First published online 16 October 2008
doi: 10.1242/dev.025825
Development 135, 3801-3811 (2008)
Published by The Company of Biologists 2008
BMP signaling negatively regulates bone mass through sclerostin by inhibiting the canonical Wnt pathway
Nobuhiro Kamiya1,
Ling Ye3,
Tatsuya Kobayashi4,
Yoshiyuki Mochida5,
Mitsuo Yamauchi5,
Henry M. Kronenberg4,
Jian Q. Feng3 and
Yuji Mishina1,2,*
1 Laboratory of Reproductive and Developmental Toxicology, NIEHS/NIH, Research
Triangle Park, NC 27709, USA.
2 School of Dentistry, University Michigan, Ann Arbor, MI 48109, USA.
3 School of Dentistry, University of Missouri-Kansas City, Kansas City, MO
64108, USA.
4 Endocrine Unit, Massachusetts General Hospital and Harvard Medical School,
Boston, MA 02114, USA.
5 Dental Research Center, University of North Carolina, Chapel Hill, NC 27599,
USA.

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Fig. 1. Tamoxifen (TM)-dependent and osteoblast-specific Cre activity using
Cre-ERTM mice. (A) Cre-ERTM transgenic
mice mated with ROSA26 Cre reporter mice (R26R). TM was
injected daily into pregnant females for 3 days from E13.5 to E15.5.
Cre-negative and -positive littermates were stained for β-gal at E18.5.
(B) Cre activity in long bones. Forelimbs were stained for β-gal
at E18.5. C, chondrocytes; black arrow, periosteum; red arrow, osteogenic
center. Scale bars: 50 µm. (C) Cre recombination in calvariae at
E15.5, E16.5 and E18.5 in whole head (lateral and overhead views) and
histology of E18.5 calvariae. Broken line, areas of parietal bones (P). Scale
bar: 20 µm. (D) BMPR1A as evaluated by immunohistochemistry using
cKO calvariae at E18.5. BMPR1A, green; DAPI (nuclei), blue. Scale bars: 10
µm. (E) Immunoblotting for phosphorylated Smad 1/5/8 using E18.5
calvariae. The membrane was treated with polyclonal rabbit
anti-phospho-Smad1/5/8 (1:1000) and monoclonal mouse anti-beta-actin (1:2000),
and visualized by ECL.
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Fig. 2. Increased bone mass in Bmpr1a cKO mice. (A) Skeletal
preparation of the skull and long bones at E18.5 using Alizarin Red/Alcian
Blue staining. Broken line, areas of parietal bones (P). (B) Bone
volume over total tissue volume (BV/TV) obtained from µCT analysis on
parietal bones of the skull (left) and femur (right) at E18.5. Values are
expressed as mean±s.d. (wild type, n=5; cKO, n=4,
Student's t-test; *P<0.01). (C)
Hematoxylin and Eosin staining of E18.5 calvariae. Boxed areas in frontal
sections were magnified. Scale bars: 25 µm. (D) Von Kossa staining
for Ca2+ using E18.5 calvariae. Scale bars: 25 µm. (E)
Hematoxylin and Eosin staining of E18.5 humerus. Boxed areas in sagittal
sections are magnified. Scale bars: 100 µm. (F) BrdU incorporation
using E18.5 calvariae. BrdU-positive cells (arrows) per total cells in bone
were unchanged. Scale bars: 25 µm.
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Fig. 3. Alteration of bone formation and resorption in Bmpr1a cKO
mice. (A) QRT-PCR for bone formation markers (Runx2, Sp7, Ibsp,
Akp2 and Bglap2 using E16.5 and E18.5 calvariae). Values are
expressed relative to wild type at E16.5. (B) QRT-PCR for bone
resorption markers expressed by osteoclasts (Mmp9, Ctsk and
Trap), and Rankl and Opg expressed by osteoblasts
using E18.5 and E19.5 calvariae. Values are expressed relative to wild type at
E18.5. (C) Relative ratio of Rankl to Opg expression
levels calculated from Fig. 3B. Values are expressed relative to wild type at
E18.5. (D) Evaluation of osteoclast activity by TRAP staining using
E18.5 calvariae. The positive cells localized randomly in cKO calvariae
compared with wild type (left two panels, red arrows). The percent of
TRAP-positive cells per total cells in bone area detected by DAPI was
significantly reduced in cKO calvariae (wild type, 13.9%; cKO, 6.4%, right
panel). Scale bars: 50 µm. (E) QRT-PCR for BMP type I receptors
(Bmpr1b, Acvr1), type II receptors (Bmpr2, Acvr2a and
Acvr2b) and potential ligands for these receptors (Bmp2, Bmp4,
Bmp6 and Bmp7) using E18.5 calvariae. Values in A-E represent
mean±s.d. from a minimum of three independent experiments using
wild-type and cKO bones. Student's t-test;
*P<0.05.
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Fig. 4. Upregulation of canonical Wnt signaling in Bmpr1a cKO mice.
(A) Canonical Wnt signaling assessed by TOPGAL mice using
E17.5 calvariae (upper panel, lateral view; lower panel, top view). Two
independent parietal bones from two littermates in each group after dissection
are shown in the right-hand panel. Red arrow indicates enhanced Wnt signaling.
Broken line, areas of parietal bones (P). (B) Histological analysis
assessed by TOPGAL mice using E17.5 calvariae. Scale bars: 50 µm.
(C) Relative cell number of DAPI and β-gal positive cells. Cells
were counted in 50 fields of E17.5 calvariae from cKO (n=4) and wild
type (n=4). Total cell number was obtained by counting DAPI-positive
nuclei in bone. Cell number of wild type is set as 1.0. There were 2.3 times
more total cells in cKO calvariae in a given section than in wild type owing
to the thicker tissues, but the number of β-gal-positive cells was 19.7
times greater, resulting in an 8.5-fold increase in the proportion of
β-gal positive cells in cKO mice. (D) Canonical Wnt signaling
assessed by TOPGAL mice using humerus, ulna and radius at E17.5. Red
arrow indicates enhanced Wnt signaling. (E) Histological analysis
assessed by TOPGAL mice using radius at E17.5. Asterisks, growth
plates. Scale bars: 100 µm.
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Fig. 5. Inhibition of canonical Wnt signaling by sclerostin in Bmpr1a
cKO mice. (A) QRT-PCR analysis for Sost, Dkk1, Dkk2 and
Lrp5 using calvariae at E16.5, E17.5 and E18.5. Values are expressed
relative to wild type at E16.5. Student's t-test;
*P<0.05. (B) QRT-PCR analysis for Wnt target
gene Axin2 and Ctgf using E18.5 calvariae. Expression levels
of Axin2 and Ctgf were significantly increased in cKO
calvariae. Student's t-test; *P<0.05.
(C) Immunohistochemical staining of sclerostin (brown) counterstained
with Hematoxylin (blue) using E17.5 calvariae. Broken line, osteoblasts. Scale
bars: 50 µm, left panel; 10 µm, right panel. (D) Detection of
BMPR1A (green), canonical Wnt signaling (blue) and sclerostin (red) using
E17.5 calvariae. Canonical Wnt signaling was assessed by β-gal staining
using TOPGAL mice. Nuclei were stained with DAPI (blue). Broken line,
osteoblasts. Scale bars: 20 µm. (E) Immunohistochemical staining for
sclerostin (red) in primary osteoblasts from Bmpr1a cKO and wild-type
control. Nuclei were stained with DAPI (blue). Scale bars: 20 µm.
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Fig. 6. Suppressed expression of sclerostin by loss of BMP signaling ex
vivo. (A) Newborn mouse calvariae were cultured for 5 days treated
with 4OH-TM (100 ng/ml). (a) Confirmation of Cre activity in the
calvariae from CreER:R26R mice assessed by β-gal
staining. (b) Upregulation of canonical Wnt signaling in the calvariae
from CreER:Bmpr1afx/fx:TOPGAL mice assessed by
β-gal staining. Broken lines, areas of parietal bones (P). (c)
Expression of Wnt inhibitors Sost, Dkk1, Dkk2 and Lrp5
assessed by QRT-PCR. (d) Expressions of bone resorption markers
Mmp9, Ctsk, TRAP and Bmpr1a. Values are expressed relative
to those of wild type (Cre-, TM-). (B) Sclerostin treatment of
wild-type (WT+Scl) and cKO (cKO+Scl) calvariae ex vivo. The ratio of
β-gal to DAPI-positive cells was evaluated from 50 fields in frontal
sections (n=3, in each condition). Broken line, parietal bones. Scale
bars: 50 µm. (C) Expression of bone resorption markers
Rankl and Opg, and relative ratio of Rankl to
Opg using wild-type and cKO calvariae in sclerostin treated versus
untreated groups. Values are expressed relative to those of wild type without
sclerostin treatment. (D) TRAP staining of cKO calvariae treated with
sclerostin and non-treated ex vivo. Values in A-C represent mean±s.d.
from three independent experiments. Student's t-test;
*P<0.05.
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Fig. 7. Enhanced BMPR1A signaling upregulates both sclerostin and
osteoclastogenesis. (A) Constitutively active Bmpr1a
(caBmpr1a) mouse fetuses at E18.5 induced daily by TM injection from
E13.5. Hematoxylin and Eosin staining showed moderately reduced thickness in
the caBmpr1a calvariae (Cre+, caBmpr1a+) where
levels of phosphorylated Smad1/5/8 (brown) were enhanced compared with
littermate controls (Cre-, caBmpr1a+). Scale bars: 50 µm.
(B) Expressions of Sost and the bone resorption markers
Rankl and Opg assessed by QRT-PCR using caBmpr1a
and control calvariae at E18.5. Values are expressed relative to control.
(C) Relative ratio of Rankl to Opg calculated based
on the expression levels in Fig. 7B. (D) Expressions of Sost,
bone resorption markers, Rankl and Opg by QRT-PCR using
rescued (black bar: Cre+, caBmpr1a+, Bmpr1a fx/fx)
and littermate cKO (gray bar: Cre+, caBmpr1a-, Bmpr1a
fx/fx) calvariae at E18.5. Values of rescued mice are expressed relative
to littermate cKO mice. (E) Relative ratio of Rankl to
Opg calculated based on expression levels in Fig. 7D. (F)
Hematoxylin and Eosin staining of rescued and cKO calvariae at E18.5. Scale
bars: 100 µm. Values in B-E are mean±s.d. from three independent
experiments. Student's t-test; *P<0.05.
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Fig. 8. A model of the relationship between BMPR1A and canonical Wnt signaling
in mouse bone. BMPR1A signaling upregulates sclerostin expression, leading
to an inhibition of canonical Wnt signaling and a decrease in bone mass by
upregulating osteoclastogenesis through the RANKL-OPG pathway. Sclerostin, the
SOST gene product, acts as a downstream effector of BMPR1A signaling,
an inhibitor of canonical Wnt signaling and a bone mass-determining factor.
Broken line indicates another possibility: that BMP signaling directly
upregulates osteoclastogenesis through the RANKL-OPG pathway.
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© The Company of Biologists Ltd 2008