Abstract
Nuclear factor of activated T-cells (Nfat)c1 to c4 are transcription factors that play an undisputable role in osteoclastogenesis. However, Nfat function in osteoblastic cells is controversial. Constitutive activation of Nfatc1 and c2 in osteoblasts suppresses cell function, although the study of Nfat in vivo has yielded conflicting results. To establish the consequences of Nfatc2 activation in osteoblasts, we generated transgenic mice where a 3.6 kilobase fragment of the collagen type I α1 promoter directs expression of a constitutively active Nfatc2 mutant (Col3.6-Nfatc2). The skeletal phenotype of Col3.6-Nfatc2 mice of both sexes and of sex-matched littermate controls was investigated by microcomputed tomography and histomorphometry. Col3.6-Nfatc2 mice were born at the expected Mendelian ratio and appeared normal. Nfatc2 expression was confirmed in parietal bones from 1 and 3 month old transgenic mice. One month old Col3.6-Nfatc2 female mice exhibited cancellous bone compartment osteopenia secondary to a 30% reduction in bone formation. In contrast, cancellous femoral bone volume and bone formation were not altered in male transgenics, whereas osteoblast number was higher, suggesting incomplete osteoblast maturation. Indices of bone resorption were not affected in either sex. At 3 months of age, the skeletal phenotype evolved; and Col3.6-Nfatc2 male mice exhibited vertebral osteopenia, whereas femoral cancellous bone was not affected in either sex. Nfatc2 activation in osteoblasts had no impact on cortical bone structure. Nfatc2 activation inhibited alkaline phosphatase activity and mineralized nodule formation in bone marrow stromal cell cultures. In conclusion, Nfatc2 activation in osteoblasts inhibits bone formation and causes cancellous bone osteopenia.
Keywords: Nfatc2, osteoblasts, bone formation, osteopenia, calcineurin
INTRODUCTION
The fate of mesenchymal cells and their differentiation toward cells of the osteoblastic lineage is defined by the organized regulation of cell-specific gene expression, so that transcription factors play a critical role in the fate and function of osteoblastic cells (Bianco and Gehron, 2000; Canalis, 2005; Canalis et al., 2007). Nuclear factors of activated T-cells (Nfat) are five transcription factors (Nfatc1 to c4 and Nfat5) that are important to the immune response and also regulate the growth and differentiation of multiple cell types (Crabtree and Olson, 2002; Graef et al., 2001). Under basal conditions, Nfatc1 to c4 are highly phosphorylated and reside in the cytoplasm. Activation of the phosphatase calcineurin dephosphorylates specific serine residues in the regulatory domain of Nfat, leading to its nuclear translocation and to the transcription of Nfat target genes (Chow et al., 2008; Hogan et al., 2003; Okamura et al., 2000; Shen et al., 2007).
Nfatc1 through c4 are expressed by skeletal cells, and Nfatc1 is required for osteoclast differentiation (Ikeda et al., 2006; Zanotti et al., 2013). Nfatc2 also plays a role in osteoclastogenesis, although the functions of Nfatc1 and c2 are not necessarily redundant (Aliprantis et al., 2008; Ranger et al., 1998). In contrast to the well-established effects of the calcineurin/Nfat regulatory pathway in osteoclastogenesis, the role of Nfat proteins in osteoblast differentiation and function is less clear. This is in part because of limitations in the genetic manipulations used in former studies to explore the effects of Nfats in osteoblasts (Hodge et al., 1996; Koga et al., 2005; Sun et al., 2005; Winslow et al., 2006; Yeo et al., 2007b). Mouse models harboring either the activation or the downregulation of calcineurin have generated conflicting results (Sun et al., 2005; Yeo et al., 2007b). This is in part because the approach does not discriminate between the independent effects of each Nfat isoform or effects of other calcineurin-dependent signals. Mice expressing a dominant negative Nfatc1 in osteoblasts display increased bone volume due to increased bone formation, suggesting that Nfatc1 inhibits osteoblastic function (Sesler and Zayzafoon, 2013). The global inactivation of Nfatc2 causes osteopenia and decreased bone formation, but this may be secondary to a hyperproliferation of B and T-cells and dysregulated expression of multiple cytokines (Hodge et al., 1996; Koga et al., 2005; Monticelli and Rao, 2002). In previous work, we demonstrated that expression of constitutively active (ca)Nfatc1 and caNfatc2 in osteoblast cultures inhibits cell differentiation and function, indicating that Nfat proteins suppress the differentiation and function of cells of the osteoblastic lineage (Zanotti et al., 2011; Zanotti et al., 2013).
In the present study, we sought to define the consequences of Nfatc2 activation in the postnatal skeleton by investigating the phenotype of transgenic mice where the collagen type I α1 (Col1a1) promoter directs expression of caNfatc2 (Col3.6-Nfatc2). The skeletal effects of Nfatc2 activation in osteoblasts were determined by histomorphometric analysis and by microcomputed tomography (μCT). The mechanisms whereby Nfatc2 exerts its effects in osteoblastic cells were defined in cultures of bone marrow stromal cells from Col3.6-Nfatc2 mice.
MATERIALS AND METHODS
Col3.6-Nfatc2 Transgenic Mice
For in vivo activation of Nfatc2, a 2.8 kilobase (kb) DNA fragment containing the coding sequence of murine Nfatc2 was used. The fragment contained multiple serine to alanine mutations in the SRR and SPXX repeat motifs of the Nfatc2 regulatory domain, rendering the protein constitutively active (caNfatc2). The caNfatc2 coding sequence was preceded by the sequence coding for amino acids 98 to 106 of the human influenza hemagglutinin. A plasmid containing the described DNA sequences was created by A. Rao (Harvard Medical School, Boston, MA) and obtained from Addgene (Cambridge, MA, Addgene plasmid 11792) (Monticelli and Rao, 2002). A Kozak consensus sequence was inserted by polymerase chain reaction (PCR) upstream of the caNfatc2 coding sequence. The resulting amplification product was cloned downstream of a 3.6 kb fragment of the rat Col1a1 promoter and upstream of the bovine growth hormone polyadenylation signal to generate a Col3.6-Nfatc2 transgene (Fig. 1) (Kalajzic et al., 2002). Microinjection of linearized DNA into pronuclei of fertilized oocytes from Friend leukemia virus strain B (FVB) mice (Charles River Laboratories, Wilmington, MA) and subsequent transfer into pseudopregnant mice, were carried out by the Gene Targeting and Transgenic Facility of UConn Health Center. Founder mice were identified by PCR analysis of tail DNA with 5′-GAGCAGGAGGCACACGGA-3′ forward and 5′-TTCGATAGGGTTCAGATAGTC-3′ reverse primers binding to the Col1a1 promoter and caNfatc2 coding sequence, respectively, and amplifying a 460 base pair (bp) fragment of the Col3.6-Nfatc2 transgene. Forward 5′-TGGACAGGACTGGACCTCTGCTTTCC-3′ and reverse 5′-TAGAGCTTTGCCACATCACAGGTCAT-3′ primers (all from Integrated DNA Technologies; IDT, Coralville, IA) amplifying a 200 bp fragment of the autosomal gene fatty acid binding protein 1 were used in the same reaction as positive controls. Founders were bred to wild type FVB mice to create Col3.6-Nfatc2 transgenic lines (Irwin, 1989). To characterize the impact of Nfatc2 activation in osteoblasts, hemizygous Col3.6-Nfatc2 mice were crossed with wild type FVB mice to generate hemizygous Col3.6-Nfatc2 transgenics and wild type littermate controls. The presence of the Col3.6-Nfatc2 transgene in the offspring was documented by PCR in DNA extracted from the tail, as described for the identification of founders. Mice were sacrificed by CO2 inhalation followed by cervical dislocation prior to the collection of tissues for the characterization of the skeletal effects of Nfatc2 activation or to the harvest of primary cells for culture. To assess mRNA expression in skeletal cells, parietal bones were frozen in liquid nitrogen at the time of harvest and transferred to −80°C for storage before RNA extraction. Experimental protocols were approved by the Institutional Animal Care and Use Committees (IACUC) of Saint Francis Hospital and Medical Center (Hartford, CT).
Fig. 1. Design of the Col3.6-Nfatc2 transgene.

A 3.6-kb fragment of the rat Col1a1 promoter cloned upstream a Kozak sequence (Kozak), and DNA coding for the human influenza hemagglutinin (HA), murine Nfatc2 harboring mutations that lead to the expression of a constitutively active protein (caNfatc2), and the bovine growth hormone polyadenylation signal (BGH pA).
Microcomputed Tomography
Dissected femurs and the L3 vertebrae were scanned in 70% ethanol at an energy level of 55 kVp, an intensity of 145 μA, and an integration time of 200 ms on a μCT 40 scanner (Scanco Medical AG, Bassersdorf, Switzerland). Femoral length was measured in mm. Trabecular bone volume fraction and microarchitecture were evaluated starting approximately 1.0 mm proximal from the femoral condyles, or 1.0 mm from the cranial side of the vertebral body. For femurs from 1 and 3 month old mice, a total of 140 and 160 consecutive slices, respectively, were acquired at an isotropic voxel size of 216 μm3, a slice thickness of 6 μm and chosen for analysis. A total of 100 consecutive slices of identical isotropic voxel size and thickness were chosen for analysis of L3 vertebrae from 3 month old mice. Contours were drawn manually every 10 slices a few voxels away from the endocortical boundary to define the region of interest for analysis. The contours of the intervening slices were iterated automatically. Trabecular regions were assessed for bone volume fraction, trabecular thickness, number and separation, connectivity density and structure model index (SMI), using a Gaussian filter (σ = 0.8, support = 1) and a user-defined threshold (Bouxsein et al., 2010). A total of 100 slices for the cortical region were measured at the mid-diaphysis of each femur with an isotropic voxel size of 216 μm3 and a slice thickness of 6 μm. Contours were iterated across the 100 slices along the cortical shell, excluding the bone marrow cavity, and analysis of cortical bone structure was performed using a Gaussian filter (σ = 0.8, support = 1) and a user defined threshold (Bouxsein et al., 2010).
Bone Histomorphometric Analysis
Static and dynamic histomorphometry of femurs was carried out after injection of 1 month old mice with calcein 20 mg/kg and demeclocycline 50 mg/kg at an interval of 2 days. Mice were sacrificed 2 days after the demeclocycline injection. Femurs were dissected and fixed in 70% ethanol, dehydrated and embedded undecalcified in methyl methacrylate. Longitudinal femoral sections at a thickness of 5 μm were obtained on a microtome (Microm, Richards-Allan Scientific, Kalamazoo, MI) and stained with 0.1 % toluidine blue. Indices of static histomorphometry were measured in a defined area between 360 μm and 2160 μm from the growth plate of the distal femur using an OsteoMeasure morphometry system (Osteometrics, Atlanta, GA) (Gazzerro et al., 2005). For dynamic histomorphometry, mineralizing surface per bone surface and mineral apposition rate were measured on unstained femoral sections under ultraviolet light, using a triple diamino-2-phenylindole fluorescein set long pass filter, and bone formation rate was calculated. Terminology and units used are those recommended in the 2012 update of the American Society for Bone and Mineral Research Histomorphometry Nomenclature Committee (Dempster et al., 2013).
Bone Marrow Stromal Cell Cultures
Femurs from 6 week old male and female Col3.6-Nfatc2 transgenic mice and littermate controls were dissected aseptically, epiphysis removed and primary bone marrow stromal cells recovered by centrifugation, as described (Zanotti et al., 2014). Cells from mice of both sexes were pooled and seeded at a density of 1.25 × 106 cells/cm2 in α-minimum essential medium (α-MEM; Life Technologies, Grand Island, NY) containing heat-inactivated 15% fetal bovine serum (FBS; Atlanta Biologicals, Norcross, GA) and cultured at 37°C in a humidified 5% CO2 incubator. At confluence, cells were exposed to α-MEM supplemented with heat-inactivated 10% FBS, 100 μg/ml ascorbic acid and 5 mM β-glycerophosphate (all from Sigma-Aldrich, St. Louis, MO) to induce osteoblastogenesis.
Quantitative Reverse Transcription-PCR (qRT-PCR)
Total RNA was extracted from frozen parietal bones by Trizol (Life Technologies) and phenol/chloroform extraction (Sigma-Aldrich) and from bone marrow stromal cell cultures with the RNeasy mini kit, according to manufacturer’s instructions (Qiagen, Valencia, CA). Integrity of the total RNA preparation was ensured by microfluidic electrophoresis conducted with an Experion automated electrophoresis system (BioRad Laboratories, Hercules, CA). 0.5–1 μg of total RNA was reverse-transcribed using the iScript cDNA synthesis kit (BioRad Laboratories) and amplified in the presence of 5′-AGAACAACATGAGAGCCACCATC-3′ forward and 5′-AGCTCGATGTCAGCGTTTCG-3′ reverse primers for Nfatc2 (for RefSeq transcripts NM_ 010899, NM_001037177, and NM_001037178), 5′-CCCCTCTGGAAAGCTGTGGCGT-3′ forward and 5′-AGCTTCCCGTTCAGCTCTGG-3′ reverse primers for glyceraldehyde 3-phosphate dehydrogenase (Gapdh; for RefSeq transcript NM_008084) or 5′-AGAACAAGGATAATGTGAAGTTCAAGGTTC-3′ forward and 5′-CTGCTTCAGCTTCTCTGCCTTT-3′ reverse primers (all from IDT) for ribosomal protein L38 (Rpl38; for RefSeq transcripts NM_001048057, NM_001048058 and NM_023372) and iQ SYBR Green Supermix (BioRad Laboratories) at 60°C for 35 cycles, according to manufacturer’s instructions. Transcript copy number was estimated by comparison to a dilution series of Nfatc2 (A. Rao), Gapdh (R. Wu, Ithaca, NY), or Rpl38 (American Type Culture Collection, Manassas, VA) cDNA (Kouadjo et al., 2007 ; Monticelli and Rao, 2002; Tso et al., 1985). Reactions were conducted in a CFX96 qRT-PCR detection system (BioRad Laboratories), and fluorescence was monitored at the annealing step of every PCR cycle. Specificity of the reaction was confirmed by the presence of a single peak in the melt curve of PCR products.
Cytochemical Assays
Alkaline phosphatase activity was measured in 0.5% Triton X-100 cell extracts (Sigma-Aldrich) by the hydrolysis of p-nitrophenyl phosphate to p-nitrophenol measured by spectroscopy at 405 nm, according to manufacturer’s instructions (Sigma-Aldrich). Total protein content was determined by DC protein assay, according to manufacturer’s instructions (Bio-Rad Laboratories). To detect mineralized nodules, bone marrow stromal cells fixed with 3.7% formaldehyde in phosphate buffered saline were stained with 2% alizarin red (all from Sigma-Aldrich) (DAHL, 1952). Images of the stained surfaces were acquired with a Coolpix 995 digital camera (Nikon Inc., Melville, NY). Digital images were imported in ImageJ software v 1.48d (National Institutes of Health, Bethesda, MD), converted to 8-bit grayscale and a threshold applied to define the boundaries of mineralized nodules, which were counted with the analyze particle function of ImageJ (Abramoff et al., 2004).
Statistical Analysis
Data are expressed as means ± SEM. Significance of differences between means were determined by Student’s t-test or two-way analysis of variance with Student-Newman-Keuls’s test analysis for pairwise or multiple comparisons, respectively (Sokal and Rohlf, 1981).
RESULTS
General Appearance of Col3.6-Nfatc2 Transgenic Mice is not Different from Controls
To test the function of Nfatc2 in the skeleton, the effects of the preferential Nfatc2 activation in osteoblasts were investigated in Col3.6-Nfatc2 transgenic mice at 1 and 3 months of age. Two male Col3.6-Nfatc2 transgenic founders were obtained, and only one male founder mouse transmitted the transgene to the offspring allowing the establishment of an Nfatc2 transgenic line. Col3.6-Nfatc2 transgenics were born at the expected Mendelian ratio, and their general appearance was normal. Analysis of total RNA from parietal bone by qRT-PCR demonstrated that Nfatc2 mRNA levels were 4 to 11 fold higher in 1 and 3 month old Col3.6-Nfatc2 transgenic male and female mice than in littermates of the same sex, confirming expression of the transgene (Fig. 2A). No difference in the weight of 1 or 3 month old Col3.6-Nfatc2 transgenic mice and littermate wild type controls was observed. Femurs of Col3.6-Nfatc2 female transgenic mice were not significantly different than those of control littermates of the same sex at 1 or 3 months of age (Fig. 2B).
Fig. 2. Col3.6-Nfatc2 transgenic mice overexpress Nfatc2 and have a normal general appearance.

Male or female Col3.6-Nfatc2 transgenic mice (Nfatc2, black bars and filled circles) were compared to littermate wild type controls of the same sex (Control, white bars and open circles). In panel A, total RNA was extracted from parietal bones of 1 and 3 month old mice, and mRNA reverse-transcribed and amplified by qRT-PCR in the presence of specific primers. Data are expressed as Nfatc2 copy number, corrected for Gapdh copy number. Values are means ± SEM, n = 4. * Significantly different between Nfatc2 and Control, p < 0.05. Panel B, weight and femoral length of 1 and 3 month old mice. Values are means ± SEM, n = 4 – 9.
Nfatc2 Activation in Osteoblasts Causes Osteopenia
Histomorphometric analysis of the distal femur revealed that 1 month old Col3.6-Nfatc2 transgenic female mice had a 45% decrease in cancellous bone volume when compared to littermate controls of the same sex. This effect was secondary to decreased trabecular thickness and possibly to a reduced number of trabeculae (Table 1). Although osteoblast number was not different between Col3.6-Nfatc2 transgenic female mice and controls, bone formation was suppressed by ~30% in transgenics, indicating that Nfatc2 inhibits the ability of osteoblasts to form bone (Table 1, Fig. 3). In contrast to the phenotype observed in female Nfatc2 transgenics, 1 month old Col3.6-Nfatc2 male transgenic mice did not exhibit osteopenia. Osteoblast number was higher than in littermate controls but bone formation was not increased, suggesting that Nfatc2 activation leads to the accumulation of dysfunctional osteoblasts in male mice (Table 1, Fig. 3). Osteoclast number and bone resorption were not affected by Nfatc2 activation in mice of either sex.
Table 1.
Histomorphometry of the distal femur of 1 month old male or female Col3.6-Nfatc2 transgenic mice (Nfatc2), or littermate wild type controls of the same sex (Control).
| Males | Females | |||
|---|---|---|---|---|
| Histomorphometry | Control | Nfatc2 | Control | Nfatc2 |
| Bone Volume/Tissue Volume (%) | 6.3 ± 0.9 | 6.6 ± 0.6 | 8.5 ± 1.3 | 4.7 ± 0.7* |
| Trabecular Thickness (μm) | 27.0 ± 1.2 | 26.8 ± 1.3 | 30.0 ± 1.3 | 24.5 ± 1.1* |
| Trabecular Number | 2.3 ± 0.3 | 2.5 ± 0.5 | 2.8 ± 0.3 | 1.9 ± 0.2+ |
| Osteoblast Surface/Bone Surface (%) | 15.2 ± 2.5 | 28.1 ± 1.6* | 27.1 ± 1.7 | 24.1 ± 1.7 |
| Osteoblasts/Bone Perimeter (mm−1) | 17.8 ± 2.8 | 32.1 ± 1.8* | 30.3 ± 2.0 | 27.2 ± 2.2 |
| Osteoid Surface/Bone Surface (%) | 1.5 ± 0.5 | 2.4 ± 1.1 | 2.4 ± 0.6 | 1.6 ± 0.6 |
| Osteoclast Surface/Bone Surface (%) | 11.6 ± 1.0 | 11.0 ± 0.8 | 10.2 ± 0.7 | 11.2 ± 1.2 |
| Osteoclasts/Bone Perimeter (mm−1) | 8.4 ± 0.7 | 7.9 ± 0.6 | 7.4 ± 0.5 | 8.7 ± 0.8 |
| Eroded Surface/Bone Surface (%) | 22.2 ± 2.0 | 21.5 ± 1.5 | 19.3 ± 1.3 | 22.2 ± 2.0 |
| Mineral Apposition Rate (μm day−1) | 1.90 ± 0.06 | 2.16 ± 0.17 | 2.17 ± 0.16 | 1.80 ± 0.08+ |
| Mineralizing Surface/Bone Surface (%) | 6.6 ± 0.8 | 5.5 ± 0.5 | 6.1 ± 0.4 | 4.7 ± 0.6+ |
| Bone Formation Rate (μm2 μm−3 day−1) | 0.125 ± 0.017 | 0.115 ± 0.004 | 0.129 ± 0.009 | 0.089 ± 0.013* |
Values are means ± SEM; n = 6 – 9.
Significantly between Nfatc2 and Control, p < 0.05;
p < 0.08.
Fig. 3. One month old Col3.6-Nfatc2 transgenic female mice are osteopenic.

Microcomputed tomography of proximal trabecular bone (top) and cortical bone at the mid-shaft (middle) of femurs, and toluidine blue staining of proximal femurs sections (bottom), from representative 1 month old male or female Col3.6-Nfatc2 transgenic mice (Nfatc2), and littermate wild type controls of the same sex (Control). Histological images were acquired at a 400× magnification, and image size was doubled digitally with Photoshop CS6 (Adobe Systems Incorporated, San Jose, CA) after acquisition to achieve an 800× magnification. Red arrows indicate osteoblasts.
In agreement with the histomorphometric analysis, μCT of 1 month old mice revealed that Nfatc2 activation in osteoblasts causes osteopenia in female but not in male mice (Table 2, Fig. 3). The reduced bone volume in female Col3.6-Nfatc2 transgenics was associated with a tendency toward decreased connectivity density and an increased ratio of rod-like vs. plate-like trabeculae, indicating that Nfatc2 activation is detrimental to cancellous bone architecture in female mice (Table 2, Fig. 3). Microcomputed tomography of the femoral mid-shaft indicated that Nfatc2 activation in osteoblasts had no impact on cortical bone structure in either sex (Fig. 3, data not shown).
Table 2.
Microcomputed tomography (μCT) of the distal femur of 1 month old male or female Col3.6-Nfatc2 transgenic mice (Nfatc2), or littermate wild type controls of the same sex (Control).
| Males | Females | |||
|---|---|---|---|---|
| μCT | Control | Nfatc2 | Control | Nfatc2 |
| Bone Volume Fraction (%) | 4.8 ± 0.4 | 4.4 ± 0.8 | 4.7 ± 0.5 | 3.7 ± 0.1* |
| Trabecular Separation (μm) | 177 ± 6 | 202 ± 24 | 185 ± 7 | 196 ± 6 |
| Trabecular Number (mm−1) | 5.7 ± 0.2 | 5.2 ± 0.6 | 5.5 ± 0.2 | 5.2 ± 0.1 |
| Trabecular Thickness (μm) | 19.1 ± 0.3 | 19.6 ± 0.4 | 19.0 ± 0.6 | 18.4 ± 0.2 |
| Connectivity Density (mm−3) | 263 ± 63 | 219 ± 69 | 245 ± 54 | 124 ± 24+ |
| Structure Model Index | 3.1 ± 0.1 | 3.1 ± 0.1 | 3.1 ± 0.1 | 3.3 ± 0.1+ |
Values are means ± SEM; n = 4 – 5.
Significantly between Nfatc2 and Control, p < 0.05;
p < 0.08.
Microcomputed tomography of distal femurs of 3 month old mice revealed that cancellous bone microarchitecture and cortical bone structure were not different between 3 month old Col3.6-Nfatc2 transgenic male or female mice and controls (data not shown). However, Nfatc2 activation caused a decrease in cancellous bone volume of L3 vertebrae in 3 month old male but not female mice (Table 3). The effect on vertebral cancellous bone was associated with decreased connectivity density and with a higher proportion of rod-like over plate-like trabeculae. A tendency toward reduced trabecular number and increased trabecular separation were also noted in L3 vertebrae from Col3.6-Nfatc2 transgenic male mice, but the effects failed to achieve statistical significance (Table 3).
Table 3.
Microcomputed tomography (μCT) of L3 vertebrae of 3 month old male or female Col3.6-Nfatc2 transgenic mice (Nfatc2), or littermate wild type controls of the same sex (Control).
| Males | Females | |||
|---|---|---|---|---|
| μCT | Control | Nfatc2 | Control | Nfatc2 |
| Bone Volume Fraction (%) | 5.7 ± 0.7 | 3.0 ± 0.3* | 5.1 ± 0.1 | 5.3 ± 0.2 |
| Trabecular Separation (μm) | 248 ± 7 | 283 ± 16+ | 265 ± 9 | 242±18 |
| Trabecular Number (mm−1) | 4.1 ± 0.1 | 3.4 ± 0.2+ | 3.9 ± 0.1 | 4.3 ± 0.3 |
| Trabecular Thickness (μm) | 26 ± 1 | 23 ± 1 | 25 ± 2 | 25 ± 1 |
| Connectivity Density (mm−3) | 197 ± 27 | 54 ± 25* | 181 ± 68 | 215 ± 12 |
| Structure Model Index | 2.5 ± 0.1 | 3.0 ± 0.2* | 2.8 ± 0.2 | 2.7 ± 0.1 |
Values are means ± SEM; n = 4 – 5.
Significantly between Nfatc2 and Control, p < 0.05;
p < 0.08.
Nfatc2 Activation Impairs Osteoblastogenesis In Vitro
To understand the mechanisms mediating the effects of Nfatc2 activation in osteoblasts, osteoblastogenesis was investigated in bone marrow stromal cells harvested from femurs of 6 week old Col3.6-Nfatc2 transgenic mice and littermate controls. Gene expression analysis by qRT-PCR revealed that Nfatc2 transcript levels were 3 fold higher in confluent cells from Col3.6-Nfatc2 transgenic mice than in those from control mice (Fig. 4A). As the culture progressed, alkaline phosphatase activity and mineralized nodule formation increased in cells from Col3.6-Nfatc2 transgenic mice to a lesser extent than in those from controls, indicating that Nfatc2 activation suppresses osteoblastogenesis (Fig. 4B and 4C). These findings are in agreement with the inhibitory effects of Nfatc2 on osteoblast function, an effect that could explain the osteoblastic phenotype observed in vivo (Zanotti et al., 2013).
Fig. 4. Nfatc2 activation suppresses osteoblastogenesis in vitro.

Bone marrow stromal cells were harvested from femurs of 1 month old Col3.6-Nfatc2 transgenic mice (Nfatc2, black bars), or littermate wild type controls (Control, white bars). Cells were pooled from mice of both sexes and cultured under conditions favoring osteoblastogenesis. In panel A, total RNA was extracted, and mRNA reverse-transcribed and amplified by qRT-PCR in the presence of specific primers. Data are expressed as Nfatc2 copy number corrected for Rpl38 copy number. Values are means ± SEM, n = 4. In panel B, alkaline phosphatase activity was determined and data are expressed as nanomoles of p-nitrophenol/min/μg of total protein. Values are means ± SEM, n = 6. In panel C, cultures were fixed with 4% formaldehyde in PBS and stained with alizarin red. Digital images of the cultures were acquired, and nodules counted with the analyze particles command of ImageJ software. Data are expressed as number of nodules/cm2. Values are means ± SEM, n = 6. * Significantly different between Nfatc2 and Control, p < 0.05; + significantly different from Day 0 within Nfatc2 or Control cells, p < 0.05.
DISCUSSION
In this study, we report that activation of Nfatc2 in osteoblasts causes a decrease in cancellous bone volume and is detrimental to trabecular bone microarchitecture, but Nfatc2 does not affect the cortical bone compartment. We created two Nfatc2 transgenic founders, although only 1 transgenic line was established since one of the founders failed to generate an offspring. This could suggest that excessive levels of Nfatc2 in cells expressing the 3.6 kb fragment of the Col1a1 promoter are deleterious to embryonic development. The Col1a1 promoter fragment is not exclusively active in osteoblastic cells, and expression of the constitutively active Nfatc2 mutant in tissues other than bone may have prevented transmission of the transgene (Boban et al., 2006; Scheller et al., 2011). However, hemizygous Col3.6-Nfatc2 transgenics appeared normal and had normal weight suggesting activation of Nfatc2 within the skeletal compartment.
The skeletal effects of Nfatc2 activation in osteoblasts in vivo are consistent with the effects of Nfatc2 in cells of the osteoblastic lineage in vitro and confirm an inhibitory role of Nfatc2 on osteoblast differentiation or function (Zanotti et al., 2013). Although the global Nfatc2 inactivation causes osteopenia secondary to suppressed bone formation, it is important to note that global Nfatc2 null mice exhibit a systemic inflammatory process that is probably responsible for the osteopenic phenotype (Koga et al., 2005). This would suggest that the downregulation of Nfatc2 in cells of the immune system, and not in skeletal cells, is responsible for the osteopenia observed (Hodge et al., 1996; Monticelli and Rao, 2002; Wang et al., 2009). It is of interest that stromal cells obtained from Nfatc2 null mice exhibit enhanced osteoblastic cell differentiation in vitro, results that are consistent with an inhibitory effect on Nfatc2 on osteoblastogenesis as reported in this and prior work from our laboratory (Bauer et al., 2011; Zanotti et al., 2013).
Age and sex influenced the skeletal phenotype of Col3.6-Nfatc2 transgenics. Female mice exhibited osteopenia in the cancellous bone compartment of the femur at 1 month of age because of decreased bone formation, whereas male mice of the same age did not. This was possibly related to an increase in osteoblast number resulting in the normalization of bone formation in male Col3.6-Nfatc2 transgenics. However, these cells did not appear fully functional since bone formation was not increased, and the reason for their increased number remains without an obvious explanation. The phenotype in Col3.6-Nftatc2 transgenics evolved, and at 3 months of age, the femoral trabecular bone architecture was restored in female transgenics but vertebral osteopenia was observed in male mice. These findings reiterate the influence of sex and age on trabecular bone architecture and on the function of skeletal cells (Glatt et al., 2007; Zanotti et al., 2014). They also underscore the importance of studying skeletal phenotypes in mice of both sexes independently and the characterization of mice at various ages. The resolution of the phenotype in female Col3.6-Nfatc2 mice and the appearance of a vertebral phenotype in male transgenics at 3 months of age do not have an immediate explanation. However, these events do not appear to be related to a decline in the activity of the Col1a1 promoter since Nfatc2 mRNA levels in bone extracts remained elevated as the mice matured.
Nfatc2 activation suppressed bone formation in female mice and caused an increase in osteoblast number not accompanied by increased bone formation in male mice, confirming that activation of Nfatc2 decreases osteoblast function (Zanotti et al., 2013). The reduced capacity of primary bone marrow stromal cells from Col3.6-Nfatc2 transgenic mice to differentiate into osteoblasts is in agreement with the changes on osteoblast function observed in vivo. These findings are consistent with previous work from our laboratory demonstrating that overexpression of a constitutively active form of Nfatc2 suppresses osteoblastic gene expression in vitro (Zanotti et al., 2013).
The DNA binding and regulatory domain of Nfatc1 and Nfatc2 have a high degree of sequence homology, and both Nfat proteins bind to similar DNA elements (Rao et al., 1997). Therefore, it is not surprising that activation of Nfatc1 and Nfatc2 in osteoblasts result in similar effects and that overexpression of a constitutively active form of Nfatc1suppresses osteoblastic function in vitro (Choo et al., 2009; Yeo et al., 2007a; Zanotti et al., 2011). The increased number of osteoblasts in the context of Nfatc2 activation in male mice is consistent with the increased osteoblast number and disorganized bone formation reported in mice overexpressing a constitutively active form of Nfatc1 in osteoblasts, although in this model an increase in bone volume was reported (Winslow et al., 2006). More importantly, expression of a dominant negative form of Nfatc1 in cells of the osteoblastic lineage increased bone volume, findings that are consistent with a suppressive effect of Nfat in osteoblastic function (Sesler and Zayzafoon, 2013). Collectively, these observations suggest that Nfatc1 and Nfatc2 act through similar mechanisms to suppress osteoblast function and bone formation.
Nfatc2 activation in osteoblastic cells had no effect on osteoclast number or on bone resorption, suggesting that the effects of Nfatc2 on the differentiation of cells of the osteoclastic lineage occur by direct targeting of osteoclast precursors (Ikeda et al., 2006). Conversely, mice expressing a constitutively active form of Nfatc1 in osteoblasts exhibited an increase in the number of osteoclasts and bone resorption, in addition to the direct effects of Nfatc1 on osteoclast precursors (Winslow et al., 2006). Our findings indicate that the effects of Nfatc2 activation in cells of the osteoblastic lineage in vivo do not recapitulate those of Nfatc1 induction in osteoblasts on bone resorption, and that the effects of Nfatc1 and Nfatc2 in skeletal cells are not redundant. This contention is also supported by studies on models of global inactivation of Nfatc1, resulting in embryonic lethality, and of Nfatc2 resulting in a distinct generalized inflammatory phenotype (Hodge et al., 1996; Monticelli and Rao, 2002; Ranger et al., 1998).
In conclusion, activation of Nfatc2 in osteoblasts decreases cancellous bone volume by inhibiting osteoblastic function.
Acknowledgments
The authors thank Drs. A. Rao for wild type and mutant Nfatc2, and R. Wu for Gapdh cDNA, L. Schilling and A. Kent for technical assistance, and M. Yurczak for secretarial assistance.
Footnotes
This work was supported by Grant AR063049 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases (E.C.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
The abbreviations used are: α-MEM, α-minimum essential medium; BGH, bovine growth hormone; bp, base pair; ca, constitutively active; Col1a1, collagen type I α1; FBS, fetal bovine serum; FVB, tropism to Friend leukemia virus strain-B; Gapdh, glyceraldehyde 3-phosphate dehydrogenase; HA, hemagglutinin; IDT, Integrated DNA Technologies; kb, kilobase; μCT, microcomputed tomography; Nfat, nuclear factor of activated T-cells; pA, polyadenylation; PCR, polymerase chain reaction; qRT-PCR, quantitative reverse transcription-PCR; Rpl38, ribosomal protein L38; SMI, structure model index.
Contributor Information
Stefano Zanotti, Email: zanotti@uchc.edu.
Ernesto Canalis, Email: canalis@uchc.edu.
References
- Abramoff MD, Magalhaes PJ, Ram SJ. Image Processing with ImageJ. Biophotonics International. 2004;11(7):36–42. [Google Scholar]
- Aliprantis AO, Ueki Y, Sulyanto R, Park A, Sigrist KS, Sharma SM, Ostrowski MC, Olsen BR, Glimcher LH. NFATc1 in mice represses osteoprotegerin during osteoclastogenesis and dissociates systemic osteopenia from inflammation in cherubism. J Clin Invest. 2008;118(11):3775–3789. doi: 10.1172/JCI35711. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bauer W, Rauner M, Haase M, Kujawski S, Arabanian LS, Habermann I, Hofbauer L, Ehninger G, Kiani A. Osteomyelosclerosis, anemia and extramedullary hematopoiesis in mice lacking the transcription factor NFATc2. Haematologica. 2011 doi: 10.3324/haematol.2011.042515. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bianco P, Gehron RP. Marrow stromal stem cells. J Clin Invest. 2000;105(12):1663–1668. doi: 10.1172/JCI10413. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boban I, Jacquin C, Prior K, Barisic-Dujmovic T, Maye P, Clark SH, Aguila HL. The 3.6 kb DNA fragment from the rat Col1a1 gene promoter drives the expression of genes in both osteoblast and osteoclast lineage cells. Bone. 2006;39(6):1302–1312. doi: 10.1016/j.bone.2006.06.025. [DOI] [PubMed] [Google Scholar]
- Bouxsein ML, Boyd SK, Christiansen BA, Guldberg RE, Jepsen KJ, Muller R. Guidelines for assessment of bone microstructure in rodents using micro-computed tomography. J Bone Miner Res. 2010;25(7):1468–1486. doi: 10.1002/jbmr.141. [DOI] [PubMed] [Google Scholar]
- Canalis E. The fate of circulating osteoblasts. N Engl J Med. 2005;352(19):2014–2016. doi: 10.1056/NEJMe058080. [DOI] [PubMed] [Google Scholar]
- Canalis E, Giustina A, Bilezikian JP. Mechanisms of Anabolic Therapies for Osteoporosis. N Engl J Med. 2007;357(9):905–916. doi: 10.1056/NEJMra067395. [DOI] [PubMed] [Google Scholar]
- Choo MK, Yeo H, Zayzafoon M. NFATc1 mediates HDAC-dependent transcriptional repression of osteocalcin expression during osteoblast differentiation. Bone. 2009;45(3):579–589. doi: 10.1016/j.bone.2009.05.009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chow W, Hou G, Bendeck MP. Glycogen synthase kinase 3beta regulation of nuclear factor of activated T-cells isoform c1 in the vascular smooth muscle cell response to injury. Exp Cell Res. 2008;314(16):2919–2929. doi: 10.1016/j.yexcr.2008.07.010. [DOI] [PubMed] [Google Scholar]
- Crabtree GR, Olson EN. NFAT signaling: choreographing the social lives of cells. Cell. 2002;109(Suppl):S67–S79. doi: 10.1016/s0092-8674(02)00699-2. [DOI] [PubMed] [Google Scholar]
- DAHL LK. A simple and sensitive histochemical method for calcium. Proc Soc Exp Biol Med. 1952;80(3):474–479. doi: 10.3181/00379727-80-19661. [DOI] [PubMed] [Google Scholar]
- Dempster DW, Compston JE, Drezner MK, Glorieux FH, Kanis JA, Malluche H, Meunier PJ, Ott SM, Recker RR, Parfitt AM. Standardized nomenclature, symbols, and units for bone histomorphometry: a 2012 update of the report of the ASBMR Histomorphometry Nomenclature Committee. J Bone Miner Res. 2013;28(1):2–17. doi: 10.1002/jbmr.1805. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gazzerro E, Pereira RC, Jorgetti V, Olson S, Economides AN, Canalis E. Skeletal overexpression of gremlin impairs bone formation and causes osteopenia. Endocrinology. 2005;146(2):655–665. doi: 10.1210/en.2004-0766. [DOI] [PubMed] [Google Scholar]
- Glatt V, Canalis E, Stadmeyer L, Bouxsein ML. Age-Related Changes in Trabecular Architecture Differ in Female and Male C57BL/6J Mice. J Bone Miner Res. 2007;22(8):1197–1207. doi: 10.1359/jbmr.070507. [DOI] [PubMed] [Google Scholar]
- Graef IA, Chen F, Crabtree GR. NFAT signaling in vertebrate development. Curr Opin Genet Dev. 2001;11(5):505–512. doi: 10.1016/s0959-437x(00)00225-2. [DOI] [PubMed] [Google Scholar]
- Hodge MR, Ranger AM, Charles de la BF, Hoey T, Grusby MJ, Glimcher LH. Hyperproliferation and dysregulation of IL-4 expression in NF-ATp-deficient mice. Immunity. 1996;4(4):397–405. doi: 10.1016/s1074-7613(00)80253-8. [DOI] [PubMed] [Google Scholar]
- Hogan PG, Chen L, Nardone J, Rao A. Transcriptional regulation by calcium, calcineurin, and NFAT. Genes Dev. 2003;17(18):2205–2232. doi: 10.1101/gad.1102703. [DOI] [PubMed] [Google Scholar]
- Ikeda F, Nishimura R, Matsubara T, Hata K, Reddy SV, Yoneda T. Activation of NFAT signal in vivo leads to osteopenia associated with increased osteoclastogenesis and bone-resorbing activity. J Immunol. 2006;177(4):2384–2390. doi: 10.4049/jimmunol.177.4.2384. [DOI] [PubMed] [Google Scholar]
- Irwin N. Molecular Cloning. In: JFE, Maniatis T, editors. Sambrook. New York: Cold Spring Harbor Laboratory Press; 1989. pp. 9.32–39.36. [Google Scholar]
- Kalajzic I, Kalajzic Z, Kaliterna M, Gronowicz G, Clark SH, Lichtler AC, Rowe D. Use of type I collagen green fluorescent protein transgenes to identify subpopulations of cells at different stages of the osteoblast lineage. J Bone Miner Res. 2002;17(1):15–25. doi: 10.1359/jbmr.2002.17.1.15. [DOI] [PubMed] [Google Scholar]
- Koga T, Matsui Y, Asagiri M, Kodama T, dCB, Nakashima K, Takayanagi H. NFAT and Osterix cooperatively regulate bone formation. Nat Med. 2005;11(8):880–885. doi: 10.1038/nm1270. [DOI] [PubMed] [Google Scholar]
- Kouadjo KE, Nishida Y, Cadrin-Girard JF, Yoshioka M, St-Amand J. Housekeeping and tissue-specific genes in mouse tissues. BMC Genomics. 2007;8:127. doi: 10.1186/1471-2164-8-127. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Monticelli S, Rao A. NFAT1 and NFAT2 are positive regulators of IL-4 gene transcription. Eur J Immunol. 2002;32(10):2971–2978. doi: 10.1002/1521-4141(2002010)32:10<2971::AID-IMMU2971>3.0.CO;2-G. [DOI] [PubMed] [Google Scholar]
- Okamura H, Aramburu J, Garcia-Rodriguez C, Viola JP, Raghavan A, Tahiliani M, Zhang X, Qin J, Hogan PG, Rao A. Concerted dephosphorylation of the transcription factor NFAT1 induces a conformational switch that regulates transcriptional activity. Mol Cell. 2000;6(3):539–550. doi: 10.1016/s1097-2765(00)00053-8. [DOI] [PubMed] [Google Scholar]
- Ranger AM, Grusby MJ, Hodge MR, Gravallese EM, de la Brousse FC, Hoey T, Mickanin C, Baldwin HS, Glimcher LH. The transcription factor NF-ATc is essential for cardiac valve formation. Nature. 1998;392(6672):186–190. doi: 10.1038/32426. [DOI] [PubMed] [Google Scholar]
- Rao A, Luo C, Hogan PG. Transcription factors of the NFAT family: regulation and function. Annu Rev Immunol. 1997;15:707–747. doi: 10.1146/annurev.immunol.15.1.707. [DOI] [PubMed] [Google Scholar]
- Scheller EL, Leinninger GM, Hankenson KD, Myers MG, Jr, Krebsbach PH. Ectopic expression of Col2.3 and Col3.6 promoters in the brain and association with leptin signaling. Cells Tissues Organs. 2011;194(2–4):268–273. doi: 10.1159/000324745. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sesler CL, Zayzafoon M. NFAT signaling in osteoblasts regulates the hematopoietic niche in the bone microenvironment. Clin Dev Immunol. 2013;2013:107321. doi: 10.1155/2013/107321. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shen T, Cseresnyes Z, Liu Y, Randall WR, Schneider MF. Regulation of the nuclear export of the transcription factor NFATc1 by protein kinases after slow fibre type electrical stimulation of adult mouse skeletal muscle fibres. J Physiol. 2007;579(Pt 2):535–551. doi: 10.1113/jphysiol.2006.120048. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sokal RR, Rohlf FJ. Biometry. 2. 2. San Francisco, CA: W. H. Freeman; 1981. [Google Scholar]
- Sun L, Blair HC, Peng Y, Zaidi N, Adebanjo OA, Wu XB, Wu XY, Iqbal J, Epstein S, Abe E, Moonga BS, Zaidi M. Calcineurin regulates bone formation by the osteoblast. Proc Natl Acad Sci U S A. 2005;102(47):17130–17135. doi: 10.1073/pnas.0508480102. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tso JY, Sun XH, Kao TH, Reece KS, Wu R. Isolation and characterization of rat and human glyceraldehyde-3-phosphate dehydrogenase cDNAs: genomic complexity and molecular evolution of the gene. Nucleic Acids Res. 1985;13(7):2485–2502. doi: 10.1093/nar/13.7.2485. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wang J, Gardner BM, Lu Q, Rodova M, Woodbury BG, Yost JG, Roby KF, Pinson DM, Tawfik O, Anderson HC. Transcription factor Nfat1 deficiency causes osteoarthritis through dysfunction of adult articular chondrocytes. J Pathol. 2009;219(2):163–172. doi: 10.1002/path.2578. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Winslow MM, Pan M, Starbuck M, Gallo EM, Deng L, Karsenty G, Crabtree GR. Calcineurin/NFAT signaling in osteoblasts regulates bone mass. Dev Cell. 2006;10(6):771–782. doi: 10.1016/j.devcel.2006.04.006. [DOI] [PubMed] [Google Scholar]
- Yeo H, Beck LH, McDonald JM, Zayzafoon M. Cyclosporin A elicits dose-dependent biphasic effects on osteoblast differentiation and bone formation. Bone. 2007a;40(6):1502–1516. doi: 10.1016/j.bone.2007.02.017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yeo H, Beck LH, Thompson SR, Farach-Carson MC, McDonald JM, Clemens TL, Zayzafoon M. Conditional disruption of calcineurin B1 in osteoblasts increases bone formation and reduces bone resorption. J Biol Chem. 2007b;282(48):35318–35327. doi: 10.1074/jbc.M702435200. [DOI] [PubMed] [Google Scholar]
- Zanotti S, Kalajzic I, Aguila HL, Canalis E. Sex and genetic factors determine osteoblastic differentiation potential of murine bone marrow stromal cells. PLoS One. 2014;9(1):e86757. doi: 10.1371/journal.pone.0086757. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zanotti S, Smerdel-Ramoya A, Canalis E. Reciprocal regulation of notch and nuclear factor of activated T-cells (NFAT)c1 transactivation in osteoblasts. J Biol Chem. 2011;286(6):4576–4588. doi: 10.1074/jbc.M110.161893. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zanotti S, Smerdel-Ramoya A, Canalis E. Nuclear Factor of Activated T-cells (Nfat)c2 Inhibits Notch Signaling in Osteoblasts. J Biol Chem. 2013;288(1):624–632. doi: 10.1074/jbc.M112.340455. [DOI] [PMC free article] [PubMed] [Google Scholar]
