SUMMARY
The motor protein Kif3a and primary cilia regulate important developmental processes, but their roles in skeletogenesis remain ill defined. Here we created mice deficient in Kif3a in cartilage and focused on the cranial base and synchondroses. Kif3a deficiency caused cranial base growth retardation and dys-morphogenesis evident in neonatal animals by anatomical and μCT inspection. Kif3a deficiency also changed synchondrosis growth plate organization and function and the severity of these changes increased over time. By P7, mutant growth plates lacked typical zones of chondrocyte proliferation and hypertrophy and were instead composed of chondrocytes with an unusual phenotype characterized by strong collagen II expression, but barely detectable expression of Indian hedgehog (Ihh), collagen X, VEGF, MMP-13 and Osterix. Concurrently, unexpected developmental events occurred in perichondrial tissues that included excessive intramembranous ossification and formation of ectopic cartilage masses. Looking for possible culprits for the latter, we analyzed hedgehog signaling by monitoring expression of hedgehog effectors Patched-1 and Gli-1 and hedgehog binding surface component syndecan-3. Compared to controls, signaling was quite feeble within mutant growth plates already by P0, but was actually higher and widespread all along mutant perichondrial tissues. Lastly, we studied postnatal mice deficient in Ihh in cartilage; their cranial base defects only minimally resembled those in Kif3a-deficient mice. In sum, Kif3a and primary cilia make unique contributions to cranial base and synchondrosis development and their deficiency causes growth plate dysfunction, abnormal topography of hedgehog signaling, and un-physiologic responses and processes in perichondrial tissues including ectopic cartilage formation and excess intramembranous ossification.
Keywords: Kif3a, primary cilia, cranial base synchondroses, growth plate, hedgehog signaling, intramembranous ossification, ectopic cartilage
INTRODUCTION
Kif3a is an essential component of the intraflagellar transport (IFT) motor system of primary cilia (Rosenbaum and Witman, 2002). These organelles are microtubule-containing non-motile structures protruding from the surface of most vertebrate cells that were first described decades ago (Scherft and Daems, 1967; Sorokin, 1968). Recent studies have shown that primary cilia are important regulators of cell and tissue function and developmental processes. Mutations in primary cilia’s structural and functional components can cause serious human conditions, including polycyctic kidney disease and retinal degeneration (Ansley et al., 2003; Lin et al., 2003; Pazour et al., 2000). Similarly, altered primary cilia function can have damaging repercussions on limb patterning, neural tube formation and other major developmental processes (Huangfu et al., 2003; Murcia et al., 2000; Zhang et al., 2003). The importance and centrality of primary cilia in both health and disease reflect the fact that these organelles and their IFT system have turned out to mediate and transduce intercellular chemical, physical and biological signals (Davenport and Yoder, 2005), including those elicited by hedgehog proteins (Corbit et al., 2005; Haycraft et al., 2005; May et al., 2005). These proteins are well known regulators of multiple developmental processes (Bitgood and McMahon, 1995; McMahon et al., 2003). They are lipid-containing factors secreted by donor cells that diffuse through the surroundings and exert action on short- and long-range target cells (Gritli-Linde et al., 2001; Yin et al., 2002). The proteins act by binding to the cell surface receptor Patched and signals are transmitted by the receptor Smoothened via zinc-finger transcription factors Gli1, Gli2 and Gli3. Current thinking reviewed recently (Huangfu and Anderson, 2006; Singla and Reiter, 2006) is that following hedgehog interaction with Patched, Smoothened is activated and translocated to primary cilia via the ITF system, resulting in production of Gli activator forms that would translocate to the nucleus and activate hedgehog gene target expression. In the absence of hedgehog proteins, Smoothened would remain sequestered and inactive, and Gli proteins would be processed into repressor forms and move to the nucleus to inhibit hedgehog target gene expression.
A well documented target of hedgehog signaling is the developing axial and limb skeleton (Bitgood and McMahon, 1995; Koyama et al., 1996; Lanske et al., 1996). As a recent study from our groups shows, hedgehog signaling is also very important for early formation, growth and function of the cranial base and its synchondroses (Young et al., 2006). The synchondroses are cartilaginous palindromic structures each consisting of two mirror-image growth plates and termed ethmoidal, intrasphenoidal, spheno-occipital and intraoccipital according to their anatomical location. They are important for cranial base development and overall growth patterns (Ingervall and Thilander, 1972; Roberts and Blackwood, 1983), and defects in synchondrosis functioning are likely to contribute to craniofacial deformities such as those seen in Crouzon and Apert syndromes (Chen et al., 1999; Kreiborg et al., 1993). We found that synchondrosis development is severely affected in mice lacking Indian hedgehog. The Ihh−/− cartilaginous cranial bases were short and deficient in extracellular proteoglycan matrix. The mutant synchondroses displayed abnormal chondrocyte proliferation, hypertrophy and topographical arrangement with respect to perichondrium; as a consequence, endochondral ossification was deranged. In several but not all respects, these abnormalities are reminiscent of those seen in developing Ihh−/− long bones (St-Jacques et al., 1999), pointing to the pivotal nature and general requirement of hedgehog action in skeletogenesis. Given their roles in hedgehog signaling, primary cilia should be as essential for skeletal development and growth, and previous genetic studies certainly support that premise (Murcia et al., 2000; Zhang et al., 2003). Recent reports have described skeletal abnormalities in limbs, calvaria and cranial base in conditional mouse mutants lacking Kif3a or cilia-associated mechanosensor protein polycyctin-1 genes and mice with a missense mutation in the Pc1 gene (Olsen et al., 2005; Xiao et al., 2006), but the specific roles and functions of primary cilia in skeletogenesis and cartilage and growth plate function are still unclear. To obtain such insights and information, we created mice deficient in Kif3a in cartilage and focused on the cranial base and synchondroses, aiming to establish also whether and to what extent defects due to ciliary malfunction compare with those due to hedgehog malfunction. We find that the Kif3a-deficient cranial bases are abnormal and display both predicted and unexpected defects, the latter including a severe failure of hypertrophic cartilage formation, disregulation of hedgehog signaling topography and emergence of ectopic cartilage masses and excess intramembranous bone.
MATERIALS AND METHODS
Conditional Kif3a and Ihh ablation
Animals used in this study were maintained in accordance with the NIH Guide for the Care and Use of Laboratory Animals, and protocols were reviewed and approved by the IACUC at each of our respective Institutions. Homozygous mice deficient in Kif3a in cartilage were produced by sequential mating of Kif3afl/fl mice (Marszalek et al., 1999) with Col2a1-Cre transgenic mice (Ovdhinnikov et al., 2000). The genotype of transgenic mice was determined by PCR analyses of genomic DNA isolated from tail or liver. The Col2a1-Cre mice were identified by using Primer1: 5′ TGC TCT GTC CGT TTG CCG 3′ and Primer2: 5′ ACT GTG TCC AGA CCA GGC 3′, generating one band of about 720 bp. The loxP alleles or Kif3a were identified using three primers: Primer1: 5′ TCT GTG AGT TTG TGA CCA GCC 3′; Primer2: 5′ AGG GCA GAC GGA AGG GTG G 3′; and Primer 3: 5′ TGG CAG GTC AAT GGA CGC AG 3′. Homozygous Kif3a-deficient mice were born with Mendelian frequency and were studied at postnatal stages P0, P7 and P15.
Homozygous mice deficient in Ihh in postnatal cartilage were produced by sequential mating Ihhfl/fl mice (Maeda et al., 2006) with Col2a1-CreER transgenic mice (Nakamura et al., 2006). Genotyping of mice was performed by PCR using the following specific primers: fl-Ihh forward 5′-AGC ACC TTT TTT CTC GAC TGC CTG- 3′, fl-Ihh reverse 5′-TGT TAG GCC GAG AGG GAT TTC GTG-3′; Cre 275 5′-CGC GGT CTG GCA GTA AAA ACT ATC-3′, Cre 603 5′-CCC ACC GTC AGT ACG TGA GAT ATC- 3′. After an initial denaturation for 8 min at 94°C, amplification cycles consisted of denaturation at 94°C for 30 sec, annealing at 68°C for 30 sec, and 45 sec extension at 72°C for 35 cycles, followed by a final extension for 10 min at 72°C. The expected amplicons for the wild type Ihh allele were 320 bp, for the floxed Ihh allele 400 bp, and for the Cre allele 328 bp. To verify Cre activity and specificity postnatally, Col2a1-CreER mice were mated with Rosa R26R reporter mice, and resulting double transgenic mice were injected with 4-hydroxy-tamoxifen (Sigma) at P0 and evaluated for LacZ activity at P1, P4, P7 and P14 by histochemistry (Nakamura et al., 2006).
Micro computed tomography, histology and immunohistochemistry
Skulls were fixed in buffered 4% paraformaldehyde overnight at 4°C, rinsed and subjected to micro computed tomography (μCT) using a μCT40 SCANCO Medical system. Samples were scanned using a 36 mm holder at 45 kvolts of energy, 12 μm scanning thickness and medium resolution. Two dimensional slice images were selected and used to generate three dimensional reconstructions with the following parameters: filter width sigma = 0.8, support level = 1.0, and threshold =173. The same values were used to analyze wild type and mutant samples at each specified time point. Three-dimensional images were rotated at specific angles to generate lateral and bird-eye views of the cranial base.
For histology and immunohistochemistry, fixed skulls were rinsed in DEPC-treated water and decalcified in 0.1M Tris, pH 7.5 buffer containing 0.1% DEPC, 10% EDTA-4 Na, and 7.5% polyvinyl pyrolidione (PVP). For routine histological analysis, 5 mm sections were stained with hematoxylin and eosin or fast green using standard procedures. For immunofluorescence staining, 10 μm sections were incubated with 1:200 dilution of anti-acetylated α-tubulin monoclonal antibody (Sigma, Clone 6-11B-1) followed by biotinylated secondary antibodies and Cy3 conjugated streptavidin (Vector laboratories) to yield signal. Sections were counterstained with YOPRO••-3 iodide (612/631) or 4′,6-diamidino-2-phenylindole dihydrochloride (DAPI) (Invitrogen) to reveal nuclei.
Gene expression analysis
Serial paraffin tissue sections were pretreated with 10 μg/ml proteinase K (Sigma) for 10 min at room temperature, post-fixed in 4% paraformaldehyde, washed with PBS containing 2 mg/ml glycine, and treated with 0.25% acetic anhydride in triethanolamine buffer (Koyama et al., 1996). Sections were hybridized with antisense or sense 35S-labeled probes (approximately 1×106 DPM/section) at 50°C for 16 hrs. Mouse cDNA clones included: histone H4C (nt. 549–799; AY158963); PTHrP (nt. 66–1386; NM_008970); osteopontin (nt. 1–267; AF515708); Osterix (nt. 40–1727; NM_130458); VEGF (nt. 115–539; gi/249858); Ihh (nt. 897–1954; MN_010544); Patched-1 (nt. 81–841; NM_008957); Smoothened (nt. 450–1000; BC048091); collagen X (nt. 1302–1816; NM009925); and collagen II (nt. 1095–1344; X57982). After hybridization, slides were washed with 2X SSC containing 50% formamide at 50°C, treated with 20 μg/ml RNase A for 30 min at 37°C, and washed three times with 0.1X SSC at 50°C for 10 min/wash. Sections were dehydrated with 70, 90, and 100% ethanol for 5 min/step, coated with Kodak NTB-3 emulsion diluted 1:1 with water, and exposed for 10 to 14 days. Slides were developed with Kodak D-19 at 20°C and stained with hematoxylin. Dark and bright field images were captured using a digital camera, and dark field images were pseudo-colored using Adobe Photoshop software.
RESULTS
Cranial base and synchondroses are abnormal in conditional Kif3a-deficient mice
Gross anatomical inspection showed that the craniofacial skeleton was indeed defective in Kif3afl/fl;Col2a1-Cre mice (heretofore termed Kif3a-deficient mice) compared to Kif3afl/wt;Col2a1-Cre and Kif3afl/fl mice (heretofore termed control mice) particularly at postnatal stages. Thus, we processed the skulls of P0, P7 and P15 mice for μCT and histology, focusing on the cranial base. Control cranial bases displayed a typical elongated morphology along the antero-posterior axis (Fig. 1A) and their intrasphenoidal (is), spheno-occipital (so) and intra-occipital (io) synchondroses were well defined and distinct (Fig. 1B). Histologically, the synchondroses were fully cartilaginous reflecting their active growth status and flanked intervening regions of endochondral bone (Fig. 1C,D,E). In contrast, P7 Kif3a-deficient cranial bases were wider than controls (Fig. 1H), and their synchondroses were deformed (Fig. 1I) and even exhibited segments of mineralized tissue bridging the neighboring bones (Fig. 1I, arrows), a potentially catastrophic defect that would hamper growth. Their overall histological organization and shape were already defective at P0 (Fig. 1J) and much more so at P7 and P15 (Fig. 1K,L), and length of the intervening bone region was markedly decreased (Fig. 1E,L, horizontal bars) reflecting cranial base’s shortening along its antero-posterior axis. Immunostaining with antibodies to acetylated α-tubulin confirmed that primary cilia were obvious in control chondrocytes (Fig. 1F, arrowheads) but rare in Kif3a-deficient chondrocytes (Fig. 1M, arrowhead), attesting to effectiveness of Col2a1-Cre action. In addition, primary cilia were equally evident in perichondrial tissue of both control and Kif3a-deficient cranial bases (Fig. 1G,N, arrowheads), attesting to specificity of Col2a1-Cre action clearly limited to cartilage.
Gene expression analysis reveals dysfunction of mutant growth plates
Upon closer microscopic inspection, control synchondroses such as the spheno-occipital synchondrosis (Fig. 2A) displayed characteristic growth plate zones of small round resting chondrocytes (Fig. 2B, rz), flat shaped proliferating chondrocytes (Fig. 2B, pz), and oval pre-hypertrophic chondrocytes and large mature hypertrophic chondrocytes (Fig. 2C, phz and hz) followed by primary bone spongiosa intermixing with marrow (Fig. 2D, arrowheads). In sharp contrast, Kif3a-deficient growth plates lacked well-defined zones (Fig. 2I). In particular, small-sized resting and flat-shaped chondrocytes were conspicuously absent; instead, a mixed population of slightly enlarged and oval-to-round chondrocytes was present (Fig. 2J,K). In addition, the hypertrophic zone was very small (Fig. 2K), and there was an abrupt transition from cartilage to marrow and a concurrent reduction in primary spongiosa and endochondral bone (Fig. 2L) (Xiao et al., 2006). In line with absence of flat-shaped cells, mutant growth plates contained few proliferating chondrocytes as indicated by gene expression of mitotic marker histone 4C, (Fig. 2M,N,O), while the cells were abundant and organized in two distinct proliferative zones in control growth plates (Fig. 2E,F,G, arrowheads). Indeed, gene expression of PTHrP, a major regulator of growth plate chondrocyte proliferation (Lanske et al., 1996; Vortkamp et al., 1996), was strong in controls (Fig. 2H), but was low in mutant growth plates (Fig. 2P).
Growth plate disorganization and deficiency in primary spongiosa and endochondral bone suggested that the chondrocyte maturation process had been deranged in Kif3a-deficient synchondroses. In situ hybridization showed that compared to controls, the mutant chondrocytes did express low levels of Ihh and collagen X that are characteristic products of pre-hypertrophic and early hypertrophic chondrocytes (Fig. 3B,C,G,H), and equally low levels of MMP-13 and VEGF that are important for cartilage-to-endochondral bone transition (Fig. 3D,E,I,J) (Engsig et al., 2000; Zelzer et al., 2002). Deficiency in primary spongiosa (Fig. 4F) was reflected in the fact that expression of such bone markers and regulators as osteopontin, collagen I, Runx2 and Osterix was quite low in mutant (Fig. 4G,H,I,J) versus control specimens (Fig. 4B,C,D,E). Despite all these serious changes, mutant chondrocytes still exhibited strong collagen II expression as controls did (Fig. 3A,F), signifying that their basic differentiated phenotype was largely preserved.
Excessive intramembranous ossification and ectopic cartilage formation
As they develop and mature in the growth plate, pre-hypertrophic and hypertrophic chondrocytes induce formation of intramembranous bone in adjacent perichondrial tissues, a process due to Ihh (Koyama et al., 1996; Nakamura et al., 1997; St-Jacques et al., 1999). Control synchondroses such as the spheno-occipital synchondrosis, conformed to this general rule. It displayed fast green-positive intramembranous bone flanking the Ihh-rich pre- and hypertrophic zones (Fig. 5A, arrowhead) and expressing collagen I, Runx2 and Osterix (Fig. 5B,C,D, arrowheads); importantly, there was no appreciable bone flanking the proliferative and resting zones as to be expected (Fig. 5A,B,C,D, arrows). In contrast, intramembranous bone had formed all along the growth plate in companion Kif3a-deficient synchondrosis, thus spanning the entire flank of the synchondrosis and bridging the neighboring occipital and sphenoidal bones (Fig. 5E,F,G,H). This excess intramembranous bone undoubtedly corresponds to the regions of mineralized tissue initially detected by μCT (Fig. 1I, arrows) and appreciable also by general histology (Fig. 1K,L, double arrowheads).
Based on these findings, we asked whether there might be additional aberrations occurring in perichondrial tissues flanking Kif3a-deficient synchondroses. Further scrutiny did reveal that, surprisingly, ectopic cartilage masses had formed at several sites (Fig. 6D,E,F, arrows). The tissue was recognizable by its characteristic histology as well as collagen II gene expression and was located almost invariably in close proximity to the mutant synchondrosis growth plates (Fig. 6D,E,F, arrows), thus displaying a topographical arrangement also seen in pathological exostoses that form in close proximity of growth plates (Hecht et al., 1995). Ectopic cartilage masses were never seen in tissues flanking control synchondroses and their chondro-perichondrial boundary was extremely well defined and un-violated (Fig. 6A,B,C).
Aberrant topography of hedgehog signaling
What could have triggered excessive intramembranous ossification and ectopic cartilage formation near mutant growth plates? An obvious possibility was that hedgehog signaling, and in particular the topography of signaling, had changed in mutant specimens, triggering broader responses in neighboring perichondrial tissues. To test this possibility, we determined the expression patterns of Ihh and its target genes Patched-1 and Gli1 in control and Kif3a-deficient synchondroses. We chose to focus on P0 hoping to detect as early changes in signaling patterns as possible. In controls, the three genes displayed predictable and distinct expression patterns, with abundant Ihh transcripts in pre-hypertrophic zones (phz) (Fig. 7A,B,G,H) and Patched-1 and Gli1 transcripts in preceding proliferative zones (pz) (Fig. 7C,D,I,J), reflecting the well established role of Ihh in chondrocyte proliferation (Shimo et al., 2004; St-Jacques et al., 1999). There was also clear Patched-1 and Gli1 expression in perichondrial tissue flanking the pre-hypertrophic and hypertrophic zones where the intramembranous bone collar normally forms (Fig. 7C,D,I,J, single arrowhead), but perichondrium flanking the resting and proliferative zones was negative (Fig. 7C,D,I,J, double arrowhead). Smoothened transcripts were present throughout the growth plates (Fig. 7E,K). In mutant synchondroses, Ihh expression was still strong at this stage (Fig. 7M,N,S,T), but expression of both Patched-1 and Gli1 was grossly abnormal. Patched-1 and Gli-1 transcripts were very low and scattered within the growth plates (Fig. 7O,P,U,V) but were evident along the entire length of perichondrial tissues (Fig. 7O,P,U,V, arrowhead), thus closely mirroring the location of excessive intramembranous bone formation. Smoothened expression appeared largely unaffected (Fig. 7Q,W).
To reinforce the idea that hedgehog signaling topography may be altered in mutant synchondroses, we asked whether expression of molecules needed to direct and restrict hedgehog signaling was altered as well. We focused on heparan sulfate proteoglycans known for their pivotal roles in hedgehog signaling logistics (Bellaiche et al., 1998; The et al., 1999) and on syndecan-3 in particular that we found to participate in such roles in long bone growth plates (Shimazu et al., 1996; Shimo et al., 2004). In controls, Syndecan-3 was expressed in the proliferative zones of synchondrosis growth plates (Fig. 7F,L) along with Patched-1 and Gli-1, in line with the idea that this syndecan may direct and limit Ihh action on proliferation (Pacifici et al., 2005). However, there was barely detectable syndecan-3 expression in Kif3a-deficient synchondroses (Fig. 7R,X).
Skeletal aberrations are caused by postnatal Ihh deficiency
The severe cranial base and synchondrosis abnormalities triggered by Kif3a deficiency in cartilage raised the question of whether they had a unique character or would resemble those elicited by deficiency in related genes, such as Ihh. Accordingly, we created conditional postnatal mice lacking Ihh in cartilage by treating neonatal Ihhfl/fl;Col2a-CreER mice with tamoxifen. Mice were sacrificed at P7 and P15 (heretofore termed Ihh-deficient mice); neonatal Ihhfl/fl littermates were treated with tamoxifen in parallel and served as controls. Ihh-deficient skulls exhibited antero-posterior shortening and abnormal synchondroses (Fig. 8E) relative to controls (Fig. 8E) reminiscent of the defects seen in Kif3a-deficient skulls above. At variance with the latter, however, the Ihh-deficient growth plates were entirely occupied by collagen X-expressing hypertrophic chondrocytes (Fig. 8F) and there was no detectable intramembranous ossification in flanking perichondrial tissues (Fig. 8G, arrowhead) relative to control (Fig. 8B,C). Defects were exacerbated by P15 when much of Ihh-deficient synchondroses had been replaced by endochondral bone and marrow and remnants of growth plate tissue were confined to a lateral and inconspicuous position (Fig. 8H), phenomena not seen in P15 Kif3a-deficient specimens.
DISCUSSION
In this study, we provide evidence that Kif3a and primary cilia are pivotal for cranial base and synchondrosis development and function. Kif3a deficiency alters the antero-posterior and lateral growth patterns of the cranial base, resulting in skull dys-morphogenesis reminiscent of defects seen in some Apert and Crouzon patients (Kreiborg et al., 1993). Kif3a deficiency affects as severely the behavior and functional organization of synchondrosis growth plates, resulting in a quasi-stasis of the chondrocyte maturation process and retardation of endochondral bone formation. Concurrently, there were unexpected and unpredicted alterations in developmental events occurring in synchondrosis perichondrial tissues that include excessive intramembranous ossification, most likely impacting very negatively on cranial base growth. Only some of these defects resemble those caused by conditional deficiency of Ihh, indicating that Kif3a and primary cilia make unique contributions to normal progression of cranial base and synchondrosis development, organization and function.
Growth plates are complex multi-facet structures in which chondrocyte shape, orientation and polarity, chondrocyte proliferation and phenotype, and chondrocyte maturation and hypertrophy must all be regulated in a coordinated manner. A well established mechanism delineated by work on developing long bones is the PTHrP-Ihh axis in which PTHrP produced by periarticular cells under Ihh influences regulates the rates of chondrocyte proliferation (Lanske et al., 1996). In line with this model, Ihh gene ablation in mouse embryos causes down-regulation of PTHrP expression and reduced proliferation (St-Jacques et al., 1999). This mechanism can certainly account for the decrease in chondrocyte proliferation in Kif3a-deficient growth plates that express low if any PTHrP. This would imply that synchondroses conform to, and obey, the PTHrP-Ihh axis (Young et al., 2006) and that a normal complement of Kif3a and primary cilia is needed to maintain it. Reduced proliferation was accompanied by absence of flat-shaped chondrocytes normally constituting the proliferative zone, absence of distinct resting, pre-hypertrophic and hypertrophic zones, and absence of a columnar cell organization. Such nearly chaotic organization of Kif3a-deficient growth plates thus suggests that the mutant chondrocytes may lack key topographical, navigational or mechanical mechanisms and devices that enable them to perceive location or cues within the growth plate and adopt appropriate zone-specific polarity, shape and phenotype. One such mechanism could be the planar cell polarity pathway (PCP), a form of non-canonical Wnt pathway mediated by primary cilia that is essential for cell orientation and mitotic spindle alignment in organs such as inner ear, kidney tubules and cranial cartilage (Dabdoub and Kelley, 2005; Fisher et al., 2006; Park et al., 2006). Importance and centrality of the PCP pathway in several systems make it likely that it operates in growth plates as well (Olsen et al., 2005) where it could orient chondrocyte mitotic spindle and division plane that are usually perpendicular to growth plate’s longitudinal axis (Dodds, 1930) or could promote the related process of columnar organization. Notably, since both PCP pathway and hedgehog proteins act via primary cilia, chondrocytes could control their polarity and orientation in relation to, and correlation with, their responses to Ihh which is distributed in the form of gradients within the growth plate (Gritli-Linde et al., 2001; Yin et al., 2002).
In addition to being disorganized, the Kif3a-deficient growth plates are occupied by enlarged oval-round chondrocytes that express collagen II but little if any maturation genes including collagen X, and are followed by a poor primary bone spongiosa. These phenotypic defects are rather unusual and clearly different from those seen in prenatal Ihh-null synchondroses (Young et al., 2006) or postnatal Ihh-deficient synchondroses described here in which there is exuberant and widespread chondrocyte hypertrophy followed by endochondral bone. One possibility is that the Kif3a-deficient chondrocytes are unable to respond to factors that promote their maturation and hypertrophy, including β-catenin-dependent Wnt proteins (Enomoto-Iwamoto et al., 2002; Tamamura et al., 2005) whose signaling and action may involve primary cilia (Germino, 2005). Alternatively, the topographical disorganization discussed above could have led to general intermingling and intermixing of chondrocytes with different phenotypic properties and maturation status within the mutant growth plates, creating conditions in which the cells interfere with each other’s phenotype. Previously, we showed that when immature chondrocytes are co-cultured with hypertrophic chondrocytes, the hypertrophic phenotype is suppressed (D’ Angelo and Pacifici, 1997).
One of the most intriguing and unexpected defects seen in Kif3a-deficient synchondroses is formation of excessive intramembranous bone and ectopic cartilage masses both readily appreciable by P7. These defects are preceded by alteration in hedgehog signaling topography delineated by Patched-1 and Gli-1 expression along the entire length of perichondrial tissues. Given that hedgehog proteins can stimulate osteogenesis and chondrogenesis (Enomoto-Iwamoto et al., 2000; Nakamura et al., 1997), excess hedgehog signaling in perichondrial tissues could have directly caused excessive intramembranous bone and cartilage formation. What remains unclear, however, is why there is excess signaling all along perichondrium to begin with, particularly starting at P0 when Ihh expression is still confined to fairly-restricted growth plate zones (see Fig. 7). One possibility is that the excess signaling is an autonomous local response of perichondrium to phenotypic defects in the adjacent growth plates. Alternatively, it could be due to the mutant chondrocytes themselves. For example, the Kif3a-deficient chondrocytes may lack means to control location and distribution of Ihh, allowing it to diffuse broadly and reach the entire length of perichondrium. This hypothesis is indirectly sustained by our observation that the Kif3a-deficient growth plates express little if any syndecan-3, likely to be a component of mechanisms limiting and restricting Ihh diffusion and action in the growth plate (Pacifici et al., 2005; Shimo et al., 2004).
At this regard, it is interesting to point out a recent study with mice lacking one allele of Ext2, a Golgi-associated glycosyltransferase needed for heparan sulfate synthesis (Stickens et al., 2005). The Ext2 heterozygous mice were found to be deficient in heparan sulfate and exhibited ectopic cartilaginous masses near their growth plates, thus mimicking exostoses present in Hereditary Multiple Exostosis patients who often have EXT-2 or EXT-1 mutations and reduced heparan sulfate levels (Hecht et al., 1995). The exact link between heparan sulfate deficiency and exostosis formation is still poorly understood. In the Ext2 study above, it was proposed that heparan sulfate deficiency reduces FGF signaling and tilts the balance in favor of BMP signaling, resulting in chondrocyte misbehavior, weakening of the bone collar, and formation of exostosis masses (Stickens et al., 2005). Our data showing reduced syndecan-3 expression in growth plate and excess hedgehog signaling in flanking perichondrial tissues point to hedgehog proteins and defective Kif3a-related mechanisms as culprits in exostosis formation as well. We do not know, however, how Kif3a deficiency and lack of primary cilia lead to a reduction in syndecan-3 expression. In previous studies, we did find that syndecan-3 over-expression in vivo and in vitro causes excess and widespread Ihh expression, suggesting that the two genes are coordinated and that such coordination was disrupted by Kif3a deficiency (Pacifici et al., 2005; Shimo et al., 2004). It will interesting to clarify whether Kif3a deficiency also affects expression of syndecan-4 and syndecan-2 that are normally expressed in proliferative zone and perichondrial tissues, respectively (David et al., 1993; Pacifici et al., 2005) and/or expression of other heparan sulfate proteoglycans including glypicans and perlecan. Given that hedgehogs, BMPs, FGFs and Wnts are all heparan sulfate-binding factors (Bernfield et al., 1999), the data may provide insights into how the various proteoglycans with their distinct structures and expression patterns may help to mediate and coordinate the functions of the many signaling factors and pathways that converge to orchestrate progression of skeletal development and how defects in these circuits could cause pathologies including HME.
Acknowledgments
This work was supported by NIH grants AR047543, AR046000 and AR050560
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