TGF-β1 as possible link between loss of bone mineral density and chronic inflammation

Background The TGF family plays a key role in bone homeostasis. Systemic or topic application of proteins of this family apparently positively affects bone healing in vivo. However, patients with chronic inflammation, having increased TGF-β1 serum-levels, often show reduced bone mineral content and...

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Main Authors: Ehnert, Sabrina (Author) , Baur, Johannes (Author) , Schmitt, Andreas (Author) , Neumaier, Markus (Author) , Lucke, Martin (Author) , Dooley, Steven (Author) , Vester, Helen (Author) , Wildemann, Britt (Author) , Stöckle, Ulrich (Author) , Nussler, Andreas K. (Author)
Format: Article (Journal)
Language:English
Published: November 22, 2010
In: PLOS ONE
Year: 2010, Volume: 5, Issue: 11, Pages: 1-9
ISSN:1932-6203
DOI:10.1371/journal.pone.0014073
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1371/journal.pone.0014073
Verlag, lizenzpflichtig, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0014073
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Author Notes:Sabrina Ehnert, Johannes Baur, Andreas Schmitt, Markus Neumaier, Martin Lucke, Steven Dooley, Helen Vester, Britt Wildemann, Ulrich Stöckle, Andreas K. Nussler

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520 |a Background The TGF family plays a key role in bone homeostasis. Systemic or topic application of proteins of this family apparently positively affects bone healing in vivo. However, patients with chronic inflammation, having increased TGF-β1 serum-levels, often show reduced bone mineral content and disturbed bone healing. Therefore, we wanted to identify intracellular mechanisms induced by chronic presence of TGF-β1 and their possible role in bone homeostasis in primary human osteoblasts. Methodology/Principal Findings Osteoblasts were isolated from femur heads of patients undergoing total hip replacement. Adenoviral reporter assays showed that in primary human osteoblasts TGF-β1 mediates its signal via Smad2/3 and not Smad1/5/8. It induces proliferation as an intermediate response but decreases AP-activity and inorganic matrix production as a late response. In addition, expression levels of osteoblastic markers were strongly regulated (AP↓; Osteocalcin↓; Osteopontin↑; MGP↓; BMP 2↓; BSP2↓; OSF2↓; Osteoprotegerin↓; RANKL↑) towards an osteoclast recruiting phenotype. All effects were blocked by inhibition of Smad2/3 signaling with the Alk5-Inhibitor (SB431542). Interestingly, a rescue experiment showed that reduced AP-activities did not recover to base line levels, even 8 days after stopping the TGF-β1 application. Conclusions/Significance In spite of the initial positive effects on cell proliferation, it is questionable if continuous Smad2/3 phosphorylation is beneficial for bone healing, because decreased AP-activity and BMP2 levels indicate a loss of function of the osteoblasts. Thus, inhibition of Smad2/3 phosphorylation might positively influence functional activity of osteoblasts in patients with chronically elevated TGF-β1 levels and thus, could lead to an improved bone healing in vivo. 
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650 4 |a Bone resorption 
650 4 |a Cell staining 
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650 4 |a Osteoblasts 
650 4 |a Osteoclasts 
650 4 |a SMAD signaling 
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