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Hypermethylation of Frizzled1 is associated with Wnt/β-catenin signaling inactivation in mesenchymal stem cells of patients with steroid-associated osteonecrosis.

Abstract
The Wnt/β-catenin signaling pathway is associated with the pathogenesis of steroid-induced osteonecrosis. Our investigation studied whether aberrant CpG island hypermethylation of the FZD1 gene was present in patients with osteonecrosis of the femoral head (ONFH), which results in Wnt/β-catenin signaling inactivation and subsequent cell dysfunction. Bone marrow was collected from the proximal femurs of patients with steroid-associated ONFH (n = 21) and patients with new femoral neck fractures (n = 22), and then mesenchymal stem cells (MSCs) were isolated. We investigated cell viability, the transcription and translation levels of Wnt/β-catenin signaling-related genes, the extent of methylation at CpG islands of the FZD1 promoter, and the osteogenic and adipogenic differentiation abilities of MSCs from the control group and from the ONFH group treated with or without 5'-Aza-dC. According to the results, MSCs from the ONFH group showed a reduced proliferation ability, low transcription and translation levels of FZD1, inhibition of the Wnt/β-catenin signaling pathway, weakened osteogenesis and enhanced adipogenesis ability. Aberrant CpG island hypermethylation of FZD1 was observed in the ONFH group. Treatment with 5'-Aza-dC resulted in de novo FZD1 expression, reactivation of the Wnt/β-catenin signaling pathway and promotion of osteogenesis. Taken together, our study not only provides novel insights into the regulation of the Wnt/β-catenin signaling pathway in this disease but also reveals potential for the use of demethylating agents for the treatment of GC-associated ONFH.
AuthorsFei Wu, Jing Jiao, Feng Liu, Yue Yang, Shanfeng Zhang, Zhenhua Fang, Zhipeng Dai, Zhibo Sun
JournalExperimental & molecular medicine (Exp Mol Med) Vol. 51 Issue 2 Pg. 1-9 (02 26 2019) ISSN: 2092-6413 [Electronic] United States
PMID30808872 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers
  • FZD1 protein, human
  • Frizzled Receptors
  • Steroids
Topics
  • Adipogenesis
  • Adult
  • Aged
  • Biomarkers
  • Case-Control Studies
  • Cell Differentiation
  • Cell Survival
  • DNA Methylation
  • Female
  • Fluorescent Antibody Technique
  • Frizzled Receptors (genetics)
  • Humans
  • Male
  • Mesenchymal Stem Cells (metabolism)
  • Middle Aged
  • Osteogenesis
  • Osteonecrosis (etiology, metabolism, pathology)
  • Steroids (adverse effects)
  • Wnt Signaling Pathway

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