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Molecular and Cellular Biology, June 2007, p. 4465-4474, Vol. 27, No. 12
0270-7306/07/$08.00+0 doi:10.1128/MCB.00104-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Department of Oral Growth and Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan,1 Department of Molecular and Medical Genetics, Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, Ontario M5S 1A8, Canada2
Received 17 January 2007/ Returned for modification 1 March 2007/ Accepted 5 April 2007
| ABSTRACT |
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| INTRODUCTION |
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The control of systemic inorganic phosphate (Pi) levels is known to be indispensable for bone formation, especially for osteoid mineralization processes, but the parathyroid hormone (PTH) (decreasing serum Pi levels)-vitamin D (increasing serum Pi levels) axis does not fully explain systemic Pi homeostasis (31). For example, fibroblast growth factor 23 (FGF23) (1) and secreted frizzled-related protein 4 (sFRP-4) (9) were identified and found to display the biological properties of the putative circulating phosphaturic factor "phosphatonin," which may be primarily responsible for a variety of hypophosphatemic disorders. In contrast, osteomalacia/rickets occurs in Hyp and Gy mice (murine homologues of X-linked hypophosphatemia) (18) but not in mice lacking the primary renal sodium-dependent phosphate (NaPi) transporter, Npt2 (6). Analyses of several Hyp mouse models have also suggested that Hyp osteoblasts may have an intrinsic impairment in mineralization (for example, see reference 13). Moreover, the mineralization defects seen in Fgf23-null mice with hyperphosphatemia (34, 35) and FGF23 transgenic (TG) mice with hypophosphatemia (23) cannot easily be explained solely by aberrant control of systemic Pi homeostasis, even taking into consideration the altered serum biochemistry in these mouse models. Thus, attention has been turning to the role of local Pi handling by osteoblasts in bone mineralization.
Two related type III NaPi transporters, Pit1/Glvr1 (gibbon ape leukemia virus receptor) and/or Pit2/Ram1 (amphotropic retrovirus receptor), have been found in osteoblastic cell lines (21). Stable transfection with a Pit1 antisense (AS) expression plasmid abrogates differentiation and matrix mineralization in MC3T3-E1 cells treated long term (6 weeks) with BMP2 (36). When intracellular Pi is increased via Pit1 overexpression, immortalized human smooth muscle cells switch from a contractile to an osteogenic phenotype (24). Taken together, the data suggest that the Pit1 NaPi transporter may play a role in bone formation. However, because Pi participates in multiple cellular events including cellular proliferation and differentiation during osteogenesis, separating a putative direct role in mineralization from other developmental activities is important and of particular interest, considering the mineralization defects in hypophosphatemic disorders. To test the hypothesis that osteoblast-mediated Pi handling is crucial for mineralization, we exploited models in vivo and in vitro to assess local Pi effects on mineralization separately from effects on osteoblast proliferation and differentiation. We show that stringent regulation of Pi handling by osteoblasts through the NaPi transporter Pit1 is indispensable for bone mineralization and that stanniocalcin 1 (STC1), a mammalian homologue of the Ca/Pi-regulating fish hormone STC (11), acts as an autocrine/paracrine regulator of this osteoblast autonomous Pi regulatory system.
| MATERIALS AND METHODS |
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-minium essential medium supplemented with 10% fetal calf serum and antibiotics for a day. Cells from the four fractions were then pooled and grown at 5,000 cells/cm2 in 24-well plates or 35-mm dishes in the same medium supplemented additionally with 50 µg/ml ascorbic acid until osteoblasts differentiated (day
12). Differentiated cells were digested with collagenase/trypsin, respectively, for 5 min and then osteoid-like nodules were selectively recovered by forceps to obtain osteoblastic cell-rich fractions and reseeded at very high cell densities (>20,000 cells/cm2; designated osteoblast subcultures). Several days later (3 days to a maximum of 5 days), osteoblast subcultures were further supplemented with
10 mM ß-glycerophosphate (ßGP) for 2 days to induce mineralization. Some osteoblast subcultures were switched to serum-free medium containing 0.1% bovine serum albumin for treatment with agents as indicated in particular experiments. Mouse osteoblastic MC3T3-E1 and human osteosarcoma SaOS2 cell lines were routinely cultured with medium as described above. Cultures were maintained at 37°C in a humidified atmosphere with 5% CO2, and medium was changed every second or third day. MTT assay. Differentiated cells enzymatically recovered as described above were seeded into 96-multiwell plates. After Pi loading for 96 h with or without foscarnet (phosphonoformic acid trisodium salt hexahydrate; Sigma), cells were cultured with 0.1% MTT [3(4,5-dimethyl-thiazoyl-2-yl)-2,5-diphenyltetrazolium bromide)] for 4 h. Cells were then dissolved in 2-propanol, including 0.04 N HCl, and subjected to spectrophotometry (with absorbance at 590 nm).
Foscarnet, Pi, and recombinant human STC1 treatment. Foscarnet, a competitive inhibitor of NaPi transport (5), was used at 10, 30, or 300 mg/kg/day in vivo and 1 mM or less in vitro, as indicated in individual figures and tables. Pi (NaPO4) at 1.0 (regular medium), 2.5, 3.0, 3.5, and 6.0 mM in medium was used. Recombinant human STC1 (rhSTC1) was given to rats and cultures at 15 or less µg/kg/day and 20 ng/ml, respectively. These concentrations/doses were based on previous reports (5, 38, 42) and our preliminary experiments to determine effective dose ranges. Reagents or vehicle (phosphate-buffered saline [PBS]) alone were injected subcutaneously into newborn rats (5 to 8 rats per group) over the calvaria at the sagittal suture (26) once daily for 5 days. Foscarnet, one single time with ßGP, and rhSTC1, every day from day 1 or day 2 (for combination treatments with oligonucleotides), were added into cultures in particular experiments. Cycloheximide was used at 2 µg/ml.
Whole-mount skeletons and histology. Whole rat bodies were fixed in 95% ethanol, and skinned specimens were then placed in acetone and stained with alcian blue and alizarin red (22). Calvariae were fixed in 10% neutral buffered formalin or 4% paraformaldehyde in PBS, decalcified in 10% EDTA (pH 7.4), at 4°C and embedded in paraffin. The fixed bones were also embedded in glycol/methacrylate for plastic sections. Sections 3 µm in thickness were stained with hematoxylin and eosin, von Kossa and toluidine blue, toluidine blue alone, or trichrome stain.
Biochemical parameters in serum. A 1,25(OH)2D radioimmunoassay kit (TFB, Tokyo, Japan) was used to measure 1,25(OH)2D3 in serum pooled from 7 rats per group. Serum Ca, Pi, and alkaline phosphate (ALP) were measured by using colorimetric (for Ca and ALP) and UV (for Pi) determination kits (Sigma). All kits were used according to manufacturer's instructions.
AS oligonucleotide treatments. All oligonucleotides (Biosource, Camarillo, CA) had their internucleotidic linkages phosphorothioated at both the 5' and 3' ends as described previously (33). Inverted (INV) and scrambled (SCR) sequences were used as controls for AS sequences. The sequences of the AS and SCR oligonucleotides were as follows: STC1 and AS, 5'-TCACTGCTGAGTTTTGGAGCAT-3', and SCR, 5'-TATGGTCTGTGTCGAACTCTAG-3'; Pit1 and AS, 5'-GGGGCCAGGGTAGATGCCAT-3', and SCR, 5'-GAGGGTCAATACGTCCGAGGG-3'; Pit2 and AS, 5'-AGATACCCATCCATGGCCAT-3', and SCR, 5'-TACACGTCTGACAGACCTAC-3'. Oligonucleotides (STC1, 3 µM; Pit1 and Pit2, 2 µM each) were added to osteoblast subcultures every day from day 1 to culture termination (day 5). For combination treatment with pQE plasmids, osteoblast subcultures were treated with oligonucleotides from day 2.
Human Pit1 overexpression. Human Pit1 (hPit1) full-length cDNA in the EcoRV and XhoI cloning sites was prepared from a human cementing fibroma cell line and ligated into pQE-TriSystem (QIAGEN, Hilden, Germany). Osteoblast cultures (day 1) were transfected with 0.5 µg pQE-TriSystem-hPit1 (pQE-hPit1) or an empty plasmid as a control with TransFast transfection reagent (Promega, Madison,WI) and further incubated for 7 days.
Reverse transcription (RT)-PCR and real-time RT-PCR. Total RNA was prepared using TRIzol reagent (Invitrogen, Carlsbad, CA), and cDNA synthesis and PCR amplification were performed using standard protocols (Toyobo, Osaka, Japan, and QIAGEN). Primer sets for rat STC1, ALP, osteopontin (OPN), the type I NaPi transporter (NPT1), NPT2b, NPT2c, brain-specific NaPi transporter (BNPI), Pit1, Pit2, and L32 (ribosomal protein L32 as an internal control) were designed using Primer Picking (Primer 3) and were as follows: STC1, 5'-CTGCCTCAACAGTGCCCTAC-3' and 5'-GGAGGTTCCTGAGGAGGACT-3'; OPN, 5'-AGAGGAGAAGGCGCATTACA-3' and 5'-GCAACTGGGATGACCTTGAT-3'; NPT1, 5'-AGAGAGAATGGGCTGCTGTC-3' and 5'-AAGCTTCAGGCTACCGGTCT-3'; NPT2b, 5'-AGAGGGCATATCCACTCACG-3' and 5'-GTATTGTCAAAGCCCCCAGA-3'; BNPI, 5'-TGAGGATCCTTCAGGGATTG-3' and 5'-CAGTCCCACCTTGCTGATCT-3'; NPT2c, 5'-AGACTGCTCTGCCATCACCT-3' and 5'-CAGTCTCAAGACAGGCACCA-3'; Pit1, 5'-TGTGATGTCTTGGTTCGTCT-3' and 5'-AGGTTGCCATTAGGCAACTG-3'; Pit2, 5'-GACTCCCAATCTCAGGGACA-3' and 5'-TCCTGAGCTGGTTTCTCCTC-3'; L32, 5'-CATGGCTGCCCTTCGGCCTC-3' and 5'-CATTCTCTTCGCTGCGTAGCC-3'. Primers for NPT2a (17), described previously, were 5'-TATCATCCAGCTGGACAAGTC-3' and 5'-CAGGGAGAAGCTCTCCAGCTC-3'. Full-length hPit1 cDNA was obtained using primers 5'-GGCAACGCTGATTACCAGTACTACAGCT-3' and 5'-GGAACTCGAGTCACATTCTGAGGATGACAT-3' (the recognition site of XhoI used for cloning is underlined). ReverTraAce (Toyobo) and QIAGEN Taq polymerase/ProofStart DNA polymerase (for full-length hPit1) were used for RT and PCR, respectively. PCR was performed for 18 to 38 cycles of 94°C for 30 s, 56°C for 30 s, and 72°C for 30 s (2 min for hPit1). To quantify reaction products, at least four different cycles over the linear phase were chosen for each target. Reaction products were separated by electrophoresis using a 1% agarose gel. Bands were visualized by UV illumination of ethidium bromide-stained gels and captured using an ATTO Densitograph system (Tokyo, Japan). Band intensity was quantitatively analyzed in three independent experiments by Densitograph software (ATTO) for each gene and was normalized to corresponding L32 values. Real-time RT-PCR was also carried out in triplicate by using a LightCycler system (SYBR Green 1; Roche Diagnostics, Indianapolis, IN) according to the manufacturer's instructions. Each product was confirmed by subcloning and sequencing or by the determination of melting curves.
Western blotting. Cells were lysed in RIPA buffer (1% Triton X-100, 1% sodium deoxycholate, 0.1% sodium dodecyl sulfate [SDS], 158 mM NaCl in 10 mM Tris-HCl [pH 7.2], 1 mM EGTA, 100 µg/ml leupeptin, 1 mM phenylmethylsulfonyl fluoride [PMSF], 1 mM Na3VO4). Proteins (20 µg) were resolved by SDS-polyacrylamide gel electrophoresis on 15% gels under reducing conditions and electroblotted onto nitrocellulose membranes. The membranes were incubated with TTBS (0.1% Tween 20 and 0.1 M NaCl in 0.1 M Tris-HCl [pH 7.5]) containing 0.2% casein for 2 h and with anti-rhSTC1 monoclonal (0.5 µg/ml) antibody (42), anti-Pit1 and Pit2 antibodies (Alpha Diagnostic International, San Antonio, TX) or anti-His monoclonal antibody (QIAGEN) at 4°C overnight. The membranes were then treated with a horseradish peroxidase-conjugated second antibody (Santa Cruz Biotechnology, Santa Cruz, CA) for 2 h, followed by chemiluminescence detection (Lumi-LightPLUS Western blotting substrate; Roche Diagnostics). Equal loading of proteins was confirmed by anti-actin antibody (Santa Cruz Biotechnology).
ALP von Kossa staining. For histochemical analysis of ALP activity and matrix mineralization, cultures were fixed in neutral buffered formalin at 4°C for 15 min, treated with naphthol AS MX/red violet LB in 0.1 M Tris-HCl (pH 8.3), followed by incubation with 2.5% silver nitrate solution (8).
NaPi transport assay. Regular RC cell cultures and osteoblast subcultures treated with or without rhSTC1 for 3 days under serum-free conditions were washed with washing buffer (150 mM choline chloride, 1.8 mM MgCl2, 1 mM CaCl2, and 10 mM HEPES buffered with Tris-HCl [pH 7.4]) and NaPi transport was measured with or without Na+ in the presence of 0.1 mM KH2PO4 (1 µCi/ml 32Pi; Amersham, Piscataway, NJ) at 37°C. After 10 min, the cells were washed, dried, and solubilized in 0.2 N NaOH. Pi uptake was determined by liquid scintillation counting (39). The raw data (in cpm) were transformed to nmol/mg protein.
Statistical analysis. Data are expressed as means ± standard deviations of replicate samples (n = 3 to 8, depending on the experiment), and experiments were repeated a minimum of two to three times. Statistical significance of differences was evaluated by analysis of variance and post hoc Student's t test.
| RESULTS |
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1 mM) inhibited mineralization (Fig. 1C) with a decrease in NaPi transport (Fig. 1D) and mRNA for OPN, a marker of osteoblast response to Pi (5), but with no apparent changes in either ALP staining or ALP, BSP, OCN, and Runx2 mRNA levels (Fig. 1C and E). Notably, mineralization was enhanced with a concomitant increase in OPN mRNA when extracellular Pi was increased (Fig. 1F). Low concentrations (
4 mM) of Pi had no detectable effect on cell viability/activity as judged by morphology and ALP staining or by the MTT viability index (not shown), while Pi overloading (
5 mM, representative MTT data at 7 mM are shown in Fig. 1G) induced cell death (apoptosis, see reference 25). These effects were abrogated by foscarnet treatment (Fig. 1F and G), suggesting that osteoblasts stringently regulate NaPi transport for mineralization. To extend these results to an in vivo bone formation model (26), we injected foscarnet over the calvaria of newborn rats. Preliminary experiments allowed identification of concentrations of foscarnet with no detectable systemic effects: pups given foscarnet at doses of 30 mg/kg/day and lower had normal levels of serum Ca, Pi, ALP, and 1,25(OH)2D3 as well as body weight (Table 1). Thus, we chose 30 mg/kg/day of foscarnet to study further the effects of local blocking of NaPi transport on calvarial bone formation. In whole-mount skeletons double stained for bone and cartilage, we observed a mineralization defect in calvarial bones but no detectable delay or impairment of mineralization in other parts of the facial, axial, or appendicular skeleton (Fig. 2A to C). Higher magnification views of the parietal bone close to the sagittal suture indicated that toluidine blue-positive unmineralized osteoid matrix comprised narrow seams in the control group but very wide seams in the foscarnet-treated group (Fig. 2D); von Kossa and trichrome staining supported these observations (data not shown). The wide osteoid seams of foscarnet-treated calvariae were covered with cuboidal osteoblasts that were histologically indistinguishable from control osteoblasts (Fig. 2E and F). Other histological features were also similar between foscarnet-treated and control treatment groups (Fig. 2E and F). Histomorphometry indicated that the osteoblast number and the total bone thickness were not different, but osteoid thickness was greater in foscarnet-treated than vehicle-treated calvariae (Fig. 2G). Thus, blocking NaPi transport locally in the growing calvariae of newborn rats elicits a regional mineralization defect without changes in systemic Pi homeostasis. Taken together with the NaPi transport activity and foscarnet effects in vitro (Fig. 1), our data suggest that mineralization is more sensitive to NaPi transport than other bone formation processes.
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12 h) and followed by sequential increases in Pit1 (
24 h) and Pit2 (
48 h) mRNA levels (Fig. 4A). OPN mRNA expression was initially decreased (
12 h) and then returned to the basal level within 48 h.
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STC1 functionally contributes to Pit1-mediated mineralization in vitro and in vivo. To address whether STC1 is functionally linked to Pit1-mediated mineralization, we treated osteoblast subcultures with rhSTC1 in combination with Pit1 AS oligonucleotides (Fig. 5A). Notably, rhSTC1 partially rescued cultures from the decreases in NaPi transport, mineralization, and OPN mRNA expression (Fig. 4C) that resulted from AS knockdown of Pit1. Treatment of osteoblast subcultures for 3 h with rhSTC1 under serum-free conditions increased Pit1 mRNA when cycloheximide was also present, suggesting superinduction (conventionally regarded as a secondary consequence of translational arrest) (14) (Fig. 5B). We also examined the consequence of AS knockdown of STC1 in osteoblast subcultures overexpressing hPit1 by transfection of pQE-hPit1. While AS knockdown of STC1 decreased mineralization concomitantly with lower levels of Pit1 and OPN mRNA (Fig. 4D), it did not reverse the increases seen after transfection of pQE-hPit1 (Fig. 5C). These data demonstrate an STC1-Pit1 pathway linked to mineralization, in which STC1 stimulates Pit1 mRNA expression, resulting in increased NaPi transport in mature osteoblast cultures and, vice versa, STC1 expression is regulated by Pi levels in a sensing system in which Pit1 rather than STC1 may be rate limiting.
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| DISCUSSION |
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Not only our data but also other recent observations such as those with Fgf23-null mice, which exhibit mineralization defects even under hyperphosphatemic conditions (34, 35), underscore the need to determine whether and how locally produced phosphaturic factors act to regulate local Pi homeostasis in bone. For example, loss of DMP1, which is abundant in osteocytes, was found to cause a mineralization defect with elevated FGF23 levels in both human and mouse models (15), providing new insights into osteocyte function and mineral metabolism. Notably, we identified STC1 but not several known phosphaturic factors, including FGF23 and DMP1, in our screening of candidate early response genes differentially expressed in control versus foscarnet-treated osteoblasts. STC1, similarly to many other osteotropic factors capable of increasing NaPi transport as described above, not only increases mineralization but also increases osteoblast differentiation in parallel with its NaPi transport activity (42). Two different TG mouse lines overexpressing STC1 via either a muscle-specific myosin light chain promoter (16) or a metallothionein I promoter (40) have been made. Among the effects observed, growth was retarded with elevated Pi and decreased ALP levels in sera of both models; and bone formation, but not mineralization, was decreased with a suppression of osteoclast activity only in the former TG mouse model (16). In contrast to these two TG mouse lines, Stc1-null mice display no detectable anomalies in growth, reproduction, or a variety of other phenotypic parameters tested (10). The reasons for these discrepancies are currently not known; however, in addition to the complexity of both systemic (see introduction) and skeletal (see below) Pi regulation, the existence of STC1 variants (27) and STC2 (which has 35% sequence identity with STC1) (19 and see below) may play a compensatory and/or an interacting role(s) when STC1 expression is chronically altered. Together with the fact that an STC1-specific receptor has not yet been identified, the data suggest that it may be difficult to detect direct effects on osteoblasts and mineralization from indirect effects in these genetically engineered models. An alternate approach used here was to acutely and locally modify STC1 expression levels at specific developmental times, an approach that is achievable in both our in vivo and in vitro models and that uncovered the functional involvement of STC1 in Pit1-mediated mineralization. Likewise, the administration of recombinant STC1 in vitro or in vivo revealed another biological activity; i.e., STC1 protects neural cells from ischemic challenges with increasing NaPi transport (43).
Stimulation of NaPi transport above a critical threshold, e.g., by very high levels of extracellular Pi (over 5 mM [25]), by high overexpression of Pit1 (which, similarly to high Pi levels, causes cell death, see above and Fig. 1G), by hyperphosphatemia, as seen in Fgf23-null mice (34, 35), and possibly by high systemic STC1 levels (16, 40), impacts negatively on osteoblast development. Similarly, we found that exogenous overexpression of hPit1 may culminate in the downregulation of endogenous Pit1. However, smaller increases in NaPi transport such as those we show here with concomitant smaller changes in intracellular Pi act positively on mineralization and osteoblast-specific signaling, consistent with observations made initially by Bellows et al. (7) and recently by Beck et al. (3). Thus, osteoblast development and activity, including mineralization, function appropriately over a relatively narrow range of NaPi transport, consistent with Pit1 rather than STC1 being rate limiting in an osteoblast-autonomous Pit1-Pi sensing system for bone mineralization. The manipulation of this autonomous regulatory system, therefore, may offer a novel approach to clarifying the cellular basis of certain skeletal and mineral disorders.
| ACKNOWLEDGMENTS |
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This work was supported by grants-in-aid from the Ministry of Education, Science, Sports and Culture of Japan (13771074 and 16591828 to Y.Y.) and by the Canadian Institutes of Health Research (MT-12390 and MOP-69198 to J.E.A.).
| FOOTNOTES |
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Published ahead of print on 16 April 2007. ![]()
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