Kogianni G, Mann V, Ebetino F, Nuttall M, Nijweide P, Simpson H, Noble B
University of Edinburgh, Musculoskeletal Research Unit, Edinburgh, UK.
Life Sci. 2004 Oct 29;75(24):2879-95. doi: 10.1016/j.lfs.2004.04.048.
Prolonged use of glucocorticoids is associated with decreased bone formation, increased resorption and osteonecrosis, through direct and indirect effects on the activity and viability of bone effector cells, osteoblasts and osteoclasts, and osteocytes. This study has investigated molecular pathways implicated in Dexamethasone-induced apoptosis of osteocytes, using a cell line and primary chicken cells. MLO-Y4 osteocytes were pre-treated with several bisphosphonates representing a range of anti-resorptive activities and conformation/structure relationships, and were subsequently challenged with Dexamethasone. Apoptotic cells were detected at various times after treatment using morphological and biochemical criteria. Dex was shown to induce apoptosis associated with the Fas/CD95 death receptor and in a caspase 8 dependent manner. The apoptotic response was inhibited by all variants of the BP molecules, including those with reduced anti-resorptive activity, indicating that Dex-induced apoptosis is independent of anti-osteoclastic activity. Dex-induced apoptosis was associated with a transient increase in phosphorylated ERK 1/2 and was blocked by the ERK inhibitor UO126. In addition, both UO126 and BPs decreased localization of Fas to the cell membrane. ERK activation by PMA did not induce death or Fas upregulation, suggesting that Fas may be important for the induction of apoptosis and the existence of an additional factor activated by Dex which enables the cooperation between the Dex-activated ERK and Fas pathways, during apoptosis of osteocytes. Furthermore, upregulation of death and Fas was not accompanied by upregulation of FasL, pointing to the possible existence of FasL-independent Fas-associated death in these cells.
长期使用糖皮质激素与骨形成减少、骨吸收增加和骨坏死有关,这是通过对骨效应细胞、成骨细胞、破骨细胞和骨细胞的活性及生存能力产生直接和间接影响实现的。本研究利用细胞系和原代鸡细胞,研究了地塞米松诱导骨细胞凋亡所涉及的分子途径。用几种代表不同抗吸收活性及构象/结构关系的双膦酸盐预处理MLO-Y4骨细胞,随后用地塞米松进行刺激。使用形态学和生化标准在处理后的不同时间检测凋亡细胞。结果显示地塞米松诱导的凋亡与Fas/CD95死亡受体相关,且呈半胱天冬酶8依赖性。所有双膦酸盐分子变体,包括抗吸收活性降低的变体,均能抑制凋亡反应,这表明地塞米松诱导的凋亡与抗破骨细胞活性无关。地塞米松诱导的凋亡与磷酸化ERK 1/2的短暂增加有关,并被ERK抑制剂UO126阻断。此外,UO126和双膦酸盐均降低了Fas在细胞膜上的定位。佛波酯激活ERK并未诱导细胞死亡或Fas上调,这表明Fas可能对凋亡诱导很重要,并且存在一种由地塞米松激活的额外因子,在骨细胞凋亡过程中,该因子能使地塞米松激活的ERK和Fas途径协同作用。此外,死亡和Fas的上调并未伴随FasL的上调,这表明这些细胞中可能存在不依赖FasL的Fas相关死亡。