BMP4 MIGHT INDUCE DEDIFFERENTIATION OF MYOGENIC CELLS TOWARD AN OSTEOGENIC LINEAGE *Olshanski, A; *Li, G H; *Peng, H; +*Huard, J +*Growth and Development Laboratory, Children’s Hospital of Pittsburgh and Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA jhuard@pitt.edu INTRODUCTION Previous studies by members of our laboratory have demonstrated that muscle-derived stem cells (MDSCs) have osteogenic potential and can form bone when genetically engineered to express bone morphogenetic protein (BMP) (1). Specifically, we have shown that cells expressing BMP4 can elicit ectopic bone formation when implanted intramuscularly into the hind limb of a mouse (2). These findings prompted us to investigate the cell source behind this bone formation. We hypothesized that the mature muscle fibers from the host animal dedifferentiate (that is, revert from a terminally differentiated state to a more primitive progenitor-like state) and then redifferentiate toward an osteogenic lineage and contribute to intramuscular bone formation. The study reported here was designed to evaluate the effects of BMP4 on C2C12 cells and myotubes. We used molecular techniques to specifically label terminally differentiated myotubes and assess whether BMP4 induces the dedifferentiation of myogenic cells. Figure 2: a Floxed ROSA26 3’ locus LTR b pClCre CMV-P PGK-CD-PGK-PURO LoxP Cre 5’ LTR LTR Figure 3. β-gal expression in myotubes formed by co-culture of MDSC-Cre cells and MDC-Loxβgeo cells. Note the absence of βgal expression in mononucleated cells (arrowheads). DAPI stain shows multiple nuclei in β-gal+ myotube (arrows). RESULTS In our preliminary studies, we cultured C2C12 cells in low-serum conditions to promote myotube formation. If maintained for 3–5 days, this culture system induces approximately 80% of the cells to differentiate into multinucleated myotubes, whereas the other 20% remain as mononucleated cells. The addition of BMP4 to the cultures resulted in the disappearance of myotubes and an increase in the number of mononucleated cells (Figure 1). To examine this phenomenon more closely, we first purified our myotube cultures by treating them with β-D-arabinofuranoside (aracytosine) in the presence of 2% FBS to kill residual mononucleated, dividing cells; we then passed the remaining myotubes gently through a 100-µm sieve. Next, we replated the myotubes and treated them with BMP4. When treated with BMP4, the myotubes disappeared. In contrast, parallel cultures of C2C12 cells proliferated in the presence of BMP4 (data not shown). Dedifferentiation did not seem to be a major factor in the aforementioned studies; however, because it was virtually impossible to monitor every myotube in each culture, we developed a system to specifically label terminally differentiated myotubes and track their fate after BMP4 treatment. Two populations of muscle-derived myogenic cells were used for these experiments. One population, MDC-Lox-βgeo, was isolated from 129-Gt(ROSA)26Sortm1Sho transgenic mice; these cells have the floxed ROSA26 locus (3) encompassing a gene that encodes for the β-galactosidase and neomycin resistance genes (βgeo) (Figure 2a). The other population, MDC-Cre, comprises muscle-derived cells (MDCs) isolated from normal C57B6J mice (Jackson Laboratory); we transfected these cells with a Cre-expressing plasmid (pClCre) (Figure 2b). MDC-Cre and MDC-Lox-βgeo cells were co-cultured and stimulated to fuse or differentiate in low-serum conditions. Resultant cultures were stained with LacZ. Upon fusion of the 2 cell types, Cre cleavage of the β-geo LoxP Lox sites in the Lox-βgeo cells induced β-galactosidase (β-gal) expression and neomycin resistance in the resultant myotubes (Figure 3). We then stimulated cultures with BMP4 to induce dedifferentiation. We expected any cells derived from a dedifferentiated myotube to remain β-gal-positive. We treated parallel cultures (such as those found in Figure 3) with G418 (1 mg/ml) for 6 days and with BMP4 (200 ng/ml) for 6 days. Double-staining for β-gal and alkaline phosphatase (ALP), an early osteogenic marker, revealed some double-positive mononucleated cells (Figure 4). METHODS Myogenic cells were stimulated to fuse and form myotubes in the presence of 2% horse serum (HS) in DMEM. Myotube cultures were maintained in 0.5% HS. BMP4 concentration in all experiments was 200 ng/ml. Figure 1: Top row: C2C12 myotubes kept in 0.5% HS DMEM. Bottom row: C2C12 myotubes treated with BMP4 (200 ng/ml) in 0.5% HS DMEM. STOP LoxP Figure 4: Dedifferentiation of myotubes after BMP4 stimulation. Some of the dedifferentiated cells (βgal+) also differentiated toward the osteogenic lineage, as indicated by the expression of ALP (arrow). DISCUSSION Our results suggest that BMP4 can have several effects on myotubes and myogenic cells: myotubes can die while mononucleated cells proliferate, myotubes can dedifferentiate into mononucleated cells, or a combination of these events can occur. Our use of the Cre-Lox system provided genetic rather than morphologic evidence of the effect of BMP4 on myotubes. Results from the first set of experiments suggested that most myotubes died when exposed to BMP4. However, the second set of experiments generated striking evidence of myogenic cell dedifferentiation and redifferentiation into osteogenic cells. Although such events might be rare, they could explain ectopic bone formation. Other researchers have induced dedifferentiation of mouse myotubes by using protein extracted from the regenerating limb tissue of newts (4), which likely contains growth factors. The results of our study suggests that BMP4 expression from genetically engineered cells that are implanted into intramuscular pockets in mice might cause dedifferentiation of mature muscle fibers and subsequent bone formation by redifferentiated osteoprogenitor cells. ACKNOWLEDGMENTS We wish to thank Ryan Sauder for editorial assistance. This work was supported by funding from the Henry J. Mankin Endowed Chair for Orthopaedic Research at the University of Pittsburgh, the William F. and Jean W. Donaldson Chair at Children’s Hospital of Pittsburgh, the Hirtzel Foundation, and a grant awarded to Dr. Johnny Huard from the National Institutes of Health (R03 AR050201). REFERENCES 1. V. Wright et al., Mol Ther 6, 169–78 (Aug, 2002) 2. H. Peng et al., J Clin Invest 110, 751–9 (Sept 15, 2002). 3. X. Mao et al., Proc Natl Acad Sci USA 96, 5037–42 (April 1999). 4. CJ. McGann et al., Proc Natl Acad Sci USA 98, 13699–704 (Nov 2001). 52nd Annual Meeting of the Orthopaedic Research Society Paper No: 1883