[PDF][PDF] ATF4 mediation of NF1 functions in osteoblast reveals a nutritional basis for congenital skeletal dysplasiae

F Elefteriou, MD Benson, H Sowa, M Starbuck, X Liu… - Cell metabolism, 2006 - cell.com
F Elefteriou, MD Benson, H Sowa, M Starbuck, X Liu, D Ron, LF Parada, G Karsenty
Cell metabolism, 2006cell.com
The transcription factor ATF4 enhances bone formation by favoring amino acid import and
collagen synthesis in osteoblasts, a function requiring its phosphorylation by RSK2, the
kinase inactivated in Coffin-Lowry Syndrome. Here, we show that in contrast, RSK2 activity,
ATF4-dependent collagen synthesis, and bone formation are increased in mice lacking
neurofibromin in osteoblasts (Nf1 ob−/− mice). Independently of RSK2, ATF4
phosphorylation by PKA is enhanced in Nf1 ob−/− mice, thereby increasing Rankl …
Summary
The transcription factor ATF4 enhances bone formation by favoring amino acid import and collagen synthesis in osteoblasts, a function requiring its phosphorylation by RSK2, the kinase inactivated in Coffin-Lowry Syndrome. Here, we show that in contrast, RSK2 activity, ATF4-dependent collagen synthesis, and bone formation are increased in mice lacking neurofibromin in osteoblasts (Nf1ob−/− mice). Independently of RSK2, ATF4 phosphorylation by PKA is enhanced in Nf1ob−/− mice, thereby increasing Rankl expression, osteoclast differentiation, and bone resorption. In agreement with ATF4 function in amino acid transport, a low-protein diet decreased bone protein synthesis and normalized bone formation and bone mass in Nf1ob−/− mice without affecting other organ weight, while a high-protein diet overcame Atf4−/− and Rsk2−/− mice developmental defects, perinatal lethality, and low bone mass. By showing that ATF4-dependent skeletal dysplasiae are treatable by dietary manipulations, this study reveals a molecular connection between nutrition and skeletal development.
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