Gross Ted S, King Katy A, Rabaia Natalia A, Pathare Pranali, Srinivasan Sundar
Orthopaedic Science Laboratories, Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA 98104-2499, USA.
J Bone Miner Res. 2005 Feb;20(2):250-6. doi: 10.1359/JBMR.041004. Epub 2004 Oct 11.
The pathway(s) by which disuse is transduced into locally mediated osteoclastic resorption remain unknown. We found that both acute disuse (in vivo) and direct hypoxia (in vitro) induced rapid upregulation of OPN expression by osteocytes. Within the context of OPN's role in osteoclast migration and attachment, hypoxia-induced osteocyte OPN expression may serve to mediate disuse-induced bone resorption.
We have recently reported that disuse induces osteocyte hypoxia. Because hypoxia upregulates osteopontin (OPN) in nonconnective tissue cells, we hypothesized that both disuse and hypoxia would rapidly elevate expression of OPN by osteocytes.
The response of osteocytes to 24 h of disuse was explored by isolating the left ulna diaphysis of adult male turkeys from loading (n = 5). Cortical osteocytes staining positive for OPN were determined using immunohistochemistry and confocal microscopy. In vitro experiments were performed to determine if OPN expression was altered in MLO-Y4 osteocytes by direct hypoxia (3, 6, 24, and 48 h) or hypoxia (3 and 24 h) followed by 24 h of reoxygenation. A final in vitro experiment explored the potential of protein kinase C (PKC) to regulate hypoxia-induced osteocyte OPN mRNA alterations.
We found that 24 h of disuse significantly elevated osteocyte OPN expression in vivo (145% versus intact bones; p = 0.02). We confirmed this finding in vitro, by observing rapid and significant upregulation of OPN protein expression after 24 and 48 h of hypoxia. Whereas 24 h of reoxygenation after 3 h of hypoxia restored normal osteocyte OPN expression levels, 24 h of reoxygenation after 24 h of hypoxia did not mitigate elevated osteocyte OPN expression. Finally, preliminary inhibitor studies suggested that PKC serves as a potent upstream regulator of hypoxia-induced osteocyte OPN expression.
Given the documented roles of OPN as a mediator of environmental stress (e.g., hypoxia), an osteoclast chemotaxant, and a modulator of osteoclastic attachment to bone, we speculate that hypoxia-induced osteocyte OPN expression may serve to mediate disuse-induced osteoclastic resorption. Furthermore, it seems that a brief window of time exists in which reoxygenation (as might be achieved by reloading bone) can serve to inhibit this pathway.
废用转化为局部介导的破骨细胞吸收的途径尚不清楚。我们发现,急性废用(体内)和直接缺氧(体外)均可诱导骨细胞中骨桥蛋白(OPN)表达迅速上调。鉴于OPN在破骨细胞迁移和黏附中的作用,缺氧诱导的骨细胞OPN表达可能介导废用性骨吸收。
我们最近报道废用会诱导骨细胞缺氧。由于缺氧会上调非结缔组织细胞中的骨桥蛋白(OPN),我们推测废用和缺氧都会迅速提高骨细胞中OPN的表达。
通过将成年雄性火鸡的左尺骨干中段与负荷分离(n = 5),研究骨细胞对24小时废用的反应。使用免疫组织化学和共聚焦显微镜确定OPN染色阳性的皮质骨细胞。进行体外实验以确定直接缺氧(3、6、24和48小时)或缺氧(3和24小时)后再复氧24小时是否会改变MLO-Y4骨细胞中OPN的表达。最后一项体外实验探讨了蛋白激酶C(PKC)调节缺氧诱导的骨细胞OPN mRNA变化的潜力。
我们发现24小时的废用在体内显著提高了骨细胞OPN的表达(与完整骨骼相比为145%;p = 0.02)。我们在体外证实了这一发现,观察到缺氧24和48小时后OPN蛋白表达迅速且显著上调。虽然缺氧3小时后复氧24小时可恢复正常的骨细胞OPN表达水平,但缺氧24小时后复氧24小时并不能减轻骨细胞OPN升高表达。最后,初步的抑制剂研究表明PKC是缺氧诱导的骨细胞OPN表达的有效上游调节因子。
鉴于OPN作为环境应激(如缺氧)的介质、破骨细胞趋化剂以及破骨细胞与骨黏附的调节剂的已记录作用,我们推测缺氧诱导的骨细胞OPN表达可能介导废用性破骨细胞吸收。此外,似乎存在一个短暂的时间窗口,在此期间复氧(如通过重新加载骨骼实现)可抑制该途径。