Zhang Yongxing, Ma Chao, Liu Xuqiang, Wu Zhenkai, Yan Peng, Ma Nan, Fan Qiming, Zhao Qinghua
Department of Orthopaedics, Shanghai First People's Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai 200080, PR China.
Department of Spine Surgery, XuZhou Central Hospital, XuZhou, JiangSu 221009, PR China.
Biochim Biophys Acta. 2015 Nov;1852(11):2504-16. doi: 10.1016/j.bbadis.2015.08.020. Epub 2015 Aug 28.
Osteoporosis is one of the most prevalent skeletal system diseases; yet, its pathophysiological mechanisms remain elusive. Adipocytes accumulate remarkably in the bone marrow of osteoporotic patients. The potential processes and molecular mechanisms underlying adipogenesis in osteoporotic BMSCs have attracted significant attention as adipocytes and osteoblasts share common precursor cells. Some environmental factors influence bone mass through epigenetic mechanisms; however, the role of epigenetic modifications in osteoporosis is just beginning to be investigated, and there is still little data regarding their involvement. In the current study, we investigated how epigenetic modifications, including DNA methylation and histone modifications, lead to adipogenesis in the bone marrow during osteoporosis. A glucocorticoid-induced osteoporosis (GIO) mouse model was established, and BMSCs were isolated from the bone marrow. Compared with normal BMSCs, osteoporotic BMSCs had significantly increased adipogenesis potential and decreased osteogenesis potential. In osteoporotic BMSCs, PPARγ2 regulatory region DNA hypo-methylation, histone 3 and 4 hyper-acetylation and H3K9 hypo-di-methylation were observed. These epigenetic modifications were involved not only in PPARγ2 expression but also in osteoporotic BMSC adipogenic differentiation potential. We also found that Wnt/β-catenin signal played an important role in the establishment and maintenance of epigenetic modifications at PPARγ2 promoter in osteoporotic BMSCs. Finally, we inhibited adipogenesis and rescued osteogenesis of osteoporotic BMSCs by modulating those epigenetic modifications. Our study provides a deeper insight into the pathophysiology of osteoporosis and identifies PPARγ2 as a new target for osteoporosis therapy based on epigenetic mechanisms.
骨质疏松症是最常见的骨骼系统疾病之一;然而,其病理生理机制仍不清楚。脂肪细胞在骨质疏松症患者的骨髓中显著积聚。由于脂肪细胞和成骨细胞具有共同的前体细胞,骨质疏松症骨髓间充质干细胞(BMSCs)中脂肪生成的潜在过程和分子机制已引起广泛关注。一些环境因素通过表观遗传机制影响骨量;然而,表观遗传修饰在骨质疏松症中的作用刚刚开始被研究,关于它们的参与情况仍缺乏数据。在本研究中,我们研究了包括DNA甲基化和组蛋白修饰在内的表观遗传修饰如何在骨质疏松症期间导致骨髓中的脂肪生成。建立了糖皮质激素诱导的骨质疏松症(GIO)小鼠模型,并从骨髓中分离出BMSCs。与正常BMSCs相比,骨质疏松症BMSCs的脂肪生成潜能显著增加,而成骨潜能降低。在骨质疏松症BMSCs中,观察到过氧化物酶体增殖物激活受体γ2(PPARγ2)调控区域DNA低甲基化、组蛋白3和4高乙酰化以及H3K9低二甲基化。这些表观遗传修饰不仅参与PPARγ2的表达,还参与骨质疏松症BMSCs的脂肪生成分化潜能。我们还发现Wnt/β-连环蛋白信号在骨质疏松症BMSCs中PPARγ2启动子表观遗传修饰的建立和维持中起重要作用。最后,我们通过调节这些表观遗传修饰抑制了骨质疏松症BMSCs的脂肪生成并挽救了其成骨作用。我们的研究为骨质疏松症的病理生理学提供了更深入的见解,并确定PPARγ2作为基于表观遗传机制的骨质疏松症治疗的新靶点。