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Proprotein convertase furin regulates osteocalcin and bone endocrine function
Omar Al Rifai, Jacqueline Chow, Julie Lacombe, Catherine Julien, Denis Faubert, Delia Susan-Resiga, Rachid Essalmani, John W.M. Creemers, Nabil G. Seidah, Mathieu Ferron
Omar Al Rifai, Jacqueline Chow, Julie Lacombe, Catherine Julien, Denis Faubert, Delia Susan-Resiga, Rachid Essalmani, John W.M. Creemers, Nabil G. Seidah, Mathieu Ferron
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Research Article Bone biology Metabolism

Proprotein convertase furin regulates osteocalcin and bone endocrine function

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Abstract

Osteocalcin (OCN) is an osteoblast-derived hormone that increases energy expenditure, insulin sensitivity, insulin secretion, and glucose tolerance. The cDNA sequence of OCN predicts that, like many other peptide hormones, OCN is first synthesized as a prohormone (pro-OCN). The importance of pro-OCN maturation in regulating OCN and the identity of the endopeptidase responsible for pro-OCN cleavage in osteoblasts are still unknown. Here, we show that the proprotein convertase furin is responsible for pro-OCN maturation in vitro and in vivo. Using pharmacological and genetic experiments, we also determined that furin-mediated pro-OCN cleavage occurred independently of its γ-carboxylation, a posttranslational modification that is known to hamper OCN endocrine action. However, because pro-OCN is not efficiently decarboxylated and activated during bone resorption, inactivation of furin in osteoblasts in mice resulted in decreased circulating levels of undercarboxylated OCN, impaired glucose tolerance, and reduced energy expenditure. Furthermore, we show that Furin deletion in osteoblasts reduced appetite, a function not modulated by OCN, thus suggesting that osteoblasts may secrete additional hormones that regulate different aspects of energy metabolism. Accordingly, the metabolic defects of the mice lacking furin in osteoblasts became more apparent under pair-feeding conditions. These findings identify furin as an important regulator of bone endocrine function.

Authors

Omar Al Rifai, Jacqueline Chow, Julie Lacombe, Catherine Julien, Denis Faubert, Delia Susan-Resiga, Rachid Essalmani, John W.M. Creemers, Nabil G. Seidah, Mathieu Ferron

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Figure 5

Pro-OCN processing and γ-carboxylation occur independently of each other in osteoblasts.

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Pro-OCN processing and γ-carboxylation occur independently of each other...
(A and B) Western blot analysis of endogenous total OCN (OCN) and γ-carboxylated OCN (Gla OCN) of cell supernatant and cell extract from differentiated mouse osteoblasts treated or not with 50 μM warfarin (A) or 50 μM Dec-RVKR-CMK (RVKR) (B). (C) Western blot analysis of supernatant from osteoblasts transfected with OCN-V5 or the E13D/E17D/E20D OCN-V5 mutant (OCNDDD-V5) and treated or not with 50 μM Dec-RVKR-CMK. (D) Western blot analysis of OCN immunoprecipitated from the serum of control mice (Ggcxfl/fl) and mice lacking γ-carboxylase in osteoblasts (Ggcxosb–/–). Total OCN and γ-carboxylated OCN were assessed by Western blotting. (E) LC-MS/MS analyses of cell supernatant of differentiated mouse osteoblasts treated or not with 50 μM Dec-RVKR-CMK or 50 μM warfarin. Quantification of the OCN propeptide area relative to the total peptide area in 3 independent experiments is shown (see also Table 1). Results represent the mean ± SEM.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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