tg mice with TOPGAL reporter mice (32) and characterized (cid:2)-galacto- FIGURE5.PrimarybonemesenchymalcellculturesfromMsx2Tgmiceexhibitgreaterosteogenicdiffer- entiationascomparedwithnon-Tgsibs.Primaryculturesofhindlimblongbonemesenchymalcellswere sidase(LacZ)staininginlongbones preparedandculturedunderpro-osteogenicconditions.Numbersofosteogeniccolonieswerescoredby ofneonatalmice.Ascomparedwith AlizarinRedstainingasdescribedpreviously(28).A,notethatnumbersofosteogeniccolonieswereincreased by(cid:3)50%inMsx2Tg(n(cid:8)5)versusnon-Tgsibs(n(cid:8)5).BandC,Msx2Tg-enhancedosteogenicdifferentiation TOPGAL siblings, trabecular LacZ wasconfirmedby2-foldincreasesinbothalkalinephosphataseenzymeactivityofprimarycalvarialosteoblast staining in the trabecular primary cultures(B)andexpressionoftheosteogenicgenes,ALP,BSP,andOsx(C).ForbothWTandMsx2Tgosteoblast spongiosa and the endosteal bone cultures,n(cid:8)4.D,totalcellular(cid:2)-cateninlevelsmeasuredbyELISAwerealsoincreasedinculturesderivedfrom Msx2Tgmice(n(cid:8)3)versusnon-Tgsiblings(n(cid:8)3). envelope was much more promi- nentinMsx2Tgversusnon-Tgsibs accumulation(Fig.7A,expressionnormalizedtoeIF2(cid:1)protein (Fig.8A).AnalysisoftotallongboneRNAfromolder2-month- signalintensity).NochangewasobservedinWnt3aorWnt10b old cohorts confirmed the histochemical results; RT-qPCR proteinaccumulation.Inlongbonemesenchymalcells,littleif demonstrated higher levels of both lacZ reporter and Wnt7a anychangeoccurredinWnt1andWnt10bproteinlevels(Fig. gene expression in Msx2Tg(cid:9);TOPGAL versus TOPGAL sibs 7A). However, Wnt7 was once again increased, and Dkk1 (Fig. 8B). By contrast, no significant up-regulation of Wnt1, decreased,bytheMsx2transgene;accumulationofWnt7pro- Wnt3a, or Wnt10b mRNAs was observed in long bone of tein was increased (cid:3)10-fold in Msx2Tg animals versus non- Msx2Tgmice(Fig.8B,leftpanel).Wnt7bmRNAalsoaccumu- transgenic sibs (Fig. 7A). As compared with calvarial osteo- latedto3-foldhigherlevelsinlongbonefromMsx2Tgversus blasts, Wnt3a protein levels were lower in long bone non-Tganimals(Fig.8B,rightpanel).Moreover,aspredicted mesenchymal cells but were increased 2-fold by the Msx2 from our Western blot analyses, serum levels of Dkk1 were transgene. significantly reduced by 43% in Msx2Tg mice versus non-Tg Because Wnt7 protein accumulation was consistently and siblings(Fig.8C). dynamically regulated by the Msx2Tg in primary cell culture, WenextstudiedLacZstainingofculturedbonemesenchy- immunohistochemistry was used to spatially resolve the mal cells from TOPGAL mice (32) to provide an additional expression of Wnt7 in Msx2Tg long bone. In neonatal mice, indexofcanonicalWnt/(cid:2)-cateninsignaling.Ascomparedwith Wnt7accumulatedintheendostealcompartmentofthemin- TOPGALsiblings,longbonemesenchymalcellsfromMsx2Tg; eralizingperiosteumandalongthetrabeculaeofthespongiosa TOPGAL mice exhibit a 5-fold increase in the numbers of (Fig. 7B). Wnt7 expression was also observed in early hyper- LacZ-stained cells (Fig. 8D; p (cid:7) 0.0001). Similar results were trophiczonechondrocytes(Fig.7B),thusoverlappingthepat- obtained with primary calvarial osteoblasts (data not shown). ternofMsx2accumulationinneonatalMsx2Tgmice(Fig.1,B Thus, histochemical, quantitative RT-qPCR, and biochemical andC).Inadultmouselongbone,Wnt7immunoreactivitywas dataconvergetodemonstratethattheMsx2Tgaugmentsskel- stillprominent,detectedinbonemarrowvascularstructures, etalcanonicalWntsignalingcascades. mineralizingspongiosa,andosteocytes(Fig.7C).Nosignalwas Canonical Wnt7-LRP Signaling Contributes to Msx2-de- observed in the absence of primary Wnt7 antibody (Fig. 7D). pendentInductionofOsteogenesisinC3H10T1/2Mesenchy- JULY18,2008•VOLUME283•NUMBER29 JOURNALOFBIOLOGICALCHEMISTRY 20513 WntSignalsMediateMsx2BoneAnabolism FIGURE6.Msx2Tg-enhancedosteogenicnoduleformationisinhibitedby Dkk1.Thepan-tropicretroviralvectorSFG(28)wasusedtoexpresseither Dkk1orlacZcontrolbytransductionofC3H10T1/2cells(A)orprimaryosteo- blastsfromWTandMsx2Tgmice(B).SFG-Msx2wasusedasastrategyto up-regulateMsx2-WntsignalinginC3H10T1/2cellsasdetailedpreviously (19).A,SFG-Dkk1virusabrogatedSFG-Msx2inductionofALPactivity,func- tionallyvalidatingthebioactivityoftheDkk1expressionvector.Foreach group,n(cid:8)3.B,ascomparedwiththeSFG-LacZcontrolvirus(upperpanels), SFG-Dkk1transduction(lowerpanels)markedlydiminishedosteogenicnod- uleformationinbothWT(leftpanels)andMsx2Tg(rightpanels)bonemesen- chymalcellcultures.(cid:4)400magnification,scalebar,0.1mm. mal Cells—Because Wnt7 protein levels were significantly affectedbytheMsx2Tg,andbothWnt7aandWnt7bareago- nists for canonical Wnt signaling (21, 57–59), Wnt7 family members are potential paracrine mediators of Msx2 action. FIGURE7.TheMsx2TgincreasesWnt7anddecreasesDkk1proteinaccu- Moreover,asobservedinothercellsystems(21),transientco- mulation in calvarial osteoblasts and long bone mesenchymal cells. expression of Wnt7a and Wnt7b eukaryotic expression plas- A,primarycalvarialosteoblastandlongbonemesenchymalcellcultureswere preparedfromWTandMsx2TgsiblingsandextractsanalyzedforMsx2-re- midssignificantlyactivatecanonicalTCF/LEF-dependenttran- sponsivecanonicalWntregulatorsbyWesternblot.Relativeproteinaccumu- scriptioninC3H10T1/2cells(seesupplementalmaterial).The lation was normalized to that of the housekeeping protein, eIF2(cid:1), and C3H10T1/2multipotentmesenchymalcelllinefaithfullyreca- expressedasfolddifferenceofthenon-Tgcontrol.Wnt7(antibodyrecog- nizesbothWnt7aandWnt7b)wasincreasedbytheMsx2Tgincalvarialand pitulates the osteogenic versus adipogenic differentiation fate longbonecultures,whereasDkk1proteinwasreciprocallydecreased.Wnt1 choicesofbonemarrowmesenchyme(23,28).Thus,tofurther andWnt3awerealsoregulated,increasedincalvarialandlongbone,respec- establishtheroleofparacrinecanonicalWnttonetotheactions tively.Althoughexpressed,Wnt10bproteinwasnotinducedbytheMsx2Tg. B,inneonatallongbone,Wnt7immunolocalizedtoendosteum(largearrow), of Msx2, we examined the effects of depleting key inhibitors trabecularspongiosa(smallarrow),andearlyhypertrophiczone(HZ)chon- (Dkk1)andactivators(Wnt1,Wnt7a,andWnt7b)ofthispath- drocytes(brackets).Wnt7proteinaccumulationwasalsodetectedinsecond- aryossificationcentersoflongbone(notshown).C,strikingWnt7expression wayontheactionsofMsx2intheC3H10T1/2model.Wefirst (arrows)wasdetectedinmarrowvascularsinusoids(whitearrows),andthe establishedthatthereceptorsforDkk1andcanonicalWntsig- mineralizinggrowthplate(blackarrows),aswellasinosteocytes(fineblack naling,LRP5andLRP6,participatedinMsx2inductionofALP. arrows)ofadultlongbone.D,nosignalwasobservedintheabsenceofWnt7 primaryantibody.E,vascularcellsliningtheHaversiancanal(asteriskand AsshowninFig.9A,siRNAdirectedtoLRP6,andtoalesser large arrow) also accumulate Wnt7 protein, as do osteocytes (fine black extent LRP5, inhibited Msx2 induction of bone ALP in arrows). 20514 JOURNALOFBIOLOGICALCHEMISTRY VOLUME283•NUMBER29•JULY18,2008

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digital camera, operated with FW 4000 software (Leica Micro- systems, Bannockburn volume per total volume (%BV/TV), trabecular thickness (Tb. Th, μm) Transfection and Retroviral Transduction—The pseudo- typed retrovirus
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