Department of Rheumatology and Immunology, The Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
Stem Cells Dev. 2013 Feb 15;22(4):668-78. doi: 10.1089/scd.2012.0226. Epub 2012 Oct 10.
Osteoporosis in patients with systemic lupus erythematosus (SLE) is thought to be the result of accelerated osteoclastogenesis induced by pro-inflammatory cytokines such as tumor necrosis factor (TNF). However, the molecular mechanisms involved in the osteoblastogenesis in SLE patients are not fully understood. We investigated the bone morphogenetic protein-2 (BMP-2)-induced osteoblastic capacity of bone marrow-derived mesenchymal stem cells (BMMSCs) from SLE patients and the TNF signaling system in determining BMP-2-induced regulatory pathways. It showed that the capacity of osteogenic differentiation of BMMSCs from SLE patients was reduced compared with that from healthy controls. The nuclear factor κB (NF-κB) signaling was activated while the BMP/Smad pathway was repressed in BMMSCs from SLE patients. TNF activated NF-κB pathway and inhibited the phosphorylation of Smad 1/5/8 and BMP-2-induced osteoblastic differentiation in BMMSCs from normal controls, while addition of pyrollidine dithiocarbamate (PDTC), an NF-κB inhibitor, to SLE-BMMSCs could partially reverse these effects. Thus, our findings have shown that the activated NF-κB pathway in SLE-BMMSCs inhibits the BMP-2-induced osteoblastic differentiation through BMP/Smad signaling pathway, suggesting that the impaired osteoblastic differentiation may participate in the pathology of osteoporosis in SLE patients.
系统性红斑狼疮(SLE)患者的骨质疏松症被认为是由肿瘤坏死因子(TNF)等促炎细胞因子诱导的破骨细胞生成加速所致。然而,SLE 患者成骨细胞形成的分子机制尚不完全清楚。我们研究了来自 SLE 患者的骨髓间充质干细胞(BMMSCs)中骨形态发生蛋白-2(BMP-2)诱导的成骨能力以及 TNF 信号系统在确定 BMP-2 诱导的调节途径中的作用。结果表明,与健康对照组相比,SLE 患者 BMMSCs 的成骨分化能力降低。SLE 患者的 BMMSCs 中 NF-κB 信号被激活,而 BMP/Smad 通路受到抑制。TNF 激活 NF-κB 通路并抑制正常对照组 BMMSCs 中 Smad1/5/8 的磷酸化和 BMP-2 诱导的成骨分化,而向 SLE-BMMSCs 中添加 NF-κB 抑制剂吡咯烷二硫代氨基甲酸盐(PDTC)可部分逆转这些作用。因此,我们的研究结果表明,SLE-BMMSCs 中激活的 NF-κB 通路通过 BMP/Smad 信号通路抑制 BMP-2 诱导的成骨分化,提示成骨细胞分化受损可能参与了 SLE 患者骨质疏松症的病理过程。