Published in Volume
120, Issue 10
(October 1, 2010)J Clin Invest.
Copyright © 2010, American Society for Clinical Investigation
Maf promotes osteoblast differentiation in mice by mediating the age-related switch in mesenchymal cell differentiation
1Department of Cell Signaling, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
2Global Center of Excellence Program, International Research Center for Molecular Science in Tooth and Bone Diseases, and
3Japan Science and Technology Agency, ERATO, Takayanagi Osteonetwork Project, Tokyo, Japan.
4Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
5Institute of Basic Medical Sciences and Laboratory Animal Resource Center, University of Tsukuba, Tsukuba, Japan.
6Department of Molecular Biology and Medicine, Research Center for Advanced Science and Technology, University of Tokyo, Tokyo, Japan.
7Department of Oral Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
8GlaxoSmithKline, Stevenage, United Kingdom.
Address correspondence to: Hiroshi Takayanagi, Department of Cell Signaling, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8549, Japan. Phone: 81.3.5803.5471; Fax: 81.3.5803.0192; E-mail:
First published September 27, 2010
Submitted: February 1,
2010; Accepted: July 14,
Aging leads to the disruption of the homeostatic balance of multiple biological systems. In bone marrow multipotent mesenchymal cells undergo differentiation into various anchorage-dependent cell types, including osteoblasts and adipocytes. With age as well as with treatment of antidiabetic drugs such as thiazolidinediones, mesenchymal cells favor differentiation into adipocytes, resulting in an increased number of adipocytes and a decreased number of osteoblasts, causing osteoporosis. The mechanism behind this differentiation switch is unknown. Here we show an age-related decrease in the expression of Maf in mouse mesenchymal cells, which regulated mesenchymal cell bifurcation into osteoblasts and adipocytes by cooperating with the osteogenic transcription factor Runx2 and inhibiting the expression of the adipogenic transcription factor Pparg. The crucial role of Maf in both osteogenesis and adipogenesis was underscored by in vivo observations of delayed bone formation in perinatal Maf–/– mice and an accelerated formation of fatty marrow associated with bone loss in aged Maf+/– mice. This study identifies a transcriptional mechanism for an age-related switch in cell fate determination and may provide a molecular basis for novel therapeutic strategies against age-related bone diseases.
A progressive and irreversible accumulation of DNA damage, which is triggered by telomere shortening and various stressors such as oxidative stress, contributes to cellular senescence and organismal aging (1, 2), but how aging is related to the disruption of the homeostatic balance of cell differentiation from a common progenitor is not well understood. Bone marrow contains multipotent mesenchymal progenitor cells, which differentiate into various anchorage-dependent cell types, including adipocytes and osteoblasts (3, 4). With age, mesenchymal cells in the bone marrow become inclined to undergo differentiation into adipocytes rather than osteoblasts (5–7), resulting in an increased number of adipocytes and a decreased number of osteoblasts, causing osteoporosis. Adipocytes are also known to directly inhibit functions of other cells in the bone marrow, including hematopoietic stem cells and osteoblasts (8–11). Since an increase in marrow fat along with bone loss is observed in diabetic patients treated with thiazolidinediones (TZDs) (12), understanding the mechanism of this differentiation switch has substantial relevance to both the management of age-related osteoporosis and secondary osteoporosis after such drug treatment. However, the change in mesenchymal cell differentiation cannot be adequately explained by cellular senescence or the cell cycle arrest caused by DNA damage. While estrogen deficiency causes postmenopausal osteoporosis (6, 13), it has been suggested that the downregulation of cytokines and hormones, such as IGF1, TGFB1, IL-11, and growth hormone, is correlated with age-related bone loss (6, 14, 15). However, a cell-intrinsic mechanism that regulates the age-related switch in mesenchymal cell differentiation remains to be elucidated. Here we report an age-related decrease in the expression of Maf in mesenchymal cells and present evidence that Maf regulates mesenchymal cell bifurcation into osteoblasts and adipocytes. This study establishes the crucial role of the Maf-mediated transcriptional program in the physiological and age-related regulation of mesenchymal cell lineage, which may facilitate the development of new therapeutic strategies against bone and metabolic diseases.
A genome-wide screening of transcription factors involved in the age-related decrease in bone formation. To identify the transcription factors involved in age-related bone loss, we performed a genome-wide screening of mRNAs expressed in cells derived from mouse calvaria during osteoblastogenesis. Among 1,470 transcription factors, we identified 163 genes related to osteogenic function; the identifying characteristic of these factors was that their expression was increased by more than 4-fold during osteoblastogenesis (Figure 1A and Supplemental Table 1, A and B; supplemental material available online with this article; doi:
10.1172/JCI42528DS1). To identify age-related genes, we also comprehensively analyzed the mRNAs expressed by bone marrow stromal cells (BMSCs) derived from 8- and 32-week-old mice, which resulted in identifications of 179 genes, the expression of which was decreased in the aged mice by more than 2 fold (Supplemental Table 1C). Fifty-two genes met both criteria (Supplemental Table 1D), from which we selected 7 genes preferentially expressed in BMSCs (with an average difference greater than 200). Among these 7 genes, we identified Maf (also known as c-Maf) to be the most highly expressed in the BMSCs. We confirmed that the expression of Maf increased during osteoblastogenesis, using calvarial and BMSCs (Figure 1A, right top, and Supplemental Figure 1A), and decreased with age (Figure 1A, right bottom, and Supplemental Figure 1B). Maf, a basic leucine zipper transcription factor, is known to be involved in the regulation of diverse developmental processes such as lens fiber elongation (16) and Th2 cell differentiation (17, 18). Although it has been documented that transcription factors such as ΔFosb, Taz, Esr1, Msx2, and Cebpβ regulate the bifurcation of osteoblast/adipocyte differentiation (7, 19, 20), the expression of ΔFosb was increased in aged BMSCs (Supplemental Figure 2) and the other 4 factors were not included in the 179 age-related genes (Supplemental Table 1C). These results suggest that Maf is one of the potential candidate genes underlying an age-related decrease in osteoblastogenesis.
Impaired bone formation in Maf–/– mice.
(A) A genome-wide screening of transcription factor mRNAs during in vitro differentiation of osteoblasts (OBs) and a comparison of their expression between 8- and 32-week-old BMSCs. The increase in Maf expression during osteoblastogenesis was confirmed in calvarial osteoblasts (RNA blot analysis, right top). Maf expression was markedly lower in BMSCs derived from the aged mice (real-time RT-PCR analysis, right bottom). Screening results are summarized in the Venn diagram. *P < 0.05; **P < 0.01. (B) Alizarin red/alcian blue staining of E17 embryos (top). Top view of calvaria (bottom). Images in B are composites. (C) Histology (von Kossa staining) and microcomputed tomography analysis of WT and Maf–/– littermates at P0 (n = 3). Scale bar: 100 μm. (D) ALP and von Kossa staining of osteogenic fronts (OFs) in the calvaria of WT and Maf–/– littermates. Scale bar: 100 μm. (E) Expression of Bglap1 in the calvaria of WT and Maf–/– mice (in situ hybridization). Scale bar: 100 μm.
The indispensable role of Maf in osteogenesis. Since Maf–/– mice usually die immediately after birth (16), we investigated the role of Maf in osteogenesis by analyzing the skeletal development of perinatal Maf–/– mice. Bone formation was severely impaired in both the long and calvarial bones in the embryos of Maf–/– mice (Figure 1B), and bone volume was decreased in newborn Maf–/– mice (Figure 1C, Table 1, and Supplemental Figure 3). The formation of alkaline phosphatase–positive (ALP-positive) cells on an osteogenic front was markedly impaired in the calvaria of newborn Maf–/– mice (Figure 1D). In situ hybridization analysis revealed the expression of osteoblast genes, such as Bglap1 (encoding osteocalcin), but not of Runx2 was much lower in the embryos of Maf–/– mice than WT mice (Figure 1E and Supplemental Figure 4, A and B), although the proliferating or apoptotic osteoblast numbers were not different (Supplemental Figure 4C). Since the osteoclast number was decreased in Maf–/– mice, possibly in a cell-autonomous manner (Supplemental Figure 5), it is unlikely that abnormal osteoclastic bone resorption contributes to the low bone mass phenotype in Maf–/– mice. When a neomycin-resistance gene cassette was inserted into the Maf locus, chondrocyte development was reported to be affected in the mutant mice, but the mice were not perinatally lethal (18). In the current study, in which the coding sequence of Maf was entirely replaced by the LacZ cassette, the mice were perinatally lethal and exhibited more severe chondrocyte abnormalities (Supplemental Figure 6). It is difficult to rule out the possibility that a defect in chondrocytes contributes to a skeletal phenotype in long bone, but Maf–/– mice exhibited a defective bone formation in flat bones, like the calvaria (Figure 1B), which are not formed by endochondral bone formation, suggesting a role of Maf in osteoblasts. To analyze a cell-autonomous defect in osteoblasts further, osteoblast differentiation was evaluated in an in vitro culture system of osteoblast precursor cells derived from the calvaria of newborn Maf–/– mice. ALP activity and bone nodule formation were markedly suppressed in Maf–/– cells (Figure 2A), but neither the proliferation nor apoptosis was affected (Figure 2B). These results collectively indicate that a complete lack of Maf led to an osteopenic phenotype, due to impaired osteoblast differentiation and bone formation.
Regulation of osteoblast differentiation and Bglap1 expression by Maf in cooperation with Runx2.
(A) ALP and alizarin red staining of WT and Maf–/– calvarial cells. ALP activity and bone nodule formation were quantitated. (B) Proliferation and apoptosis of WT and Maf–/– calvarial cells. (C) mRNA expression of osteoblast-specific genes in WT and Maf–/– calvarial cells (GeneChip analysis). (D) Bglap1 expression in WT and Maf–/– calvarial cells cultured with osteogenic medium for 7 days (RNA blot analysis). (E) Schematic of 5 MARE-like sequences (MARE1–MARE5) in the regulatory region of Bglap1, and Bglap1-luc variants harboring point mutation(s) in MARE-like sequences. pDHS and dDHS indicate proximal and distal DNase hypersensitive sites, respectively (23). Arrows indicate the primer set used for ChIP. Numbers within ovals represent corresponding MARE sequences. Ovals with “X”s indicate sequences without that respective MARE sequence. (F) Effect of Maf on the Bglap1-luc variants. (G) Recruitment of Maf to the Bglap1 promoter region containing MARE1–MARE3. Calvarial cells cultured with osteogenic medium for 7 days were analyzed by ChIP. (H) Effect of Runx2 and AP-1 family members on Maf-mediated activation of 1050Oc-luc. *P < 0.05; **P < 0.01.
Skeletal development of perinatal Maf–/– mice
Maf regulates osteoblast differentiation in cooperation with Runx2. The expression of various osteoblast-specific genes, including Bglap1, was severely suppressed in Maf–/– cells (Figure 2, C and D), but Runx2, a well-known transcriptional regulator of Bglap1 (21, 22), was normally expressed in Maf–/– mice (Supplemental Figure 4B). It is notable that Maf expression was not decreased in Runx2–/– calvarial osteoblasts (Supplemental Figure 7). These results prompted us to investigate whether Maf directly regulates the Bglap1 promoter. As expected, 5 Maf recognition element–like (MARE-like) sequences were contained in the 1,050-base Bglap1 promoter region (Figure 2E). A reporter gene assay indicated that Maf activates the Bglap1 promoter mainly through a region containing 3 proximal MARE-like sequences (MARE1–MARE3), which was included in the proximal DNase hypersensitive site (23) and partially overlapped with osteoblast-specific element 1 (OSE1) (22) (Figure 2F). ChIP experiments showed that Maf is recruited to the region containing MARE1–MARE3 in primary osteoblasts (Figure 2G), suggesting that Maf directly regulates the Bglap1 promoter.
To gain insight into the transcriptional partners of Maf, we analyzed the Maf transcriptional network using a systems biology approach, based on protein-protein interaction databases and our own GeneChip analysis. Fos, Jun, Atf4, Nfat, and Runx2 were included among the transcription factors predicted to interact with Maf (Supplemental Figure 8). The function of these candidate partners was examined in the Maf-mediated activation of the Bglap1 promoter, which was found to be exclusively enhanced by the addition of Runx2 (Figure 2H and data not shown). Consistent with this, the transcriptional activity of Maf on the Bglap1 promoter was markedly decreased in Runx2–/– cells (Supplemental Figure 9). Maf bound to Runx2 in an immunoprecipitation assay (Figure 3 and Supplemental Figure 10), and immunohistochemical analysis showed that Maf was colocalized with Runx2 in calvarial osteoblasts (Supplemental Figure 11). Thus, these results suggest that Maf controls osteoblast differentiation by regulating osteoblastic gene expression mainly in cooperation with Runx2.
Physical interaction of Maf with Runx2. Maf and MafΔN, but not MafΔC, bound to Runx2. Runx2 and Runx2ΔC, but not Runx2ΔN, bound to Maf. Maf contains a transactivated domain (acidic domain), a histidine cluster (His rich), glycine stretches (Gly rich), and a basic leucine zipper domain (bZip domain). The asterisk indicates nonspecific bands.
Maf suppresses adipogenesis by the downregulation of Pparg. We further characterized the Maf–/– calvarial cells using gene set enrichment analysis (GSEA), which revealed adipocyte-related genes to be highly enriched in Maf–/– cells (Supplemental Figure 12). Indeed, GeneChip data showed that the expression of adipocyte genes was upregulated in Maf–/– calvarial cells, even under the conditions optimized for osteoblast differentiation (Figure 4A). Maf–/– cells differentiated into oil red O–positive adipocytes more efficiently than WT cells (Figure 4B). Real-time RT-PCR analysis confirmed the expression of Pparg, the key transcription factor for adipogenesis, as well as that of Fabp4, Slc2a4, Lpl, Acc1, and Cd36, downstream effectors of Pparγ (24–26), to be markedly elevated in Maf–/– cells (Figure 4C and Supplemental Figure 13). To further investigate the role of Maf in osteoblast and adipocyte differentiation, we ectopically expressed Maf in C3H10T1/2 cells, a stromal cell line with a capacity to differentiate into both osteoblasts and adipocytes, and found that the introduction of Maf resulted in a severe blockade of adipocyte differentiation and an enhancement of osteoblast differentiation (Figure 4D and Supplemental Figure 14). Similar results were obtained using another stromal cell line, ST2, and BMSCs (Supplemental Figure 15, A–C). In addition, short hairpin RNA-mediated knockdown of Maf in ST2 cells resulted in a blockade of osteoblast differentiation and an acceleration of adipocyte differentiation (Supplemental Figure 15, D and E). Similar results were obtained using BMSCs (Supplemental Figure 15F). These results suggest that Maf promotes osteoblast differentiation and inhibits adipocyte differentiation in a cell-autonomous manner.
Maf inhibition of adipocyte differentiation by suppressing Cebpδ/α-mediated induction of Pparg.
(A) mRNA expression of adipocyte-specific genes in WT and Maf–/– calvarial cells cultured with osteogenic medium (GeneChip analysis). (B) Adipocyte formation in WT and Maf–/– calvarial cells cultured with osteogenic medium (oil red O staining). (C) Expression of Pparg and Fabp4 in WT and Maf–/– calvarial cells cultured with osteogenic medium (real-time RT-PCR analysis). (D) Effect of Maf overexpression on adipocyte and osteoblast differentiation of C3H10T1/2 cells. Scale bar: 200 μm. (E) Effect of Crebbp overexpression on Maf-mediated inhibition of Cebpδ activation of the Pparg promoter. (F) Inhibition of interaction between Cebpδ and Crebbp by Maf. *P < 0.05; **P < 0.01.
To understand the mechanism underlying the Maf-mediated inhibition of Pparg expression and adipogenesis, we examined the effect of Maf on the transcriptional activity of Cebp, the family members of which are involved in the regulation of Pparg (27, 28). Overexpression of Maf clearly suppressed the activation of the Pparg promoter by Cebpα and Cebpδ but not that by Cebpβ (Figure 4E and data not shown). Since the introduction of mutation(s) into MAREs in the Pparg promoter did not affect the inhibitory effect of Maf on Cebpδ activity, it is unlikely that Maf inhibited the Pparg promoter activity by directly binding to MAREs (Supplemental Figure 16, A and B). EMSA revealed that Maf did not affect the DNA binding activity of Cebpδ, further supporting Maf-mediated inhibition of the Pparg promoter being independent of Maf binding to DNA (Supplemental Figure 16C). In addition, AP-1 family members and Runx2 did not affect Maf-mediated inhibition of the Pparg promoter (Supplemental Figure 16D). As it has been documented that Maf and Cebpδ commonly use CREB-binding protein gene (Crebbp) as their crucial transcriptional coactivator (29) (Supplemental Figure 8), we inferred that competition for the limited amount of Crebbp accounts for the inhibitory effect of Maf on the Cebpδ activity. As expected, the interaction of Cebpδ with Crebbp was suppressed by the overexpression of Maf (Figure 4F). Overexpression of Crebbp recovers the Maf-mediated inhibition of the effect of Cebpδ on the Pparg promoter (Figure 4E), lending support to the notion that Maf inhibits Cebpδ activity due to Crebbp squelching, although this may not be the sole mechanism underlying Maf inhibition of adipogenesis.
Decreased Maf expression accelerates age-related osteoporosis and fatty bone marrow. Although the perinatal lethality of Maf–/– mice renders it difficult to evaluate the development of fatty marrow with aging, the expression of Pparg in the bone marrow is much higher in perinatal Maf–/– mice than WT mice (Figure 5A), suggesting that the adipogenesis is enhanced in vivo in the case of Maf deficiency. Haploinsufficiency of Maf did not affect bone formation in embryos or neonatal mice (Figure 1B and Supplemental Figure 17). At the age of 22 weeks, however, histological analysis revealed that the bone marrow was filled with adipocytes characterized by fat vacuoles, and the bone volume was reduced in the Maf+/– mice (Figure 5, B and C, and Table 2). In contrast, no abnormalities in cartilage were found in the adult or neonatal Maf+/– mice (Supplemental Figures 6 and 18). The accelerated fatty marrow formation was accompanied by a decrease in osteoblast number and bone formation (Figure 5D), while osteoclastic bone resorption was not affected in the Maf+/– mice, with the serum calcium and phosphate levels being normally maintained (Supplemental Figures 19–21). Thus, haploinsufficiency of Maf results in enhanced adipogenesis and decreased osteogenesis in vivo, which was obvious at an advanced age, suggesting that the decreasing level of Maf with age contributes to the age-related switch in mesenchymal cell differentiation into adipocytes rather than osteoblasts.
Increased adipogenesis in the Maf deficiency.
(A) Expression of Pparg in the tibia of WT and Maf–/– littermates (in situ hybridization). Scale bar: 100 μm. (B) Histological analysis of the bone marrow of 22-week-old WT and Maf+/– female mice (femur, toluidine blue staining). Yellow boxed regions in the top panels are shown at higher magnification in the bottom panels. Note that Maf+/– bone marrow is filled with adipocytes. The number, but not the size, of adipocytes was significantly increased (n = 6). Scale bar: 500 μm (top row); 50 μm (bottom row). (C) Three-dimensional microcomputed tomography images of the femurs of 22-week-old WT and Maf+/– mice. Scale bar: 200 μm. (D) Parameters of osteoblastic bone formation in the bone morphometric analysis (n = 6; 22–26 weeks old). *P < 0.05; **P < 0.01.
Skeletal development of 22-week-old Maf+/– mice
To determine whether forced expression of Maf in mesenchymal cells would rescue an aging phenotype of Maf+/– mice, we overexpressed Maf in calvarial cells by retroviral transfer and transplanted them into the femurs of aged mice (Supplemental Figure 22). Maf+/– mice transplanted with Maf-transduced calvarial cells had a higher trabecular bone mass (but not cortical bone mass) and a decreased number of intramedullary adipocytes compared with those transplanted with mock-infected calvarial cells (Figure 6A and Table 3). We observed similar results when we transplanted Maf-transduced calvarial cells into aged WT mice (Supplemental Figure 22D). These results indicate that overexpression of Maf resulted in effective restoration of both an accelerated aging phenotype in Maf+/– mice and age-related changes in WT mice.
Aging and Maf-mediated regulation of osteoblastogenesis and adipogenesis. (A) Effect of Maf overexpression in mesenchymal cells on an aging phenotype of Maf+/– mice. Three-dimensional microcomputed tomography images and histological analysis of the bone marrow (toluidine blue staining) of Maf+/– mice transplanted with Maf-transduced or mock-infected calvarial cells. Scale bar: 200 μm (top row); 100 μm (bottom row). (B) Effect of hydrogen peroxide on Maf expression in WT and Trp53–/– calvarial osteoblasts (real-time RT-PCR analysis). (C) Effect of N-acetylcysteine (NAC) administration on an aging phenotype of Maf+/– mice. Three-dimensional microcomputed tomography images (top row) and histology of the bone marrow (toluidine blue staining, middle and bottom rows) of mice (n = 4). Images in the middle row are shown at higher magnification in the bottom row. Scale bar: 500 μm (top and middle rows); 50 μm (bottom row). (D) Microcomputed tomography and histological analysis of WT and Maf+/– mice. (E) A model of Maf-mediated reciprocal regulation of osteoblast and adipocyte differentiation. *P < 0.05; **P < 0.01.
Skeletal development and adipogenesis in Maf+/– mice transplanted with Maf-transduced and mock-infected calvarial cells
ROS regulation of Maf expression through Trp53. How is Maf expression regulated during aging? Since it has been reported that age-related bone loss is related to an increased expression of the Wnt inhibitor secreted frizzled-related protein 4 (30) or a decreased production of soluble factors, such as IGF1, TGFB1, IL-11, and bone morphogenetic protein 2 (6, 14, 15), we evaluated the effect of these factors as well as the effect of ROS on Maf expression. Although none of the soluble factors increased Maf expression in osteoblast precursor cells (Supplemental Figure 23), treatment with the hydrogen peroxide led to a marked decrease in Maf expression, which was restored by the addition of the antioxidant N-acetylcysteine (Figure 6B). These results prompted us to investigate whether administration of N-acetylcysteine rescue the bone phenotype of Maf+/– mice. As expected, administration of N-acetylcysteine led to an increased bone mass and decreased intramedullary fat in Maf+/– mice (Figure 6, C and D).
Furthermore, to gain mechanistic insight into the downregulation of Maf by ROS, we focused on the regulation of Maf by Trp53, which is reported to be induced by ROS and involved in aging (1, 2, 31, 32). Indeed, the Maf promoter contains multiple Trp53 binding sites and overexpression of Trp53 markedly inhibited the activity of the Maf promoter (Supplemental Figure 24). In addition, the downregulation of Maf by ROS was markedly attenuated in Trp53–/– osteoblasts (Figure 6B). Although NF-κB is involved in aging (33) and activated by ROS, Maf expression was not restored by an NF-κB inhibitor (Supplemental Figure 25). These results suggest that the oxidative stress that accumulates with aging mediates, at least in part, the age-related decrease in Maf expression through Trp53.
The molecular basis for age-related changes in higher organisms is poorly understood, particularly in the skeletal system. Although many factors have been suggested to regulate the bifurcation of osteoblasts and adipocytes, the function of a few factors has been demonstrated by genetic loss-of-function studies (7), and how the expression level of these factors changes in aging is not well known. A combination of a genome-wide screening and mouse genetic studies led us to identify the expression level of Maf to be both under the influence of aging and a determinant of mesenchymal cell differentiation into osteoblasts and adipocytes (Figure 6E).
Maf promotes osteoblast differentiation by regulating osteoblast genes, including Bglap1, in cooperation with Runx2. We propose that Maf functions as a modulator of bone formation by regulating the activity of crucial determinants like Runx2. Even in aged mice, bone marrow cells expressed a normal level of Runx2 (based on the screening shown in Figure 1A and Supplemental Table 1), but a low level of Maf expression resulted in a decrease in Runx2-mediated transcriptional activity. Therefore, Maf is a potential candidate to help explain the gradual and moderate decrease in bone formation observed in age-related osteoporosis. We also demonstrated that Maf inhibited adipocyte differentiation through the downregulation of Pparg expression, thus indicating that Maf regulates the bifurcation of the mesenchymal cell lineage into osteoblasts and adipocytes. It is interesting to note that the MAF locus was recently identified as one of the risk loci for obesity (34).
Using genetically modified mice, AP-1 superfamily members Fra1, Junb, and ΔFosb were shown to regulate bone formation (35–37), but ΔFosb was the only member that also regulates adipogenesis (19). However, since the adipogenic function of ΔFosb depends on a non–cell-autonomous mechanism (38), Maf is the only AP-1 superfamily member that has a cell-autonomous role in the regulation of both osteoblast and adipocyte differentiation. Interestingly, Maf also regulated osteoclastogenesis in a cell-autonomous manner, possibly by modulating NFAT activity (Supplemental Figure 5, C and E), suggesting that Maf plays a distinct role in each skeletal cell type.
Since Pparγ inhibits the expression of Maf (39), a small reduction in Maf expression would form a vicious cycle: an increasing expression of Pparg further inhibits Maf expression, leading to a severe reduction in Maf. Antidiabetic drugs — such as TZDs, which activate Pparγ — are known to reduce bone mass and increase fracture risk (12). Interestingly, treatment with rosiglitazone led to decreased Maf expression (data not shown). This is possibly because Pparγ agonists accelerate this vicious cycle through suppression of Maf expression.
Mathematical modeling of gene expression is helpful for understanding how the gradual reduction of Maf expression leads to a dramatic change in cell differentiation. Based on this simulation, if the expression of Maf decreased by more than 60% of the maximum level, the adipogenic genes became preferentially expressed (Supplemental Figure 26 and Supplemental Methods). Reduction of Maf gene expression in neonatal Maf+/– mice was not sufficient for activation of this switch, as we observed no obvious bone phenotype in neonatal Maf+/– mice (Figure 1B and Supplemental Figure 17). As the level of Maf gradually decreased with age, they exhibited an osteopenic phenotype with fatty marrow.
Currently, there are few drugs available in the clinic that effectively increase bone formation. The modulation of Maf expression appears to hold considerable promise as what we believe to be a novel antiaging therapeutic target in the skeletal system.
Mice. Maf–/– mice were previously generated and described elsewhere (16). Maf–/– mice were backcrossed into C57BL/6 mice for more than 9 generations, unless otherwise described. All mice were born and maintained under specific pathogen–free conditions. All animal experiments were performed with the approval of the Animal Study Committee of Tokyo Medical and Dental University and conformed to relevant guidelines and laws.
Microcomputed tomography analysis. CT scanning was performed using a ScanXmate-A100S Scanner (Comscantechno). Three-dimensional microstructural image data were reconstructed and structural indices were calculated using TRI/3D-BON software (RATOC). Bone mineral density (BMD) was calculated using TRI/3D-BON-BMD-PNTM software (RATOC). Bone morphometric and BMD analyses were performed at a region 0.8–1.8 mm above the distal growth plate of the femur in adult mice and using the full-length femur in postnatal mice, unless otherwise described.
In situ hybridization and immunohistochemical analysis. Embryos and bones were fixed in 4% paraformaldehyde, embedded in paraffin, and sectioned (5 μm). In situ hybridization was performed using 35S-labeled Bglap1, Runx2, and Col1a1 probes as described previously (40). The Pparg probe is a 521-bp fragment of the Pparg coding region. Immunohistochemical analysis was performed using a standard avidin-biotin peroxidase method (Vector Laboratories), according to the manufacturer’s protocols. Paraffin-embedded sections were dewaxed, rehydrated, and subjected to an antigen retrieval procedure. The sections were then blocked with 5% lamb serum and incubated with the antibody. The antibodies are listed in Supplemental Table 2. For the proliferation assay, pregnant mice were injected with BrdU 1 hour before sacrifice. We detected mitotic cells using the BrdU Staining Kit (Zymed) and detected apoptotic cells by TUNEL staining with the ApoAlert DNA Fragmentation Kit (Clontech).
Cell cultures. For in vitro osteoblast and adipocyte differentiation, cells derived from bone marrow or calvaria were cultured with osteogenic medium (50 μM ascorbic acid, 10 nM dexamethasone, and 10 mM β-glycerophosphate) or adipogenic medium (0.5 mM 3-isobutyl-1-methylxanthine, 5 μg/ml insulin, and 1 μM dexamethasone), as described previously (20, 41). ALP assay (7 days of culture), alizarin red staining (21 days of culture), and oil red O staining (10 days of culture) were performed as previously described (20, 41). We determined the rate of cell proliferation using the Cell Proliferation ELISA kit (Roche) and detected apoptotic cells by TUNEL staining with the MEBSTATIN Apoptosis Kit Direct (MBL). The method for in vitro osteoclast differentiation was described previously (42–44). Briefly, bone marrow–, fetal liver–, or spleen-derived cells, cultured with 10 ng/ml M-CSF (R&D Systems) for 2 days, were used as osteoclast precursor cells, which were further cultured with 50 ng/ml RANKL (Peprotech) in the presence of 10 ng/ml M-CSF for 3 days. In the coculture system used to generate osteoclasts, bone marrow cells were cultured with calvarial cells in the presence of 1 nM 1,25-dihydroxyvitamin D3 (Wako) and 1 μM prostaglandin E2 (Cayman Chemical) for 7 days.
To obtain the stable transformants constitutively expressing Maf, the retroviral vectors pMX-HA-Maf-IRES-Puro and pMX-IRES-Puro, as the control, were introduced into C3H10T1/2 and ST2 clonal cells, and the stable transformants were selected with puromycin. To establish the stable transformants expressing shRNAs targeting Maf, the retroviral vectors pSIREN-shMaf and pSIREN-shControl were introduced into ST2 clonal cells, and stable transformants were selected with puromycin. For osteoblast and adipocyte differentiation, transformants were cultured under an osteogenic condition (50 μM ascorbic acid, 10 nM dexamethasone, 10 mM β-glycerophosphate, and 100 ng/ml BMP2) and adipogenic condition (0.26 mM 3-isobutyl-1-methylxanthine, 85 nM insulin, and 0.5 μM dexamethasone), respectively.
Transplantation of Maf-transduced calvarial cells. The transplantation experiment was performed as described previously (45) with minor modifications. Briefly, we used 32-week-old WT and Maf+/– mice as recipients and newborn Maf+/– mice as donors. The mice were obtained from an intercross between Maf+/– mice, which are backcrossed into C57BL/6 mice for more than 9 generations. The mice were anesthetized by an injection of somnopentyl into the peritoneal cavity, and the proximal femur was gently drilled with a diamond-coated burr. Cells were obtained from calvaria derived from newborn Maf+/– mice and transduced with a retroviral vector (pMX-HA-Maf-IRES-GFP or pMX-IRES-GFP). The Maf-transduced or mock-infected calvarial cells were directly injected into the bone marrow cavity through the hole in the femur using a 28-gauge needle (approximately 1 × 105 cells per femur). The needle was inserted almost to the distal metaphysis. After transplantation, the drilled hole was filled with bone cement (Fuji Lute, GC). The mice were analyzed 1 month after transplantation. Microcomputed tomography analysis and measurement of fat marrow were performed within 1 mm above the distal growth plate of the femur.
Administration of N-acetylcysteine. Maf+/– mice were backcrossed into C57BL/6 mice for more than 3 generations. Mice were supplied drinking water containing 2 mg/ml N-acetylcysteine ad libitum for 14 weeks. At 22 weeks of age, mice were sacrificed and analyzed.
RNA blot and real-time RT-PCR analyses. Total RNA was extracted with ISOGEN (Wako) or the RNeasy Lipid Tissue Mini Kit (Qiagen). Total RNA was blotted and hybridized with [α-32P]dCTP-labeled probes for Maf, Bglap1, and Gapdh, as described previously (39, 41). Real-time RT-PCR was performed with a LightCycler (Roche) using SYBR Green (Toyobo) as described previously (44). The primer sequences are listed in Supplemental Table 3.
GeneChip analysis. GeneChip analysis, clustering analysis, and GSEA were performed as described previously (42, 46, 47). Calvarial cells cultured with osteogenic medium for 0, 7, and 21 days were analyzed. BMSCs derived from 8- and 32-week-old mice were isolated as described previously (48) with minor modifications. Briefly, bone marrow cells from each of the mice were isolated by flushing the femurs and tibiae with α-MEM with 10% FBS, and these cells were plated on plastic dishes. After 3 days, adherent cells were used. BMSCs contain a precursor of osteoblasts and adipocytes (data not shown) (49). The total RNAs extracted from these cells were used for cDNA synthesis by reverse transcription, followed by synthesis of biotinylated cRNA through in vitro transcription. After cRNA fragmentation, hybridization with the Mouse Genome 430 2.0 Array (Affymetrix) was performed as described previously (42). The main part of the data set was deposited and can be obtained from the Genome Network Platform (
ChIP assay. After calvarial cells were cultured with osteogenic medium for 7 days, ChIP assay was performed using the ChIP Assay Kit (Upstate) with minor modification. The antibodies used are listed in Supplemental Table 2. The primer sequences are listed in Supplemental Table 3.
Retroviral gene transfer. Retroviral vectors pMX-HA-Maf-IRES-GFP and pMX-HA-Maf-IRES-Puro were constructed by inserting DNA fragments encoding HA and Maf into pMX-IRES-GFP and pMX-IRES-Puro (50). Retroviral vectors pSIREN-shMaf and pSIREN-shControl were constructed by inserting annealed oligonucleotide into RNAi-Ready pSIREN-RetroQ (BD Biosciences). The oligonucleotide sequences are listed in Supplemental Table 3. Retroviral packaging was performed by transfecting the plasmids into Plat-E or Plat-A cells using FuGENE6 as described previously (50).
Reporter gene assay. The reporter plasmids, Bglap1-luc variants, were constructed from 1050Oc-luc (41), and mutations in MARE-like sequences were introduced by PCR. A site-directed mutagenesis performed with sequential PCR steps was used to engineer the mutated MARE-like sequences. Two overlapping PCR fragments, each containing the MARE1–MARE5 mutation, were generated. The corresponding PCR fragments were used as templates for the second PCR step. The primer sequences are listed in Supplemental Table 3. Maf-luc was constructed by subcloning a 2-kb fragment of the 5′ flanking region of the Maf gene into the pGL3-basic vector (Promega). Luciferase assay was performed in NIH3T3 cells or mouse embryonic fibroblasts (MEFs) established from WT and Runx2–/– E14 embryos (51). Pparg-luc was constructed by subcloning a 2.2-kb fragment of the 5′ flanking region of the Pparg gene (52) into the pGL3-basic vector, and mutations in MAREs were introduced by PCR. The primer sequences are listed in Supplemental Table 3. Luciferase assay was performed in 3T3-L1 cells. The expression plasmids of Maf, Runx2, Fos, Fosb, Fosl1, Fosl2, Jun, Junb, Jund, Cebpα, Cebpβ, Cebpδ, Crebbp, p50, p65, and Tp53 have been described elsewhere (16, 41, 42, 53–58). The expression plasmids of ΔFosb and Δ2ΔFosb were constructed from full-length Fosb cDNA using PCR. The reporter plasmids (pAcp5-luc, ref. 42, and pNfatc1-luc, ref. 43) were described previously. MEFs and NIH3T3 and 3T3-L1 cells were transfected using Lipofectamine plus reagents (Invitrogen). After 30–36 hours, dual luciferase assay was performed according to the manufacturer’s protocols (Promega).
Immunoblot and immunoprecipitation analyses. Immunoblot and immunoprecipitation analyses were performed as previously described (59). The antibodies used are listed in Supplemental Table 2. For analyzing the interaction between Maf and Runx2, HA-tagged Maf, HA-tagged N-terminal region of Maf (HA-tagged MafΔC), HA-tagged C-terminal region of Maf (HA-tagged MafΔN), HA-tagged Runx2, HA-tagged Runx2ΔN, HA-tagged Runx2ΔC, FLAG-tagged Maf, and FLAG-tagged Runx2 proteins were produced by the in vitro transcription/translation system (Promega). These proteins were mixed in a binding buffer and incubated with anti-FLAG antibody-conjugated agarose beads (Sigma-Aldrich). Recovered proteins were subjected to immunoblot analysis with anti-FLAG and anti-HA antibodies. For analyzing the interaction among Maf, Cebpδ, and Crebbp, HA-tagged Maf and Cebpδ proteins were produced by the in vitro transcription/translation system. FLAG-tagged Crebbp proteins were produced by transfecting FLAG-Crebbp expression plasmids into HEK293T cells using FuGENE6 (Roche). These proteins were mixed and incubated with anti-FLAG antibody-conjugated agarose beads. Recovered proteins were subjected to immunoblot analysis with anti-Cebpδ, anti-FLAG, and anti-HA antibodies.
Treatment of Trp53–/– osteoblasts with hydrogen peroxide.
Osteoblasts were isolated from the calvaria of newborn mice deficient in Trp53 (accession no., CDB0001K;
http://www.cdb.riken.jp/arg/mutant%20mice%20list.html) (60) and treated with 600 μM hydrogen peroxide. Five days after the treatment, mRNAs were extracted and subjected to real-time PCR analysis.
EMSA. EMSA was performed as previously described (59). Maf and Cebpδ proteins were produced by the in vitro transcription/translation system. The CCAAT probe for binding of Cebpδ and the MARE probe for binding of Maf were generated by annealing synthetic oligonucleotides. The oligonucleotide sequences are listed in Supplemental Table 3. Antibodies against Maf and Cebpδ were used for supershift analysis.
ELISA. Soluble osteocalcin levels and TRAP activity in serum were detected using the mouse osteocalcin EIA kit (Biomedical Technologies Inc.) and mouse TRAP assay (SBA Sciences), respectively.
Statistics. Statistical analysis was performed using Student’s t test for comparisons between 2 groups and analysis of variance with Bonferroni post-hoc test for comparisons among 3 or more groups, unless otherwise described. All data are expressed as mean ± SEM.
We thank H.R. Ueda, M. Asagiri, T. Ando, Y. Kunisawa, T. Honda, Y. Suzuki, T. Kudo, A. Izumi, A. Suematsu, and A. Hirota for discussion and assistance. This work was supported in part by a grant for ERATO from the Takayanagi Osteonetwork Project from the Japan Science and Technology Agency; Grant-in-Aids for Creative Scientific Research and Young Scientist (A and Start-up) from the Japan Society for the Promotion of Science (JSPS); Grant-in-Aid for Challenging Exploratory Research JSPS; grants for the Genome Network Project and Global Center of Excellence Program from the Ministry of Education, Culture, Sports, Science and Technology of Japan; and grants from Tokyo Biochemical Research Foundation, Life Science Foundation of Japan, Yokoyama Foundation for Clinical Pharmacology, and Takeda Science Foundation.
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