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Zhang Accepted: et al.: August PKA/CREB 03, 2015 Signaling in BMP9-Induced Osteogenesis www.karger.com/cpb 548 1421-9778/15/0372-0548$39.50/0 Original Paper This is an Open Access article licensed under the terms of the Creative Commons Attribution- NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/oa-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only. Activation of PKA/CREB Signaling is Involved in BMP9-Induced Osteogenic Differentiation of Mesenchymal Stem Cells Hongyu Zhang a,b Li Li b Qian Dong b Yufeng Wang b Qiaoling Feng b Xinying Ou b Pengfei Zhou c,d Tongchuan He b Jinyong Luo b a Chongqing, b Key Laboratory of Diagnostic Medicine designated by the Chinese Ministry of Education, Chongqing Medical University, Chongqing, c Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences Chongqing, d Stomatological Hospital of Chongqing Medical University, Chongqing, China Key Words BMP9 PKA CREB Mesenchymal stem cells Osteogenesis Osteogenic differentiation H89 Abstract Background/Aims: BMP9 is highly capable of promoting osteogenic differentiation of mesenchymal stem cells (MSCs) although the molecular mechanism involved is largely unknown. Here, we explored the detail role of PKA/CREB signaling in BMP9-induced osteogenic differentiation. Methods: Activation status of PKA/CREB signaling is assessed by nonradioactive assay and Western blot. Using PKA inhibitors and a dominant negative protein of CREB (A-CREB), we investigated the effect of PKA/CREB signaling on BMP9-induced osteogenic differentiation. Results: We found that BMP9 promotes PKA activity and enhances CREB phosphorylation in MSCs. BMP9 is shown to down-regulate protein kinase A inhibitor osteogenic marker alkaline phosphatase (ALP) activity in MSCs as well as late osteogenic markers osteopontin (OPN), osteocalcin (OCN) and matrix mineralization. We found that PKA inhibitor reduces BMP9-induced Runx2 activation and p38 phosphorylation in MSCs. Lastly, interference of CREB function by A-CREB decreased BMP9-induced osteogenic differentiation as well. Conclusion: Our results revealed that BMP9 may activate PKA/CREB signaling in MSCs may impair BMP9-induced osteogenic differentiation of MSCs, implying that activation of PKA/CREB signaling is required for BMP9 osteoinductive activity. Copyright Jinyong Luo MD, PhD Key Laboratory of Diagnostic Medicine designated by the Chinese Ministry of Education, Chongqing Medical University, Chongqing 400016, (China) Tel. +8623-68485240, Fax +8623-68485249, E-Mail luojinyong888@hotmail.com

www.karger.com/cpb 549 Introduction Mesenchymal stem cells (MSCs) are non-hematopoietic multipotent cells and can differentiate into osteoblastic, chondrogenic and other lineages [1-8]. Bone morphogenetic proteins (BMPs) are a group of secreted signaling proteins belonging to the Transforming Growth actor- (TG - ) superfamily. riginally disco ered by their ability to induce bone and cartilage formation, BMPs are now pro ed to play pi otal roles in almost all organ systems [9-12]. Genetic disruptions of the major players in BMPs signaling cause embryonic lethality, or result in arious s eletal and or e tra-s eletal abnormalities during de elopment [, 9, 13]. To date, about 20 BMPs family members ha e been identi ied and characteri ed. Se eral forms of recombinant BMPs, most notably BMP2 and BMP7, ha e been alidated to promote osteogenesis and are now used as adjuncti e therapy in the clinical setting [1-18]. owe er, it is uncertain if BMP2 and BMP7 are in fact the most potent BMPs in inducing bone formation. BMP9 (also nown as growth differentiation factor 2, or G 2) was originally isolated from fetal mouse li er c libraries [19]. BMP9 was shown to induce the cholinergic phenotype of embryonic basal forebrain cholinergic neurons [20], regulate glucose and lipid metabolism [21], maintain the homeostasis of iron metabolism [22], and control lymphatic essel maturation [23]. n addition, BMP9 participated in arious pathogenic processes including hereditary hemorrhagic telangiectasia, breast cancer, o arian cancer, osteosarcoma and hepatocellular carcinoma [2-28]. n recent studies, BMP9 has been pro ed to be most highly capable of inducing osteogenic differentiation of MSCs by regulating a distinct set of downstream targets [11, 29-31]. ur pre ious study demonstrated that 1 and 2 are the type TG - receptors responsible for BMP9 osteogenic signaling in MSCs [32]. e also re ealed that BMP and ct are the functional type TG - receptors facilitating BMP9 osteogenic signaling [33]. Many signaling molecules such as G, M P s, nt, growth hormone (G ), G 2, otch and TG - ha e been found to modulate BMP9-induced osteogenic differentiation of MSCs [3-1]. Moreo er, a recent study demonstrated that TS (a potent inhibitor of histone deacetylase) can potentiate BMP9-induced early osteogenic differentiation of MSCs, implying that epigenetic modi ication may be in ol ed in BMP9- induced osteogenesis [ 2]. espite these aluable disco eries, BMP9 remains as one of the least studied BMPs. The detail molecular mechanism underlying BMP9-induced osteogenic differentiation of MSCs is still largely un nown and warrants e tensi e studies. Protein inase (P, also nown as c MP-dependent protein inase) is an en yme whose acti ity is highly regulated by luctuating le els of cyclic adenosine monophosphate (cyclic MP, c MP) within cells [ 3, ]. P, when allosterically acti ated by c MP, can acti ate c MP response element binding protein (C B) by phosphorylating C B at serine and threonine residues [ 3- ]. Phosphorylated C B then become competent to bind promoter regions of responsi e genes and regulate transcription of C B targets. P C B signaling is shown to participate in arious physiological and pathological processes such as metabolism, proliferation, differentiation, memory, in lammation and carcinogenesis [ - 3]. The role of P C B signaling in osteogenesis and bone formation has been studied pre iously in different cell types with cyto ines compounds to acti ate or inhibit P C B signaling [ - 3], although the obtained results are contentious. e ertheless, these studies strongly support the notion that P C B signaling is important in osteogenesis and bone de elopment. n the present study, we try to probe the possible in ol ement and e act role of P C B signaling in BMP9-induced osteogenic differentiation of MSCs. e ind that BMP9 can effecti ely promote acti ation of P C B signaling in MSCs, possibly by down-regulating the e pression of protein inase inhibitor (P ). sing P inhibitors 89 and T 720, we demonstrate that inhibition of P acti ity reduces BMP9-induced early osteogenic mar er P acti ity. ccordingly, BMP9-induced e pression of late osteogenic mar ers P and C, as well as matri minerali ation is signi icantly reduced by P inhibitors. P inhibitor 89 is shown to disrupt BMP9-acti ated p38 signaling, and inhibit un 2 acti ation. Moreo er, we ind that interference of C B function by a dominant negati e form

www.karger.com/cpb 550 role in BMP9-induced osteogenic differentiation of MSCs. Materials and Methods Cell Culture and Chemicals Construction of Recombinant Adenoviruses control. Analysis of PKA activity manufacturer s instructions. Western blot analysis Detection of intracellular camp level RNA isolation, semiquantitative RT-PCR and quantitative PCR (qpcr) described elsewhere [32, 33]. Determination of ALP activity

www.karger.com/cpb 551 Alizarin Red S staining Luciferase reporter assay 2 Statistical analysis vs control were determined by one-way t Results BMP9 increases PKA activity and induces CREB phosphorylation in MSCs signaling in MSCs. PKA selective inhibitors dramatically reduces BMP9-induced early osteogenic differentiation of MSCs

www.karger.com/cpb 552 Fig. 1. vs vs ## vs vs BMP9. BMP9-induced early osteogenic differentiation of MSCs. PKA selective inhibitors suppress BMP9-induced late osteogenic differentiation of MSCs predictor of the late stage of osteogenic differentiation [11, 32, 33]. Thus, we sought to inhibitors can both impair BMP9-induced in vitro osteogenic differentiation of MSCs. PKA selective inhibitor inhibits BMP9-induced Runx2 activation in MSCs

www.karger.com/cpb 553 Fig. 2. - vs - vs

www.karger.com/cpb 554 Fig. 3. vs vs ## vs vs ## vs vs BMP9. PKA selective inhibitor decreases BMP9-induced activation of p38 signaling in MSCs with p38 signaling to regulate BMP9-induced osteogenic differentiation of MSCs.

www.karger.com/cpb 555 Fig. 4. ## vs vs ##, vs vs BMP9. A-CREB, a dominant negative form of CREB, inhibits BMP9-induced osteogenic differentiation of MSCs Discussion

www.karger.com/cpb 556 Fig. 5. ## vs vs ##, p vs vs ## vs vs - - ## vs vs BMP9. both in vitro and in vivo regulating BMP9-induced osteogenic differentiation of MSCs

www.karger.com/cpb 557 Fig. 6. - ## vs vs ##, vs vs blot at 9 days post infection. ## vs vs - ## vs vs found in all mammalian cells and acts as second messenger in many biological processes

www.karger.com/cpb 558 et al in vivo into the molecular mechanisms by which BMP9 induces osteogenic differentiation of MSCs. differentiation of MSCs and bone formation. Acknowledgements Disclosure Statement References 1 2 3 4 5

www.karger.com/cpb 559 6 7 8 9 10 11 12 13 14 15 in vivo 16 in vivo induction of bone formation 17 18 19 20 21 22 23 synergistic factor for murine hemopoietic progenitor cell generation and colony formation in serum-free 24 25 26

www.karger.com/cpb 560 27 28 29 30 31 32 33 34 35 36 37 38 39 40 protein plays an important role in mediating BMP9-induced osteogenic differentiation of mesenchymal 41

www.karger.com/cpb 561 42 43 44 45 46 47 48 49 50 51 52 53 54 in robust bone formation in vivo 55 56 57 58 59 60 61 62 63

www.karger.com/cpb 562 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81