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Originally published In Press as doi:10.1074/jbc.M208494200 on October 2, 2002
J. Biol. Chem., Vol. 277, Issue 50, 48868-48875, December 13, 2002
Parathyroid Hormone Stimulates Receptor Activator of NF B
Ligand and Inhibits Osteoprotegerin Expression via Protein Kinase A
Activation of cAMP-response Element-binding Protein*
Qiang
Fu ,
Robert L.
Jilka §,
Stavros C.
Manolagas §, and
Charles A.
O'Brien ¶
From the Division of Endocrinology & Metabolism,
Center for Osteoporosis & Metabolic Bone Diseases and the
§ Central Arkansas Veterans Healthcare System, University of
Arkansas for Medical Sciences, Little Rock, Arkansas 72205
Received for publication, August 20, 2002, and in revised form, September 18, 2002
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ABSTRACT |
Parathyroid hormone (PTH) stimulates osteoclast
formation by binding to its receptor on stromal/osteoblastic cells and
stimulating the production of receptor activator of NF B ligand
(RANKL) and inhibiting the expression of osteoprotegerin (OPG).
However, the mechanisms through which PTH regulates these genes remain
unknown. Here we report that PTH stimulated RANKL gene transcription
and increased RANKL mRNA stability in murine stromal/osteoblastic cells stably expressing human PTH/PTH-related protein receptor 1. PTH also potently suppressed OPG mRNA in these cells.
Cycloheximide did not block the effects of PTH on RANKL but did inhibit
the suppression of OPG mRNA. Activation of protein kinase A (PKA) was necessary and sufficient for the effect of PTH on both genes. Conditional expression of a dominant-negative form of the transcription factor CREB, but not c-fos or Runx2, significantly
reduced PTH stimulation of RANKL. CREB activity was also required for
full stimulation of RANKL by oncostatin M or 1,25-dihydroxyvitamin D3. Dominant-negative forms of CREB and c-fos
reduced the suppression of OPG by PTH. These results demonstrate that
PTH directly stimulates RANKL expression via a PKA-CREB pathway and
that CREB may be a central regulator of RANKL expression. Furthermore,
they suggest that PTH suppression of OPG involves CREB and
c-fos.
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INTRODUCTION |
Parathyroid hormone
(PTH)1 maintains calcium
homeostasis in part by increasing the production of bone-resorbing
osteoclasts to release calcium from the skeleton. It does so indirectly
by binding to its G-protein-coupled receptor, PTH/PTH-related protein receptor 1 (PTHR1), on stromal/osteoblastic cells (1). These cells
support osteoclast formation via expression of M-CSF and receptor
activator of NF B-ligand (RANKL) (2). Mice deficient in either are
incapable of forming osteoclasts, and together these proteins are
sufficient to stimulate osteoclast formation in vitro in the
absence of stromal/osteoblastic cells (3-5). In vitro and
in vivo studies have demonstrated that the magnitude of
osteoclast formation is directly proportional to the level of RANKL
expression, whereas M-CSF appears to play primarily a permissive role
(4, 6, 7). RANKL binds to its receptor RANK on hematopoietic precursors
of osteoclasts and stimulates their differentiation and survival (8).
The action of RANKL is blocked by osteoprotegerin (OPG), which
functions as a soluble decoy receptor (9). PTH simultaneously
stimulates RANKL and inhibits OPG expression in primary cultures of
stromal/osteoblastic cells and in bone tissue from parathyroidectomized
rats infused with this hormone (10, 11). Based on this, it has been
proposed that PTH influences osteoclast formation primarily by
regulation of the RANKL/OPG ratio (2). However, the signaling pathways
and molecular mechanisms utilized by PTH to regulate these genes remain
largely unknown.
Binding of PTH to PTHR1 on stromal/osteoblastic cells activates both
the protein kinase A (PKA) and protein kinase C (PKC) pathways, and
both pathways have been implicated in PTH-induced osteoclast formation
in vitro (12). Activation of these pathways by PTH leads to
activation of multiple transcription factors, including CREB, AP-1, and
Runx2 (12). Specifically, PKA stimulates the ability of DNA-bound CREB
to activate transcription by phosphorylation of serine 133 (Ser-133) resulting in CBP/p300 co-activator recruitment (13).
PTH stimulation of AP-1 is indirect requiring CREB-mediated transcription of AP-1 family members such as c-fos (14).
Finally, it has been suggested that PTH may regulate the
transcriptional activity of the RUNT domain transcription factor
Runx2 via PKA phosphorylation (15). Whether PTH regulates RANKL or OPG
expression via any of these factors is unknown.
The goal of the studies described here was to identify molecular
mechanisms involved in PTH regulation of RANKL and OPG expression. To
accomplish this, we generated a cell line in which PTH stimulates a
robust induction of RANKL and inhibition of OPG. These cells were used
to demonstrate that PTH directly stimulates RANKL transcription as well
as mRNA stability and indirectly inhibits OPG expression. In
addition we found that activation of PKA, but not PKC, is sufficient and required for PTH regulation of both genes. Finally, activation of
the transcription factor CREB was shown to be required for full
stimulation of RANKL by PTH, and both CREB and AP-1 are involved in
PTH-suppression of OPG.
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EXPERIMENTAL PROCEDURES |
Reagents and Cells--
Bovine PTH (1-34) (NLE-8-18-TYR-34),
dibutyryl-cAMP (db-cAMP), phorbol 12-myristate 13-acetate (PMA),
cycloheximide, actinomycin D, and PD98059 were purchased from Sigma.
Murine oncostatin M was purchased from R&D Systems (Minneapolis, MN).
1,25-(OH)2 vitamin D3
(1,25(OH)2D3), and H-89 were from BIOMOL
(Plymouth Meeting, PA). The UAMS-32 cell line and its derivatives were
maintained in -minimal essential medium (Invitrogen, Carlsbad, CA)
supplemented with 10% fetal bovine serum (FBS, HyClone, Logan, UT) and
1% each of penicillin, streptomycin, and glutamine.
DNA Constructs--
The human PTHR1 cDNA was inserted into
the filled BglII site of the retroviral expression construct
pLEN (16) to generate pLEN-PTHR1. A-CREB, A-fos, and dnRunx2 cDNAs
were inserted into the filled BamHI site of the retroviral
vector pREV-TRE (Clontech, Palo Alto, CA) to
generate pRT-ACREB, pRT-AFOS, and pRT-dnRunx2, respectively. The
reporter construct p7×AP1 was purchased from Stratagene (La Jolla,
CA), and pCRE-luc was created by inserting the
NheI-HindIII fragment containing a
3×CRE-promoter from pCRE-SEAP (Clontech) into the
same sites in pGL3-basic (Promega, Madison, WI).
Osteoclast Formation Assay--
Osteoclast formation in
co-cultures of non-adherent bone marrow cells and UAMS-32 or UAMS-32P
cells was performed as previously described (16).
Northern Blot Analysis--
Northern blots were performed and
analyzed as previously described (16). The following cDNA probes
were utilized: a 2000-bp cDNA encoding murine RANKL (17), a 1.3-kb
cDNA coding for rat OPG (9), an 800-bp cDNA encoding
v-fos (18), and a 900-bp cDNA coding for murine
ribosomal protein S2 (ChoB) (19).
Nuclear Run-on Assay--
UAMS-32P cells, treated with vehicle
or PTH for 4 h, were collected in phosphate-buffered saline and
centrifuged at 500 × g for 5 min at 4 °C. Cell
pellets were washed twice with phosphate-buffered saline and placed in
hypotonic lysis buffer (10 mM Tris-HCl, pH 7.4, 3 mM CaCl2, 2 mM MgCl2,
1% Nonidet P-40). Cells were lysed in a Dounce homogenizer, and nuclei
were collected by centrifugation at 500 × g for 5 min
at 4 °C. Pelleted nuclei were resuspended in an equal volume of a
buffer containing 40% glycerol, 50 mM Tris-HCl, pH 8.0, and 5 mM MgCl2. Run-on transcription was
performed by mixing 200 µl of nuclei with 200 µl of 2×
transcription buffer (10 mM Tris-HCl, pH 8.0, 5 mM MgCl2, 300 mM KCl, 5 mM dithiothreitol, 1 mM ATP, GTP, and CTP, and
100 µCi of [ -32P]UTP, 3000 Ci/mmol) and incubating
at 30 °C for 30 min. Radiolabeled RNA from the reaction was
extracted with UltraspecTM (Biotecx Laboratories,
Houston, TX), precipitated in isopropanol, and resuspended in 100 µl
of 10 mM EDTA. Equivalent counts (~500,000 cpm) were
hybridized for 2 days to membranes onto which linearized and denatured
plasmids containing RANKL or ChoB cDNAs had been previously
immobilized. Membranes also contained plasmid Bluescript IIKS+
(Stratagene) as a negative control.
Retroviral Packaging and Infection--
Production of retroviral
particles and infection of cells were performed as previously described
(16). Infections with the Tet-regulated constructs were carried out in
the presence of 100 ng/ml doxycycline. Cells infected with retroviral
constructs harboring neomycin, blasticidin, or hygromycin resistance
genes were selected in the respective antibiotic beginning 48 h
after the last infection.
Immunoblotting--
Immunoblots of extracts from UAMS-32P cells
were performed as previously described (20). Antibodies against ERK 1 (K-23), phospho-ERK (E-4), CREB-1 (C-21), and phospho-CREB-1 (Ser-133) were purchased from Santa Cruz Biotechnology (Santa Cruz, CA) and were
used at a dilution of 1:1000.
Protein Kinase A Assay--
UAMS-32P cells were grown to
confluence and incubated with and without 30 µM H-89 for
30 min after which the cells were incubated with vehicle or PTH for an
additional 2 min. PKA activity was determined using a commercial kit
(SignaTECT PKA Assay System, Promega) and values were normalized to
total protein (Bio-Rad, Hercules, CA).
Luciferase Reporter Assays--
UAMS-32P cells, or their
derivatives, were seeded at 2 × 104 cells/well in
24-well plates and transiently transfected with reporter constructs
(total of 0.4 µg of DNA/well) using LipofectAMINE Plus (Invitrogen).
Firefly luciferase values were normalized to Renilla
luciferase values resulting from co-transfection of the plasmid
pRL-SV40 (Promega). Firefly and Renilla luciferase values were determined using the Dual Luciferase Assay (Promega). All values
presented are the mean of triplicate determinations ± S.D.
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RESULTS |
Introduction of the Human PTHR1 into a Murine Stromal/Osteoblastic
Cell Line Confers Robust Responsiveness to PTH--
Some of the
mechanistic studies we sought to perform required the use of a
continuous cell line in which PTH strongly stimulates RANKL and
inhibits OPG expression. However, in contrast to primary cultures, very
few cell lines have been reported to support osteoclast formation or
express RANKL in response to PTH (1, 21). Consistent with this, UAMS-32
stromal/osteoblastic cells, which we have used previously as a model of
osteoclast support cells, weakly supported osteoclast formation in
response to PTH (16). We attempted to enhance the PTH responsiveness of
UAMS-32 cells by introducing the human PTHR1. The resulting cells,
designated UAMS-32P, expressed significantly larger amounts of RANKL in
response to PTH than the parental cell line (Fig.
1A). In addition, although PTH
only minimally suppressed OPG in the parental cell line, it completely suppressed OPG in UAMS-32P cells (Fig. 1A). PTH stimulated
significantly more osteoclast formation in cultures containing UAMS-32P
cells than in cultures containing UAMS-32 (Fig. 1B),
confirming that the increased effect of PTH on RANKL and OPG expression
in UAMS-32P cells translated into an increased osteoclastogenic
response.

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Fig. 1.
Introduction of the human PTHR1 into UAMS-32
cells increases responsiveness to PTH. A,
UAMS-32 or UAMS-32P cells were treated with vehicle, 20 ng/ml
OSM, or 10 7 M PTH for 4 or 8 h. Total
RNA was analyzed by Northern blot with probes for RANKL, OPG, hPTHR1,
and ChoB (ribosomal protein S2). B, UAMS-32 or
UAMS-32P cells were co-cultured with non-adherent bone marrow cells in
the presence of increasing concentrations (10 12 to
10 7 M) of PTH for 6 days. The cultures were
then stained for the presence of tartrate-resistant acid phosphatase
(red color) and photographed.
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PTH Directly Stimulates RANKL mRNA Expression and Indirectly
Inhibits OPG mRNA Expression--
To determine whether
intermediate gene expression is required for the effects of PTH on
RANKL and OPG expression, UAMS-32P cells were treated with PTH for 4, 8, or 24 h in the absence or presence of the protein synthesis
inhibitor cycloheximide (Fig. 2A). The concentration of
cycloheximide utilized (1 µg/ml) inhibited [3H]leucine
incorporation into total protein by 91% (data not shown). Cycloheximide alone stimulated RANKL mRNA levels at 4 and 8 h but did not block the additional stimulatory action of PTH.
Cycloheximide alone significantly inhibited the expression of OPG at
24 h but partially reduced the inhibition of OPG by PTH at 4 and
8 h. Similar results were obtained in primary bone marrow cells
(Fig. 2B). These results indicate that new protein synthesis
is required for full PTH-inhibition of OPG but not PTH stimulation of
RANKL.

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Fig. 2.
PTH directly stimulates RANKL mRNA
expression and indirectly inhibits OPG mRNA expression.
A, UAMS-32P cells were treated with 10 7
M PTH, 1 µg/ml cycloheximide (CHX) or PTH and
CHX (the CHX was added 1 h before the PTH). Total RNA was
extracted from the cells at the indicated time points. Total RNA was
analyzed by Northern blot using probes for RANKL, OPG, and ChoB.
B, primary murine bone marrow cells were cultured for 8 days
in the presence of 50 µg/ml ascorbic acid and treated as in
A.
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PTH Stimulates RANKL Transcription and mRNA
Stability--
We next determined whether PTH stimulates RANKL
mRNA levels by altering gene transcription and/or mRNA
stability. Nuclear run-on analysis revealed that PTH stimulated RANKL
transcription by ~4-fold (Fig.
3A). Quantitation of RANKL
mRNA at various times following inhibition of transcription by
actinomycin D demonstrated that PTH also increased the relative
half-life of RANKL mRNA (Fig. 3, B and C). We
were not able to determine the effect of PTH on OPG transcription,
because the level of OPG transcripts was below the level of detection
for our nuclear run-on assay. Similarly, we were not able to determine
the effect of PTH on OPG mRNA stability, because the very low
mRNA levels in the presence of PTH could not be accurately
quantitated (data not shown).

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Fig. 3.
PTH stimulates RANKL gene transcription and
mRNA half-life. A, UAMS-32P cells were treated with
vehicle or 10 7 M PTH for 4 h, followed
by isolation of nuclei and nuclear run-on assay. RNA was subsequently
extracted and hybridized to membranes containing RANKL and ChoB
cDNAs, or pBluescript IIKS+. B, RANKL mRNA half-life
was determined by treating UAMS-32P cells with 10 7
M PTH or vehicle for 24 h, after which actinomycin D
was added to a final concentration of 5 µg/ml. At the indicated time
points after actinomycin D addition, total RNA was extracted and
analyzed by Northern blot with probes for RANKL and ChoB. C,
the amount of RANKL mRNA, relative to ChoB, remaining at a given
time point after actinomycin D addition was determined by quantitating
the band intensity (ImageQuaNT, Applied Biosystems). Closed
and open circles indicate vehicle- and PTH-treated cells,
respectively.
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Activation of PKA Stimulates RANKL and Inhibits OPG
Expression--
To identify signaling pathways involved in PTH
regulation of RANKL and OPG, we determined whether activation of PKA or
PKC mimicked the effects of PTH on RANKL and OPG in UAMS-32P cells. UAMS-32P cells were treated with increasing concentrations of PTH,
dibutyryl-cAMP (db-cAMP) to activate PKA, or phorbol 12-myristate 13-acetate (PMA) to activate PKC. PTH strongly stimulated RANKL and
inhibited OPG expression at concentrations of 10 8 and
10 7 M (Fig.
4A). Similarly, treatment of
the cells with db-cAMP stimulated RANKL mRNA expression and
inhibited OPG expression in a dose-dependant manner. However, PMA only
minimally stimulated RANKL at any concentration and, in contrast to
either PTH or db-cAMP, also slightly stimulated OPG expression. A
similar pattern of responsiveness was obtained with primary bone marrow
cells except that db-cAMP was more effective than PTH at stimulating
RANKL (Fig. 4B).

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Fig. 4.
Activation of PKA stimulates RANKL and
inhibits OPG mRNA expression. A, UAMS-32P cells
were treated for 8 h with vehicle, PTH (10 10 to
10 7 M), db-cAMP (5 × 10 4
to 3 × 10 3 M), or PMA (2.5 × 10 8 to 2 × 10 7 M). Total
RNA was extracted and analyzed by Northern blot with probes for RANKL
and OPG. B, primary murine bone marrow cells were cultured
for 8 days in the presence of 50 µg/ml ascorbic acid and treated with
vehicle, 10 7 M PTH, 3 × 10 3 M db-cAMP, or 2 × 10 7
M PMA for 8 h. Total RNA was analyzed as in
A. C, UAMS-32P cells were treated with vehicle or
10 7 M PTH in the absence of inhibitors or in
the presence of 30 µM H-89 or 10 µM
PD98059. The inhibitors were added 30 min prior to addition of PTH.
Total RNA was isolated 8 h after PTH addition and analyzed as in
A. D, UAMS-32P cells were incubated with and
without 30 µM H-89 for 30 min after which vehicle or
10 7 M PTH was added for an additional 2 min.
PKA activity is presented as the mean ± S.D. of quadruplicate
cultures. Asterisks indicate p < 0.001 versus vehicle-treated cells in the absence of H-89 using
one-way analysis of variance. E, UAMS-32P cells, cultured in
medium containing 10% FBS, were incubated with vehicle or
10 7 M PTH for 30 min in the presence or
absence of 10 µM PD98059. PD98059 was added 30 min prior
to PTH treatment. Total cellular protein was analyzed by immunoblot
with antibodies for ERK after which the membrane was stripped and
incubated with anti-phospho-ERK antibodies.
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To determine whether PKA mediates the effects of PTH on RANKL and OPG,
UAMS-32P cells were preincubated with a chemical inhibitor of PKA,
H-89. H-89 significantly reduced PTH stimulation of RANKL in UAMS-32P
cells (Fig. 4C). In addition, H-89 reduced PTH suppression of OPG (Fig. 4C). Direct analysis of PKA activity confirmed
that H-89 inhibited both basal and PTH-stimulated PKA activity in these cells (Fig. 4D). These results suggest that PTH regulates
RANKL and OPG via the cAMP-PKA pathway. However, it has been reported that H-89 is not completely specific for PKA in that it also potently blocks mitogen and stress-activated protein kinase (MSK1) (22), a
kinase activated by extracellular signal-regulated kinases (ERKs) (23).
Furthermore, in some cell types cAMP has been shown to stimulate ERKs
via Epac (exchange protein directly activated by cAMP), independent of
PKA (24). To address the possibility that PTH regulates RANKL and OPG
via a cAMP-ERK-MSK1 pathway, we determined whether ERK activation is
required for PTH stimulation of RANKL or suppression of OPG.
Preincubation of UAMS-32P cells with PD98059, a chemical inhibitor of
MAPK/ERK kinase (MEK), did not alter PTH stimulation of RANKL or
suppression of OPG (Fig. 4C). Immunoblot analysis with a
phospho-ERK-specific antibody confirmed that PD98059 effectively
blocked ERK activity in these cells (Fig. 4E). From these
results we conclude that PTH regulates RANKL and OPG primarily via a
cAMP-PKA pathway and not via activation of either PKC or ERKs.
CREB Is Required for Full Stimulation of RANKL and Inhibition of
OPG by PTH--
We next sought to determine whether CREB is involved
in the PTH regulation of RANKL and/or OPG. PTH stimulated
phosphorylation of CREB at Ser-133 in UAMS-32P cells as early as 15 min
with maximal phosphorylation at 60 min and return to basal levels by
8 h (Fig. 5A). The
phospho-specific antibody used for these studies recognizes the
phosphorylated form of CREB and its related family members, ATF-1 and
CREM (25). However, PTH did not lead to significant phosphorylation of
proteins whose molecular sizes correspond to ATF-1 (35 kDa) or CREM
(34-36 kDa) in UAMS-32P cells (data not shown).

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Fig. 5.
CREB is required for PTH regulation of RANKL
and OPG. A, UAMS-32P cells were incubated in medium
containing 0.5% FBS overnight and treated with PTH for the indicated
times. Protein extracts were analyzed by immunoblot with antibodies
recognizing CREB or CREB phosphorylated at Ser-133 (P-CREB).
The relative intensities of the phospho-CREB bands are indicated in the
graph below the immunoblots. B, UAMS-32P cells
conditionally expressing A-CREB were cultured in the presence or
absence of 100 ng/ml doxycycline (DOX) for 48 h. Cells
were then transiently transfected with a luciferase reporter construct
containing three cAMP-response elements (3X-CRE-LUC) and
treated with vehicle or 10 7 M PTH for 16 h. C, UAMS-32P cells conditionally expressing A-CREB were
cultured as in B and subsequently treated with 1.5 mM db-cAMP (db) or 10 7
M PTH for 16 h. Total RNA was analyzed by Northern
blot.
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To determine whether CREB is required for PTH regulation of RANKL or
OPG, we expressed a dominant-negative form of CREB in UAMS-32P cells.
This protein, known as A-CREB, blocks endogenous CREB action by forming
heterodimers that are unable to bind DNA and effectively blocks CREB-,
ATF-1-, and CREM-mediated transcription (26). Conditional expression of
A-CREB using the tetracycline regulation system was confirmed by
demonstrating that removal of doxycycline from the culture medium
blocked PTH induction of a CREB-responsive reporter construct (Fig.
5B).
Induction of A-CREB significantly inhibited stimulation of RANKL by
either db-cAMP or PTH (Fig. 5C). A-CREB reduced PTH-induced RANKL expression to an average of 34 ± 9% that of control levels in three experiments. The ability of A-CREB to inhibit the actions of
db-cAMP indicates that the effect of A-CREB is not due simply to
inhibition of PTH1R expression or activation. A-CREB also partially blocked inhibition of OPG by PTH or db-cAMP (Fig. 5C).
A-CREB increased the levels OPG in the presence of PTH by an average of
747 ± 106% in three experiments. Taken together, these results indicate that CREB is required for both full stimulation of RANKL and
full inhibition of OPG expression by PTH.
Surprisingly, A-CREB also significantly inhibited stimulation of RANKL
by OSM and 1,25(OH)2D3 (Fig.
6A). This result suggested that CREB may play a general role in gp130 or VDR signaling in these
cells or that CREB may play a central role specifically in the
regulation of RANKL by a variety of agents. To address the first of
these possibilities, we determined whether A-CREB altered the OSM
regulation of a different target gene, c-fos. A-CREB did not
alter OSM stimulation of c-fos, but, consistent with
previous studies (27), it did significantly reduce stimulation of
c-fos by PTH (Fig. 6B). These results indicate
that CREB is not a universal requirement for downstream targets of
gp130 signaling.

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Fig. 6.
CREB and PKA are required for RANKL
regulation by OSM and 1,25(OH)2D3.
A, UAMS-32P cells conditionally expressing the A-CREB
protein were cultured in the presence or absence of 100 ng/ml DOX for
48 h and treated with vehicle, 10 7 M
PTH, 20 ng/ml OSM, or 10 8 M
1,25(OH)2D3 for 16 h. Total RNA was
analyzed by Northern blot with the indicated probes. B,
UAMS-32P-A-CREB cells were cultured as in A and treated with
vehicle, PTH, or OSM for 30 min. Total RNA was analyzed by Northern
blot with a probe that recognizes both a housekeeping gene
(fau) and c-fos. C, UAMS-32P cells
were transfected with the 3×-CRE-LUC plasmid and treated with the
indicated agents (filled circles, PTH; open
circles, OSM; triangles,
1,25(OH)2D3) for 4, 8, and 16 h prior to
relative light units determination. The values shown represent
the mean -fold increase in relative light units relative to
vehicle-treated cells ± S.D. D, UAMS-32P cells were
cultured in the absence or presence of 30 µM H-89 for 30 min and treated with vehicle, PTH, OSM, or
1,25(OH)2D3 for 16 h, and total RNA was
analyzed as in A. E, murine primary bone marrow
cells were cultured for 8 days in the presence of 50 µg/ml ascorbic
acid. The cells were then incubated in the absence or presence of 30 µM H-89 for 30 min and then treated with vehicle,
db-cAMP, PTH, OSM, or 1,25(OH)2D3 for 16 h, and RNA was analyzed as above.
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To distinguish between a passive role for CREB in the actions of OSM or
1,25(OH)2D3 and regulation of CREB activity by
these agents, we determined whether OSM or
1,25(OH)2D3 could stimulate a CREB-responsive
reporter construct. While PTH stimulated the activity of this
construct, OSM or 1,25(OH)2D3 had no effect
(Fig. 6C). This result suggested that, although CREB may be
required for stimulation of RANKL by OSM and
1,25(OH)2D3, these agents do not actively
regulate CREB transcriptional activity.
We next wanted to determine whether basal CREB activity was required
for the actions of OSM and 1,25(OH)2D3 on RANKL
expression. Based on the assumption that basal CREB activity may be due
to basal PKA activity, we pretreated UAMS-32P cells with H-89 and determined the effect on OSM- and 1,25(OH)2D3
stimulation of RANKL. Consistent with the A-CREB results, H-89 reduced
stimulation of RANKL by both OSM and
1,25(OH)2D3 (Fig. 6D). Similarly,
inhibition of PKA activity reduced stimulation of RANKL by db-cAMP,
PTH, OSM, or 1,25(OH)2D3 in primary murine bone
marrow cultures (Fig. 6E). These results suggest that a
basal level of PKA activity is required for the regulation of RANKL by
a variety of stimuli.
PTH Inhibits OPG Expression via Activation of AP-1--
PTH has
also been shown to activate the transcription factor AP-1 (12).
Therefore, we conditionally expressed a dominant-negative form of
c-fos in UAMS-32P cells. The A-fos protein is able to heterodimerize with all members of the Jun family and is thus sufficient to block AP-1 activity (28). Induction of the A-fos protein
inhibited PTH stimulation of a reporter construct containing multiple
AP-1 binding sites (Fig. 7A).
Expression of the A-fos protein did not alter the ability of PTH, OSM,
or 1,25(OH)2D3 to stimulate RANKL (Fig.
7B). However, induction of A-fos did result in a striking
increase in the basal level of OPG mRNA (Fig. 7B). This
result indicates that under basal conditions AP-1 activity suppresses
OPG expression. Furthermore, the ability of PTH to inhibit OPG
expression was partially reduced in the presence of the A-fos protein
(Fig. 7B). These results, combined with the finding that PTH
strongly stimulates AP-1 activity in UAMS-32P cells (Fig.
7A), suggest that PTH inhibits OPG expression in part via
activation of AP-1 and that this may occur indirectly via CREB.

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Fig. 7.
PTH inhibits OPG via AP-1. A,
UAMS-32P cells conditionally expressing the A-fos protein were cultured
in the presence or absence of 100 ng/ml DOX for 48 h. Cells were
then transiently transfected with a luciferase reporter construct
containing seven AP-1 binding sites upstream from a minimal promoter
(7X-AP1-LUC) and treated with vehicle or 10 7
M PTH for 16 h. B, UAMS-32P cells
conditionally expressing A-fos were cultured as in A and
treated with 10 7 M PTH, 20 ng/ml OSM, or
10 8 M 1,25(OH)2D3 for
16 h. Total RNA was analyzed by Northern blot with the indicated
probes.
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Finally, because some studies indicate that PTH can regulate the
transcriptional activity of the Runx2 transcription factor, we conditionally expressed a dominant-negative form of this protein (designated dnRunx2) in UAMS-32P cells. The dnRunx2 protein consists of
the DNA binding domain only of Runx2 and thus lacks transcriptional activity (29). Induction of dnRunx2 protein did not alter the regulation of RANKL or OPG by PTH, OSM, or
1,25(OH)2D3 (Fig.
8). Confirmation of dnRunx2 activity was
indicated by a 4-fold down-regulation of osteocalcin mRNA
expression, which is known to be positively regulated by Runx2 (Fig.
8).

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|
Fig. 8.
Runx2 is not required for PTH regulation of
RANKL or OPG. UAMS-32P cells conditionally expressing the dnRunx2
protein were cultured in the presence or absence of 100 ng/ml DOX for
48 h. The cells were subsequently treated with 10 7
M PTH, 20 ng/ml OSM, or 10 8 M
1,25(OH)2D3 for 16 h, and total RNA was
analyzed by Northern blot with probes for RANKL, OPG, osteocalcin
(OCN), and ChoB.
|
|
 |
DISCUSSION |
Our results in UAMS-32P and primary bone marrow cells indicate
that PTH directly stimulates RANKL transcription via cAMP activation of
PKA. Furthermore, PTH suppression of OPG also requires activation of
PKA but differs from regulation of RANKL in that intermediate gene
expression is required. Although previous work indicated that PTH
stimulation of RANKL and inhibition of OPG involves a cAMP-activated
pathway (30-32), it remained unclear whether the downstream mediator
of cAMP is the well-characterized PKA pathway or the recently described
Epac pathway (24). Our demonstration that inhibition of MEK did
not alter PTH regulation of either RANKL or OPG argues against
involvement of the Epac pathway.
Consistent with our studies, recent work with a different murine
stromal cell line (MS1) also indicates that PKA, but not PKC, is
required for simultaneous stimulation of RANKL and suppression of OPG
after a 7-day PTH exposure (33). The previous studies with this cell
line suggesting that both PKA and PKC are required for PTH-stimulated
osteoclast formation utilized 3-week co-cultures of MS1 and spleen
cells (1, 34). It is possible that pro-osteoclastogenic cytokines that
utilize PKC were produced during this comparatively long culture period
and, via stimulation of RANKL, contributed along with PTH to the total
number of osteoclasts formed.
The transcription factors CREB, c-fos, and Runx2 have been
shown to mediate at least some of the gene regulatory effects of PTH
(12). Our results indicate that CREB, but not c-fos or
Runx2, is involved in the PTH stimulation of RANKL. The lack of
c-fos involvement is not unexpected, because new protein
synthesis was not required for PTH stimulation of RANKL and previous
work has shown that PTH stimulates c-fos indirectly via CREB
(27). In addition, the lack of Runx2 involvement is consistent with our previous study indicating that this factor is not required for basal,
OSM-, or 1,25(OH)2D3-stimulated RANKL
expression (35). Expression of A-CREB did not completely block PTH
stimulation of RANKL. This residual stimulation may be due to an
inability of the dominant-negative protein to completely block
endogenous CREB activation. Alternatively, the residual stimulation may
be due solely to effects of PTH on RANKL mRNA stability, which may not involve CREB.
We were surprised to find that PKA and CREB activity are required for
regulation of RANKL by OSM and 1,25(OH)2D3.
These results suggest that the PKA-CREB pathway is a necessary
component of transcriptional activation of the RANKL gene regardless of
the nature of the stimulus. Although our results could have been due to
A-CREB inhibition of genes required for gp130 or VDR action, our
finding that OSM stimulated a different target gene, namely c-fos, in the presence of A-CREB argues against this
possibility. It is also possible that the protein complex consisting of
A-CREB and wild-type CREB sequestered co-factors essential for STAT3 and VDR action such as p300/CBP (36). However, the A-fos protein, which
functions via a mechanism similar to A-CREB, had no effect on RANKL
expression in response to any of the stimuli used, suggesting that this
class of dominant-negative B-ZIP factors does not limit co-factor availability.
How might CREB be required for the actions of multiple signaling
pathways on RANKL expression? Our finding that PTH, but not OSM or
1,25(OH)2D3, stimulated CREB transcriptional
activity suggests that only basal CREB activity is required for the
regulation of RANKL by OSM and 1,25(OH)2D3. The
lack of CREB transcriptional modulation by OSM or
1,25(OH)2D3 also suggests that these agents do
not alter PKA activity in UAMS-32P cells. Nonetheless, PKA activity was
required for gp130 and VDR action on RANKL. Therefore, we hypothesize
that basal PKA activity is a prerequisite for the effects of both the
gp130 and VDR pathways on RANKL. Basal PKA activity may result from
factors present in the serum-containing medium or autocrine production
of factors that activate PKA. Basal PKA activity may in turn maintain
basal CREB phosphorylation, which by itself is not sufficient for high
level RANKL expression but, together with activated STAT3 or VDR, is
able to induce RANKL transcription. In the case of PTH, strong
activation of PKA may lead to levels of CREB phosphorylation that are
sufficient to stimulate RANKL transcription without additional
stimulus-dependant factors.
The ability of osteoclastogenic cytokines and hormones to stimulate
RANKL expression appears to be restricted to stromal/osteoblastic cells
and mammary epithelium (37). However, both CREB and STAT3 are broadly
expressed and activated by many agents (25, 38), and the VDR can be
activated in a variety of different tissues as well (39). These
observations raise the question of how activation of broadly expressed
factors leads to RANKL expression specifically in stromal/osteoblastic
cells. We postulate that cell type-specific factors function together
with broadly expressed transcription factors to regulate RANKL
expression. The finding that both AP-1 and Runx2 binding sites are
required for PTH stimulation of the collagenase 3 promoter illustrates
one mechanism whereby a tissue-specific transcription factor (Runx2)
acts in concert with a broadly expressed factor (AP-1) to control
osteoblast-specific expression of a gene (40). In addition, although
CREB is broadly expressed, it appears to be involved only in the
differentiation and/or survival of specific cell types, such as
neurons, T cells, and adipocytes (41, 42).
PTH transiently stimulates gp130-utilizing cytokines such as IL-6,
IL-11, and leukemia inhibitory factor in primary osteoblasts and
cell lines (43-47). These cytokines stimulate RANKL expression and
osteoclast formation in co-cultures of stromal/osteoblastic and
hematopoietic cells (6, 48). Furthermore, blockade of IL-6 or gp130
signaling reduced osteoclast formation or bone resorption induced by
PTH or 1,25(OH)2D3 in vitro and
in vivo (45, 49, 50). Based on these studies, it has been
suggested that PTH might stimulate RANKL and/or inhibit OPG by
stimulating expression of IL-6-type cytokines. Our demonstration that
intermediate gene expression is not required for PTH stimulation of
RANKL argues against this scenario and is consistent with our earlier
finding that blockade of gp130 signaling specifically in
stromal/osteoblastic cells did not block PTH-induced osteoclastogenesis
(16). It is unlikely that gp130 cytokines are involved in PTH
suppression of OPG, because OSM did not inhibit OPG in UAMS-32P cells.
Given these results, what role might IL-6 type cytokines play in
PTH-induced bone resorption? IL-6 may be required for maximal osteoclast precursor proliferation (51, 52). Alternatively, IL-6 may be
required for PTH-induced bone resorption via a mechanism that does not
involve regulation of osteoclast formation. IL-6 is capable of
prolonging the lifespan of cells of the monocyte/macrophage lineage
(53), and gp130 cytokines augment RANKL/M-CSF-induced osteoclast
formation (54). Therefore, the role of gp130 cytokines in PTH-induced
bone resorption may be to prolong the lifespan of differentiated osteoclasts.
In conclusion, this study provides evidence that PTH stimulates
osteoclast formation via PKA-mediated induction of RANKL and suppression of OPG in stromal/osteoblastic cells and that stimulation of RANKL involves CREB-mediated transcription. Furthermore, PTH appears
to inhibit OPG expression via a PKA-CREB-AP-1 pathway. Because PKA
activation of CREB occurs in a variety of cell types, our work suggests
that other factors limit the expression of RANKL to cells of the
osteoblastic lineage. Identification of the cis-acting elements in the RANKL gene responsible for cell type-specific RANKL
expression, as well as regulation by osteoclastogenic agents, should
shed light on the mechanisms whereby CREB, together with STAT3 and the
VDR, regulate RANKL expression.
 |
ACKNOWLEDGEMENTS |
We thank Drs. E. Schipani, C. Vinson, G. Karsenty, and A. Grigoriadis for cDNAs used in this study and L. Plotkin and S. Kousteni for helpful discussions.
 |
FOOTNOTES |
*
This work was supported by National Institutes of Health
Grant R01-AR45241 and by a University of Arkansas for Medical Sciences institutional grant (to C. A. O.).The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
To whom correspondence should be addressed: University of
Arkansas for Medical Sciences, 4301 W. Markham St., Mail Slot 587, Little Rock, AR 72205. Tel.: 501-686-5607; Fax: 501-686-8148; E-mail:
obriencharlesa@uams.edu.
Published, JBC Papers in Press, October 2, 2002, DOI 10.1074/jbc.M208494200
 |
ABBREVIATIONS |
The abbreviations used are:
PTH, parathyroid
hormone;
PTHR1, PTH/PTH-related protein receptor 1;
RANKL, receptor
activator of NF B ligand;
OPG, osteoprotegerin;
PKA, protein kinase
A;
PKC, protein kinase C;
PMA, phorbol 12-myristate 13-acetate;
db-cAMP, dibutyryl-cAMP;
1, 25(OH)2D3,
1,25-dihydroxyvitamin D3;
IL, interleukin;
OSM, oncostatin
M;
ERK, extracellular signal-regulated kinase;
MAPK, mitogen-activated
protein kinase;
MSK1, mitogen and stress-activated protein kinase 1;
MEK, MAP/ERK kinase;
VDR, vitamin D receptor;
CRE, cAMP-response
element;
CREB, CRE-binding protein;
CREM, CRE modulator;
FBS, fetal
bovine serum;
DOX, doxycycline;
STAT, signal transducers and activators
of transcription;
Epac, exchange protein directly activated by
cAMP.
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