Glucocorticoids Suppress Bone Formation by Attenuating Osteoblast Differentiation via the Monomeric Glucocorticoid Receptor

Autor: Jan Tuckermann, Ulf H. Lerner, Rainer Spanbroek, Brenda D. Stride, Mario M. Zaiss, Milen Kirilov, Holger M. Reichardt, Günther Schütz, Jean-Pierre David, Ulrike Baschant, Michael Amling, Anett Illing, Thorsten Schinke, Arndt F. Schilling, Alexander Rauch, Ruth Schmidt-Ullrich, Vice Mandic, Susanne Ostermay, Andrea Takacz, Sebastian Seitz, Peter Angel
Rok vydání: 2010
Předmět:
Zdroj: Cell Metabolism. 11:517-531
ISSN: 1550-4131
DOI: 10.1016/j.cmet.2010.05.005
Popis: SummaryDevelopment of osteoporosis severely complicates long-term glucocorticoid (GC) therapy. Using a Cre-transgenic mouse line, we now demonstrate that GCs are unable to repress bone formation in the absence of glucocorticoid receptor (GR) expression in osteoblasts as they become refractory to hormone-induced apoptosis, inhibition of proliferation, and differentiation. In contrast, GC treatment still reduces bone formation in mice carrying a mutation that only disrupts GR dimerization, resulting in bone loss in vivo, enhanced apoptosis, and suppressed differentiation in vitro. The inhibitory GC effects on osteoblasts can be explained by a mechanism involving suppression of cytokines, such as interleukin 11, via interaction of the monomeric GR with AP-1, but not NF-κB. Thus, GCs inhibit cytokines independent of GR dimerization and thereby attenuate osteoblast differentiation, which accounts, in part, for bone loss during GC therapy.
Databáze: OpenAIRE