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Developmental Endocrinology Branch, NICHD, National Institutes of Health, Bethesda, Maryland 20892, USA
1Correspondence: Developmental Endocrinology Branch, NICHD, NIH, Bldg. 10, Rm. 10N262, 10 Center Dr. 1862, Bethesda, MD 20892, USA. E-mail: bondyc{at}exchange.nih.gov
| ABSTRACT |
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Key Words: glucose transporter IGF action insulin proliferation epiphysis short stature
| INTRODUCTION |
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Despite the uncertainty about its mode of action, Igf1 clearly has an
important role in longitudinal bone growth, since Igf1 gene
deletion results in dwarfism in mice (8
, 9)
and extreme
short stature in humans (10)
. To elucidate Igf1's role in
longitudinal bone growth, this study has compared tibial growth and
analyzed tibial growth plate characteristics in Igf1 null
and littermate wild-type mice.
| MATERIALS AND METHODS |
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Morphometry
The longitudinal dimensions of the tibia and of the proximal
tibial growth plate were measured on photomicrographs of anatomically
matched, midsagittal sections taken at 5 and 200x. For the growth
plate dimensions, three different measurements, clustered about the
midline, were taken on each of two sections for each animal; the data
were meaned for each animal, then pooled and meaned for each group.
Terminal chondrocyte longitudinal diameter was measured using
micrographs taken at 400x. Measurements were made only on cells with
intact superior and inferior transverse septa. The photographs were
coded and masked prior to analysis so that the observer did not know to
which group the samples belonged.
Histochemistry
Immunohistochemistry was performed by the
avidin-biotin-immunoperoxidase method as described previously
(11)
. Tissue sections were deparaffinized, rehydrated, and
digested in 0.5% Trypsin (Sigma, St. Louis, Mo.) at 37°C for 30 min
prior to immunoreaction. A polyclonal antibody reactive against the
unique carboxyl terminal domain of collagen X was a gift from Dr.
Haronen (12)
. The polyclonal antibodies used to detect
BRDU, GLUT 4, and the serine-phosphorylated form of GSK-3ß
(9)
were obtained from Chemicon (Temecula, Calif.). The
monoclonal antibody detecting both active and inactive forms of
GSK-3ß was obtained from Transduction Laboratories (Lexington, Ky.).
All primary antibodies were used at a dilution of 1:200. Sections were
incubated with peroxidase-conjugated secondary antibody (1:200) for 30
min at room temperature. The signal was detected and amplified using
the ABC peroxidase method (Vector, Burlingame, Calif.) and visualized
with 3,3'-diaminobenzidine. Sections were counterstained with methyl
green. Parallel incubations omitting the primary antibody were used to
establish the level of nonspecific background staining.
Deparaffinized sections were dipped in Kodak NTB2 nuclear emulsion and exposed at 4°C for 3 wk, developed, fixed, and lightly counterstained with hematoxylin for detection of nuclear 3H-thymidine incorporation. Positive cells had 5 or more grains/nucleus. Slides were masked and coded to conceal group designations prior to analysis.
Histological staining of glycogen was performed by the periodic
acid-Schiff (PAS) reaction. Sections were first deparaffinized in
xylene, rehydrated, and oxidized in 0.1% periodic acid for 5 min.
After washing in water, slides were stained in 0.5% Schiff's solution
(Sigma) for 15 min and counterstained with hematoxylin. For negative
control, parallel sections were treated with 0.5%
-amylase (Sigma)
at 37°C for 90 min before PAS staining. PAS `positivity' was
determined by the presence of fuchsia-colored staining.
In situ hybridization was performed as described previously
(7)
using 35S-labeled antisense RNA
probes synthesized from DNA fragments corresponding to nucleotides
44004515 of the 28S- and nucleotides 715794 of the 18S ribosomal
RNA genes (Ambion, Austin, Tex.). After exposure to Kodak NTB2 emulsion
for 3 days, hybridized slides were developed, fixed, and counterstained
with hematoxylin and eosin. RNA was quantified by silver grain counting
under oil at 630x.
Data analysis
Data for each group (n=48) are expressed as means
with standard errors. Differences between groups were analyzed by
analysis of variance using Stat View 4.1 (Abacus Systems), followed by
Fisher's least significant difference tests. A P value
<0.05 was taken as significant.
| RESULTS |
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The proliferative zone (PZ) is formed of columns of rapidly dividing
chondrocytes resembling stacks of coins. The length of the PZ and the
number of chondrocytes per column are equal in WT and Igf1
null mice (Fig. 1
and Table 1
). The proliferation rate, assessed by DNA
labeling index (Table 1)
, is also equal. Growth plate chondrocytes
undergo terminal differentiation as hypertrophic chondrocytes,
ultimately increasing in height in the direction of growth by four- to
fivefold (2
, 3)
before they are incorporated into bone at
the metaphysial end of the growth plate. The length of the
Igf1 null hypertrophic zone (HZ) is reduced by ~35%,
although the number of hypertrophic cells per column is equal to WT
(Fig. 1
, Table 1
). Igf1 null chondrocytes are obviously
smaller at all levels of the HZ, with the mean longitudinal diameter of
terminal hypertrophic cells reduced by ~30% (Table 1)
. This degree
of impairment in chondrocyte hypertrophy correlates with the decreased
rate of longitudinal bone growth observed in Igf1 null mice.
The GH-dependent postnatal growth spurt occurs between P2040. During
this period, the WT tibia grows at a rate of ~290 µ/day (from
13.3±0.5 to 19.1±0.8 mm), whereas the Igf1 null grows
~185 µ/day (from 10.5±0.6 to 14.2±0.4 mm). This represents an
~35% reduction in longitudinal growth rate for the Igf1
null mouse. These data suggest that impaired chondrocyte hypertrophy is
the major cause of short stature in Igf1 deficiency.
Chondrocyte hypertrophy
The differentiation of proliferative into hypertrophic
chondrocytes is marked by the appearance of collagen X expression
(14
, 15)
. Collagen X immunoreactivity is qualitatively
normal, although somewhat less abundant in the Igf1 null
growth plate (Fig. 2
). A similar pattern was found for the expression of alkaline
phosphatase and bone sialoprotein, other `markers' of hypertrophic
differentiation (data not shown). Thus, it appears that these cells
differentiate normally, but fail to attain full somatic growth. Given
the marked homology between insulin and Igf1 and between their cognate
receptors (16)
, we hypothesized that Igf1 may act in
insulin-like anabolic fashion to promote chondrocyte hypertrophy. Thus,
we examined the expression of well established targets of insulin's
anabolic actions. Among the facilitative glucose transporters, GLUT4
expression is known to be highly dependent on insulin
(17)
. GLUT4 immunoreactivity was significantly reduced in
Igf1 null hypertrophic chondrocytes, both in terms of the
number of positively stained cells and in the degree of intensity
demonstrated by positive cells (Fig. 3
A, B, Table 2
).
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Another well-known target of insulin action is the enzyme glycogen
synthase kinase 3ß (GSK3ß). Activation of a signaling cascade
proceeding through PI3K and protein kinase B/Akt results in the serine
phosphorylation and inhibition of GSK3ß activity (reviewed in ref 18
). This in turn relieves GSK3ß-induced inhibition of glycogen
synthase, thus promoting glycogen synthesis. Glycogen normally is
accumulated by proliferative and early hypertrophic chondrocytes and
depleted during the late stages of chondrocyte hypertrophy
(19)
. GSK3ß immunoreactivity was abundant in
proliferative and hypertrophic chondrocytes in both WT and
Igf1 null growth plates (Table 2)
. An antibody specific for
serine-phosphorylated GSK3ß (9)
, however, demonstrated
greatly reduced immunostaining for the inactive form of the enzyme in
Igf1 null chondrocytes (Fig. 3C, D
, Table 2
). As
predicted from the reduced level of serine-phosphorylated GSK3ß, PAS
histochemical staining showed significantly reduced glycogen stores in
the Igf1 null growth plate (Fig. 3E, F
, Table 2
).
Reduced glucose transport and intracellular glycogen stores may result
in reduction of intracellular ATP supply and substrates for protein
synthesis, particularly in cells dependent on glycolysis for energy
production, as are hypertrophic chondrocytes (20)
. Since
energy and/or substrate deficit may lead to down-regulation of
ribosomal RNA (rRNA) synthesis (21)
, we compared cellular
levels of rRNA in WT and Igf1 null growth plates using
in situ hybridization. This analysis showed a drastic,
~70% reduction in rRNA content in Igf1 null hypertrophic
chondrocytes and a lesser reduction in proliferative chondrocytes
(Fig. 4
and Table 3
). It is noteworthy that rRNA is more abundant in hypertrophic than
proliferative chondrocytes, consistent with observations that
mitochondria, Golgi, and endoplasmic reticulum are all more abundant in
hypertrophic than in proliferative chondrocytes (22)
.
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| DISCUSSION |
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The present study supports the view that GH expands the pool of
chondrocyte progenitors through direct effects on the growth plate
germinal zone (23
, 24)
, since the increased cellularity of
the Igf1 null germinal zone may be attributed to increased
GH secretion in the absence of negative feedback from Igf1. Igf1's
role in long bone growth revealed in this study, however, refutes the
prevailing view that this peptide is responsible for stimulating the
clonal proliferation of growth plate chondrocytes (reviewed in ref 5
).
We have previously questioned this hypothesis, based on the finding
that Igf2 rather than Igf1 is expressed by proliferating chondrocytes
(6
, 7)
. The present data demonstrate that Igf1's major
effect on the growth plate is amplification of chondrocyte size, not
proliferation. This is not to say that Igf1 normally has no role in
chondrocyte proliferation, since enhanced GH action in the
Igf1 null growth plate may compensate for some loss of Igf1
stimulation of chondrocyte proliferation. Also, the present data do not
dispute the fact that exogenous Igf1 supplied in vivo or
added to growth plate or chondrocyte cultures in vitro may
enhance proliferation, since the Igf1 receptor is expressed by all
types of chondrocytes (7)
. We would argue, however, that
chondrocyte proliferation in vivo is stimulated primarily by
Igf2 in an autocrine/paracrine fashion, explaining why no major deficit
is seen with Igf1 deletion. In contrast, the ~30% reduction in
linear growth of hypertrophic chondrocytes and corresponding reduction
in longitudinal bone growth seen in Igf1 null mice
demonstrate that augmentation of chondrocyte somatic growth is Igf1's
unique and essential role in amplifying statural growth.
Terminal hypertrophic chondrocytes are the quantal units for
transformation of cartilage into bone. If the number of chondrocytes
coming through the system per day is equal, then the size of the
terminal units determines the longitudinal bone growth rate (2
, 3
, 22
, 25)
. The present observations that the number of cells in
the chondrocyte columns and chondrocyte DNA labeling indices are equal
in the two groups suggest that the chondrocyte proliferation rate is
equal in Igf1 null and WT mice. The differentiation of
proliferative into hypertrophic chondrocytes also appears to occur
normally, as evidenced by typical collagen X, bone sialoprotein and
alkaline phosphatase expression in the Igf1 null growth
plate. Furthermore, the fact that the proportion of cells in
proliferative and hypertrophic zones is equal in both groups argues
that progress in differentiation from one stage to another proceeds
normally in Igf1 null growth plates. Thus, the only feature
of growth plate expansion that is clearly disturbed in Igf1
null mice is the extent of chondrocyte hypertrophy, and the degree of
attenuation of this process corresponds to the degree of reduction in
longitudinal growth.
The rapid expansion of hypertrophic chondrocyte size is extraordinary,
but the factors regulating this dramatic process have been unknown. The
present data suggest that Igf1 enhances chondrocyte hypertrophy by
insulin-like actions such as boosting glucose and amino acid uptake and
utilization. Supporting this view, the Igf1 receptor, which is
structurally and functionally homologous to the insulin receptor, is
known to mediate such anabolic effects (16)
, including
regulation of GLUT4 (26)
. We have shown that GLUT4
expression and GSK3ß serine phosphorylation are significantly
diminished in Igf1 null hypertrophic chondrocytes, resulting
in reduced glycogen in these cells. Glycogen stores are normally
accumulated by proliferative and early hypertrophic chondrocytes and
depleted during maturation of the hypertrophic chondrocytes (19
, 27)
. Hypertrophic chondrocytes are highly active metabolically
and are dependent on glycolysis to fuel their expansive biosynthetic
activity (20)
. The decrease in rRNA in Igf1
null hypertrophic chondrocytes may reflect cellular `starvation' for
fuel and building blocks for protein synthesis (21)
. The
present data suggest that Igf1 acts in a truly insulin-like manner to
enhance chondrocyte glucose uptake and glycogen and protein synthesis,
thus promoting maximal somatic growth and matrix production and
enhancing the rate of linear bone growth by ~30%.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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| REFERENCES |
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