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Fig. 7. The role of endogenous glucocorticoids in cranial bone development.
Proposed model of relevant molecular mechanisms and signaling pathways.
Glucocorticoids (GC) stimulate differentiated osteoblasts to produce Wnt
proteins, which activate the Wnt/β-catenin signaling cascade in:
(A) cranial mesenchymal progenitor cells, promoting osteoblastogenesis
and inhibiting chondrogenesis through up-regulation of Runx2 and
downregulation of Sox9 expression; (B) cranial osteoblasts, through
upregulation of Mmp14 to initiate the remodeling of the collagenous matrix
surrounding the osteoblast; and (C) cranial chondrocytes, through
up-regulation of Mmp14 to initiate the cranial cartilage degradation.