Pos0419 the role of orosomucoid 2 in the regulation of bone remodeling by inhibiting osteoclastogenesis and promoting osteogenesis

Annals of the Rheumatic Diseases(2023)

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Background Orosomucoid (ORM) is one of the acute phase reactant protein family and is expressed in hepatocytes and secreted into plasma under stress conditions such as tissue injury, infection, and inflammation. Three types of ORM are known to date (ORM1, 2 and 3), and ORM2 is mainly expressed in bone marrow cells. ORM2 has only some studies on hepatic metabolism, inflammation and immune regulation, and no studies on bone metabolism have been reported. Objectives The aim of this study is to reveal the role of ORM2 in the differentiation and function of osteoclasts and osteoblasts. Methods To determine the effect of ORM2 on RANKL-induced osteoclast differentiation and function, we performed TRAP staining, F-actin stating, and bone resorbing assay using ORM2 recombinant protein or ORM2 siRNA. Also, the effect of ORM2 on osteogenesis was confirmed by ALP and ARS assay. The intracellular mechanisms responsible for the dual regulation of osteoclastogenesis and osteogenesis of ORM2 were revealed by western blotting and quantitative real-time RT-PCR. Results We found that ORM2 is a potential target for osteoporosis therapeutics, as treatment with this agent enhances osteoblast differentiation and bone growth and suppresses osteoclast differentiation and bone resorption by performing gain- and loss-of-function studies. During ORM2-mediated regulation of osteoclastogenesis, phosphorylation of early signal transducers such as p38, JNK, Akt, IκB, PLCγ2, and Btk was affected, which in turn altered the mRNA and protein levels of c-Fos and NFATc1. ORM2 also increased ALP, Alizarin Red-mineralization activity, and the expression of osteoblastogenic gene markers, such as Runx2, osteocalcin (OCN), and ALP in mouse calvarial primary osteoblasts, and activated the p38-Runx2 pathway, which enhanced osteoblast differentiation. Conclusion we suggest that ORM2 may be a promising candidate for gene therapy for bone metabolic diseases, and further serve as a potentially important biomarker in the field of bone disease diagnosis. References [1]Hochepied T, Berger FG, Baumann H, Libert C. Alpha (1)-acid glycoprotein: an acute phase protein with inflammatory and immunomodulating properties. Cytokine Growth Factor Rev. 2003;14(1):25-34. [2]Fagerberg L, Hallström BM, Oksvold P, et al. Analysis of the human tissue-specific expression by genome-wide integration of transcriptomics and antibody-based proteomics. Mol Cell Proteomics. 2014;13(2):397-406. Figure 1. The effect of ORM2 in RANKL-induced osteoclast differentiation and osteoblast differentiation. (A) BMMs transfected with negative control siRNA (siControl) or siRNA against ORM2 (siORM2) were cultured with M-CSF (30 ng/mL) and the indicated concentrations of RANKL for TRAP staining. The TRAP-positive MNCs were counted as mature osteoclasts. * P < 0.05 versus siControl group. (B) Mature osteoclasts transfected with siControl and siORM2 were cultured in a hydroxyapatite-coated plate and dentin slice to detect resorption pits. The number of TRAP-positive MNCs and relative resorption areas in the hydroxyapatite-coated plate and dentin slice were quantified. *** P < 0.001 versus siControl group. (C and D) Osteoblasts treated with the indicated concentration of recombinant protein were cultured for seven days to perform ALP staining and activity assay. The calcium deposits for matrix mineralization were measured by ARS staining after 21 days of culture and the intensity of staining was quantified with CPC. Acknowledgements: NIL. Disclosure of Interests None Declared.
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osteoclastogenesis,orosomucoid,bone remodeling
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