Abstract
In many skeletal diseases, including osteoporosis and disuse osteopenia, defective osteoblast differentiation is associated with increased marrow adipogenesis. The relative activity of two transcription factors, RUNX2 and PPARγ, controls whether a mesenchymal cell will differentiate into an osteoblast or adipocyte. Herein we show that the ERK/MAP kinase pathway, an important mediator of mechanical and hormonal signals in bone, stimulates osteoblastogenesis and inhibits adipogenesis via phosphorylation of RUNX2 and PPARγ. Induction of osteoblastogenesis in ST2 mesenchymal cells was associated with increased MAPK activity and RUNX2 phosphorylation. Under these conditions PPARγ phosphorylation also increased, but adipogenesis was inhibited. In contrast, during adipogenesis MAPK activity and phosphorylation of both transcription factors was reduced. RUNX2 phosphorylation and transcriptional activity were directly stimulated by MAPK, a response requiring phosphorylation at S301 and S319. MAPK also inhibited PPARγ-dependent transcription via S112 phosphorylation. Stimulation of MAPK increased osteoblastogenesis and inhibited adipogenesis, while dominant-negative suppression of activity had the opposite effect. In rescue experiments using Runx2−/− mouse embryo fibroblasts (MEFs), wild type or, to a greater extent, phosphomimetic mutant RUNX2 (S301E,S319E) stimulated osteoblastogenesis while suppressing adipogenesis. In contrast, a phosphorylation-deficient RUNX2 mutant (S301A,S319A) had reduced activity. Conversely, wild type or, to a greater extent, phosphorylation-resistant S112A mutant PPARγ strongly stimulated adipogenesis and inhibited osteoblastogenesis in Pparg−/− MEFs, while S112E mutant PPARγ was less active. Competition between RUNX2 and PPARγ was also observed at the transcriptional level. Together, these studies highlight the importance of MAP kinase signaling and RUNX2/PPARγ phosphorylation in the control of osteoblast and adipocyte lineages.
The therapeutic control of bone formation requires an understanding of signals controlling cell fate and differentiation. The ERK/MAP kinase (MAPK) pathway controls the response of osteoprogenitors and mesenchymal stem cells to changes in extracellular matrix (ECM) composition and stiffness, mechanical loading, hormone, growth factor, and morphogen stimulation (Xiao et al., 1998; You et al., 2001; Xiao et al., 2002a,b; Kapur et al., 2005; Khatiwala et al., 2009; Li et al., 2012). Here, we explore the possibility that this pathway is an important inducer of mesenchymal cell differentiation toward osteoblasts and away from adipocytes.
Osteoporosis and disuse osteopenia are frequently associated with decreased osteoblast activity and increased marrow fat (Meunier et al., 1973; Minaire et al., 1984; Justesen et al., 2001). Furthermore, the differentiation of marrow stem cells to osteoblasts or adipocytes is reciprocally controlled; conditions that favor osteoblast differentiation generally inhibit adipogenesis, while those favoring adipocyte formation inhibit osteoblastogenesis (Jaiswal et al., 2000; Moerman et al., 2004; Marie and Kaabeche, 2006; Kang et al., 2007; Nuttall et al., 2014). Although the basis for this regulation is not understood, some studies suggest involvement of the MAPK pathway. For example, chemical inhibition of MAPK activity in marrow stromal cells (MSCs) increases adipocyte formation, while MAPK activation induces osteoblastogenesis (Jaiswal et al., 2000). Moreover, growth of MSCs on stiff versus soft substrates increases MAPK downstream of RhoA and ROCK, thereby stimulating osteoblast formation and inhibiting adipogenesis (McBeath et al., 2004; Engler et al., 2006; Khatiwala et al., 2009).
Two key regulators of mesenchymal cell differentiation to osteoblasts or adipocytes are the transcription factors RUNX2 and PPARγ, which are required for bone and fat formation, respectively (Otto et al., 1997; Rosen et al., 1999). The relative activity of RUNX2 versus PPARγ determines whether a mesenchymal progenitor undergoes osteoblastogenesis or adipogenesis. Indeed, cells from Runx2-null mice, which cannot form bone, spontaneously differentiate into adipocytes (Enomoto et al., 2004) while PPARγ-null mouse embryo fibroblasts (MEFs) fail to differentiate into adipocytes, but spontaneously form osteoblasts (Akune et al., 2004). Furthermore, PPARγ haploinsufficiency increases bone mass while transgenic overexpression of PPARγ in osteoblasts reduces bone (Akune et al., 2004; Cho et al., 2011).
Significantly, both Runx2 and PPARγ are regulated by MAPK-dependent phosphorylation. ERK phosphorylates RUNX2 on several serine residues including S301 and S319, which are both required for RUNX2-dependent transcription (Ge et al., 2009). These phosphorylation events are necessary for the response of osteoblasts to several important stimuli, including ECM synthesis, mechanical loading, FGF2 and BMP treatment (Ge et al., 2009,2012; Greenblatt et al., 2010; Li et al., 2012). Similarly, PPARγ undergoes ERK-dependent phosphorylation at S112, which inhibits its transcriptional activity and suppresses adipocyte differentiation (Hu et al., 1996; van Beekum et al., 2009).
Here, we directly examine the role of MAPK-dependent phosphorylation on osteoblast and adipocyte differentiation of mesenchymal cells. We find that elevated MAPK activity is associated with osteoblast differentiation while reduced activity is associated with adipogenesis. Furthermore, phosphorylation of RUNX2 and PPARγ is required both to stimulate osteoblast differentiation and suppress adipogenesis.
Materials and Methods
DNA constructs and viral expression vectors
The 6OSE2-luc reporter, pCMV wild-type Runx2 (RUNX2-WT), S301,319A Runx2 (RUNX2-SA) and S301,319E Runx2 (RUNX2-SE expression vectors were previously described (Ge et al., 2009) as were ARE-luc, RXR, wild-type PPARɣ (PPARɣ-WT), S112A PPARɣ (PPARɣ-SA), S112E PPARɣ (PPARɣ-SE) (Perez et al., 1993; Camp and Tafuri, 1997), constitutively active MEK1 (Meksp) and dominant negative MEK1 (Mekdn) expression vectors (Zheng and Guan, 1993). Adenovirus expressing Meksp and Mekdn were generated by subcloning the cDNA of Meksp and Mekdn into Adloxp shuttle vector and generating adenovirus using Cre-Lox recombination (Hardy et al., 1997). Retrovirus expression vectors for wild type and mutant RUNX2 and PPARɣ were developed by subcloning appropriate cDNAs into the retrovirus vector, pLXSN (Clontech, Mountain View, CA). Adenovirus and retrovirus were produced in the University of Michigan Vector.
Cell cultures
COS7 cells were obtained from the American Type Culture Collection (Manassas, VA). ST2 cells (Ogawa et al., 1988) were obtained from Dr. Kurt Hankenson (Michigan State University) and PPARɣ knockout MEFs were obtained from Evan Rosen (Harvard University) (Rosen et al., 2002). Runx2-knockout MEFs were generated from E12.5 Runx2-knockout mice as previously described (Ge et al., 2009). Osteoblast differentiation was induced in ST2 and MEF cells by growth in α-MEM/10%FBS containing 50 μg/ml ascorbic acid, 10 mM β-glycerophosphate and 3 μM Chrion 99021 (Cayman Chemicals, Ann Arbor, MI). For adipogenesis, cells were grown for 2 days in alpha medium containing 10% FBS, insulin (5 μg/ml), dexamethasone (1 μM), IBMX (500 μM), and troglitazone (5 μM), followedby growth in medium containing troglitazone(5 μM) only for up to 9 days (Cawthorn et al., 2012).
Transfection and transduction
COS7 cells were transfected with the indicated plasmids using Lipofectamine (Invitrogen, Grand Island, NY) and assayed for luciferase activity as previously described (Ge et al., 2009). ST2 cells were transduced using adenovirus expressing LacZ, Meksp or Mekdn (200 pfu/cell). After overnight virus treatment, cells were transferred to osteoblast or adipocyte induction medium. For development of stable cell lines, MEFs from Runx2−/− or Pparγ−/− embryos were transduced using retroviral vectors expressing wild type or mutant Runx2 or PPARɣ, and then selected by growth in 200 μg/ml Geneticin for 4 weeks. The resulting stable cell pools were then grown in osteogenic or adipogenic conditions for analysis.
Western blot and RNA analysis, mineral and lipid staining
Sources for antibodies were as follows: total Runx2 antibody, MBL (Woburn, MA); PPARɣ phospho-S112-specific antibody and total PPARɣ antibody, Millipore (Billerica, MA); phospho-ERK1/2 and total ERK1/2 antibody, Cell Signaling (Danvers, MA). Runx2 phospho-S319 -specific antibody was previously described (Ge et al., 2012). Western blot analysis was performed using standard procedures. RNA was isolated using TRIzol reagent (Invitrogen, Grand Island, NY). Reverse transcriptase reactions were conducted with 2 μg of total RNA, TaqMan reverse transcriptase reagents, and an oligo(dT) primer (Applied Biosystems, Carlsbad, CA). All mRNAs were measured by quantitative reverse transcription polymerase chain reactions using predeveloped Taqman probes and primers. Glyceradehyde-3-phosphate dehydrogenase mRNA used as an internal control (Ge et al., 2009). Visualization of mineralization and fat droplet accumulation was achieved using Alizarin Red and Oil Red O staining. Cell images were taken using a phase contrast microscope (Nikon D300).
Statistical analysis
All statistical analyses were performed using SPSS 16.0 Software. Unless indicated otherwise, each reported value is the mean ± S.D. of triplicate independent samples. Statistical significance was assessed using a one-way analysis of variance.
Results
Preferential association of elevated MAP kinase activity and transcription factor phosphorylation with osteoblast differentiation
When cultured in the appropriate inductive media, marrow stromal cells and mesenchymal cell lines such as murine ST2 cells can differentiate into either osteoblasts or adipocytes (Cawthorn et al., 2012). This is shown in Figure 1, where ST2 cells were cultured for up to 2 weeks in growth, osteogenic or adipogenic medium and assayed for mineral formation and fat droplet accumulation (Fig. 1A), or osteoblast and adipocyte marker mRNA expression (Fig. 1C–I). Osteogenic medium increased mineralization and osteoblast marker mRNAs (Runx2, Bglap2, and Ibsp) while suppressing fat droplet accumulation and adipocyte markers (Pparg, Cebpa, Adipoq, Fabp4). In contrast, growth in adipogenic medium had the opposite effect, with increased fat accumulation and adipocyte marker expression and decreased osteoblastogenesis (Fig. 1A, C–I). Consistent with previous reports using osteoblast cultures (Ge et al., 2012), growth of ST2 cells in osteogenic conditions increased phosphorylation of ERK1/2 and RUNX2 (Fig. 1B). Although ERK phosphorylates RUNX2 at several sites (Ge et al., 2009), the S319 phosphorylation measured in this experiment closely correlates with overall RUNX2 transcriptional activity and osteoblast differentiation (Ge et al., 2012). Growth under osteogenic conditions also increased PPARγ-S112 phosphorylation, a modification known to decrease its transcriptional activity (Hu et al., 1996). In contrast, growth in adipogenic medium was associated with decreased MAPK activity and reduced phosphorylation of both RUNX2 and PPARγ (Fig. 1B).
Fig. 1.

Regulation of MAP kinase, Runx2 and PPARγ phosphorylation during osteoblast and adipocyte differentiation. ST2 mesenchymal cells were cultured in growth medium (GM), adipogenic medium (adipo) or osteogenic medium (osteo). Cells were stained with Oil Red O after 1 week or Alizarin Red after 3 weeks (A) or extracted for total protein after 1 week (B). RNA was isolated at the times indicated (C–I). (B) Immunoblot analysis of MAP kinase activation and Runx2/PPARγ phosphorylation. Samples were probed with antibodies to pERK1/2, total ERK, PPARγ-S112-P, total PPARγ, Runx2-S319-P and total Runx2 as indicated. (C–E) Osteoblast marker mRNAs. Runx2 (C), Bglap2 (D), Ibsp (E). (F–I) Adipocyte marker mRNAs. Pparg (F), Cebpb (G), Adipoq (H), and Fabp4 (I).
MAPK-dependent phosphorylation stimulates RUNX2 transcriptional activity while suppressing PPARγ
The transcriptional activities of both RUNX2 and PPARγ are directly regulated by MAPK-dependent phosphorylation, with mutational analysis identifying crucial roles for phosphorylation of S301 and S319 in RUNX2 (Ge et al., 2009) and for S112 in PPARγ (Hu et al., 1996). The importance of these phosphorylation sites in RUNX2 and PPARγ regulation is shown in Figure 2. COS7 cells were transfected with either RUNX2 (6OSE2-luc) or PPARγ reporter plasmids (ARE-luc) and the ability of MAP kinase to regulate RUNX2- or PPARγ-dependent transcriptional activity was measured. Wild-type RUNX2 increased basal 6OSE2-luc activity, a response that was stimulated nearly 3-fold by co-transfection with a constitutively active mutant of the MAPK intermediate, MEK1 (Panel A). In contrast, transfection with dominant-negative MEK1-reduced basal RUNX2 activity. A RUNX2-S301A, S319A mutant (RUNX2-SA) was partially resistant to MAPK stimulation while a mutant containing phosphomimetic S301E, S319E mutations (RUNX2-SE) (Ge et al., 2009) had high basal transcriptional activity that was not further stimulated by MAPK activation. Consistent with these results, RUNX2 S319 phosphorylation was markedly stimulated with constitutively-active MEK1 and suppressed with dominant-negative MEK1 (Panel B).
Fig. 2.

MAP kinase-dependent phosphorylation stimulates RUNX2 transcriptional activity while suppressing PPARγ. (A, B) RUNX2. COS7 cells were transfected with 6OSE2-luc reporter plasmid and expression vectors for wild type (WT) or phosphorylation mutant RUNX2 (S301A,S319A, SA; S301E,S319E, SE) and constitutively active (SP) or dominant-negative MEK1 (DN). (A) normalized luciferase activity; (B) immunoblot of RUNX2-S319-P and total RUNX2. (C, D) PPARγ. Parallel transfections were conducted with ARE-luc reporter plasmid and expression vectors encoding wild type (WT) or phosphorylation site mutant PPARγ (S112A, SA; S112E, SE) and constitutively active (SP) or dominant-negative MEK 1 (DN). Cells were treated with vehicle (−) or troglitazone (TZD) as indicated. (C) normalized luciferase activity; (D) immunoblot of PPARγ-S112-P and total PPARγ. *Statistical comparisons are indicated by bars; P < 0.001, n = 3.
MAPK regulation of PPARγ is shown in Figure 2C and D. Expression of wild-type PPARγ with the co-regulator RXR increased basal activity of the ARE-luc reporter and this was further stimulated with the agonist troglitazone (TZD). In contrast to results with RUNX2, constitutively active MEK strongly suppressed PPARγ transcriptional activity while dominant-negative MEK increased transcription relative to PPARγ alone. Mutation of PPARγ S112 to alanine also increased transcriptional activity and this stimulation was resistant to inhibition by constitutively active MEK. In contrast, the PPARγ S112E phosphomimetic mutant had reduced activity that was not affected by MAPK. Immunoblotting revealed increased PPARγ S112 phosphorylation with constitutively active MEK1 and reduced phosphorylation with dominant-negative MEK1 (Panel D). Taken together, these results confirm that MAPK phosphorylates RUNX2 and PPARγ, resulting in increased RUNX2-dependent transcription and suppression of PPARγ activity.
MAP kinase stimulates osteoblast differentiation while inhibiting adipogenesis
To more directly examine effects of MAP kinase on osteoblast and adipocyte differentiation, ST2 cells were transduced with adenoviral vectors encoding constitutively active (Meksp) or dominant-negative MEK1 (Mekdn) and osteoblast or adipocyte differentiation was measured (Fig. 3). In cells grown in osteogenic medium, Meksp increased P-ERK and RUNX2 phosphorylation after 2 or 8 days while Mekdn suppressed both of these responses without altering total Runx2 protein or mRNA levels (Fig. 3B and C). These changes were associated with increased mineralization and expression of osteoblast marker mRNAs in Meksp-transduced cells and suppression of these parameters with Mekdn (Fig. 3A–E). The opposite result was obtained in a parallel experiment where ST2 cells were grown under adipogenic conditions (Fig. 3F–K). In this case, Meksp increased PPARγ S112 phosphorylation, but suppressed PPARγ mRNA and protein, lipid accumulation and adipocyte marker expression while Mekdn decreased PPARγ phosphorylation and increased PPARγ protein and mRNA, lipid droplet accumulation and adipogenesis markers. For both osteoblast and adipocyte differentiation, effects of Mekdn were greater than those for Meksp. Mekdn strongly inhibited mineralization and osteoblast marker mRNAs in cells grown in osteogenic medium while stimulating lipid droplet accumulation and adipocyte markers in adipogenic medium. This is likely explained by the relatively high basal levels of P-ERK, P-RUNX2, and P-PPARγ in ST2 cells that were suppressed by Mekdn, but only modestly increased by Meksp (e.g. Fig. 3B and G). Results could not be explained by differences in cell density or proliferation, which were similar for all groups (not shown).
Fig. 3.

Opposing actions of MAP kinase on osteoblast and adipocyte differentiation. ST2 cells were transduced with control adenovirus expression vector (LacZ) or vector encoding constitutively active (Meksp) or dominant-negative (Mekdn) MEK1 and grown in osteogenic (A–E) or adipogenic medium (F–K). (A–E) Osteoblast differentiation. (A) Alizarin Red staining, (B) Immunoblot detection of pERK, total ERK, RUNX2-S319-P and total RUNX2. (C–E) Osteoblast marker mRNAs; Runx2 (C), Bglap2 (D), Ibsp (E). (F–K) Adipocyte differentiation. (F) Oil Red O staining, (G) Immunoblot detection of pERK, total ERK, PPARγ-S112-P and total PPARγ. (H–K) Adipocyte marker mRNAs. PPARγ (H), Cebpa (I), Adipoq (J), and Fabp4 (K). *Statistical comparisons are indicated by bars; P < 0.001, n = 3.
Control of osteoblast and adipocyte differentiation requires specific phosphorylation sites on RUNX2 and PPARγ
To more directly assess the roles of RUNX2 and PPARγ phosphorylation sites in the reciprocal control of osteoblast versus adipocyte differentiation, we conducted rescue experiments where wild type or phosphorylation site mutant RUNX2 or PPARγ were stably expressed in MEFs from Runx2−/− or Pparg−/− embryos, respectively.
Before conducting these studies, we first characterized Runx2−/− and Pparg−/− MEFs (Figs. S1 and S2). When compared with Runx2+/− cells or wild type MEFs (not shown), Runx2−/− cells grown in osteogenic medium had markedly reduced mineralization (Fig. S1A) and expressed very low levels of Bglap2 and Ibsp (Fig. S1B–D). In contrast, adipocyte differentiation was dramatically increased in these cells as assessed by induction of Pparg, increased lipid droplet accumulation and up-regulation of the adipocyte markers Cebpa and Fabp4 (Fig. S1E–H). A parallel experiment was conducted using MEFs from Pparg+/− and Pparg−/− embryos (Fig. S2). In this case, lipid droplet accumulation (Fig. S2E) and adipocyte marker mRNA expression were strongly suppressed in Pparg−/− cells, but expression of Runx2 and osteoblast differentiation were greatly increased (Fig. S2A–D). Thus, in the absence of an osteogenic RUNX2 signal, PPARγ is up-regulated and adipocyte differentiation predominates, whereas RUNX2 induction and osteogenesis preferentially occurs in the Pparg−/− MEFs. These results are consistent with previous reports showing that adipocyte formation is increased in cells derived from Runx2−/− mice while PPARγ deficiency increases osteoblast differentiation (Akune et al., 2004; Enomoto et al., 2004; Cho et al., 2011).
We next investigated the impact of the phosphorylation site mutations on activities of RUNX2 and PPARγ. After generation of stable MEF cell pools expressing equivalent levels of wild type or mutant RUNX2 (RUNX2-WT, RUNX2-SA, RUNX2-SE) or PPARγ (PPARγ-WT, PPARγ-SA, PPARγ-SE) (Fig. 4A and D, Fig. 5A and G), cells were grown in osteogenic or adipogenic media for analysis of differentiation. Consistent with previous results (Bae et al., 2007; Ge et al., 2009), introduction of wild-type RUNX2 into Runx2−/− MEFs increased mineralization and osteoblast marker mRNAs (Fig 4B, E, and F). Notably, RUNX2 also strongly suppressed lipid droplet accumulation, as well as expression of Pparg and other adipocyte marker mRNAs (Fig. 3C, G–H). In comparison to wild-type RUNX2, expression of RUNX2 SA had notably weaker effects on stimulating mineralization and induction of Ibsp and Bglap2. This mutant was also considerably less active than wild-type protein in suppressing adipocyte differentiation (Fig. 3C, G–H). On the other hand, RUNX2 SE was a more potent inducer of osteoblast differentiation than wild-type protein and a stronger inhibitor of PPARγ and adipocyte differentiation.
Fig. 4.

Regulation of osteoblast and adipocyte differentiation by wild type and phosphorylation site mutant RUNX2. MEFs from Runx2−/− mice were transduced with empty vector (EV) or retrovirus expressing wild type (WT), S301A,S319A (SA) or S301E,S319E RUNX2 (SE). After selection, stable cell pools were grown in osteogenic (B, D–F) or adipogenic medium (C, G–J). (A) Western blot of total RUNX2 protein. (B) Alizarin Red staining. (C) Oil Red O staining. (D–F) osteoblast marker mRNAs. (G–J) adipocyte marker mRNAs. Statistical comparisons; a, Runx2-WT versus empty vector P < 0.001; b, Runx2-SA versus Runx2-WT P < 0.001; c, Runx2-SE versus Runx2-WT. P < 0.001, n = 3.
Fig. 5.

Regulation of osteoblast and adipocyte differentiation by wild type and phosphorylation site mutant PPARγ. MEFs from Pparg−/− cells were transduced with empty vector (EV) or retrovirus expressing wild type (WT), S112A (SA) or S112E mutant PPARγ (SE). Stable cell pools were grown in osteogenic (B, D–F) or adipogenic medium (C, G–J). (A) Western blot of total PPARγ protein. (B) Alizarin Red staining. (C) Oil Red O staining. (D–F) osteoblast marker mRNAs. (G–J) adipocyte marker mRNAs. Statistical comparisons; a, PPARγ-WT versus empty vector P <0.001; b, PPARγ-SA versus Runx2-WT P <0.001; c, PPARγ-SE versus PPARγ-WT. P <0.001, n=3.
Diametrically, opposite results were obtained with PPARγ rescue; introduction of wild-type PPARγ into Pparg−/− MEFs restored lipid droplet accumulation and adipocyte marker mRNAs (Fig. 5C, G–J) while reducing levels of Runx2, osteoblast markers and mineralization (Fig. 5B, D–F). Significantly, MEFs expressing the PPARγ S112A mutant, which cannot be phosphorylated and inhibited by MAP kinase, exhibited even higher adipogenic activity than wild-type PPARγ cells, but did not mineralize in osteogenic medium and had very low osteoblast marker expression. Lastly, PPARγ S112E MEFs had only slightly more adipogenic activity than EV MEFs (Fig. 5C, H–I) and expressed somewhat higher levels of osteoblast markers than wild type PPARγ MEFs (Fig. 5D–F), consistent with the reduced transcriptional activity of this phosphomimetic PPARγ mutant.
Transcriptional antagonism between RUNX2 and PPARγ is affected by phosphorylation state
The studies described in Figures 4 and 5 showed that PPARγ is up-regulated in Runx2−/− MEFs and that re-introduction of RUNX2 can reverse this process. Furthermore, the phosphomimetic RUNX2-SE mutant is even more effective than wild type or phosphorylation-deficient RUNX2-SA in suppressing PPARγ and inducing osteoblast differentiation. Similarly, RUNX2 is up-regulated in Pparg−/− MEFs and this up-regulation is reversed by rescue with PPARγ. Consistent with the concept that phosphorylation reduces PPARγ activity, PPARγ-SE was less active than wild type or PPAR g-SA in suppressing RUNX2 and stimulating adipocyte differentiation.
To begin to explore the basis for the mutually antagonistic actions of RUNX2 and PPARγ, we examined whether these two factors can interfere with each other at the transcriptional level and whether such inhibition depends on their phosphorylation state (Fig. 6). Studies shown in Figure 6A–B examined the ability of wild-type PPARγ, PPARγ-SA, or PPARγ-SE to inhibit RUNX2-dependent transcription, as measured in COS7 cells transfected with a 6OSE2-Luc RUNX2 reporter gene, RUNX2-SE and RXR expression vectors. The phosphomimetic RUNX2-SE mutant was used because it does not require phosphorylation for full activity (see Fig. 2A and B), thereby simplifying competition experiments with PPARγ. RUNX2 transcriptional activity was dose-dependently inhibited by PPARγ; the phosphorylation-resistant PPARγ-SA mutant had the strongest inhibitory activity, followed by wild-type PPARγ and then PPARγ-SE. As shown in Figure 6B, RUNX2-SE protein levels remained constant in all samples and titration with wild type and mutant PPARγ expression vectors gave similar dose-dependent increases in protein. These results cannot, therefore, be explained by differences in expression or stability of PPARγ or RUNX2.
Fig. 6.

Antagonism between RUNX2 and PPARγ is affected by phosphorylation state. (A and B) PPARγ inhibition of RUNX2 transcriptional activity. COS7 cells were transfected with a RUNX2 reporter plasmid (p6OSE2-luc), RUNX2-SE vector and the indicate amounts of wild type, SA or SE PPARγ vectors. A, luciferase activity; B, PPARγ and RUNX2 protein levels. (C and D) RUNX2 inhibition of PPARγ transcriptional activity. Cells were transfected with a PPARγ reporter plasmid (pARE-luc), PPARγ-SA and RXR vectors and the indicated amounts of wild type, SA or SE RUNX2. (C) luciferase activity, (D) RUNX2 and PPARγ protein. Statistical comparisons; a, PPARγ-SA versus PPARγ-WT (Panel A) or Runx2-SA versus Runx2-WT (Panel B); b, PPARγ-SE versus PPARγ-WT (Panel A) or Runx2-SE versus Runx2-WT (Panel B). P < 0.001, n = 3.
The ability of different phospho-mutants of RUNX2 to inhibit PPARγ transcriptional activity was also examined (Fig. 6C and D). In this experiment, all cells were transfected with an ARE-luc PPARγ reporter gene, RXR and PPARγ-SA, which is resistant to inhibition by phosphorylation (see Fig. 2C and D). We found that RUNX2 dose-dependently inhibited PPARγ transcriptional activity, with the phosphomimetic RUNX2-SE mutant being the strongest inhibitor, followed by wild-type RUNX2 and RUNX2-SA (Fig. 6C). PPARγ protein levels remained constant in all samples and titration with wild type or mutant RUNX2 expression vectors gave similar dose-dependent increases in protein (Fig. 6D).
These studies show that RUNX2 and PPARγ are mutually antagonistic at the transcriptional level. Furthermore, inhibitory activity is affected by phosphorylated state, with the phosphorylation-resistant PPARγ S112A mutant being the strongest inhibitor of RUNX2-dependent transcription and the S301E,S319E phosphomimetic RUNX2 mutant being the most potent inhibitor of PPARγ.
Jeon et al. previously reported that PPARγ could inhibit RUNX2-dependent induction of the osteocalcin gene (Jeon et al., 2003). They proposed that this inhibition might be explained by formation of a complex containing these two transcription factors, leading to decreased binding of RUNX2 to specific enhancer sequences in the osteocalcin promoter. While we were able to detect RUNX2-PPARγ complexes using co-immunoprecipitation assays, no differences in complex formation were observed between wild-type proteins or phosphorylation site mutants (Fig. S3). Thus, it is unlikely that differences in RUNX2-PPARγ complex formation can explain the different inhibitory activities of wild type versus phosphorylation-site-mutant proteins.
Discussion
Here, we describe the importance of MAPK signaling in the control of mesenchymal progenitor differentiation to osteoblasts versus adipocytes and establish the important role of RUNX2 and PPARγ phosphorylation in this process. These studies provide a plausible mechanism to explain how external signals including mechanical loading can alter osteoblast/adipocyte ratio and bone formation and suggest a possible target for therapeutic modification of marrow fat and bone mass. Previous work showed that PPARγ together with its TZD agonists potently decrease bone mass (Lecka-Czernik, 2010). However, this is the first study to describe how phosphorylation can regulate the ability of PPARγ to disrupt osteoblast differentiation and, conversely, the ability of RUNX2 to block adipogenesis.
The mechanistic basis for the increased RUNX2-dependent transcription following MAPK phosphorylation and activation has been examined in several contexts, including in response to collagen matrix accumulation/integrin activation during osteoblast differentiation (Ge et al., 2009; Li et al., 2010), FGF2 (Xiao et al., 2002b; Park et al., 2010) and mechanical loading (Li et al., 2012). Subsequent to MAPK activation, P-ERK translocates from perinuclear to nuclear sites where it binds and phosphorylates RUNX2 previously bound to promoter regions of target genes (Li et al., 2010, 2012). These events are necessary for subsequent changes in histone acetylation and transcription. Although P-ERK phosphorylates RUNX2 on at least four serine residues, S301 and S319 phosphorylation sites are the most important for transcriptional activation (Ge et al., 2009).
The negative regulation of PPARγ activity and adipogenic functions by MAP kinase-dependent phosphorylation at S112 has also been extensively studied (for review, see (van Beekum et al., 2009). Phosphorylation inhibits both ligand-dependent and ligand-independent activity. Transcriptional repression is achieved through multiple mechanisms including inhibition of ligand binding and phosphorylation-dependent increased K107 sumoylation followed by recruitment of a repressor complex (Shao et al., 1998; Yamashita et al., 2004). Mutation of S112 to A renders PPARγ resistant to MAPK inhibition, thereby increasing transcriptional activity and ability to induce adipogenesis relative to wild type PPARγ (Hu et al., 1996; Adams et al., 1997). In contrast to RUNX2, it is not known if PPARγ interacts with P-ERK while on the chromatin of target genes, or if binding occurs before translocation of PPARγ to the nucleus.
Of the many signals that regulate both bone formation and marrow adipogenesis, skeletal loading is of particular interest. Exposure of mice to low magnitude mechanical strain can preferentially increase differentiation of marrow stromal cells to osteoblasts and decrease adipocyte formation (Luu et al., 2009). In vitro exposure of MSCs or adipocytes to biaxial mechanical strain or fluid shear also inhibits adipocyte differentiation and stimulates osteoblast formation (Tanabe et al., 2004; David et al., 2007; Sen et al., 2008). Conversely, skeletal unloading stimulates marrow adipogenesis and decreases bone formation through a pathway involving PPARγ (Marie and Kaabeche, 2006). These changes also occur in paraplegic patients where increased marrow adiposity is associated with disuse osteopenia (Minaire et al., 1984). Although mechanical loading stimulates a broad range of signals (integrin-focal adhesion kinase, Wnt/β-catenin, COX2 activation/PGE2 production, and Rho/ROCK signaling), in all cases these pathways directly or indirectly interact with MAPK. For example, cell stretching or exposure to fluid flow shear stress activates integrin signaling followed by activation of focal adhesion kinase and MAPK (Young et al., 2009). Other loading-induced signals such as activation of Rho/ROCK and Wnt signaling indirectly activate or are themselves activated by MAPK (Cervenka et al., 2011; Lessey et al., 2012; Robling, 2013). Thus, activation of the MAPK pathway is a common loading-induced signal in bone that can stimulate differentiation of marrow cells to osteoblasts and away from adipocytes via phospho-regulation of RUNX2 and PPARγ.
The basis for the observed ability of RUNX2 to suppress adipocyte gene expression and, conversely, for PPARγ to inhibit osteoblast genes, as well as the role of transcription factor phosphorylation in this process, is still not completely understood. One possibility is that RUNX2 and PPARγ can suppress each other at the transcriptional level. Rescue experiments with Runx2−/− and Pparg−/− Pparg cells showed a reciprocal relationship between levels of these two factors, whereby Runx2−/− MEFs exhibited strong up-regulation of Pparg that was repressed by stable reintroduction of RUNX2, while Pparg−/− cells expressed high levels of Runx2 message that was suppressed by PPARγ (Figs. S2 and 3; Figs. 3 and 4). However, further studies will be required to determine if Runx2 or PPARγ can directly suppress the promoters of Pparg or Runx2, respectively, or if inhibition is indirect.
The experiment shown in Figure 6 argues that there is additional antagonism between these two factors at the target gene level via mutual inhibition. Here, studies with a simple Runx2 reporter gene revealed that PPARγ can inhibit Runx2 transcriptional activity, while the converse studies demonstrate that RUNX2 inhibits PPARγ-dependent transcription from a PPARγ reporter. In both cases, mutation of transcription factor phosphorylation sites affected repressive activity. The phosphomimetic RUNX2 SE mutant had greater inhibitory activity than the phosphorylation resistant RUNX2-SA mutant. Conversely, the phosphorylation resistant PPARγ-SA mutant was a more potent inhibitor of RUNX2 transcription when compared with the phosphomimetic mutant, PPARγ-SE. It was previously reported (Jeon et al., 2003) and confirmed in the present study (Fig. S3) that PPARγ and RUNX2 can form a stable complex. Binding of PPARγ to RUNX2 was reported to prevent its association with an OSE2-containing double-stranded oligonucleotide on electrophoresis mobility shift assays, suggesting that sequestration of RUNX2 can block its transcriptional activity (Jeon et al., 2003), However, we were unable to obtain evidence that phosphorylation state of either PPARγ or RUNX2 affects complex formation. This suggests that phosphorylation state affects the interaction of RUNX2 and PPARγ with other factors that are necessary for transcriptional activation/repression.
Supplementary Material
Acknowledgments
Contract grant sponsor: NIH;
Contract grant numbers: DE11723, DE013386, DK092759, DK095705, DK62876, K12 DE023574.
Footnotes
Supporting Information
Additional supporting information may be found in the online version of this article at the publisher’s web-site.
All authors state they have no conflicts of interest.
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