Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
J Bone Miner Res. 2011 Nov;26(11):2647-55. doi: 10.1002/jbmr.481.
Human genetic disorders sharing the common feature of subcutaneous heterotopic ossification (HO) are caused by heterozygous inactivating mutations in GNAS, a gene encoding multiple transcripts including two stimulatory G proteins, the α subunit of the stimulatory G protein (G(s)α) of adenylyl cyclase, and the extralong form of G(s)α, XLαs. In one such disorder, progressive osseous heteroplasia (POH), bone formation initiates within subcutaneous fat before progressing to deeper tissues, suggesting that osteogenesis may involve abnormal differentiation of mesenchymal precursors that are present in adipose tissues. We determined by immunohistochemical analysis that GNAS protein expression is limited to G(s)α in bone-lining cells and to G(s)α and XLαs in osteocytes. By contrast, the GNAS proteins G(s)α, XLαs, and NESP55 are detected in adipocytes and in adipose stroma. Although Gnas transcripts, as assessed by quantitative RT-PCR, show no significant changes on osteoblast differentiation of bone-derived precursor cells, the abundance of these transcripts is enhanced by osteoblast differentiation of adipose-derived mesenchymal progenitors. Using a mouse knockout model, we determined that heterozygous inactivation of Gnas (by disruption of the G(s)α-specific exon 1) abrogates upregulation of multiple Gnas transcripts that normally occurs with osteoblast differentiation in wild-type adipose stromal cells. These transcriptional changes in Gnas(+/-) mice are accompanied by accelerated osteoblast differentiation of adipose stromal cells in vitro. In vivo, altered osteoblast differentiation in Gnas(+/-) mice manifests as subcutaneous HO by an intramembranous process. Taken together, these data suggest that Gnas is a key regulator of fate decisions in adipose-derived mesenchymal progenitor cells, specifically those which are involved in bone formation.
人类遗传疾病具有共同的特征,即皮下异位骨化(HO),其是由 GNAS 基因的杂合失活突变引起的,该基因编码多种转录本,包括两种刺激型 G 蛋白,即腺苷酸环化酶的刺激型 G 蛋白(Gs)α亚基和 Gs 的超长形式,XLαs。在一种这样的疾病中,进行性骨异质增生症(POH),骨形成首先在皮下脂肪内开始,然后进展到更深的组织,这表明成骨可能涉及到存在于脂肪组织中的间充质前体细胞的异常分化。我们通过免疫组织化学分析确定,GNAS 蛋白表达仅限于成骨细胞中的 Gsα和骨细胞中的 Gsα和 XLαs。相比之下,GNAS 蛋白 Gsα、XLαs 和 NESP55 可在脂肪细胞和脂肪基质中检测到。虽然通过定量 RT-PCR 评估的 Gnas 转录本在骨源性前体细胞的成骨分化中没有明显变化,但这些转录本的丰度在脂肪源性间充质祖细胞的成骨分化中增强。使用小鼠敲除模型,我们确定 Gnas 的杂合失活(通过破坏 Gsα 特异性外显子 1)会消除正常情况下在野生型脂肪基质细胞中成骨分化时发生的多个 Gnas 转录本的上调。在 Gnas(+/-) 小鼠中,这些 Gnas 转录本的变化伴随着体外脂肪基质细胞中成骨分化的加速。在体内,Gnas(+/-) 小鼠中改变的成骨分化表现为皮下 HO 通过膜内过程。总之,这些数据表明 Gnas 是脂肪源性间充质祖细胞命运决定的关键调节剂,特别是那些参与骨形成的细胞。