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Diminished Canonical β-Catenin Signaling During Osteoblast Differentiation Contributes to Osteopenia in Progeria.

Abstract
Patients with Hutchinson-Gilford progeria syndrome (HGPS) have low bone mass and an atypical skeletal geometry that manifests in a high risk of fractures. Using both in vitro and in vivo models of HGPS, we demonstrate that defects in the canonical WNT/β-catenin pathway, seemingly at the level of the efficiency of nuclear import of β-catenin, impair osteoblast differentiation and that restoring β-catenin activity rescues osteoblast differentiation and significantly improves bone mass. Specifically, we show that HGPS patient-derived iPSCs display defects in osteoblast differentiation, characterized by a decreased alkaline phosphatase activity and mineralizing capacity. We demonstrate that the canonical WNT/β-catenin pathway, a major signaling cascade involved in skeletal homeostasis, is impaired by progerin, causing a reduction in the active β-catenin in the nucleus and thus decreased transcriptional activity, and its reciprocal cytoplasmic accumulation. Blocking farnesylation of progerin restores active β-catenin accumulation in the nucleus, increasing signaling, and ameliorates the defective osteogenesis. Moreover, in vivo analysis of the Zmpste24-/- HGPS mouse model demonstrates that treatment with a sclerostin-neutralizing antibody (SclAb), which targets an antagonist of canonical WNT/β-catenin signaling pathway, fully rescues the low bone mass phenotype to wild-type levels. Together, this study reveals that the β-catenin signaling cascade is a therapeutic target for restoring defective skeletal microarchitecture in HGPS. © 2018 American Society for Bone and Mineral Research.
AuthorsJi Young Choi, Jim K Lai, Zheng-Mei Xiong, Margaret Ren, Megan C Moorer, Joseph P Stains, Kan Cao
JournalJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research (J Bone Miner Res) Vol. 33 Issue 11 Pg. 2059-2070 (11 2018) ISSN: 1523-4681 [Electronic] United States
PMID30001457 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2018 American Society for Bone and Mineral Research.
Chemical References
  • Adaptor Proteins, Signal Transducing
  • Antibodies, Neutralizing
  • Glycoproteins
  • Intercellular Signaling Peptides and Proteins
  • Lamin Type A
  • Sost protein, mouse
  • beta Catenin
  • prelamin A
Topics
  • Adaptor Proteins, Signal Transducing
  • Animals
  • Antibodies, Neutralizing (pharmacology)
  • Bone Diseases, Metabolic (complications, metabolism, pathology)
  • Cell Differentiation (drug effects)
  • Cell Line
  • Disease Models, Animal
  • Glycoproteins (immunology)
  • Humans
  • Induced Pluripotent Stem Cells (metabolism)
  • Intercellular Signaling Peptides and Proteins
  • Lamin Type A (metabolism)
  • Mesenchymal Stem Cells (drug effects, metabolism)
  • Mice
  • Models, Biological
  • Mutation (genetics)
  • Osteoblasts (drug effects, metabolism)
  • Osteogenesis (drug effects)
  • Phenotype
  • Progeria (complications, genetics, metabolism, pathology)
  • Protein Prenylation (drug effects)
  • Signal Transduction
  • Wnt Signaling Pathway (drug effects)
  • beta Catenin (metabolism)

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