Transcription Factor Dmrt2 Forwards Endochondral Ossification by Inhibiting Early Stage and Promoting Late Stage of Endochondral Ossification +1,2 Ono, K; 1Hata, K; 1Nakamura, E; 1 Sugita, A; 1Amano, K; 1 Takigawa, Y; 1 Nakanishi, M; 1 Nishimura, R; 2 Takenoshita, S; 1 Yoneda, T +1 Osaka University Graduate School of Dentistry, Suita, Osaka, 2Fukushima Medical University, Fukushima, Fukushima, Japan koichirono@g-mail.com ABSTRACT INTRODUCTION: Endochondral bone formation, which is an essential process for skeletal development in vertebrates, consists of series of events including an aggregation of mesenchymal cells, their differentiation into chondrocytes, followed by chondrocyte proliferation, hypertrophy and apoptosis, leading to the replacement by bone. Sox9 is an essential transcription factor in the early stages of these sequential steps. Recent studies showed that Sox5 and Sox6 served as chondrocyte-specific transcription cofactors of Sox9 and that the cooperation of Sox5/6/9 plays important roles in chondrogenesis [1]. However, transcriptional targets of Sox5/6/9 and, more importantly, biological function of the target molecules in endochondral bone formation are unknown. Here, we focused to study Dmrt2 (double-sex and mab-3 related transcription factor 2), since we found that Dmrt2 expression was markedly up-regulated in the mesenchymal stem cells that differentiated to chondrocytes following Sox5/6/9 introduction by microarray analysis. Moreover, recent genetic studies have reported that a loss of Dmrt1/2 genes causes growth retardation and malformation of fingers in human [2] and that Dmrt2-deficient mice show malformation of rib and sternum [3]. These results collectively suggest a critical role of Dmrt2 in chondrocyte differentiation and consequent vertebrate skeletal development. METHODS: All experiments were conducted according to the ethical guidelines of the Institutional Review Boards and approved by the Institutional Animal Use Committee of the Osaka University Graduate School of Dentistry. C3H10T1/2 cells were introduced with Sox5/6/9 using the adenovirus system, cultured for 7 days, mRNA was collected and microarray analysis was carried out using Affymetrix Genechip® mouse genome 430 2.0. Localization of Dmrt2 proteins was examined by immunohistochemistry in E14.5 mouse embryo hind limbs. To investigate the role of Dmrt2 in chondrogenesis, we either overexpressed Dmrt2 or suppressed Dmrt2 expression by siRNA in primary chondrocytes isolated from 4-week-old ICR mouse costal cartilage. Chondrocytespecific gene expression was examined by quantitative RT-PCR (qRT-PCR). To study in vivo significance of Dmrt2 during endochondral bone formation, we generated transgenic (TG) mice carrying the full-length Dmrt2 gene driven by the Prx1 promoter which allowed us to selectively overexpress genes of interest in the developing mouse limb bud. E14.5 tibiae of TG and wild type mice were histologically analyzed by double-staining with alcian blue and alizarin red, and H&E staining and in situ hybridization (ISH). Statistical analysis was performed using student t-test. P values less than 0.05 were considered significant. RESULTS: Microarray analysis using C3H10T1/2 mesenchymal stem cells overexpressing Sox5/6/9 or GFP showed that Dmrt2 was a transcriptional target of Sox5/6/9. Dmrt2 was highly expressed in E14.5 mouse embryo hind limbs compared with other organs and tissues determined by real-time RT-PCR. Immunohistochemical analysis revealed that Dmrt2 was strongly expressed in the late proliferating to pre-hypertrophic chondrocytes. These data led us to hypothesize that Dmrt2 regulated both proliferating and hypertrophic stages of chondrocyte differentiation. To prove this hypothesis, we investigated the effects of Dmrt2 on the expression of Col10α1, a well-accepted marker of hypertrophic chondrocytes. Overexpression of Dmrt2 up-regulated Col10α1 mRNA expression in primary chondrocytes, whereas suppression of Dmrt2 by siRNA decreased it. Molecular study showed that Dmrt2 increased the Col10α1 gene promoter activity by directly binding to the putative Dmrt2 binding elements. We next examined the role of Dmrt2 in the early stages of endochondral bone formation. When Dmrt2 was overexpressed in primary chondrocytes, Col2α1 and aggrecan mRNA expression were markedly decreased. We also found that knockdown of Dmrt2 increased these early chondrocyte markers. Interestingly, overexpression of Dmrt2 reduced the expression of Sox9 and Sox9-induced Col2α1 expression, suggesting that Dmrt2 serves as a negative regulator for Sox9 (Fig.1). Finally, we studied in vivo significance of Dmrt2 during endochondral ossification by examining TG mice carrying Dmrt2 gene that was driven by the Prx1 promoter. Of note, TG mice exhibited severe defects in limb development (Fig.2). Hind limbs isolated from E14.5 TG mice showed reduced Col2α1 and aggrecan mRNA expression compared with WT mice. ISH analysis further revealed that early stages of endochondral bone formation were disturbed in TG mice. DISCUSSION: Dmrt2 regulates cartilage differentiation through inhibiting early-stages and promoting late-stages of chondrocyte differentiation. Since our data show Dmrt2 is expressed in the late stages of proliferating zone and negatively regulates Sox9 function, it seems likely that Dmrt2 works as a switching regulator to forward endochondral bone formation. Further elucidation of Dmrt2 function in chondrogenesis would contribute to better understanding of the mechanism underlying skeletal development. REFERENCES: [1] Lefebvre V., et al, 1998. EMBO J. 17: 5718–5733. [2] Ounap, K., et al, 2004. Am J Med Genet., A 130, 415–423. [3] Seo, K.W., et al, 2006.Dev. Biol. 290, 200–210. Fig.1 Inhibitory effects of Dmrt2 on Sox9 function and expression (* p<0.05). Fig.2 Disturbed limb development in E14.5 TG mice. Poster No. 957 • 55th Annual Meeting of the Orthopaedic Research Society