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    Targeted Ptpn11 deletion in mice reveals the essential role of SHP2 in osteoblast differentiation and skeletal homeostasis

    2021-06-04 07:59:06LijunWangHuiliangYangJiahuiHuangShaopengPeiLiyunWangJianFengDianJingHuZhaoHenryKronenbergDouglasMooreandWentianYang
    Bone Research 2021年1期

    Lijun Wang,Huiliang Yang,Jiahui Huang,Shaopeng Pei,Liyun Wang,Jian Q.Feng,Dian Jing,Hu Zhao,Henry M.Kronenberg,Douglas C.Moore and Wentian Yang

    INTRODUCTION

    Osteoblasts(OBs)are formed by mesenchymal stem cells(MSCs)originating from the neural ectoderm and paraxial and lateral plate mesoderm.1Neural ectoderm-originating OBs are formed directly from condensed mesenchyme tissue without going through the intermediate stages.Such OBs generate most of the cranial squamous bones and the lateral part of the clavicle.The remainder of the skeleton is generated by OBs from the paraxial and lateral plate mesoderm and is first formed of an intermediate cartilaginous analog.The MSCs that form OBs also give rise to fat and cartilage cells.At the end of osteogenesis,mature OBs are embedded in the bone as osteocytes that regulate matrix mineralization and bone quality.

    Osteogenesis is a dynamic process that involves multiple steps,such as lineage segregation of MSCs,osteogenic differentiation,and maturation.2–3These osteogenic events rely heavily on the reversible phosphorylation of signaling proteins,including but not limited to SOX9(ref.4–5),RUNX2(ref.6–7),OSTERIX,8–9β-CATENIN,10–11and PPAR-γ.12–13RUNX2 crucially modulates the osteogenic commitment of MSCs and the subsequent maturation and expression of extracellular matrix proteins.6RUNX2 has a variety of targets,such as OSTERIX,2type I collagen(COL1a1),14and alkaline phosphatase(ALP).15When immature OBs mature and become functional OBs,they begin to express high levels of osteocalcin,which is also known as bone gamma-carboxyglutamate protein(BGLAP).Finally,mature OBs are embedded in the bone matrix to become osteocytes that express high levels of dentin morphogenic protein 1(DMP1)16and sclerostin(SOST).17DMP1 promotes bone matrix mineralization by binding Ca2+because of its acidic nature,18while sclerostin antagonizes Wnt signaling to inhibit bone formation by OBs.19–20Aberrant phosphorylation of these signaling proteins during development and adulthood can impact OB development and function,matrix mineralization and bone quality.2OB dysregulation is the cause of several metabolic,genetic,and oncogenic skeletal disorders,21–22none of which has an effective medical treatment.To date,most of the work on protein phosphorylation in OBs has focused on protein tyrosine kinases23and relatively little on protein tyrosine phosphatases,which,however,can have equally profound functional significance.

    OBs are also crucial in regulating osteoclast differentiation and skeletal remodeling.24Several soluble factors produced by OBs,e.g.,MCP1(ref.25),osteoprotegerin(OPG,encoded by Tnfrsf11b),26receptor activator of nuclear factor kappa-B ligand(RANKL,encoded by Tnfsf11)27and Sema3A,28contribute to the crosstalk between OBs and osteoclasts.The mechanism by which RANKL and OPG modulate osteoclast development and function has been studied in detail.27OBs produce RANKL,which stimulates RANK on osteoclast precursors,resulting in osteoclast differentiation via the activation of downstream signaling pathways such as NF-κB,29c-Fos,30and NFATc1(ref.31).This process can be blocked by OPG by suppressing RANKL binding to RANK.32–33The coupled effect of bone formation by OBs and bone resorption by osteoclasts supports bone mass and maintains mineral homeostasis throughout our lifespan.However,the molecular and cellular mechanisms through which OBs modulate osteoclasts and bone mineral homeostasis in certain diseases remain elusive.

    SHP2,which is encoded by PTPN11,is a ubiquitously expressed PTPase that plays an essential role in the development and/or maintenance of multiple organs and tissues.34Mutations in PTPN11 are associated with human Noonan syndrome,35–36Leopard syndrome,37and metachondromatosis(MC),38–41all of which have severe skeletal manifestations.SHP2 has been reported to modulate the crosstalk between a series of signaling pathways triggered by fibroblast growth factors,42hedgehog,39bone morphogenetic proteins,43and Wnts.44Dysregulation of one or more of these signaling pathways is known to spatiotemporally influence subsequent osteogenic programs,such as OB maturation and ultimately endochondral and intramembranous ossification,however,the underlying molecular and cellular mechanisms remain elusive.Previously,SHP2 was shown to modulate the fate of osteochondral progenitors.44In this study,we generated and characterized OB-specific SHP2-deficient mice and their cellular derivatives.Our work has led to the discovery of the pivotal regulatory role of SHP2 in osteoblastic-cell lineage development and bone mineral homeostasis.

    RESULTS

    Mice lacking SHP2 in the Bglap+cell lineage are crippled,osteopenic,and grow osteochondromas and enchondromas

    To investigate the role of SHP2 in mature OBs and osteocytes,mice carrying Ptpn11-floxed(Ptpn11fl)alleles39were crossed with

    Tg(Bglap-Cre)45and Tg(Bglap-CreER)46mice to generate SHP2CTRBglap,SHP2KOBglap,SHP2CTRBglap/ER,and SHP2KOBglap/ERmice as described previously(Fig.S1a,b).SHP2KOBglapand SHP2KOBglap/ERmice treated with tamoxifen(TM)lacked SHP2 in mature OBs and osteocytes,and SHP2CTRBglapand SHP2CTRBglap/ERmice treated with TM served as controls.To trace the fate of Bglap+osteoblastic cells in vivo,Tg(Rosa26ZSG)(R26ZSG)47mice were bred to both control and SHP2 mutants as a reporter of Cre expression in selected lines.As expected,in both the Tg(Bglap-Cre)and Tg(Bglap-CreER)mice,the R26ZSGreporter was expressed primarily in cells within the bone cortex,endosteum,and trabeculae,which was consistent with the locations of mature OBs and osteocytes(Fig.S1c).Importantly,immunostaining revealed that the level of SHP2 in R26ZSG+(Bglap+)OBs and osteocytes of the trabecular and cortical bone of the SHP2KOBglapmice was markedly reduced compared to that of the SHP2CTRBglaplittermate controls(Fig.S1d),indicating that Tg(Bglap-Cre)and Tg(Bglap-CreER)mediated robust excision of the Ptpn11-floxed alleles.

    SHP2KOBglapmice were born at the expected Mendelian ratios and were indistinguishable from the SHP2CTRBglapmice in terms of body weight and size up to 10 weeks of age(Fig.S2a).These observations are supported by the finding that ALP activity and the abundance of the osteogenic and chondrogenic marker genes Runx2,Osx,Col1a1,Ibsp,Bglap,Col2a1,and Col10a1 transcripts were comparable in the newborn tibial frozen sections between the control and SHP2 mutants(Fig.S1e).However,the mobility of SHP2KOBglapmutants became progressively restricted as they aged(Fig.SV1).Analysis of skeletal morphology with highresolution plain radiographs and microcomputed tomography revealed a striking skeletal phenotype that included scoliosis,reduced bone mineral density(BMD),growth of osteochondromas and enchondromas at or adjacent to the physis of the long bones and vertebrae,and an increase in the length of tubular bones(Fig.1a–c and S2a).Taken together,the morphological data suggest that normal SHP2 expression in Bglap+osteoblastic cells is crucial for normal endochondral ossification,joint development and function,and bone mineral homeostasis.

    SHP2 deletion in Bglap+osteoblastic cells compromises cancellous and cortical bone formation,matrix mineralization,and bone quality

    To investigate the skeletal pathology of SHP2KOBglapmice,we microscopically compared tibiae from 13-week-old control and knockout mice.Hematoxylin&eosin(H&E)and Safranin O-stained frozen sections demonstrated that the cartilaginous epiphysis was clearly separated from the diaphysis in the distal femur of SHP2CTRBglapmice by a well-organized growth plate.A large amount of trabecular bone formed in the metaphysis,which was stained strongly for ALP,and the trabecular bone and diaphyseal cortex were stained heavily with von Kossa(Fig.2a–c;top).In contrast,these structures were disrupted in the SHP2KOBglapmutants,which exhibited expanded growth plate cartilage(Fig.2a,bottom and S1f),distorted and calcified articular cartilage of variable severity,and the growth of osteochondromas(Fig.2a–c,bottom).The affected animals also had grossly reduced bone mass,cortical bone thickness,and ALP activity(Fig.2a–c,bottom),accompanied by the massive accumulation of adipocytes in the bone marrow(Fig.S3a).The microscopic observations were corroborated byμCT-based histomorphometry analysis.The volumetric density(bone volume(BV)/total volume(TV)),connectivity density,and trabecular number were significantly reduced in the proximal tibiae of 10-week-old SHP2KOBglapmice compared to age-and sex-matched SHP2CTRBglapanimals,while the structure model index,trabecular separation,and bone marrow cavity were markedly increased(Fig.2d and S2b,c).Three-point bending tests revealed that the maximum load to failure of 10-week-old SHP2KOBglapmutant mice was significantly reduced by 34.57%,compared to that of SHP2CTRBglapcontrols(Fig.2e).Next,we examined the influence of SHP2 on the regulation of bone formation using dual xylenol orange labeling of mineral apposition in 13-week-old animals.The new bone formation rate,as expected,was lower in the SHP2 mutants than in the controls(by 16.79%,P<0.01,Fig.2f).Finally,to determine whether the defects in bone formation and matrix mineralization in the SHP2 mutants were due to impaired cell proliferation and/or viability,we carried out EdU labeling and immunostaining assays and found that the numbers of EdU-and cleaved-Caspase-3-positive cells were comparable in the frozen tibial sections of SHP2KOBglap;R26ZSGand SHP2CTRBglap;R26ZSGnewborn mice(Fig.S3b–d).Collectively,the morphologic,immunostaining,strength,mineral apposition,and labeling data strongly suggest that SHP2 influences endochondral bone formation by regulating the differentiation,maturation,and function of osteoblastic cells,and SHP2 deficiency has a minimal effect on cell proliferation and viability but can induce adipogenic commitment of early osteoblastic cells.

    SHP2 deletion compromises osteoblastic-cell maturation and function

    To understand how SHP2 modulates osteoblastic-cell differentiation,function and skeletal development,we first examined the effect of SHP2 deletion on the expression of marker genes from early-and late-stage developing OBs using RNAscope?-based in situ hybridization.Early osteoblastic cells express Osx,Col1a1,and Bglap,while terminally differentiated OBs and osteocytes express high levels of Dmp1 and Sost1,which regulate matrix mineralization and the maintenance of mineral homeostasis.48In SHP2CTRBglapmice,Sost and Dmp1 were expressed at high levels in osteocytes of both cortical and trabecular bone.In contrast,significantly lower levels were expressed in the corresponding cells in SHP2KOBglapmutants(Fig.3a and S4,**P<0.01,respectively).Consistent with these findings,Sost and Dmp1 expression was significantly reduced in 13-week-old TM-treated SHP2KOBglap/ERmice compared to SHP2CTRBglap/ERmice(Fig.S5a).Importantly,high levels of the early osteoblastic-cell markers Osx,Col1α1,and Bglap were atypically expressed in the cortical bones of the SHP2KOBglapmutants(Fig.3a and S4).These data suggest that SHP2 is required for terminal OB maturation and that its deficiency is associated with persistent immaturity.

    Fig.1 Mice lacking SHP2 in Bglap+osteoblasts and osteocytes display skeletal dysplasia,reduced BMD,and the growth of enchondromas and osteochondromas.a Radiographs of 13-week-old SHP2CTRBglap and SHP2KOBglap mice showing the skeletal structure,femur length(lines),and BMD(arrows).X-ray(b)andμCT(c)radiographs of skeletal preps from the mice described in a.Note the reduced BMD,deformed knee and hip joints,and growth of osteochondromas in SHP2KOBglap mice(arrows)(n=5)

    In compact bone,mature OBs lay down osteoids and transform into osteocytes embedded in the mineralized bone matrix.Mature osteocytes are morphologically and functionally networked together via their dendrites through the canaliculi to provide a coordinated response to matrix mineralization.To explore the role of SHP2 in osteocyte differentiation and maturation,we examined the morphology and function of osteocytes using acid-etched scanning electronic microscopy(SEM).Osteocytes from SHP2KOBglapmutants were markedly deformed with few,if any,dendrites compared to those of the SHP2CTRBglapcontrols(Fig.3b).Back-scattered SEM(BSEM)revealed increased porosity in the cortical bone of SHP2KOBglapmutants,indicating that matrix production and mineralization were compromised as a consequence of osteocyte maturation and functional defects(Fig.3c).The above observations were further supported by studies of the lacunar–canalicular system(LCS)in the cortex of the long bones.In the SHP2CTRBglapmice,osteocytes were uniformly distributed,and LCS interconnectivity was high,as revealed by 2D imaging of humerus sections(Fig.3d,top and S6c,d).In contrast,osteocytes were sparsely and irregularly distributed in SHP2KOBglapmutants,and the LCS was disrupted with shortened and disorganized dendrites(Fig.3d,bottom and S6c,d).Quantitative comparison of the density of the canalicular networks showed that they were significantly reduced in the bone cortex of SHP2 mutants(Fig.3d,e).H&E and polyethylene glycol-associated solvent system(PEGASOS)-based imaging analysis49revealed that the unmineralized areas were comprised of cells,matrix fibers,and holes(Fig.S6a,b).Collectively,these data suggest that SHP2 is essential for the terminal differentiation,maturation,and function of OBs and osteocytes and for bone matrix mineralization and that SHP2 depletion significantly decreases the number of dendrites and impairs canalicular network formation.

    SHP2 deletion in Bglap+osteoblastic cells promotes RANKL expression and local osteoclastogenesis

    OBs and osteocytes are the most abundant cells in the adult skeleton.Beyond their primary role in bone formation,maintenance,and mineral homeostasis,they also influence osteoclastogenesis and osteoclast function via the synthesis and secretion of RANKL(Tnfsf11)50–52and OPG(Tnfrsf11b).27,53Importantly,osteocytes have been shown to be the predominant source of RANKL during bone remodeling,and osteocyte-derived RANKL is a critical mediator of bone resorption.54–55Given the reduction in bone mass and appearance of porous cortical bone in SHP2KOBglapmice,we examined whether SHP2 deletion in Bglap+cells affects local RANKL production and osteoclastogenesis.First,we screened for increases in the number of osteoclasts by staining for tartrateresistant acid phosphatase(TRAP).As shown in Fig.4a and S2c,d,TRAP-stained frozen tibial sections revealed a significant increase in the number of osteoclasts in the metaphysis and cortical bone of SHP2KOBglapmice.The increase in TRAP staining was associated with elevated numbers of cells positive for Acp5,Mmp9,and,most importantly,Tnfsf11(RANKL)but not Tnfrsf11b(OPG)(Fig.4b,c and S4).These findings were corroborated by western blotting analysis,which demonstrated increased RANKL(Tnfsf11)in SHP2-deficient OBs(Fig.4d).Collectively,these data indicate that under physiological conditions,SHP2 suppresses the production of RANKL by osteoblastic cells and that SHP2 deficiency can drive local osteoclastogenesis by promoting RANKL production,leading to mineral resorption and skeletal porosity.

    Fig.2 SHP2 deletion in Bglap+cells leads to deformation of articular and growth plate cartilage,defective mineralization of cortical and cancellous bone,and bone volume reduction.a Distal femur paraffin sections stained with H&E and Safranin O(SO)demonstrate the structure and histology of articular and growth plate cartilage in 13-week-old mice with the indicated genotypes.Scale bar:1 mm.Femoral frozen sections stained for ALP activity(b)and mineral deposition with the von Kossa(VK)method(c)of the mice described in a.The low-power full images are shown in Fig.S2c.Quantified cortical bone thickness and mineralized cancellous bone areas are presented as bar graphs on the right(n=4,*P<0.05,Student’s t-test).Scale bar:100μm.d Representative sagittal and transverseμCT radiographs show the microarchitecture of the proximal tibia from 10-week-old male mice with the indicated genotypes.The sectioning planes are marked by lines.Scale bar:1 mm.e Scatter plots show the maximum load of the tibia from 10-week-old male mice determined using the 3-D bending test(n=6,**P<0.01,Student’s t-test).f Fluorescent images of femoral frozen sections showing new bone formation in 13-week-old mice that received xylenol orange injection at days 7 and 2 prior to euthanasia.Quantified data are shown by bar graphs on the right(n=4,**P<0.01,Student’s t-test).Scale bar:100μm

    SHP2-modulated STAT3 activation is required for local RANKL production

    Multiple signaling pathways regulate RANKL expression,particularly the activation of STAT3(ref.50).SHP2 has been reported to negatively regulate STAT3 activation.56–57Our finding of increased Tnfsf11(RANKL)expression by SHP2 deletion in Bglap+OBs(Fig.4c)prompted us to investigate whether SHP2 modulates RANKL production by influencing STAT3 activation.To do so,we first generated OB cell lines from the calvaria of SHP2CTRSp7and SHP2KOSp7newborns using SV40 large T-cell-mediated immortalization(Fig.S7a,b).Western blotting analysis of these OB cell lines(Fig.4d)and immunostaining of cortical bones(Fig.4e)revealed that STAT3 Y705 phosphorylation was enhanced in SHP2-deficient OBs compared to that in controls.Moreover,in SHP2-deficient OBs,STAT3 Y705 phosphorylation was elevated in response to IL6,an inflammatory cytokine that is often upregulated and associated with osteolysis in rheumatoid arthritis patients(Fig.4f).To provide additional confirmation,SHP2-deficient OBs were treated with the STAT3-specific inhibitor C188.Inhibition of STAT3 activation,as revealed by STAT3 Y705 phosphorylation,significantly decreased the level of RANKL(Fig.4g).Collectively,these data indicate that STAT3 phosphorylation and activation are negatively regulated by SHP2 in OBs and osteocytes and that SHP2 modulates RANKL production in these cells by regulating STAT3 phosphorylation.

    OSTERIX is required for SHP2-mediated osteogenic gene expression

    To study the mechanism whereby SHP2 regulates OB maturation,we carried out co-immunoprecipitation,western blotting,and qRT-PCR analysis using SHP2-sufficient and SHP2-deficient OBs.Given the master regulatory role of RUNX2 and OSTERIX in OB differentiation and maturation and the suppression of the adipogenic commitment of mesenchymal progenitors,58–59we first examined the effect of SHP2 deletion on the expression and abundance of other osteogenic and adipogenic genes.Although the RUNX2 level was comparable in SHP2-sufficient and SHP2-deficient OBs(data not shown),the abundance of OSTERIX,Osx,Alp,Bglap,and Dmp1 was significantly reduced,but that of Pparγ was increased in SHP2-deficient OBs(Fig.5a,b).Given the indispensable role of OSTERIX in OB differentiation and maturation and the marked reduction in OSTERIX in SHP2 mutant OBs,we reasoned that SHP2 might regulate OB and osteocyte maturation by influencing the expression of OSTERIX.To test this hypothesis,we transiently transfected SHP2-sufficient and SHP2-deficient OBs with MycDD-tagged OSTERIX(Fig.5c)and then examined the expression of Alp and Bglap as an index of osteogenic differentiation.As shown in Fig.5d,re-establishing the expression of OSTERIX restored the expression of both Alp and Bglap in SHP2-deficient OBs.These data strongly suggest that SHP2 modulates osteogenic and adipogenic differentiation,in part,by influencing the expression and activity of OSTERIX and Pparγ.

    Fig.3 SHP2 regulates osteoblast maturation and function.a Images of femoral frozen sections show the transcript abundance of the indicated osteoblastic genes determined using RNAScope? assays(low-power images shown in Fig.S4a).Dmp1-and Sost-positive cells were quantified from the selected areas(500×200μm)of the central diaphyseal cortical bone from the control and SHP2 mutants.Areas selected for enlarged view are shown in Fig.S4a.The quantified data are shown by bar graphs on the right(n=3,**P<0.01,Student’s t-test).Acid etching(b)and back-scattered SEM(c)images of the femoral cortical bone show the microarchitecture of osteocytes in 13-week-old mice with the indicated genotypes.Enlarged views of the boxed areas in b and d are shown in the right panel of each figure.Arrow,osteocytes,unmineralized matrix.d Confocal imaging showed a disorganized osteocyte lacunar–canalicular system(LCS,red)with disrupted areas(indicated by dotted lines and Vo)in the humeral cortex of 13-week-old mouse mutants.Enlarged views of the boxed areas are shown on the right;E,endosteum;P,periosteum;Vo,void without canaliculi.e Impaired canalicular network(area or length per cell or per unit tissue)in mutants(n=4,**P<0.01,***P<0.001,Student’s t-test).Scale bar:a 100μm;b 50μm;c 50μm;d 50μm(left);3μm(right)

    SHP2 deletion in Bglap+chondrocytes in mice leads to the growth of osteochondromas and multiple joint deformations

    Through 10 weeks of age,the SHP2CTRBglapand SHP2KOBglapmice were phenotypically indistinguishable.Shortly thereafter,the mutants progressively lost mobility and became incapacitated(please see the video clip in the SI).To understand the basis of the pathology,we performed histological analysis and in vivo live cell lineage tracing to determine the fate of the Bglap-expressing cells and their progeny.Interestingly,we found that the Bglap-driven R26ZSGreporter lit up a large number of growth plate chondrocytes—in addition to OBs and osteocytes—in both the SHP2CTRBglap;R26ZSGand SHP2KOBglap;R26ZSGmice(Fig.S1f).Importantly,the number of R26ZSGreporter-positive cells increased substantially in SHP2 mutants,forming osteochondromas and enchondromas(Fig.6a–c)that express Sox9,Col2a1,and Acan(Fig.6b and S8),similar to those that develop in mice lacking SHP2 in Col2a1-expressing cells.60–61To investigate the cellular origins of these tumors,we examined the temporal expression of Bglap in cartilage as a readout of Bglap promoter activity.As expected,Bglap mRNA was detected in growth plate chondrocytes in aged wild-type mice(Fig.6d).Taken together,these data suggest that the growth of osteochondroma in SHP2KOBglap;R26ZSGmice results from the developmental activation of the Bglap promoter and the inactivation of SHP2 in chondroid but not osteoblastic cells and that this pathologic process is relatively slow,which is likely due to the low activity of Bglap-Cre in chondroid cells so that it cannot mediate efficient deletion of SHP2-floxed alleles.

    DISCUSSION

    SHP2 is ubiquitously expressed and has been reported to have a cellular context-specific effect.62SHP2 deletion in Prrx1+osteochondroprogenitors favors chondrocytic differentiation,44and SHP2 deletion in Col2α1 chondrocytes promotes cell proliferation and cartilage tumor formation that mimics human MC.60,63While few studies regarding the role of SHP2 in bone cells have been carried out,we found that mice with SHP2 deletion in Bglapexpressing cells displayed a spectrum of skeletal abnormalities,including defective ossification,the appearance of a porous skeleton and excessive adipocytes in the bone marrow cavity,decreased BV,age-related growth plate cartilage expansion,and the growth of cartilaginous lesions that cause joint deformations(Fig.1–3).Although body lengths were comparable between the control and SHP2KOBglapmutants,tubular bone length increased significantly as a consequence of altered growth plate cartilage and the discrete organization and growth control of the axial and appendicular skeletons.These findings strongly suggest that SHP2 is required for normal differentiation and function of OBs and osteocytes and for cartilage and joint homeostasis.Indeed,our mechanistic studies revealed that the number of mature OBs and osteocytes was significantly reduced in mice in which SHP2 was deleted in Bglap-expressing cells,as evidenced by the decrease in the number of Dmp1-and Sost-positive cells,decreases in both the number and length of osteocyte dendrites in developing and adult SHP2KOBglapmice(Fig.3 and S5),and compromised osteogenic gene expression(Fig.5).Importantly,the above changes were also associated with a significant increase in tubular bone length(Fig.S2a)and local osteoclastogenesis(Fig.4),and the restoration of OSTERIX expression in SHP2-deficient OBs and pharmacological inhibition of STAT3 activation restored osteogenic gene expression and normal RANKL production,respectively(Fig.4 and 5).Together,these data indicate that SHP2 is essential to support osteogenesis and bone mineral homeostasis by regulating the differentiation,maturation,and function of OBs and osteocytes and by repressing RANKL production and local osteoclastogenesis.

    Fig.4 Mice lacking SHP2 in Bglap+osteoblastic cells display elevated local osteoclastogenesis and bone resorption.a Femoral frozen sections from the indicated 13-week-old mice show the activity of tartrate-resistant acid phosphatase(TRAP).Note the markedly increased TRAP activity in the cortical bone of SHP2 mutants compared to control mice.The quantitative data are provided in Fig.S2d.Scale bar:100μm.b Femoral frozen sections show the transcript abundance of the indicated osteoclastic genes in the metaphysis and diaphyseal cortical bone using RNAScope? technology(n=3–4).Scale bar:100μm.c Femoral frozen sections show the transcript abundance of RANKL(Tnfsf11)and OPG(Tnfrsf11b)in the diaphyseal cortical bone using RNAScope? assays(n=3).Scale bar:100μm.d Western blots show the expression of RANKL and SHP2 and the phosphorylation of STAT3 Y705 in osteoblast cell lines derived from the indicated mice.e Femoral frozen sections immunostained with antibodies against pSTAT3 Y705 demonstrate STAT3 activation in the OBs(arrows)(n=4).Scale bar:100μm.f Western blots show the abundance and activation of STAT3 in SHP2-sufficient and SHP2-deficient OBs upon IL6 stimulation.g Western blots show the abundance of STAT3,SHP2,and RANKL in SHP2-sufficient and SHP2-deficient OBs in the presence or absence of the STAT3 inhibitor C188.In all western blotting studies,ACTIN served as an internal loading control.The low-power full images of Fig.4a–c shown in Fig.S2c and S4b

    The resemblance of the skeletal phenotypes in SHP2KOBglap,RUNX2,and OSTERIX knockout mice suggests that SHP2 may signal through these molecules and their modulated signaling pathways.2–3,64RUNX2 and OSTERIX are essential for osteoblastogenesis and skeletal development.Although global RUNX2 deletion in mice causes perinatal lethality,65–66inducible RUNX2 deletion in adult mice leads to decreased Osx expression,reduced BV,and excessive BM adipocyte accumulation.67These features are recapitulated in SHP2KOBglapmice.Therefore,we investigated the interaction of SHP2 with RUNX2 and its effect on RUNX2 tyrosyl phosphorylation.Indeed,SHP2 was found to physically interact with RUNX2 in OBs,but its deficiency had no apparent influence on RUNX2 global tyrosyl phosphorylation(data not shown).Our study,however,did not definitively exclude regulation of RUNX2 phosphorylation by SHP2,since 15 putative tyrosyl phosphorylation sites and multiple serine phosphorylation sites have been described in the literature.The lack of site-specific antibodies currently hinders this investigation.OSTERIX,which acts downstream of RUNX2,is a zinc finger-containing transcription factor predominantly expressed in OB lineage cells.2OSTERIX is essential for the activation of a host of genes involved in OB differentiation;its deficiency arrests OB and osteocyte maturation and new bone formation.64Indeed,SHP2 deletion significantly downregulated the level of OSTERIX and its responsive genes Alp and Bglap(Fig.3 and 5).Overexpression of OSTERIX in SHP2 mutant OBs restores osteoblastic gene(e.g.,Alp and Bglap)expression(Fig.5),suggesting that SHP2 regulates osteoblastogenesis and osteocyte maturation likely by influencing the RUNX2-OSTERIX signaling axis.Although the exact molecular mechanism by which SHP2 modulates OSTERIX and Osx expression remains unclear,SHP2 has been reported to modulate the activation of RUNX family transcription factors68and SRC family kinases,69both of which can influence OSTERIX expression and activity.9,70Studies are ongoing to delineate how SHP2 modifies the expression and activity of OSTERIX.

    Fig.5 SHP2 regulates osteogenic differentiation by influencing OSTERIX expression.a Western blots show the expression level of OSTERIX in SHP2-sufficient and SHP2-deficient OBs,with quantitative data shown as bar graphs on the right.ACTIN served as an internal loading control.b Bar graphs show the transcript abundance of the indicated osteogenic and adipogenic genes in control and SHP2-deficient OBs determined by qRT-PCR(n=3,**P<0.01,***P<0.001,Student’s t-test).c Western blots show the expression of the vector and MycDD-OSTERIX in transiently transfected SHP2CTRSp7 and SHP2KOSp7 OBs.The transfection efficiency was evaluated by immunoblotting against the DDK tag.d Bar graphs show the transcript abundance of Alp and Bglap in transiently transfected SHP2CTRSp7 and SHP2KOSp7 OBs determined by qRTPCR(n=3,*P<0.05,**P<0.01,Student’s t-test)

    Studying the skeletal phenotype of SHP2KOBglapmice has led to the discovery of SHP2-mediated OB regulation of local osteoclastogenesis.While reciprocal communication between osteoclasts and OBs via the RANKL/RANK pathway has been previously described,54,71the underlying molecular mechanism has yet to be described.Our findings that the abundance of RANKL and osteoclastogenic genes and the activity of TRAP were significantly increased in SHP2KOBglapmice and SHP2-deficient OBs(Fig.4)indicate that SHP2 in osteoblastic cells regulates local osteoclastogenesis and that this regulation is mediated by elevated STAT3 activation(Fig.4).Our findings are consistent with published work showing that SHP2 downregulates STAT3 phosphorylation72–73and that mice bearing gp130F759/F759 mutations that no longer bind SHP2 have enhanced STAT3 activation and osteoclast formation and consequently BMD reduction.74–75STAT3 is essential for gp130-mediated osteoclast formation by inducing the production of RANKL.50Indeed,IL6-evoked STAT3 activation was enhanced in OBs lacking SHP2(Fig.4).Moreover,STAT3 mutations cause a rare human immunodeficiency disease,Job’s syndrome,featuring reduced BMD,recurrent fractures,and scoliosis.76These published data are consistent with the phenotypes observed in SHP2KOBglapmice,such as a porous skeleton and reduced BMD,and indicate that signaling along the SHP2/STAT3 axis in OBs is critical for osteoclastogenesis and the maintenance of bone mineral homeostasis.

    The finding of osteochondroma and enchondroma growth in SHP2KOBglapmice extends our understanding of the dynamics of Bglap promoter activity in vivo and of the regulatory role of SHP2 in cartilage.It has been reported that the Bglap promoter is active in osteogenic cells and that its activity in these cells declines with aging.77However,the dynamics of Bglap promoter activity in cartilage are less well-studied and remain unclear.Our lineage tracing and in situ hybridization studies demonstrate that the Bglap transcript was undetectable in perinatal growth plate chondrocytes,but its abundance progressively increased with age.The delayed cartilage tumor onset and growth and the expanded growth plate cartilage in old SHP2KOBglapmice could be explained by the relatively weak activity of Bglap-Cre,which would prolong the time needed to excise both SHP2-floxed alleles,in contrast to the robust activity of Col2α1-Cre and Ctsk-Cre in cartilage.60,63The time lag for osteochondroma development could also reflect the time required for mutations in other genes to occur and manifest themselves in benign tumor formation.The enchondromas and osteochondromas found in old SHP2KOBglapmice were primarily comprised of R26ZSG+(Bglap+)cells that also expressed Sox9,Col2α1,and Acan(Fig.6b,c and S8),mimicking the features of human MC in which somatic PTPN11 LOF mutations and enhanced chondrocytic gene expression have been identified.39–40This notion supports the tumor suppressor role of SHP2 in cartilage39–40and suggests that BGLAP may play a role in growth plate cartilage during aging.

    In summary,our study expands on the crucial role of SHP2 in regulating the differentiation,maturation,and function of cells in the OB lineage,likely by modifying the RUNX2/OSTERIX signaling axis in mature OBs and maintaining local osteoclastogenesis and bone mineral homeostasis by modifying STAT3 activation(Fig.7).In contrast to the role of SHP2 in repressing SOX9 expression and the chondrogenic commitment of Prrx1+osteochondroprogenitors,SHP2 is required for the expression of the master osteogenic transcription factor OSTERIX to ensure cellular differentiation along the osteogenic lineage.SHP2 deletion in Bglap+osteoblastic cells diverts their differentiation toward the adipogenic but not the chondrogenic lineage,reinforcing the idea that SHP2 has a developmental stage-specific effect in bone cells and that early Bglap+osteoblastic cells remain bipotent.The ability to manipulate the development and function of Bglap+osteogenic cells and local osteoclastogenesis by modulating SHP2 activity suggests a new strategy to combat OB-related disorders,such as osteoporosis.

    Fig.6 SHP2 deletion in Bglap+chondroid cells leads to the growth of enchondromas and osteochondromas.a H&E-and SO-stained proximal femoral sections show the existence of cartilaginous enchondromas and osteochondromas in 13-week-old SHP2KOBglap mice.H femur head,GT great trochanter,Scale bar:1 mm.b Proximal femoral frozen sections reveal enchondromas comprised of R26ZSG+cells that also express Sox9,Col2α1,and Acan,as determined by RNAScope? assays.Scale bar:100μm.Green:R26ZSG reporter;red:RNAScope pseudocolor for the indicated probes.c Frozen tibial sections exhibit R26ZSG-positive cells in the groove of Ranvier,growth plate,and trabeculae in 13-week-old controls and SHP2 mutants.Scale bar:100μm.d Frozen tibial sections show Bglap transcript abundance in the growth plate chondrocytes of postnatal 0.5-day-old,4-and 10-week-old mice detected using RNAScope?assays.Enlarged view of the boxed areas shown at the bottom left.Bglap+cells marked by arrows.Scale bar:100μm

    MATERIALS AND METHODS

    Transgenic mice

    Ptpn11-floxed(Ptpn11fl) mice,39Tg(Bglap-Cre),45Tg(Bglap-CreER),46Tg(Sp7-Cre),and Tg(Rosa26ZsG)47mice were reported previously.PCR genotyping conditions for the Ptpn11-floxed and Rosa26ZsGalleles and the Cre transgenes are described in the original publications and are available upon request.To induce Tg(Bglap-CreER)activity in vivo and in vitro,tamoxifen was administered to mice or added to the culture medium as described previously.44,60Control and SHP2 mutants were sacrificed at the indicated time points and underwent X-ray,μ-CT,histological,biochemical,and biological analyses.All transgenic mice were maintained on the C57BL/6 background and studied in accordance with the Institutional Animal Care and Use Committee approved protocols.

    OB culture and exogenous gene expression

    Fig.7 Diagrams demonstrate the molecular model by which SHP2 regulates osteoblast and osteocyte maturation and local osteoclastogenesis.SHP2 is physiologically required for osteoblast maturation by modulating the expression of OSTERIX and its responsive osteogenic genes and for local osteoclastogenesis regulation by repressing STAT3 phosphorylation and activation and RANKL expression,respectively

    Primary OBs were isolated from 0.5-day-old pups as described.78Briefly,calvarial bones were collected under sterile conditions and incubated in digestion solution(0.06% trypsin-EDTA and 285 U·mL-1collagenase II)for 2 h at 37°C.The digestion was neutralized by DMEM with 10% FBS and passed through a 40-μm cell strainer to obtain single cells.After washing with PBS twice,OBs were collected by centrifugation and cultured in DMEM(Invitrogen)supplemented with 10% FBS and 1% ampicillin and streptomycin(Invitrogen).After 2–3 passages,GFP+OBs were enriched by FACS for biological and biochemical studies or immortalized with SV40 large T antigen to establish cell lines as previously described.44

    DNA constructs,transfection,and lentiviral infection

    pBABE(Neo)SV40LT and pCMV6-MycDD-OSTERIX plasmids were obtained from Addgene and Origene,respectively.Packaging of retrovirus and infection of osteoblastic cells followed the manufacturer’s instructions(Clontech).Fugene(Promega)was used for transient transfection of 293T cells and OBs.

    Antibodies and reagents

    Polyclonal and monoclonal antibodies(PcAb and McAb)were purchased from commercial sources:McAb against phospho(p)-STAT3(Y705),STAT3 was purchased from Cell Signaling Inc.,and McAb against DDK was purchased from OriGene.PcAbs against SHP2 were purchased from Santa Cruz Inc.,and PcAbs against OSTERIX,RANKL,and ACTIN were purchased from Abcam Inc.EdU labeling and detection kits were obtained from Life Technologies(NJ).Inhibitors of STAT3(c188)were purchased from Selleckchem(TX).The goat anti-rabbit IgG secondary antibody Alexa Fluor 594 was purchased from Invitrogen Inc.ALP,von Kossa,safranin O,H&E,xylene orange,and TRAP kits were from Aldrich-Sigma(MO).IL6 cytokine was purchased from PeproTech Inc.

    Histological analysis

    To examine the effect of SHP2 deletion in Bglap+cells on gross skeletal development,mice were eviscerated after euthanasia and fixed in 4% paraformaldehyde(PFA)overnight or for 2–3 days depending on the body size at 4°C.For H&E staining to examine the gross histology,tibiae or femurs were fixed and decalcified before sectioning.For von Kossa,Safranin O,ALP,TRAP,and antibody staining,7-μm-thick frozen sections of femurs and tibiae without decalcification were used.To analyze the calcified bone tissue per von Kossa staining,a 1 mm by 1.2-mm region beneath the proximal tibia growth plate cartilage was selected and quantified using NIH ImageJ software.To trace the fate of Bglap+OBs in vivo,frozen femur and tibia sections of postnatal(P)0.5-day-old and 4 to 10-week-old mice were examined microscopically.DAPI was used to counterstain the nucleus.All fluorescent and phase-contrast images were obtained using a Nikon digital fluorescence microscope and an Aperio slide scanner(Vista,CA).Immunostaining of tissue sections was carried out using a goat anti-rabbit secondary antibody,Alexa Fluor 594,following the manufacturer’s instructions.

    μ-CT and X-ray radiograph analysis

    Plain radiography of mouse skeletons was carried out immediately after euthanasia using a high-resolution digital cabinet X-ray system(MX-20,Faxitron Bioptics,LLC,Tucson,USA).High-resolution 3-D volume images of fixed skeletal elements were generated using a desktopμ-CT40 system(Scanco Medical AG,CH).

    EM analysis of osteocytes

    For resin-casted SEM,dissected long bones were fixed in 4% PFA for 24 h.The specimens were dehydrated,embedded in methyl methacrylate,and then surface polished as described.64The bone surface was acid-etched with 37% phosphoric acid for 2–10 s,followed by treatment with 5%sodium hypochlorite for 5 min.The samples were then coated with gold and palladium and examined using an FEI/Philips XL30 Field-Emission Environmental SEM.For BSEM,the long bones were fixed overnight in 2% PFA and 2%glutaraldehyde buffered at pH 7.4 with 0.1 mol·L-1sodium cacodylate.Samples were then rinsed three times(20 min each time)in 0.1 mol·L-1cacodylate buffer solution followed by secondary fixation(1 h)in a solution of 1% osmium tetroxide in 0.1 mol·L-1cacodylate buffer.The BSEM samples were then coated with carbon and examined using an FEI/Philips XL30 Field-Emission Environmental SEM.

    In situ hybridization and quantitative RT-PCR analyses

    Femoral and tibial frozen sections(7μm)were collected from mice sacrificed at the indicated time points and used for in situ hybridization with probes against murine Acp5,Sp7,Col1α1,Bglap,Dmp1,Sost1,Runx2,Mmp9,Tnfsf11,Tnfrsf11b,Ibsp,Col2α1,Col10α1,Pthr1,and Mmp13.Hybridization and detection of hybridization signals were achieved using the RNAScope? HDRed and Brown kits per the manufacturer’s instructions(Advanced Cell Diagnostics)and evaluated using NIH ImageJ software.

    To measure the abundance of osteogenic stage-specific marker gene expression,total RNA was extracted from FACS-enriched GFP+OBs using an RNeasy kit(Qiagen).qRT-PCR was performed with an RT2SYBR?Green qRT-PCR kit on a Bio-Rad CFX machine using cDNA that was synthesized using 1μg total RNA with an iScript?cDNA Synthesis Kit(Bio-Rad).All samples were normalized to Actin,and gene expression data are presented as fold increases or fold decreases compared to controls.The primer sequences used for this study are listed in Fig.S9.

    Immunoprecipitation and western blot analysis

    Cells were lysed in modified NP40 lysis buffer[0.5% NP40,150 mmol·L-1NaCl,1 mmol·L-1EDTA,50 mmol·L-1Tris(pH 7.4)]supplemented with a protease inhibitor cocktail(1 mmol·L-1PMSF,10 mg·mL-1aprotinin,0.5 mg·mL-1antipain,and 0.5 mg·mL-1pepstatin).For immunoblotting,cell lysates(30–50μg)were resolved by SDS-PAGE,transferred to PVDF membranes,and incubated with primary antibodies for 2 h or overnight at 4°C(according to the manufacturer’s instructions),followed by incubation with HRP-conjugated secondary antibodies(Bio-Rad).

    PEGASOS tissue clearing and 3-D image acquisition

    PEGASOS tissue clearing treatment was performed as previously described.49In brief,after perfusion,long bones were fixed in 4%PFA.Decalcification was carried out in 10% EDTA.Decolorization treatment was performed by shaking samples in 25% Quadrol(Sigma-Aldrich 122262).Delipidation treatment was performed in gradient,30%,50%,and 70% tert-butanol aqueous solutions(Sigma-Aldrich 360538).Dehydration treatment was performed with tB-PEG solution.For clearing,samples were immersed in the BB-PEG clearing solution until complete transparency was achieved in~24 h.3-D imaging was performed with a 20×0.85 NA objective on a Zeiss LSM780 2-photon microscope.3-D image rendering was performed with Imaris 9.0.

    Statistical analysis

    Statistical differences between groups were evaluated by Student’s t-test analysis.P values of<0.05 were considered significant.Analyses were performed using Prism 6.0(GraphPad,San Diego,CA)and Excel.

    ACKNOWLEDGEMENTS

    We thank Dr.Thomas Clemens(Johns Hopkins University)for the Tg(Bglap-CreER)mice,Dr.Fanxin Long(Washington University)for the mycDD-Osterix expression construct,and Mr.Scott McAllister for his excellent technical support.This publication was made possible by the NIH and the National Institute of Arthritis and Musculoskeletal and Skin Diseases(NIAMS)grants RO1AR066746 and R21AR57156(W.Y.).This work was also supported by the Rhode Island Hospital Orthopedic Foundation.L.W.is a recipient of the pilot project from the National Institute for General Medicine Sciences(NIGMS)1P20 GM119943.All mouse lines,DNA constructs,and cell lines are available upon request.

    AUTHOR CONTRIBUTIONS

    Conceived and designed the experiments:L.W.and W.Y.Critiqued the manuscript:Anthony Reginato.Performed the experiments:L.W.,H.Y.,J.H.,J.Q.F.,D.J.,H.Z.,S.P.,and W.Y.Analyzed the data:L.W.,D.M.,L.W.and W.Y.Wrote the paper:D.C.M and W.Y.

    ADDITIONAL INFORMATION

    The online version of this article(https://doi.org/10.1038/s41413-020-00129-7)contains supplementary material,which is available to authorized users.

    Competing interests:The authors declare no competing interests.

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