Liu Xin, Shi Bowen, Cai Chengkuo, Wang Haotian, Jia Peng
Department of Orthopedics, Tianjin Hospital, Tianjin, 300211, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Nov 15;38(11):1399-1407. doi: 10.7507/1002-1892.202406083.
To investigate the effects of R-spondin 2 (Rspo2) on the osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) and bone mineral content in ovariectomized mice.
BMSCs were extracted from the bone marrow of the long bones of 7 4-week-old female C57BL/6 mice using whole bone marrow culture and passaged. After the cell phenotype was identified by flow cytometry, the 3rd generation cells were co-cultured with 10, 20, 40, 80, and 100 nmol/L Rspo2. Then, the cell activity and proliferative capacity were determined by cell counting kit 8 (CCK-8), and the intervention concentration of Rspo2 was screened for the subsequent experiments. The osteogenic differentiation ability of BMSCs was detected by alkaline phosphatase (ALP) staining, and the mRNA levels of osteogenesis-related genes [RUNX family transcription factor 2 (Runx2), collagen type Ⅰ alpha 1 (Col1), osteocalcin (OCN)] were detected by real-time fluorescence quantitative PCR (RT-qPCR). In addition, 18 10-week-old female C57BL/6 mice were randomly divided into sham operation group (sham group), ovariectomy group (OVX group), and OVX+Rspo2-intervention group (OVX+Rspo2 group), with 6 mice in each group. The sham group only underwent bilateral back incision and suturing, while the other two groups established osteoporosis mouse models by bilateral ovarian castration. Then, the mice were given a weekly intraperitoneal Rspo2 (1 mg/kg) treatment in OVX+Rspo2 group and saline at the same dosage in sham group and OVX group. After 12 weeks of treatment, the body mass and uterus mass of the mice were weighed in the 3 groups to assess whether the OVX model was successfully prepared; the tibia bones were stained with HE and immunohistochemistry staining to observe the changes in tibial bone mass and the expression level of Runx2 protein in the bone tissues. Blood was collected to detect the expressions of bone metabolism markers [ALP, OCN, type Ⅰ procollagen amino-terminal peptide (PINP)] and bone resorption marker [β-collagen degradation product (β-CTX)] by ELISA assay. Micro-CT was used to detect the bone microstructure changes in the tibia, and three-dimensional histomorphometric analyses were performed to analyze the trabeculae thickness (Tb.Th), trabeculae number (Tb.N), trabeculae separation (Tb.Sp), and bone volume fraction (BV/TV).
CCK-8 assay showed that Rspo2 concentrations below 80 nmol/L were not cytotoxic ( >0.05), and the cell viability of 20 nmol/L Rspo2 group was significantly higher than that of the control group ( <0.05). Based on the above results, 10, 20, and 40 nmol/L Rspo2 were selected for subsequent experiments. ALP staining showed that the positive cell area of each concentration of Rspo2 group was significantly larger than that of the control group ( <0.05), with the highest showed in the 20 nmol/L Rspo2 group. The expression levels of the osteogenesis-related genes (Runx2, Col1, OCN) significantly increased, and the differences were significant between Rspo2 groups and control group ( <0.05) except for Runx2 in the 40 nmol/L Rspo2 group. In animal experiments, all groups of mice survived until the completion of the experiment, and the results of the body mass and uterus mass after 12 weeks of treatment showed that the OVX model was successfully prepared. Histological and immunohistochemical staining showed that the sparseness and connectivity of bone trabecula and the expression of Runx2 in the OVX group were lower than those in the sham group, whereas they were reversed in the OVX+Rspo2 group after treatment with Rspo2, and the differences were significant ( <0.05). ELISA assay showed that compared with the sham group, the serum bone metabolism markers in OVX group had an increase in ALP and a decrease in PINP ( <0.05). After Rspo2 intervention, PINP expression significantly reversed and increased, with significant differences compared to the sham group and OVX group ( <0.05). The bone resorption marker (β-CTX) was significantly higher in the OVX group than in the sham group ( <0.05), and it was significantly decreased in the OVX+Rspo2 group when compared with the OVX group ( <0.05). Compared with the sham group, Tb.Th, Tb.N, and BV/TV significantly decreased in the OVX group, while Tb.Sp significantly increased ( <0.05); after Rspo2 intervention, all of the above indexes significantly improved in the OVX+Rspo2 group ( <0.05) except Tb.Th.
Rspo2 promotes differentiation of BMSCs to osteoblasts, ameliorates osteoporosis due to estrogen deficiency, and promotes bone formation in mice.
探讨R-spondin 2(Rspo2)对去卵巢小鼠骨髓间充质干细胞(BMSCs)成骨分化及骨矿物质含量的影响。
采用全骨髓培养法从7只4周龄雌性C57BL/6小鼠的长骨骨髓中提取BMSCs并传代。经流式细胞术鉴定细胞表型后,将第3代细胞与10、20、40、80和100 nmol/L的Rspo2共培养。然后,通过细胞计数试剂盒8(CCK-8)测定细胞活性和增殖能力,筛选Rspo2的干预浓度用于后续实验。通过碱性磷酸酶(ALP)染色检测BMSCs的成骨分化能力,通过实时荧光定量PCR(RT-qPCR)检测成骨相关基因[RUNX家族转录因子2(Runx2)、Ⅰ型胶原α1(Col1)、骨钙素(OCN)]的mRNA水平。此外,将18只10周龄雌性C57BL/6小鼠随机分为假手术组(sham组)、去卵巢组(OVX组)和OVX+Rspo2干预组(OVX+Rspo2组),每组6只。sham组仅行双侧背部切口缝合,另外两组通过双侧卵巢切除建立骨质疏松小鼠模型。然后,OVX+Rspo2组小鼠每周腹腔注射Rspo2(1 mg/kg),sham组和OVX组注射相同剂量的生理盐水。治疗12周后,称量3组小鼠的体重和子宫重量,评估OVX模型是否成功建立;对胫骨进行HE染色和免疫组化染色,观察胫骨骨量变化及骨组织中Runx2蛋白的表达水平。采集血液,通过ELISA法检测骨代谢标志物[ALP、OCN、Ⅰ型前胶原氨基端肽(PINP)]和骨吸收标志物[β-胶原降解产物(β-CTX)]的表达。采用Micro-CT检测胫骨的骨微观结构变化,并进行三维组织形态计量分析,分析骨小梁厚度(Tb.Th)、骨小梁数量(Tb.N)、骨小梁间距(Tb.Sp)和骨体积分数(BV/TV)。
CCK-8检测显示,80 nmol/L以下的Rspo2浓度无细胞毒性(>0.05),20 nmol/L Rspo2组的细胞活力显著高于对照组(<0.05)。基于上述结果,选择10、20和40 nmol/L的Rspo2用于后续实验。ALP染色显示,各浓度Rspo2组的阳性细胞面积均显著大于对照组(<0.05),其中以20 nmol/L Rspo2组最高。成骨相关基因(Runx2、Col1、OCN)的表达水平显著升高,Rspo2组与对照组之间差异有统计学意义(<0.05),40 nmol/L Rspo2组的Runx2除外。在动物实验中,所有组小鼠均存活至实验结束,治疗12周后的体重和子宫重量结果显示OVX模型成功建立。组织学和免疫组化染色显示,OVX组的骨小梁稀疏度和连通性以及Runx2的表达均低于sham组,而Rspo2治疗后的OVX+Rspo2组则相反,差异有统计学意义(<0.05)。ELISA检测显示,与sham组相比,OVX组血清骨代谢标志物中ALP升高,PINP降低(<0.05)。Rspo2干预后,PINP表达显著逆转并升高,与sham组和OVX组相比差异有统计学意义(<0.05)。骨吸收标志物(β-CTX)在OVX组显著高于sham组(<0.05),与OVX组相比,OVX+Rspo2组显著降低(<0.05)。与sham组相比,OVX组的Tb.Th、Tb.N和BV/TV显著降低,而Tb.Sp显著增加(<0.05);Rspo2干预后,OVX+Rspo2组上述指标均显著改善(<0.05),Tb.Th除外。
Rspo2促进BMSCs向成骨细胞分化,改善雌激素缺乏所致的骨质疏松,促进小鼠骨形成。