Karner Courtney M, Long Fanxin
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, 63131, USA.
Department of Orthopaedic Surgery, Duke Orthopaedic, Cellular, Developmental and Genome Laboratories, Duke University School of Medicine, Durham, NC, 27710, USA.
Cell Mol Life Sci. 2017 May;74(9):1649-1657. doi: 10.1007/s00018-016-2425-5. Epub 2016 Nov 26.
The adult human skeleton is a multifunctional organ undergoing continuous remodeling. Homeostasis of bone mass in a healthy adult requires an exquisite balance between bone resorption by osteoclasts and bone formation by osteoblasts; disturbance of such balance is the root cause for various bone disorders including osteoporosis. To develop effective and safe therapeutics to modulate bone formation, it is essential to elucidate the molecular mechanisms governing osteoblast differentiation and activity. Due to their specialized function in collagen synthesis and secretion, osteoblasts are expected to consume large amounts of nutrients. However, studies of bioenergetics and building blocks in osteoblasts have been lagging behind those of growth factors and transcription factors. Genetic studies in both humans and mice over the past 15 years have established Wnt signaling as a critical mechanism for stimulating osteoblast differentiation and activity. Importantly, recent studies have uncovered that Wnt signaling directly reprograms cellular metabolism by stimulating aerobic glycolysis, glutamine catabolism as well as fatty acid oxidation in osteoblast-lineage cells. Such findings therefore reveal an important regulatory axis between bone anabolic signals and cellular bioenergetics. A comprehensive understanding of osteoblast metabolism and its regulation is likely to reveal molecular targets for novel bone therapies.
成人骨骼是一个不断进行重塑的多功能器官。健康成年人骨量的稳态需要破骨细胞的骨吸收与成骨细胞的骨形成之间达到精确平衡;这种平衡的紊乱是包括骨质疏松症在内的各种骨骼疾病的根本原因。为了开发有效且安全的疗法来调节骨形成,阐明调控成骨细胞分化和活性的分子机制至关重要。由于成骨细胞在胶原蛋白合成和分泌方面具有特殊功能,预计它们会消耗大量营养物质。然而,对成骨细胞中生物能量学和构建模块的研究一直落后于对生长因子和转录因子的研究。在过去15年中,人类和小鼠的遗传学研究已将Wnt信号确立为刺激成骨细胞分化和活性的关键机制。重要的是,最近的研究发现,Wnt信号通过刺激成骨细胞系细胞中的有氧糖酵解、谷氨酰胺分解代谢以及脂肪酸氧化,直接对细胞代谢进行重编程。因此,这些发现揭示了骨合成代谢信号与细胞生物能量学之间的重要调控轴。全面了解成骨细胞代谢及其调控可能会揭示新型骨疗法的分子靶点。