Osterix Regulates Calcification and Degradation of Chondrogenic Matrices through Matrix Metalloproteinase 13 (MMP13) Expression in Association with Transcription Factor Runx2 during Endochondral Ossification*

Background: Molecular mechanisms controlling the late stages of endochondral ossification are unclear. Results: Osterix functions as a downstream and transcriptional partner of Runx2 and induces MMP13 during chondrocyte differentiation. Conclusion: Osterix is essential for late-stage endochondral ossification. Significance: Osterix affects the ossification of cartilage matrices and matrix vesicles and might be involved in the development of osteoarthritis and related disorders. Endochondral ossification is temporally and spatially regulated by several critical transcription factors, including Sox9, Runx2, and Runx3. Although the molecular mechanisms that control the late stages of endochondral ossification (e.g. calcification) are physiologically and pathologically important, these precise regulatory mechanisms remain unclear. Here, we demonstrate that Osterix is an essential transcription factor for endochondral ossification that functions downstream of Runx2. The global and conditional Osterix-deficient mice studied here exhibited a defect of cartilage-matrix ossification and matrix vesicle formation. Importantly, Osterix deficiencies caused the arrest of endochondral ossification at the hypertrophic stage. Microarray analysis revealed that matrix metallopeptidase 13 (MMP13) is an important target of Osterix. We also showed that there exists a physical interaction between Osterix and Runx2 and that these proteins function cooperatively to induce MMP13 during chondrocyte differentiation. Most interestingly, the introduction of MMP13 stimulated the calcification of matrices in Osterix-deficient mouse limb bud cells. Our results demonstrated that Osterix was essential to endochondral ossification and revealed that the physical and functional interaction between Osterix and Runx2 were necessary for the induction of MMP13 during endochondral ossification.

Endochondral ossification is a unique and important biological event that is essential to mammalian skeletal development and tissue patterning and is involved in osteoarthritis pathogenesis (1,2). Endochondral ossification begins with the condensation of multipotent mesenchymal cells that subsequently differentiate into chondrocytes and express chondrogenic matrix proteins, including Col2a1, Col11a2, and aggrecan (1)(2)(3)(4). These chondrocytes further differentiate into hypertrophic chondrocytes that express Indian hedgehog (Ihh), Col10a1, and parathyroid hormone-related peptide (1,2,5). Cartilage tissues are subsequently replaced with bone tissues following a series of events, including apoptosis of chondrocytes, degradation of cartilage matrices, and vascular invasion into cartilage (1)(2)(3). These complementary, complex steps are sequentially coordinated during endochondral ossification.
Genetic and biochemical studies indicate that a specific transcription factor, Sox9, is essential for mesenchymal cell condensation and the initiation of chondrocyte differentiation. Mutations of the SOX9 gene in humans cause campomelic dysplasia characterized by severe chondrodysplasia (6,7). Cartilage-specific Sox9 conditional knock-out mice showed severely impaired chondrogenesis early in the ossification process (8). In addition, Sox9 directly regulates chondrogenic genes including Col2a1, Col10a2, and aggrecan (9 -13), and recent studies suggest that Sox9 inhibits chondrocyte maturation (14,15).
Although apoptosis of chondrocytes, degradation of cartilage matrices, and vascular invasion into cartilage are necessary components of the endochondral ossification process, the molecular network that regulates these mechanisms remains elusive. In particular, it remains unknown which transcription factors regulate calcification during endochondral ossification. As osteoarthritis and other conditions related to cartilage breakdown appear to result from a disorder of cartilage-matrix calcification (21,22), a clear understanding of the molecular network that is active in the late stages of endochondral ossification is both biologically and clinically important.
In this study, we attempted to identify the transcription factor that functions downstream of Runx2 and regulates calcification during endochondral ossification. We found that Osterix is essential for endochondral ossification and the formation of matrix vesicles. Moreover, we demonstrated that Osterix specifically targets matrix metalloproteinase 13 (MMP13) 2 during endochondral ossification. We also showed that up-regulation of MMP13 is required for there to exist a physical and functional interaction between Osterix and Runx2. Thus, we expect that our findings would contribute to the understanding of the molecular mechanisms that regulate endochondral ossification.

EXPERIMENTAL PROCEDURES
Cell Culture, Transfection, and Infection-Limb bud cells were isolated from mouse embryos and digested with 0.1% trypsin and 0.1% collagenase. The cells were cultured in ␣-modified Eagle's medium containing 10% fetal calf serum (FCS). For the micromass culture, condensed limb bud cells (2 ϫ 10 5 cells/ well) were incubated in ␣-modified Eagle's medium containing 10% FCS, 0.1 mg/ml ascorbic acid, and 5 mM ␤-glycerophosphate (Sigma) for 7 days. After this culture period, cells were fixed with 4% formalin-phosphate-buffered saline (PBS) and then stained with alcian blue or alizarin red. Cells were infected with the adenovirus at 50 multiplicity of infection. ATDC5 and 293 cells were provided by the RIKEN cell bank and were cultured in either ␣-modified Eagle's medium or DMEM. Transfection was performed with FuGENE 6 (Roche Applied Science) per the manufacturer's instructions. MMP13 inhibitor (pyrimidine-4,6-dicarboxylic acid, bis-(4-fluoro-3-methylbenzylamide)) was purchased from Merck and used at 1 M.
Plasmids and Adenoviruses-Myc 6 -Osterix was generated by the subcloning of polymerase chain reaction (PCR)-amplified full-length Osterix cDNA (amino acids 2-429) into an EcoRI and XbaI site of pcDNA3 expression vector containing six tandem repeats of the Myc tag at the N-terminal portion. The sequence of Osterix cDNA was confirmed by DNA sequence analysis. 3ϫ FLAG-Runx2 was kindly provided by Dr. Di Chen (University of Rochester, Rochester, NY). Adenoviruses were generated using an adenovirus construction kit (Takara) per the manufacturer's instructions as described previously (23,24). DsRed-tagged-Runx2 and Venus-tagged-Osterix were generated by the subcloning of corresponding cDNA into DsRed-tagged and Venus-tagged expression vectors, respec-tively. The pAxCALNLhMMP13 cosmid was provided by the RIKEN gene bank (25); the Cre adenovirus was purchased from Takara. The MMP13 gene promoter containing its exon 1 and intron 1 (1.2 kb) was subcloned into a pGL4 luciferase reporter vector (Invitrogen).
Real-time RT-PCR-Total RNA was isolated using a total-RNA isolation kit (Macherey-Nagel). After the denaturation of total RNA at 70°C for 10 min, cDNA was synthesized with an oligo dT primer and reverse transcriptase (Takara). Real-time (reverse-transcription) RT-PCR amplification was performed using the TaqMan PCR protocol and the ABI 7300 real-time PCR system (Applied Biosystems; Table 1); mRNA expression was subsequently normalized to ␤-action mRNA expression.
Cre Transgenic Mice-CAG-Cre transgenic mice were provided by the RIKEN gene bank. Prx1-Cre, Col2-Cre, and Col11-Cre transgenic mice were used as described previously (8,26). All experiments were performed with littermate mice under protocols approved by the Osaka University Graduate School of Dentistry's animal care committee.
Generation of Osterix-floxed Mice-A targeting vector containing a neomycin resistance gene was used to generate the floxed mice. The targeting vector was electroporated into TT2 embryonic stem (ES) cells (27). Homologous recombination was identified by Southern blotting analysis. Germ line transmission of the mutant allele was achieved using C57BL mice and confirmed by Southern blotting and genomic PCR. 5Ј-TCGCCTTCTTGACGAGTTCT-3Ј and 5Ј-AGCTGGC-CCTTAATTTGGTT-3Ј were used as PCR primers. The accession number for Osterix-floxed mice is CDB0693K.
Microarray Analysis-RNA was isolated from mouse limb buds using a total RNA isolation kit and subsequently analyzed using a GeneChip Mouse Gene 1.0 ST Array (Affymetrix).
Skeletal Preparation-Mice were fixed in 95% ethanol, followed by alcian blue and alizarin red staining.
Electron Microscopy-Limbs were fixed in 0.1 M phosphate buffer containing 2.5% glutaraldehyde and 2% paraformaldehyde, and post-fixed in 1% osmium tetroxide. Samples were stained with saturated uranyl acetate followed by lead citrate and examined with a transmission electron microscope.
Immunoprecipitation and Western Blotting-Cells were washed three times with ice-cold PBS; nuclear extracts were subsequently prepared (28). The nuclear extracts were incubated with antibodies for 4 h at 4°C, and the protein-antibody complexes were immunoprecipitated with protein G-agarose (Roche Applied Science). Immunoprecipitates were washed five times with lysis buffer and boiled in SDS sample buffer; the supernatants were recovered as immunoprecipitate samples. Proteins in whole cell lysates or in immunoprecipitated samples were separated by SDS-PAGE and transferred to nitrocellulose membranes. The membranes were probed by immunoblotting using anti-Myc (Santa Cruz Biotechnology) or FLAG (Sigma) antibody.
Fluorochrome Staining-Cells transfected with Venus-or DsRed-tagged expression vectors were washed in PBS twice, fixed with 4% buffered paraformaldehyde, and treated with 0.5% Triton for 30 min; 5% BSA in PBS was used as a blocking reagent. Nucleus staining was performed with 0.1 g/ml DAPI (Invitrogen). Slides were mounted with Vectashield (Vector, Burlingame, CA), examined with an LSM510META confocal laser scanning microscope (Carl Zeiss, Oberkochen, Germany), and analyzed with LSM5 image browser software (Carl Zeiss).
Luciferase Reporter Assay-The MMP13 gene promoter construct was transfected into ATDC5 cells or mouse limb bud cells; luciferase activity was subsequently measured by a luminometer (Promega) per the manufacturer's instructions.

RESULTS
To identify the downstream targets of Runx2/3 that function during endochondral ossification, we performed microarray analyses using mouse limb bud cells that overexpressed Runx2. Subsequent microarray analyses revealed that expression of Osterix/Sp7, a transcription factor essential for osteoblastogenesis (29), was markedly up-regulated in limb bud cells that overexpressed Runx2 (Fig. 1A). Consistent with the microarray analysis, overexpression of Runx2 by infection with the Runx2 adenovirus dramatically induced Osterix expression in mouse limb bud cells (Fig. 1B). In situ hybridization analysis confirmed that Osterix was expressed in prehypertrophic chondrocytes in vivo (Fig. 1C). Consistent with a previous finding that Osterix may function as a downstream transcript of Runx2 during osteoblast development (29), our results suggested that Osterix might similarly play a role in the late stage of endochondral ossification as a downstream target of Runx2. Although the previous study showed impaired endochondral ossification and intact chondrocyte differentiation in Osterix knock-out mice (29), it remains unknown whether this impaired endochondral ossification is due to the inhibition of osteoblast development or that of chondrocyte development. Furthermore, the role of Osterix appears to be quite complex, as illustrated by a study reporting the inhibitory role of Osterix in chondrocyte differentiation (30) and another study showing increased calcifica- tion in the cartilage tissues of postnatal conditional Osterix knock-out mice (31).
To investigate the role of Osterix in endochondral ossification, we generated mice in which LoxP sites were introduced in the coding region of the Osterix gene ( Fig. 2A). The floxed allele in the mice was confirmed by PCR (Fig. 2B) and Southern blotting analyses (Fig. 2C). We first generated the global knock-out mice by mating Osterix-floxed mice with CAG-Cre transgenic mice. Deletion of the floxed allele was confirmed by PCR analysis. Osterix knock-out mice showed no bone formation (supplemental Fig. 1A), as previously demonstrated (29). Ossification of ribs, limbs, and vertebrae was not observed at E15.5 days in the Osterix knock-out mice (supplemental Fig. 1A). Ossification in fore and hind limbs was also markedly inhibited at E18.5 days, and the limbs of these embryos were significantly shorter than those of control littermates (supplemental Fig.  1B).
To examine the role of Osterix in cartilage development we histologically assessed cartilage in Osterix knock-out mice. Interestingly, endochondral ossification was totally stopped at the hypertrophic stage in the Osterix knock-out mice (supplemental Fig. 1C), and calcification of cartilage matrices was not observed (Fig. 2D). Importantly, matrix vesicles were not evident in the hypertrophic chondrocyte zone of Osterix knock-  SEPTEMBER 28, 2012 • VOLUME 287 • NUMBER 40 out mice (Fig. 2E). As Runx2-and Runx3-deficient mice show no hypertrophy of chondrocytes (17), these results suggest that Osterix functioned at a later stage of endochondral ossification than Runx2, chiefly at the calcification stage.

Role of Osterix in Chondrogenesis
We next examined the expression of chondrogenic marker genes by performing in situ hybridization. Although Col2a1, Col10a1, and Ihh were expressed in Osterix knock-out mice, endochondral ossification was clearly delayed (supplemental Fig. 2). Interestingly, MMP13 expression was not detected in Osterix knock-out mice (supplemental Fig. 2). Thus, it is likely that Osterix is an essential transcription factor for the late stage of endochondral ossification. However, to date, the cell autonomous function of Osterix in cartilage development has been elusive.
To assess whether the phenotype observed in Osterix knockout mice was due to a lack of bone formation by osteoblasts or an impairment of chondrocyte differentiation, we generated conditional knock-out mice by mating Osterix-floxed mice with Prx1 (paired-related homeobox 1 )-Cre or Col2a1-Cre transgenic mice (8). As shown in Fig. 3A-D, limb ossification was markedly suppressed, and endochondral ossification was arrested at the hypertrophic stage in Prx1-Cre and Col2a1-Cre Osterix-conditional knock-out mice. Additionally, the calcification of cartilage matrices and MMP13 expression were also blocked in Col2-Cre Osterix-conditional knock-out mice (Fig.  3, E and F). Consistent with results of skeletal preparation (supplemental Fig. 1B), we observed modest calcification of carti-lage matrices at E17.5 and E18.5 days of Col2a1-Cre Osterixconditional knock-out mice (supplemental Fig. 3). To further assess the role of Osterix in endochondral ossification, we generated another type of Osterix-conditional knock-out mouse by mating Osterix-floxed mice with Col11a2-Cre transgenic mice (Col11Enh-Cre), allowing us to delete the target gene at a later stage than is possible with Col2a1-Cre transgenic mice (26). As . Apoptosis and angiogenesis in Osterix knock-out mice. A, flox/ϩ and flox/flox;Col2-Cre littermate mice were immunostained with anti-annexin V antibody of tibia of Osterix-conditional knock-out and control littermate at E16.5 days. B, paraffin section of Osterix-conditional knock-out mice (flox/flox; Co2-Cre) at E16.5 days was determined by HE staining. Angiogenesis around the diaphysis of the bone collar was observed in Osterix-conditional knock-out mice (flox/flox;Co2-Cre). C, histological section of Osterix-conditional knock-out mice (flox/flox;Co2-Cre) at E16.5 days was stained with anti-VEGFR2 antibody (red) and DAPI. D, histological section of Osterix-conditional knock-out mice (flox/flox;Co2-Cre) at E16.5 days was stained with anti-CD31 antibody (red) and DAPI. Scale bar, 100 m. expected, endochondral ossification was stopped at the hypertrophic stage in the Osterix Col11a2-Cre-conditional knockout mice (Fig. 3G).
As chondrocyte apoptosis and angiogenesis are essential events in the late stages of endochondral ossification, we next examined whether Osterix is involved in chondrocyte apoptosis and/or angiogenesis during endochondral ossification. We observed that annexin V, a well known apoptosis marker, was expressed in hypertrophic chondrocytes of Col2-Cre Osterixconditional knock-out mice as well as in control littermates (Fig. 4A), suggesting that apoptosis may proceed normally in Osterix-deficient chondrocytes. We next examined angiogenesis in Col2-Cre Osterix-conditional knock-out mice. Histological analysis indicated that angiogenesis occurred around the bone collar of the Col2-Cre Osterix-conditional knock-out mice; however, vascular invasion into cartilage was inhibited because of insufficient space in non-degraded cartilage tissues (Fig. 4B). We confirmed angiogenesis in Col2-Cre Osterix-conditional knock-out mice by performing immunostaining analyses using anti-VEGFR2 and CD31 antibodies, specific markers for vascular endothelial cells (Fig. 4, C and D). Collectively, our results indicate that Osterix plays an essential role in the calcification stage and cartilage matrix degradation process during endochondral ossification but not in the stages of apoptosis or angiogenesis.
We next attempted to identify Osterix targets to study the mechanisms by which Osterix controls endochondral ossification. To address this issue, we performed microarray analysis using limb bud tissues of Prx1-Cre Osterix-conditional knockout and control littermate mice. As shown in Fig. 5A, MMP13 expression was markedly lower in limb bud tissues from conditional knock-out mice than in those from control mice.
Consistent with our results, it has been reported that MMP13 expression was decreased in postnatal conditional Osterix knock-out mice (31). To further test this, we assessed the expression of chondrogenic marker genes in limb bud tissues from Prx1-Cre Osterix-conditional knock-out mice and control littermates using real-time RT-PCR. Col10a1, VEGF, Runx2, and ALP were moderately down-regulated in Osterix knock-out samples (Fig. 5B). Chondrocyte hypertrophy seemed intact in these animals; therefore, down-regulation of Col10a1, Runx2, and ALP might not have influenced Osterix deficiency in chondrocytes. In addition, the expression of Sox9, parathyroid hormone-related peptide, and annexin V was not altered in samples from Prx1-Cre Osterix-conditional knock-out mice (Fig. 5B). Although annexin V is reported to be involved in the formation of matrix vesicles during calcification (32), the phenotype observed in our Osterix-deficient chondrocytes did not result from down-regulation of annexin V. Consistent with in situ and microarray data (supplemental Fig. 2 and Figs. 3F and 5A), MMP13 expression was markedly reduced in limb buds from Prx1-Cre Osterix-conditional knock-out mice (Fig. 5B). Collectively, these results suggest that MMP13 was indeed a target of Osterix during endochondral ossification.
To confirm whether MMP13 was an Osterix target, we infected limb bud cells isolated from Osterix knock-out mice with Osterix adenovirus and subsequently examined MMP13 expression. Overexpression of Osterix clearly induced MMP13 expression in the Osterix-deficient background (Fig. 6A). Furthermore, overexpression of Osterix increased MMP13 gene promoter activity (Fig. 6B). As MMP13 is reportedly induced by Runx2 (16,33), we examined the effect of Runx2 overexpression on MMP13 expression in the presence and absence of exogenous Osterix. Similar to the results of a previous study (16), we found that Runx2 overexpression markedly up-regulated MMP13 expression in the limb bud cells of wild-type mice (Fig. 6C). However, Runx2 failed to induce MMP13 expression in limb bud cells from Osterix knock-out mice (Fig. 6C). Importantly, Osterix introduction recovered Runx2-dependent induction of MMP13 (Fig. 6C). Thus, our results indicate that Osterix was required for Runx2-mediated up-regulation of MMP13; similarly, these findings raise the possibility that Osterix and Runx2 collaborate during endochondral ossification. We thus performed a series of co-immunoprecipitation experiments to more fully examine this relationship. As shown in Fig. 6D, Osterix physically associated with Runx2. In addition, Osterix and Runx2 are well colocalized in nuclei (Fig. 6E). Our ChIP assay also indicated that Osterix directly binds to the MMP13 gene promoter (Fig. 6F), and the Stab2 gene promoter (supplemental Fig. 4), which is one of the direct targets of Osterix (34). Collectively, it is likely that Osterix functioned both downstream and as a transcriptional partner of Runx2 and that Osterix regulated endochondral ossification by controlling MMP13 expression.
To investigate the biological relevance of our findings, we examined whether the introduction of MMP13 stimulated the calcification of cartilage matrices in Osterix-deficient limb bud cells. BMP2 (bone morphogenetic protein 2) stimulated limb bud cells from wild-type mice to differentiate into chondrocytes producing alcian blue-positive and calcified matrices (Fig.  6G); this treatment also stimulated limb bud cells from Osterix knock-out mice to differentiate into alcian blue-positive chondrocytes (Fig. 6G). However, BMP2 treatment did not cause calcification in the limb bud cells of Osterix knock-out mice (Fig. 6G). These results were consistent with the phenotype seen in Osterix knock-out mice, and they strongly supported the hypothesis that Osterix is required for the differentiation of chondrocytes required to produce calcified cartilage matrices. Notably, the introduction of MMP13 by adenovirus stimulated the calcification of matrices in the limb bud cells of Osterix knock-out mice (Fig. 6G). In addition, the presence of an MMP13 inhibitor blocked Osterix-dependent calcification of the matrices (supplemental Fig. 5). These results suggest that MMP13 is a critical transcriptional target of Osterix during endochondral ossification.

DISCUSSION
It is physiologically and clinically important to understand the molecular mechanisms that regulate the calcification step of endochondral ossification. In this study, we used microarray analysis to help identify the downstream transcription factor of Runx2 during endochondral ossification. We successfully identified Osterix as the downstream transcript of Runx2 in mouse limb bud cells and found that Osterix is necessary for endochondral ossification and the formation of matrix vesicles in mice. We also successfully demonstrated that limb bud cells isolated from Osterix knock-out mice failed to calcify in vitro. Taken together, these results show that Osterix is an essential transcription factor for endochondral ossification and the formation of matrix vesicles.
Although a previous study showed a similar phenotype of Osterix knock-out mice in cartilage, the authors hypothesized that chondrogenesis could be intact and that the phenotype seen in the studied cartilage might result from the impairment of osteoblastogenesis; in fact, the authors of that study did not investigate beyond the hypertrophic stage of the endochondral ossification process (29). Furthermore, it has not been investigated whether impaired endochondral ossification in Osterix knock-out mice (29) is due to the cell autonomous function of Osterix.
A previous study reported that Osterix suppressed the differentiation and maturation of chondrocytes in vitro (30). These results are completely inconsistent with our findings. One possibility for this discrepancy is that different experimental approaches were used in the two studies, even though they each performed knockdown experiments using siRNA against Osterix. Our study took the gene-targeting approach, resulting in a consistent finding that the Osterix gene plays an essential role in chondrocyte development in vivo; we further confirmed this finding ex vivo by using limb bud cells isolated from Osterix knock-out mice. In addition, we observed the phenotype of arrest of chondrogenesis in global Osterix knock-out and cartilage-specific Osterix conditional knock-out mice. Thus, we believe that our research has proven that Osterix is truly necessary for chondrogenesis.
Although a previous study using postnatal Osterix-deficient mice suggested that MMP13 would be a target of Osterix (31), it remained unanswered whether MMP13 played a key role as Osterix target genes during endochondral ossification. Our in situ hybridization, microarray, and real-time PCR analyses collectively indicated that Osterix was required for MMP13 expression during endochondral ossification. More importantly, we demonstrated that Osterix directly regulated MMP13 expression, as shown by our discovery that overexpression of Osterix induced MMP13 expression, increased MMP13 gene promoter activity in vitro, and directly associated with the MMP13 gene promoter.
The phenotype of MMP13-deficient mice has been consistently shown to resemble that of Osterix knock-out mice (35). Thus, MMP13 is an important target of Osterix during endochondral ossification. Notably, postnatal Osterix-deficient mice showed a marked increase in calcified matrix in the growth plate (31). The postnatal Osterix-deficient mice showed a lack of resorption of mineralized cartilage and participation of osteoclasts (31). As MMP13 is required for the generation of space in cartilage (35,36), it is therefore likely that the different phenotype in cartilage between the previous study and ours results from the timing of deficiency of the Osterix gene.
As our histological analysis suggested that vascular invasion into cartilage tissues required the degradation of cartilage matrices, we posit that Osterix is likely to be essential for the subsequent replacement of cartilage tissues with bone tissues. This idea is also supported by a previous study using MMP13 conditional knock-out mice (36). Importantly, we observed that the addition of exogenous MMP13 improved the calcification of chondrocyte matrices in Osterix-deficient limb bud cells. However, we also found that the MMP13 inhibitor suppressed Osterix-dependent calcification of the matrices. In global and chondrocyte-specific conditional MMP13-deficient mice, chondrogenic matrices accumulated in the hypertrophic zone of the growth plate (36). In particular, Col2a1 and aggrecan seem to be major substrates of MMP13 (36).
Collectively, it is possible that the degradation of cartilaginous collagen is required for the calcification of cartilage matrices or the formation of matrix vesicles in cartilage, although the precise role of MMP13 in the calcification of chondrocyte matrices remains unclear. Interestingly, MMP13 knock-out mice showed a marked increase in trabecular bones (36). It is worth noting that the global and conditional Osterix knock-out mice studied here showed no bone formation; future research into the role of Osterix in endochondral ossification might focus on the relationship that exists among Osterix, MMP13, and metabolism of trabecular bone. Yet, despite the fact that bone formation was not present in our conditional Osterix knock-out mice, we expect that MMP13 expression in osteoblasts, but not chondrocytes, might be involved in the metabolism of trabecular bone, as chondrocyte-specific MMP13-deficient mice did not demonstrate a clear increase in trabecular bone (36).
Runx2 has been demonstrated to function upstream of Osterix during osteoblast differentiation (23,29) and to be required for the induction of MMP13 (16,33). In this study, we found that Osterix not only plays an important role downstream of Runx2 but that it is also a transcriptional partner of Runx2. In addition to our biochemical experiments, we demonstrated that both Osterix and Runx2 are necessary for the up-regulation of MMP13 expression. It is therefore likely that the functional interaction between Osterix and Runx2 is important for endochondral ossification, especially for the calcification and degradation of chondrogenic matrices. As AP1 complex has been shown to collaborate with Runx2 to control MMP13 expression (33), we expect that a complex of Runx2, Osterix, and AP1 might be important to the regulation of MMP13 expression.
Interestingly, our experiments showed that endochondral ossification and calcification of cartilage matrices were impaired but still observed in Osterix knock-out mice at E18.5 days (supplemental Figs. 1B and 3). This observation suggested that other molecules partly compensated for the function of Osterix during endochondral ossification. We are currently attempting to identify these molecules, and plan to examine the relationship between Osterix and these molecules in a future research project.
As described above, MMP13 is essential for the chondrogenesis of growth plates (35). However, MMP13 is also integral to the pathogenesis of osteoarthritis, which is associated with heterotopic ossification of articular chondrocytes (37,38). Thus, we believe that our findings might contribute to the understanding of the molecular mechanisms of endochondral ossification and will similarly be helpful in the development of therapeutic reagents for osteoarthritis and other cartilage disorders.