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Molecular and Cellular Biology, January 1999, p. 788-795, Vol. 19, No. 1
0270-7306/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Human Osteogenesis Involves Differentiation-Dependent Increases
in the Morphogenically Active 3' Alternative Splicing Variant of
Acetylcholinesterase
Dan
Grisaru,1,2,3
Efrat
Lev-Lehman,1,
Michael
Shapira,1
Ellen
Chaikin,1
Joseph B.
Lessing,2
Amiram
Eldor,3
Fritz
Eckstein,4 and
Hermona
Soreq1,*
Department of Biological Chemistry, Life
Sciences Institute, The Hebrew University of Jerusalem, Jerusalem
91904,1 and
Departments of Obstetrics
and Gynecology2 and
Hematology,3 Tel-Aviv Sourasky Medical
Center, The Sackler School of Medicine, Tel-Aviv University,
Tel-Aviv 64239, Israel, and
Max-Planck-Institut für
Experimentelle Medizin, D-37075 Göttingen,
Germany4
Received 15 May 1998/Returned for modification 14 July
1998/Accepted 21 September 1998
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ABSTRACT |
The extended human acetylcholinesterase (AChE) promoter contains
many binding sites for osteogenic factors, including
1,25-(OH)2 vitamin D3 and 17
-estradiol. In
differentiating osteosarcoma Saos-2 cells, both of these factors
enhanced transcription of the AChE mRNA variant 3' terminated with exon
6 (E6-AChE mRNA), which encodes the catalytically and morphogenically
active E6-AChE isoform. In contrast, antisense oligodeoxynucleotide
suppression of E6-AChE mRNA expression increased Saos-2 proliferation
in a dose- and sequence-dependent manner. The antisense mechanism of action was most likely mediated by mRNA destruction or translational arrest, as cytochemical staining revealed reduction in AChE gene expression. In vivo, we found that E6-AChE mRNA levels rose following midgestation in normally differentiating, postproliferative fetal chondrocytes but not in the osteogenically impaired chondrocytes of
dwarf fetuses with thanatophoric dysplasia. Taken together, these
findings suggest morphogenic involvement of E6-AChE in the proliferation-differentiation balance characteristic of human osteogenesis.
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INTRODUCTION |
Osteogenesis in terrestrial
vertebrates involves the progeny of common mesenchymal progenitors
(3) that become committed to bone or cartilage lineages in
parallel pathways controlled by osteogenic hormones and growth factors
(9). These include 1,25-(OH)2 vitamin
D3 [1,25-(OH)2D3], which has been
found to be essential for endochondral ossification (6, 41).
Another osteogenic agent, 17
-estradiol, interacts with high-affinity binding sites in normal human osteoblast-like and osteosarcoma cells
(16, 24). This suggests osteoblast mediation for the action
of estrogen on bone. The resultant skeletal tissue supports hematopoiesis through the function of bone marrow stromal cells, which
share a common progenitor with the osteogenic lineages. These complex
interrelationships predict the existence of common coordinator proteins
with control functions in the proliferation-differentiation balance
characteristic of both osteogenic and hematopoietic processes.
An intriguing candidate protein for such a role(s), with recently
established morphogenic capacities, is the acetylcholine-hydrolyzing enzyme acetylcholinesterase (acetylcholine acetyl hydrolase [AChE]; EC 3.1.1.7). AChE is expressed in both mesenchyme (26) and hematopoietic cells (28, 29). Antisense AChE suppression
attenuates erythropoiesis and induces stem cell expansion in primary
murine bone marrow cultures (39), and the chondrogenic
expression of AChE parallels the early development of rat lower limbs
(43) and embryonic chick limbs (1). Thus,
AChE fulfills at least some of the requirements for an
osteogenic/hematopoietic coordinator. This provides an incentive for
exploring genomic and transcriptional evidence to test whether it does
indeed function as such a coordinator.
In transgenic Xenopus embryos (35), transfected
rat gliomata (22), and cultured Xenopus
motoneurons (40), the morphogenic capacities of AChE were
limited to E6-AChE, translated from the alternative splicing E6-AChE
mRNA variant, 3' terminated with exon 6. Therefore, we examined E6-AChE
mRNA expression in human osteosarcoma cells, which are amenable to
controlled differentiation by 1,25-(OH)2D3 and
17
-estradiol, and tested the outcome of antisense AChE suppression
on cell proliferation. In parallel, we searched for E6-AChE mRNA in
vivo in developing chondrocytes from normal fetuses and from dwarf
bones of proliferation-impaired fetuses with thanatophoric dysplasia
(8). This inherited skeletal disorder is one of the most
severe forms of chondrodysplasia, causing dwarfism and abnormal body
proportions that lead to late prenatal or early postnatal death. While
data on its frequency are not yet available, chondrodysplastic
disorders are believed to occur with a frequency as high as 1:10,000.
Thanatophoric dysplasia, like other severe forms of chondrodysplasia,
is frequently associated with point mutations in fibroblast growth
factor receptor 3 (13). Its diagnosis is based on
ultrasonography, X-ray findings, and pathologic changes in bone
structure. The lack of definitive therapy calls for studying the
molecular mechanisms which underlie the impaired chondrocyte
proliferation in affected embryos. Here, we report findings which
suggest involvement of AChE in osteo- and chondrogenesis, as well as
impairments of AChE gene expression in thanatophoric dysplasia.
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MATERIALS AND METHODS |
Osteoblast cell culture.
Human osteosarcoma Saos-2 cells
were maintained in a fully humidified atmosphere at 37°C and 5%
CO2 in Ham's F-10 growth medium containing 10% (vol/vol)
fetal calf serum, 2 mM L-glutamine, 100 U of penicillin per
ml, 100 µg of streptomycin per ml, and 0.12% (wt/vol) bicarbonate
and were passaged once a week. 17
-Estradiol and
1,25-(OH)2D3 (Sigma Chemical Co., St. Louis,
Mo.) dissolved in ethanol were diluted into growth medium (1:5,000
[vol/vol]) before use. For antisense manipulations, 20,000 cells/well, plated in 96-well flat-bottomed plates, were washed twice
with phosphate-buffered saline and maintained in RPMI 1640 medium
without phenol red (which exerts an estrogenic effect on osteoblasts
[17]) and with a serum substitute, Biogro-1
(Biological Industries Co., Beit-Haemek, Israel). Oligonucleotides were
added without carrier at the noted doses for 12 h of incubation at
37°C and 5% CO2, followed by two washes in
phosphate-buffered saline.
RT-PCR analyses.
Kinetic follow-up of reverse
transcription-PCR (RT-PCR) analyses was performed by using selective
primers for AChE mRNA, essentially as described previously
(28), with actin and glyceraldehyde 3-phosphate
dehydrogenase mRNA measurement (14) as a control. Plasmid
DNAs containing exons E2 to E6 and the pseudointron 14 region
(5) served as probes for blot hybridization. Densitometry calibration curves showing linearity and parallelism of intensity of
product with cycle number over the range encompassing the percent differences between treated and untreated cells were as previously described (21, 23).
Antisense oligonucleotide experiments.
2-O-methylated or
phosphorothioated 15- and 20-mer oligonucleotides, antisense
(designated by the prefix "AS") and inversely oriented sequences,
were targeted against the common sequence domain in human AChE mRNA and
were used as detailed elsewhere (15, 18, 29, 39), except for
the addition of a terminal 5'-hexa-ethylene glycol (HEG) group where
indicated. Oligonucleotides targeted against butyrylcholinesterase
(BChE) mRNA served as a control (18). Cell proliferation was
evaluated by 5-bromo-2'-deoxyuridine (BrdU) incorporation
(19) or binding of methylene blue (33), both as
previously described.
In situ hybridization.
The following 5'-biotinylated,
2-O-methylated AChE cRNA probes complementary to 3' alternative human
AChE exons (5) were used: E6 (morphogenic form), (5402)
5'-CCGGGGGACGUCGGGGUGGGGUGGGGAUGGGCAGAGUCUGGGGCUCGUCU-3' (5352); E5 (hematopoietic form), (4457)
5'-AGGAAGAGGAGGAGAAGCUGGUGGAGGAGGAGGAGGGGCAGGGGGAGGCC-3' (4506); and I4 (readthrough form), (4397)
5'-CUAGGGGGAGAAGAGAGGGGUUACACUGGCGGGCUCCCACUC CCCUCCUC-3'
(4349). (Numbers denote nucleotide positions in the GenBank entry
[accession no. M55040].)
The project was approved by the Sourasky Medical Center Ethics
Committee, and written informed consent was obtained from the parents.
In each of the selected gestational stages, bone tissues were derived
from two aborted human fetuses with normal histological morphology
(hematoxylin and eosin staining). Samples of distal femur bone were
also obtained from two 18-week fetuses aborted due to thanatophoric
bone dysplasia. Diagnosis was confirmed histologically, with
demonstration of drastically reduced chondrocyte proliferation and
hypertrophy zones of the growth plate along with normal appearance of
the resting cartilage (38). Following postmortem
examination, tissues were fixed and cut sections were placed on slides
pretreated with 3-aminopropyltriethoxysilane, dried at 37°C
overnight, and kept at 4°C until use. In situ hybridization
procedures were as detailed elsewhere (23). Photography was
carried out at a magnification of ×1,000, and scanned images were
evaluated for red staining efficiencies in cytoplasmic regions, using
Adobe Photoshop 4.0 (Adobe Systems, Inc., San Jose, Calif.) at 255 output levels. Percentage of cytoplasmic red color pixels out of the
entire image's red color was normalized by subtraction of control
(no-probe) values. Background values were lower than 10%. Findings
were expressed as mean ± standard error, and analysis of variance
(ANOVA) was performed with the superANOVA statistical package (Abacus
Concepts, Inc., Berkeley, Calif.).
Immunohistochemistry, cytochemistry, and AChE catalytic activity
measurements.
For immunohistochemistry, cryocut sections were
incubated with human-specific anti-AChE monoclonal antibody 101-1 (primary antibody) (36) and biotinylated anti-mouse antibody
(secondary antibody) (Vectastain; Vector Laboratories, Burlingame,
Calif.); detection was carried out with 3,3'-diaminobenzidine and
urea-H2O2 as instructed by the manufacturer
(Sigma). Cytochemical staining for AChE activity on nonfixed cells
grown on glass slides and on cryocut sections, as well as determination
of hydrolysis rates of acetylthiocholine iodide in homogenates, was
performed essentially as detailed elsewhere (28) for the
noted time periods. Nuclear staining was done with
4',6-diamidino-2-phenylindole (DAPI).
Confocal laser scanning microscopy.
An MRC-1024 Bio-Rad
confocal microscope equipped with an inverted microscope and a 63×/1.4
oil immersion objective was used to scan the fast red precipitate used
for detection during in situ hybridization of Saos-2 cells. The fast
red was excited at 488 nm, and emission was measured with a 580df32
filter. A section was scanned every 0.54 µm, and a three-dimensional
projection was created from all sections.
 |
RESULTS |
AChE gene expression in cultured Saos-2 cells.
AChE mRNA
transcripts were first detected in cultured Saos-2 cells by
high-resolution in situ hybridization using alternative splicing-specific probes for the various AChE mRNA transcripts. An exon
6-derived probe revealed efficient production of the morphogenic E6-AChE mRNA, terminated with exon E6 (40). Smaller amounts of E5-AChE mRNA 3' terminated with exon E5, which encodes the erythrocyte AChE, and negligible levels of the readthrough I4-AChE mRNA
form including pseudointron I4 (22) were also detected (Fig.
1A). Similar to the situation in cells of
hematopoietic origin (21, 28), the major detectable
transcript was that encoding E6-AChE. Especially prolonged (72-h)
cytochemical staining of nonfixed Saos-2 cells revealed accumulation of
acetylthiocholine hydrolysis products that were suppressed by the
AChE-specific inhibitor BW 284C51 but resistant to the BChE-specific
inhibitor tetraisopropylpyrophosphoramide (iso-OMPA) (Fig. 1B). We
conclude that the AChE gene is expressed in Saos-2 cells to yield its
catalytically and morphogenically active E6-AChE form, with
considerably smaller amounts of its other variants.

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FIG. 1.
AChE gene expression in Saos-2 osteosarcoma cells. (A)
AChE mRNA alternative splicing variants. Presented are
three-dimensional projections created from confocal scanned sections of
Saos-2 cells subjected to in situ hybridization with 5'-biotinylated
AChE cRNA probes selective for the morphogenic E6-AChE mRNA variant
(E6), the hematopoietic E5-AChE mRNA variant encoding
glycophospholipid-anchored AChE (E5), and the readthrough form
including pseudointron I4 (I4). Detection was carried out by forming
alkaline phosphatase-streptavidin conjugates producing fast red
precipitates, which were excited at 488 nm. Note that E6 is the
predominant AChE mRNA transcript in Saos-2 cells. (B) Cytochemical
staining. Saos-2 cells were subjected to cytochemical staining of AChE
catalytic activity in the presence of 10 5 M iso-OMPA
(ISO) or BW 284C51 (BW), selective inhibitors of BChE and AChE,
respectively. Nuclear staining was done with DAPI. Note the selective
depiction of brown precipitates of AChE but not BChE reaction
products.
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AChE transcription in Saos-2 cells is up-regulated by
17
-estradiol and 1,25-(OH)2D3.
Kinetic
follow-up of RT-PCR amplification (21, 23) using Saos-2 RNA
yielded a logarithmic increase in a 482-bp fragment derived from
E6-AChE mRNA, as expected, up to cycle 33. Calculations based on actin
mRNA levels from the same preparations revealed 106 E6-AChE
mRNA molecules per 200 ng of total Saos-2 RNA. For average yields of
20 ± 5 µg of total RNA from 3 × 106 Saos-2
cells, this indicates fewer than 50 AChE mRNA molecules per cell, at
the same order of magnitude as hematopoietic DAMI cells (75 molecules/cell [28]) but at much lower concentrations than brain cells (104 molecules/cell
[21]). Physiologically relevant concentrations of the
osteogenic agent 17
-estradiol (10
9 M
[32]) increased E6-AChE mRNA levels in Saos-2 cells
3.3-fold within 24 h (Fig. 2A). A
more prominent effect was caused by
1,25-(OH)2D3, which increased E6-AChE mRNA
levels in a dose-dependent manner. Increases of 6.7- and 12.3-fold for
10
12 and 10
7 M
1,25-(OH)2D3 (Fig. 2A), respectively,
demonstrated an association between AChE transcription and
1,25-(OH)2D3-induced osteogenesis.

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FIG. 2.
Osteogenic control of AChE expression. (A)
17 -Estradiol and 1,25-(OH)2D3 enhance
expression of E6-AChE mRNA. Presented are RT-PCR products of the
morphogenic E6-AChE mRNA variant (482 bp). Detection was done by DNA
blot hybridization using a plasmid DNA probe containing exons E2 to E6
(22). 17 -Estradiol (10 9 M) and
1,25-(OH)2D3 (Vit D; 10 12 and
10 7 M) were added to Saos-2 cells for 24 h. Note the
densitometric analysis of kinetic follow-up showing, at the phase of
PCR product accumulation, logarithmic 24-cycle increases in E6-AChE
mRNA levels with these osteogenic agents. (B) Upstream human ACHE
sequence includes clusters of bone enhancer motifs. Depicted is the
reverse sequence of the cosmid insert (accession no. AF002993) of the
human AChE gene promoter. The arrow represents the position of a
transcription start site. Five putative bone enhancer regions are shown
with their first nucleotide positions designated; fully conserved
consensus sequences known to bind osteogenic transcription factors are
represented by circles and rectangles (for VDREs) or by wedges (for
other transcription factors). Non-VDRE consensus sequences: Cbfa1
(cbfa-1), AACCAC; HES-1, CACNAG; CAAT box, GCCAAT;
estrogen receptor (ER) half site, GGTCA; Krox-20/24,
GCGGGGGCGGG. VDRE consensus sequences: AGGACA
(light grey circles); AGGTCA (dark gray circles);
ATGCCA (open rectangles); GGTTCA (hatched
rectangles); GGGTGA (filled circles); AGGTGA
(dark gray rectangles).
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Upstream AChE sequences include a plethora of binding sites for
osteogenic factors.
The MatInspector (34) and
FindPatterns programs of the University of Wisconsin software package
were used to search for consensus motifs known to bind transcription
factors important for osteoblast differentiation and bone remodeling.
The recently sequenced 30-kb region upstream from the human AChE gene
(accession no. AF002993) was found to include five clusters of such
sequences, bearing 100% identity to the core consensus motifs. Of
these, the most distal are located ca. 18 and 17 kb upstream from the transcription start site (Fig. 2B), a domain demonstrated to be active
in regulating AChE expression (37). The osteogenic binding motifs include vitamin D receptor binding elements (VDREs) arranged in
pairs or, in one case, in a triplet as found in the vitamin D-regulated
promoter of the c-fos gene (10). Several of these VDREs are positioned near CAAT boxes which may act synergistically with
them, as was shown for factors of the CTF/NF-1 family (30). Other elements include half-palindromic sequences capable of activating transcription by binding the estrogen receptor (42), in line with the recently demonstrated glucocorticoid effect on AChE gene expression (7). Recognition motifs were also found for the vitamin D-regulated repressor HES-1 (31) and for the brain
development and bone-remodeling factor Krox-20/24 (27). Six
elements for the fetus-specific core binding factor A1 (Cbfa1),
essential for osteoblast development and bone formation in the mouse
(25) (three of which are depicted in Fig. 2A), are
characteristic of bone-specific genes (e.g., osteocalcin and
osteopontin genes). In contrast, no Cbfa1 motif was found in the human
liver-specific promoters for aldolase B (accession no. D00175),
liver-type phosphofructokinase (accession no. X80853), and serum
albumin (accession no. M12523 and J04457). Together with our RT-PCR data, this finding suggests that the binding elements in the AChE upstream sequences do indeed reflect functionally significant osteogenic regulation of AChE gene expression.
Antisense suppression of AChE gene expression enhances
proliferation of Saos-2 cells.
Since osteogenic differentiation is
often associated with arrest of proliferation, we tested the effect of
loss of AChE function on Saos-2 proliferation. To this end, two
different 2-O-methylated AChE-targeted antisense oligonucleotides (AS1
and AS3 [18]) were added to Saos-2 cultures, and cell
numbers were measured after a 12-h incubation in the presence of BrdU
(see Materials and Methods). Both AS1 and AS3, at doses of 0.2 to 200 nM, suppressed the cytochemical staining capacity of treated cells
under conditions where an irrelevant AS-BChE oligomer (18)
had no effect on AChE activity (Fig. 3A).
Dose-dependent increases in cell proliferation up to 25% above the
level for untreated cells, reflecting enhanced BrdU incorporation, were
observed for both AS1 and AS3 but not for AS-BChE. A phosphorothioated
AS-AChE oligonucleotide, targeted against the initiator AUG domain in
the AChE gene (39), was also used. This oligomer, with and
without a HEG protecting group, was also found to be effective in
enhancing proliferation (25 and 40% increases in methylene blue
binding above control levels for untreated cells, respectively). In
contrast, inverse and sense oligonucleotides were both ineffective in
these tests (data not shown). The differences in proliferation that
were induced by the three AS-AChE oligomers are considered significant
in osteoblast cultures (17), indicating sequence dependence
of the observed effects and suggesting functional significance for
osteoblastic AChE in inhibiting proliferation.

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FIG. 3.
Enhanced Saos-2 cell proliferation under antisense AChE
suppression. (A) Sequence-dependent suppression of AChE activity.
Saos-2 cells incubated for 12 h in the presence of the noted
antisense oligonucleotides were stained for catalytically active AChE
in the presence of 10 5 M iso-OMPA. Note reduction of
enzyme activity staining in cells treated with AS1 and AS3 but not with
the irrelevant AS-BChE oligomer (AS-B). (B) BrdU analysis. Cell
proliferation was measured by BrdU incorporation in the presence of
oligomers (Oligo) AS1, AS3, and AS-B in the noted concentrations.
Presented are average results of three reproducible experiments with
standard deviations less than 6%. Untreated cells served as controls.
Note the dose-dependent increased proliferation associated with AS1 and
AS3 treatment and the apparently higher efficiency of AS1 in enhancing
proliferation, which matches its intense capacity to suppress AChE
activity.
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Developmental regulation of AChE mRNA expression in human fetal
chondrocytes.
Cytochemical staining of AChE activity disclosed no
catalytic activity of AChE in bones from aborted human fetuses at 18 weeks' gestation, even under prolonged incubation conditions in which developing osteoblastic cells were positive. Also, immunohistochemistry staining for AChE revealed an exceedingly weak signal (data not shown).
However, high-resolution in situ hybridization analyses demonstrated
AChE mRNA transcripts in the cytoplasm of developing perichondria and
mature chondrocytes within developing fetal axial bones. The three
alternative forms of AChE mRNA, 3' terminated with E5, E6, and I4, were
all detected by fast red staining in bone cells throughout gestational
weeks 9 to 25 (Fig. 4A), whereas control
sections incubated with no probe revealed no staining. Image analysis
of E5-AChE mRNA expression patterns showed relatively constant levels
during the entire gestational period examined (Fig. 4B). In contrast,
the level of E6-AChE mRNA labeling, which was lower than that of
E5-AChE mRNA during the early gestational period, increased
considerably (ANOVA, P
0.009) during advanced pregnancy, becoming significantly higher than that of E5-AChE mRNA by
25 weeks. In line with the analysis in Saos-2 cells, I4-AChE mRNA
labeling was minimal in the bone tissues examined. This demonstrated developmentally regulated splicing choices for AChE mRNA in
chondrocytes in vivo, with the morphogenic E6-AChE mRNA isoform
appearing relatively late in fetal development.

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FIG. 4.
AChE mRNA expression in human fetal bone. (A)
Developmental regulation. Bone tissues from different gestational
stages of normal human fetuses (left; 9, 16, 20, and 25 gestational
weeks [9w, 16w, 20w, and 25w]) and from 18-gestational-week dwarf
fetuses with thanatophoric dysplasia (bottom right) were subjected to
high-resolution in situ hybridization using 5'-biotinylated AChE cRNA
probes selective for the alternative human AChE mRNAs. Representative
photographs of fast red staining at a magnification of ×200 are
presented for the E5, E6, and I4 (synaptic, hematopoietic, and
readthrough, respectively) forms of AChE mRNA. Note the considerably
lower expression levels than in normal bone of E5-AChE mRNA transcripts
in sections from fetuses with thanatophoric bone dysplasia. (B) Delayed
increase of E6-AChE mRNA. Presented are image analysis data (mean ± standard error) for the zone of ossification and the area of the
proliferative cells in five areas from each section. AChE mRNA labeling
intensity is presented as the percentage of cytoplasmic red color
pixels out of the entire image's red color and normalized by
subtraction of control values (without probe) from the in situ
hybridization values (with specific probes). Note that in spite of the
interregion variability, E5-AChE mRNA is stably expressed in fetal
bone. In contrast, the level of E6-AChE mRNA is low at early gestation
and increases later, and I4-AChE mRNA displays consistently lower
levels than the other two forms. In thanatophoric bone dysplasia, note
the general suppression of all AChE mRNA levels.
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Attenuated E6-AChE mRNA production in thanatophoric bone
dysplasia.
To study the association between normal osteogenic
differentiation and AChE expression, we tested AChE mRNA labeling in
femur bones from two unrelated fetuses with thanatophoric bone
dysplasia. E5-AChE mRNA transcripts displayed expression levels much
lower than those in normal bone, and E6-AChE mRNA was drastically
suppressed (ANOVA, P
0.05), demonstrating
consistently deficient E4-E6 splicing in addition to attenuated AChE
transcription (Fig. 4). It is noteworthy that the hematopoietic organs
expressed AChE mRNA with similar efficiencies in normal fetuses and
fetuses with thanatophoric bone dysplasia (data not shown), reflecting
bone-specific attenuation of AChE expression associated with bone dysplasia.
AChE mRNA labeling changes were also observed in the same bones between
chondrocytes at various differentiation stages (Fig.
5). Early chondrocytes in peripheral
proliferative bone areas
expressed less AChE mRNA than cells in the
zone of ossification
located deeper in the bone. Digital imaging of
four parallel regions
at different distances from the periphery of bone
sections revealed
highly significant differentiation-associated
increases in AChE
mRNA levels (ANOVA,
P 
0.01), for
both E5- and E6-AChE mRNAs.
This difference was directly associated
with the differentiation-related
decrease in chondrocyte density
(ANOVA,
P 
0.04). In bones from
fetuses with
thanatophoric bone dysplasia, considerably lower
levels were observed
for E5-AChE mRNA expression (ANOVA,
P 
0.01),
although with parallel patterns of differentiation-related increases
(Fig.
4). In contrast, E6-AChE mRNA remained absent in both zones
of
the dysplastic bone (Fig.
4 and
5). This absence of E6-AChE
mRNA
coincided with deficient chondrocyte condensation in the
dysplastic
bone (ANOVA,
P 
0.04). Taken together, these findings
suggest a suppressive role for the E6-AChE protein in chondrocyte
proliferation.

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FIG. 5.
AChE mRNA levels increase inversely to chondrocyte
density. (Top) In situ hybridization sections including early
proliferative chondrocytic cells (PCC) and mature chondrocytes at the
zone of ossification (ZO). E5-AChE mRNA labeling was performed at 20 and 18 weeks of gestation for normal and dysplastic bones. BM, bone
marrow. (Bottom left) Cell density, expressed as 1,000 cells/mm2 units in the bone specimens (upper bar graph),
decreases with ossification in normal bone but remains low and
unchanged in thanatophoric dysplasia (mean ± standard deviation)
for four proliferative (blue columns) and ossification (red columns)
zones in each case. (Middle and lower bar graphs) E5- and E6-AChE mRNA
labeling intensity in proliferative and ossification zones from normal
bone and thanatophoric bone dysplasia. Note parallel increases in AChE
mRNA expression levels and bone differentiation in normal bone. In
dysplastic bone, differentiation-related increases in AChE mRNA
expression were largely prevented. E5-AChE mRNA increases were limited,
and E6-AChE mRNA was virtually absent when there was a lack of
chondrocyte condensation. (Bottom right) Schematic of morphologic
changes of chondrocyte locations within the ossifying bone.
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DISCUSSION |
By combining in vitro and in vivo approaches, we have demonstrated
that the human AChE gene is expressed in osteoblasts and chondrocytes
in a manner dependent both on their state of proliferation and
differentiation and on the presence of binding sites for osteogenic factors such as 17
-estradiol and
1,25-(OH)2D3, which were found in the extended
AChE promoter. In cultured tumor osteoblasts, E6-AChE mRNA expression
increases with differentiation, whereas its suppression increases the
proliferation rate. In the already committed, differentiated fetal
chondrocytes, stable in vivo expression of E5-AChE mRNA persists
through most of the gestation period. However, E6-AChE mRNA levels
increase with differentiation, in parallel with decreases in cell
density and after gestational week 20. In bones of fetuses with
thanatophoric dysplasia, in which chondrocyte condensation is impaired,
E5-AChE mRNA expression is drastically down-regulated. Its levels
decrease further together with cell density and in a manner parallel to
that observed in normal fetal bones. In contrast, E6-AChE mRNA levels
did not increase in the dysplastic bones, suggesting that a threshold
stage of development is required for such increases. The weak
immunodetection and failure to observe catalytically active AChE in in
vivo chondrocytes may be due to the low-level expression of the AChE
gene in these cells, virtually at the limit of detection, as also seen
in Saos-2 cells. That this protein nevertheless exerts a morphogenic
effect further supports its in vivo function as a signaling factor, a role which could be fulfilled by a very small number of molecules.
Several arguments suggest that the osteogenic expression of E6-AChE
mRNA is functionally significant: (i) the abundance of binding motifs
for osteogenic factors in the extended AChE promoter; (ii) the
increased expression under the influence of 17
-estradiol and
1,25-(OH)2D3; (iii) the direct correlation
between E6-AChE mRNA expression and chondrocyte differentiation, itself
inversely correlated with chondrogenic proliferation; and (iv) the
proliferation-enhancing effect of antisense AChE suppression, which
corroborates the inverse correlation with cell density. The deficient
AChE mRNA expression in dysplastic bones demonstrates early induction
during osteogenesis as well as dependence on those osteogenic agents
missing in bone dysplasia and thus impairing chondrocyte condensation.
The paucity of E6-AChE mRNA in dysplastic bones may, therefore, reflect
deficiencies in transcription factors, splicing proteins such as SF2
and ASF, which were found to decrease in association with diminished
splicing of E6-AChE mRNA in human megakaryocytes (28), or
cell surface signals essential for E6-AChE production. Recently
accumulated data on the cell-cell interaction capacities of AChE and
its catalytically inactive homologs (4, 11, 12, 20)
tentatively provide a mechanism for the morphogenic activities of
cholinesterasic domains. Finally, the apparently normal hematopoietic
expression of AChE in fetuses with thanatophoric dysplasia points to a
clear distinction between the osteogenic and hematopoietic control
processes governing AChE production.
Splicing choices of AChE mRNA transcripts were notably different in
cultured osteoblasts, where E6-AChE mRNA predominated, from those in in
vivo chondrocytes, where E6-AChE mRNA levels increased only late in
gestation, following a long period when E5-AChE mRNA transcripts
predominated. This difference may be related to the different growth
conditions, cell type properties, or differentiation states involved.
In addition, the predominance of E6-AChE may be attributed to its
distinct morphogenic properties, so that E6 splicing deficiencies may
reflect insufficient development of the dysplastic chondrocytes which
are unprepared for the next phase in the cell-cell interaction
activities particular to this AChE variant.
Antisense suppression of AChE production enhanced osteoblast
proliferation in a dose- and sequence-dependent manner. The possibility of triple helix involvement had been excluded for all of the
oligonucleotides used (15, 18). The suppressed cytochemical
labeling points to mRNA destruction and/or interference with
translation as the most likely mechanism(s) for functioning of these
antisense oligonucleotides, which further suggests that interference
with E6-AChE production impairs the proliferation-differentiation
balance in osteoblasts. This argument is strengthened by the inverse in
vivo relationship between AChE mRNA levels and chondrocyte density. The
function implied by these studies for the AChE protein is, therefore,
an association with the cell-cell signaling that arrests proliferation in committed, differentiating bone cells.
Having a developmental osteogenic function may imply involvement of
AChE in the replacement of osteoblasts for maintenance of both fetal
and adult bones. In this respect, it would be of interest to
investigate the effect of antisense AChE agents on osteogenesis in
fetuses of chondrodysplastic animal models. The association of bone
defects (e.g., osteoporosis) with Alzheimer's disease, in which
peripheral AChE levels are reduced (2), further requires an
examination of AChE mRNA levels following 17
-estradiol and
1,25-(OH)2D3 treatment in vivo. Finally,
17
-estradiol and 1,25-(OH)2D3 treatments
should be examined for secondary effects on hematopoiesis through the
predicted increase in bone marrow-supportive stromal cells. The
expression of E6-AChE in bone therefore has both basic and applied
significance, due to the morphogenic capacities of this intriguing protein.
 |
ACKNOWLEDGMENTS |
We are grateful to A. Cohen (Milford, Mass.) for a gift of
2-O-methyl antisense oligomers, to Letizia Shraiber for
assistance with pathological analysis, to Avi Orr-Urteger and Joseph
Weissman for genetic and scientific counseling, and to N. Melamed-Book for confocal imaging.
This research was supported by grants to H.S. from the German-Israeli
Fund (grant I-0512-206.01/96) and Ester/Neuroscience, Ltd. D.G. was the
recipient of a Sourasky Medical Center postdoctoral fellowship.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Department of
Biological Chemistry, Institute of Life Sciences, The Hebrew University of Jerusalem, Jerusalem 91904, Israel. Phone: 972-2-6585109. Fax: 972-2-6520258. E-mail: Soreq{at}shum.huji.ac.il.
Present address: Department of Human and Molecular Genetics, Baylor
College of Medicine, Houston, TX 77030.
 |
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