Abstract
Osteoporosis affects millions of individuals and remains a clinical challenge in terms of prevention and treatment. The present study aimed to investigate the effect of irisin on osteogenic differentiation by exposing MC3T3-E1 cells to different concentrations of irisin. Treated cells were assayed for osteoblast proliferation and osteogenic differentiation by measuring alkaline phosphatase (ALP) activity, calcium deposition, formation of mineralized nodules and the expression of osteogenic genes using reverse transcription-quantitative PCR. The proliferation of MC3T3-E1 cells was unaffected by irisin at the concentrations tested of up to 100 ng/ml (P>0.05). ALP activity and mineralized nodule formation were significantly enhanced by irisin in a dose- and time-dependent manner, indicating that irisin promotes osteoblast differentiation of MC3T3-E1 cells. The expression of osteogenic genes, including ALP, collagen I, runt-related transcription factor 2, osterix, osteopontin, osteocalcin, osteoprotegerin and estrogen receptor α, increased significantly after irisin treatment. The present study demonstrated that irisin promoted the osteogenic differentiation of MC3T3-E1 cells, possibly by upregulating the expression of osteogenic genes and markers. Therefore, irisin may be worthy of further investigation as a potential therapeutic agent for osteoporosis.
Keywords: irisin, osteogenic differentiation, cell proliferation, osteogenic markers, osteoporosis
Introduction
Osteoporosis (OP) is a chronic disease characterized by decreased bone strength, which predisposes affected individuals to fractures (1). With the aging population, it represents a growing global public health problem. In the US, among adults aged ≥50 years, ~10.3% or 10.2 million had OP of the lumbar spine or femoral neck and 43.9% or 43.4 million had osteopenia at skeletal sites in 2010(2). The medical expenses for OP management place a heavy financial burden on society and individuals (3). For instance, >1.7 million patients were admitted to hospital with fragility fractures in 2011 and the direct costs associated with OP treatment exceeded $70 billion in the US (4).
Pharmaceuticals that improve bone mineral density (BMD) are used as the first-line treatment for OP. However, due to poor compliance, high medical costs and negative side effects, the overall outcomes remain limited (5) and exercise training is one of the proven alternative strategies that improves multiple skeletal structures and reduces the fall risk simultaneously (6). Agents currently approved for OP treatment, such as calcium and vitamin D, have the major function of inhibiting bone resorption. However, once OP is developed, substantial increases in bone mass may be necessary to reverse the disease. Therefore, it is necessary to develop therapeutics that increase bone formation (7).
To date, various pharmacological treatments for osteoporosis have been proven to reduce fracture risks, including bisphosphonates, selective estrogen receptor modulators, the monoclonal antibody against the receptor activator of nuclear factor-κB ligand (RANKL) (8). Numerous herbal medicines derived from natural products have been used in the treatment of osteoporosis with relatively few negative effects (9). In addition, several bioactive components have been identified for alternative treatments of OP (9) and a large number of them promote osteogenic differentiation via osteoblast activation (10). These therapeutic agents have been proven to promote osteogenesis with osteoblasts as the target (11,12).
Irisin is a newly discovered myokine produced during exercise (13). It drives brown fat-like development of white fat to generate thermal energy. Previous studies have indicated that irisin exerts the beneficial effect of exercise on metabolic diseases such as diabetes, obesity and osteoporosis (14,15). The level of irisin in plasma was determined to be related to BMD in the elderly (16), implying that it has a role in bone development. Recently, irisin has been demonstrated to promote osteoblast differentiation and mineralization in rat osteoblasts and MC3T3-E1 cells. It upregulates the expression of osteoblastic transcription regulators, such as runt-related transcription factor-2 (RUNX2), osterix (OSX)/sp7 and differentiation markers, such as alkaline phosphatase (ALP) (17). However, the receptor for irisin has not been identified, although it is suggested that irisin may activate P38/ERK MAP kinase signaling cascades to promote osteogenic activity (17). In addition, Colaianni et al (18) reported that excise increases irisin levels in mouse myoblasts and that media conditioned with the myoblasts extracted from exercised mice induces osteoblast differentiation in vitro, demonstrating that irisin directly targets osteoblasts. Besides osteoblasts, irisin was also indicated to promote osteogenic activity of human periodontal ligament cells by enhancing extracellular matrix formation, indicating its potential for dental tissue engineering (19). Since irisin is released during excise and its level is related to BMD, it was hypothesized that it may be explored for potential use in the prevention and treatment of OP.
In the present study, the effect of irisin on osteogenic differentiation was investigated using MC3T3-E1 cells. This cell line is one of the most common cell lines for studying osteoblast proliferation and differentiation (20). It was established from newborn mouse calvaria and selected on the basis of high ALP activity during differentiation into osteoblasts in vitro. The present results provide insight into the roles of irisin in osteogenesis and clues for potential therapeutics for OP.
Materials and methods
Cells
Mouse calvaria-derived pre-osteoblast cell line MC3T3-E1 (CL-0378) was purchased from Procell Life Science & Technology Co., Ltd. and maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and 1% penicillin-streptomycin in 5% CO2 at 37˚C. Cells were grown to 85% confluence and subcultured as previously described (21).
Reagents and instruments
Irisin was purchased from Phoenix Pharmaceuticals, Inc.; DMEM was obtained from Thermo Fisher Scientific, Inc.; Minimal Essential Media and FBS were obtained from HyClone (Cytiva); human mesenchymal stem cell osteogenic differentiation medium (cat. no. PT-3002) was purchased from Lonza Group Ltd.; the ALP quantification kit and MTT (cat. no. C0009) were obtained from Beyotime Institute of Biotechnology; the RNA reverse-transcription kit was a product of Invitrogen (Thermo Fisher Scientific, Inc.); alizarin red S (ARS) staining solution was purchased from Beijing Solarbio Science & Technology Co., Ltd.; the High Capacity cDNA Transcriptase Reverse kit was purchased from Applied Biosystems (Thermo Fisher Scientific, Inc.); the SYBR Green PCR kit was obtained from Takara Bio, Inc.; the UV spectrophotometer Evolution 201/220 was purchased from Thermo Fisher Scientific, Inc.; the fluorescence quantitative (q)PCR instrument LightCycler96 was purchased from Roche Diagnostics; the PCR thermal cycler PTC-200 was purchased from MJ Research, Inc. (Bio-Rad Laboratories, Inc.); the inverted microscope (Eclipse TS100) was a product of Nikon Corp. and the plate reader (Triad LT Multimode Detector) was obtained from Dynex Technologies, Inc.
Cell culture and osteogenic differentiation
MC3T3-E1 cells at the third passage were used in the experiments. At 24 h after the cells were seeded in wells of 24-well plates at 2x104 cells/well, the growth media were replaced with commercial osteogenic differentiation medium containing inducers and growth factors (included in the commercial medium), including dexamethasone, ascorbate, β-glycerophosphate and mesenchymal cell growth supplement, L-glutamine and 1% penicillin/streptomycin and cultured in a humidified atmosphere with 5% CO2 at 37˚C. Irisin was dissolved in sterile normal saline (NS) at 100 µg/ml and filter-sterilized using a membrane filter with a pore size of 0.22 µm. It was added to the medium at final concentrations of up to 100 ng/ml from the beginning of the experiments. NS was used as a control. Media were refreshed every 3 days. All of the cultures were grown for 21 days and then harvested for assessing the osteogenic markers. Cell cultures were collected and stored at -80˚C prior to RNA extraction. For each treatment, six wells (samples) were used and all experiments were performed for a total of three times.
MTT assay
MTT assays were performed according to the manufacturer's protocols, as described previously (22). In brief, cells were seeded (1x105 cells/well) in 96-well plates and exposed to irisin for 48 h at 37˚C. After treatment, 20 µl MTT solution was added to each well and the plate was incubated for 4 h at 37˚C. The reaction was stopped by adding 150 µl DMSO to dissolve the purple formazan dye precipitate, after the media/MTT solution had been removed. The absorbance was read at 490 nm using a plate reader (Triad LT Multimode Detector; Dynex Technologies, Inc.). Cell viability was normalized using NS-treated cells as a control and calculated as described previously (22).
ALP activity assays
After exposure to medium containing irisin, ALP activity was measured colorimetrically with a commercial ALP colorimetric assay kit using p-nitrophenyl phosphate (pNPP) as the phosphatase substrate according to the supplier's protocols and as described previously (23). In brief, cell lysates were prepared using three cycles of freeze-thawing. Subsequently, 30 µl of the cell lysate was added to each well of a 96-well plate with 50 µl assay buffer and 50 µl pNPP. The samples were incubated at room temperature for 1 h. After this, 20 µl stop solution (3N NaOH) was added to the wells and the plates were read at a wavelength of 405 nm with the plate reader. The protein concentrations in the samples were determined using a bicinchoninic acid assay (Pierce; Thermo Fisher Scientific, Inc.) according to the supplier's protocol.
ARS staining and quantification of calcium deposits
ARS staining was used to detect calcium mineralization according to the manufacturer's protocol. In brief, cells (1x105) were rinsed with PBS, fixed with 4% formaldehyde (m/v) in PBS for 30 min, washed with deionized water and stained for 30 min with 0.5% ARS (w/v in water; pH 6.36-6.4) at 37˚C. Subsequently, the cells were washed with water and viewed under an inverted microscope (magnification, x100). Calcium deposits were observed as orange and red spots. For staining quantification, the deposits were eluted with 20% (v/v) methanol and 10% (v/v) acetic acid. The absorbance of the extract was determined at 450 nm wavelength with the plate reader as described previously (24).
Reverse transcription (RT)-qPCR
To detect the expression of osteogenesis-related genes, total RNA was extracted from MC3T3-E1 cells using TRIzol reagent, according to the supplier's protocols, and reverse transcribed to complementary (c)DNA using the High Capacity cDNA Transcriptase Reverse kit, according to the manufacturer's protocols. The transcription levels were determined by qPCR using the SYBR Green PCR kit on the thermal cycler PTC-200. The PCR reaction mixtures contained 1 µl cDNA, 10 µl SYBR® Premix Ex Taq and 0.25 µM each of the primers in a total volume of 25 µl. The PCR started with initial DNA denaturation at 95˚C for 30 sec, followed by 40 cycles of 33 sec at 95˚C and 4 min at 60˚C. The data were managed using the Applied Biosystems software RQ Manager v1.2.1 (Thermo Fisher Scientific, Inc.). Relative expression was calculated by using comparative quantification cycle (Cq) method to obtain the fold change value (2-ΔΔCq) according to a previously described protocol (25) with β-actin as the reference gene. The primers used for PCR are listed in Table I. Three samples were measured in each experiment of reverse transcription and PCR amplification.
Table I.
Gene/primer direction | Sequence |
---|---|
ALP | |
Forward | 5'-CAGACCAGCACACTCCATA-3' |
Reverse | 5'-CAGCTCAACACCATCATTC-3' |
OSX | |
Forward | 5'-AGAAGCCATACACTGACCTTTC-3' |
Reverse | 5'-GGTGGGTAGTCATTGGCATAG-3' |
RUNX2 | |
Forward | 5'-ACTTCCTGTGCTCCGTGCTG-3' |
Reverse | 5'-TCGTTGAACCTGGCTACTTGG-3' |
ERα | |
Forward | 5'-CGCCGTGTTCAACTAC-3' |
Reverse | 5'- AAGCCCCCAGACTATT-3' |
COL-1 | |
Forward | 5'-GGGTCTAGACATGTTCAGCTTTGTG-3' |
Reverse | 5'-ACCCTTAGGCCATTGTGTATGC-3' |
OCN | |
Forward | 5'-CAAGCAGGAGGGCAATAAGGT-3' |
Reverse | 5'-AGCAGGGTCAAGCTCACATAG-3' |
OPN | |
Forward | 5'-CCCATCTCAGAAGCAGAATCTT-3' |
Reverse | 5'-GTCATGGCTTTCATTGGAGTTG-3' |
OPG | |
Forward | 5'-CAAAGGCAGGGCATACTTC-3' |
Reverse | 5'-TTCAATGATGTCCAAGAACACC-3' |
β-actin | |
Forward | 5'-CTGTCCCTGTATGCCTCTG-3' |
Reverse | 5'-TGATGTCACGCACGATTT-3' |
ALP, alkaline phosphatase; Osx, osterix; RUNX2, runt-related transcription factor-2; ERα, estrogen receptor α; COL-1, collagen I; OCN, osteocalcin; OPN, osteopontin; OPG, osteoprotegerin.
Statistical analysis
Statistical analysis was performed using SPSS v19.0 (IBM Corp.). All data were expressed as the mean ± standard error of the mean obtained from at least three independent experiments. Statistical comparisons between groups were assessed using one-way ANOVA followed by a Tukey's post-hoc test. P<0.05 was considered to indicate a statistically significant difference.
Results
Irisin does not affect the proliferation of MC3T3-E1 cells
The impact of irisin on the growth/viability of MC3T3-E1 cells in vitro was examined using MTT assays to evaluate its possible cytotoxicity. The results suggested that irisin did not have any significant impact on the viability of MC3T3-E1 cells at up to 100 ng/ml as compared to the negative control (99±4.8% at 100 ng/ml vs. 100±2.7% at 0 ng/ml; Fig. 1) after incubation for 48 h. At low concentrations (50 ng/ml or less), it slightly but insignificantly increased the cell viability as compared with the control (112±3.1 and 105±7.5% at 25 and 50 mg/ml, respectively, vs. 100% at 0 ng/ml; Fig. 1).
Irisin increases the ALP activity and promotes the formation of mineralized nodules
ARS staining indicated calcium-rich deposits in the cells starting after culturing the cells in the osteogenic medium for one week (Fig. 2). The formation of mineralized nodules was observed after MC3T3-E1 cells were cultured in osteogenic medium for one week and became clearly visible at three weeks even with the naked eye (Fig. 2). Assessment of ALP activity in MC3T3-E1 cells suggested that the ALP enzymatic activity increased from 3.51±0.76 to 22.82±2.05 U/mg on day 7 as the concentration of irisin increased from 0 to 100 ng/ml, and from 22.82±2.05 to 29.1±1.86 U/mg at 100 mg/ml irisin as the culture time increased from 7 to 21 days (Fig. 3). The increase over time appeared more notable at the low irisin concentrations of 25 and 50 ng/ml. However, the enzymatic activity of ALP was not significantly changed over the culture period with irisin. Analyses suggested that calcium deposits increased in an irisin concentration- and time-dependent manner (P<0.05; Fig. 4). On day 7, calcium in MC3T3-E1 cells increased from 209.30±7.24 nmol/well at 0 mg/ml irisin to 1,153.65±25.51 nmol/well at 100 mg/ml and this trend was seen on days 14 and 21, and the amount of ARS increased as the culture time increased. On the other hand, calcium contents in the control group only exhibited an insignificant increase over the experimental period (P>0.05; Fig. 4).
Irisin upregulates the expression of osteogenic genes and markers
To elucidate the mechanisms underlying the enhanced osteogenic activity stimulated by irisin, the expression of osteogenic genes and markers was assessed using RT-qPCR. After exposure to irisin for 21 days, the mRNA levels of ALP, collagen I (COL-1), RUNX2, OSX, osteopontin (OPN), osteocalcin (OCN), osteoprotegerin (OPG) and estrogen receptor α (ERα) were all significantly increased (P<0.05 or P<0.01) as compared with those in the control. Among them, the upregulations were more obvious for ALP, OPN, OPG, Erα and OSX, but less intense for OCN (Fig. 5).
Discussion
In vitro osteogenic differentiation may be detected and assessed in several ways, including measuring ALP enzymatic activity, extracellular matrix mineralization and levels of osteogenesis related genes, such as OSX, RUNX2, BMP-2, OPN, COL-1, OCN, OPG and ALP (26). Several of these genes are considered as osteogenic markers, which have important roles during early osteoblastic differentiation and late mineralization (27) and were chosen to measure the osteogenic induction ability of irisin in the present study. The results indicated that irisin increased the enzymatic activity of ALP and calcium deposits, and promoted the differentiation of MC3T3-E1 cells into osteoblasts and the formation of mineralized nodules in cultured MC3T3-E1 cells. At the molecular level, it upregulated the expression of osteogenesis-related genes and markers. Furthermore, at the concentrations used, it did not have a significant negative impact on the viability of MC3T3-E1 cells. Therefore, the peptide may be further explored as a potential candidate for OP therapy.
Osteogenesis is a complex biological process where a number of genes are involved in shaping the direction of differentiation. It has been demonstrated that early/late osteoblastic proliferation and differentiation may be estimated by assessing the expression of COL-I, ALP, OCN and OPN, although these markers have not been demonstrated to indicate the differentiation of MC3T3-E1 cells towards the osteogenic lineage (27). ALP is associated with a perosseous cellular metabolism and to the elaboration of a bone matrix that is chemically calcifiable (28). The activity of ALP increases during osteogenic differentiation in various cell types, such as mesenchymal stem cells (29). In the present study, MC3T3-E1 cells exposed to irisin had significantly higher ALP activity than the control cells, suggesting that irisin increases ALP activity, likely via upregulating the expression of the ALP gene, as indicated by RT-qPCR analysis.
RUNX2 was significantly upregulated in the cells grown in irisin-supplemented medium. As a major transcription factor of the bone, RUNX2 is essential for the differentiation of pluripotent mesenchymal cells to osteoblasts and also controls the proliferation, differentiation and maintenance of these cells (30). It is regarded as an early specific biomarker for osteogenic differentiation of osteoblasts. However, since its expression was assessed 21 days after the cells were exposed to irisin in the present study, further study is required to demonstrate its role in early osteogenic differentiation.
Collagens are the major components of bone matrix and other connective tissues (31). A previous study indicated that insulin-like growth factor I and transforming growth factor-β1 promote osteoblast differentiation via upregulating COL-1, which, on the other hand, inhibits the production of osteoblasts in vitro (32). In the present study, increased COL-1 expression was observed. It would be worthwhile investigating whether such an increase is able to reduce the proliferation of osteoblasts simultaneously. Furthermore, the biological action of collagen is impacted by the interactions with other bone materials, such as glycosaminoglycan and minerals. When crosslinked with chitosan and hydroxyapatite, it may form a matrix that enhances bone growth and reduces bone resorption (33). Therefore, it is likely that COL-1 expression has a role in the later stage of osteogenesis.
OSX, also known as transcription factor Sp7, is a member of the Sp family of zinc-finger transcription factors. Along with RUNX2, it functions as a major player to drive the differentiation of mesenchymal precursor cells into osteoblasts and eventually osteocytes (34). A recent study indicated that OSX may be activated by long non-coding RNA MALAT1 to promote osteogenic differentiation of human BM-MSCs (35). This is consistent with the present results.
As a multifunctional protein, OPN has a crucial role in bone remodeling and biomineralization. It has been indicated to have a regulatory effect on hydroxyapatite crystal growth and may activate the signaling pathways mediated by various osteogenic genes, including OPN, bone sialoprotein, OSX and OCN (36). OCN, also known as bone γ-carboxyglutamic acid-containing protein, is specifically synthesized and secreted by osteoblasts in the non-proliferative phase. Generally, OCN is accumulated after the peak period of bone mineralization and is regulated by RUNX2. In the present study, OCN was relatively less upregulated as compared with the other osteogenic genes assessed. This may be attributed to the timing of the assay, since this gene may be more active after bone mineralization.
The RANK/RANKL/OPG axis has an important role in osteoclast regulation and bone homeostasis. Knockout of OPG, the soluble decoy receptor for RANKL, was indicated to generate profound osteoporosis (37). In addition, OPG reduces osteoclast resorption on mineralized collagen scaffolds (38). Therefore, increased OPG expression changes the balance of osteogenic-osteoclastic functions and results in osteogenic differentiation, probably via increasing the activity of the Wnt/β-catenin pathway (39).
ERα and ERβ have been indicated to influence osteogenic differentiation of bone marrow mesenchymal stem cells (BM-MSCs). For instance, simvastatin-induced osteogenesis of BM-MSCs is mediated via an ERα-dependent pathway (40). They are involved in bone-cell responses to mechanical stress that stimulate osteoblast proliferation and bone formation (41). As a mechanism of the isopsoralen-induced anti-osteoporotic effects, ERα promotes osteoblast differentiation and mineralization, increases calcium nodule levels and ALP activity and upregulates osteoblast markers (42). On other hand, ER inhibitor is able to significantly reduce the expression of the RUNX2, OSX and OPN genes and block osteogenic differentiation (43).
Taken together, the present results indicated that osteogenic activity stimulated by irisin is accompanied with upregulated expression of osteogenesis-related genes. However, the temporal and spatial patterns of expression require further investigation to elucidate the role and contributions of these genes in irisin-induced osteogenic differentiation. In addition, it is not clear the mechanism by which irisin acts to regulate the expression of these genes, although irisin is able to activate P38/ERK MAP kinase signaling cascades, leading to increased osteogenic activity (17). Furthermore, further in vitro and in vivo studies using different cells, animal models and human subjects are required to validate the present results and to develop irisin into a potential therapeutic agent for OP.
In conclusion, the present study demonstrated that irisin induces the differentiation of calvaria-derived pre-osteoblast cells into osteoblasts and the formation of mineralized nodules in vitro. This activity appears to be dose-dependent and is mediated by the activation of a number of osteogenesis-associated genes. Further studies are required to investigate the role of irisin in osteogenesis in vivo and determine its potential as a therapeutic for OP.
Acknowledgements
Not applicable.
Funding Statement
Funding: No funding was received.
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Authors' contributions
JY, KY and DZ designed the study. JY, KY, DZ, DL, JY and LT collected the data and performed the analysis. JY, KY and DZ drafted the manuscript. All authors read and approved the final manuscript.
Ethics approval and consent to participate
Not applicable.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.