Orthopaedic Surgery and Rehabilitation

 
 
 
 
          Home
          From the Chief
          For Patients
          Physicians
          Specialties
          Education
          Research
    Clinical Research
    Biomechanical Research
    Molecular Orthopaedics
    Motion Analysis
          Appointments
 
 
 

Molecular Orthopaedic Research
 

    Under the direction of T.-C. He, M.D., Ph.D., the Molecular Oncology Laboratory has focused on the molecular aspects of bone and musculoskeletal diseases. Specifically, the current research interests of the Molecular Oncology Laboratory include the following areas:

Molecular Genetics Of Bone And Soft Tissue Tumors

    To understand the molecular basis of osteosarcoma, the He, Haydon & Luu group found that B-catenin signaling is activated in approximately 70% of the analyzed 40 cases of human osteosarcoma, suggesting that deregulation of B-catenin may play a role in the development of human osteosarcoma. These findings have been published in International Journal of Cancer.

    The He & Haydon group has also carried out a study to determine if tyrosine kinase inhibitors down-regulate the beta-catenin signaling activity. They found that STI-571/Gleveec effectively inhibited the constitutive activity of B-catenin signaling in human colon cancer cells as well as the Wnt1-induced activation of B-catenin signaling in HOS, HTB-94, and HEK 293 cells. Furthermore, STI-571 was shown to effectively suppress the proliferation of human colon cancer cells. Finally, the He & Haydon group demonstrated that the Wnt1-mediated activation of a GAL4-B-catenin heterologous transcription system was effectively inhibited by STI-571. Thus, their findings suggest that tyrosine phosphorylation may play an important role in regulating B-catenin signaling activity, and inhibition of this signaling pathway by STI-571 may be further explored as an important target for alternative/ adjuvant treatments for a broader range of human cancer. These findings have been published in Cancer Letters.

    To further explore other molecular and genetic changes that may be responsible for osteosarcoma development, the He & Haydon group has recently investigated the possible role of S100 proteins in human osteosarcoma. Several recent cytogenetic studies suggest that chromosome 1q21.1-1q21.2 region is frequently altered in osteosarcoma and other soft tissue tumors. One large group of gene family (~20 members) clustering in this region is the EF-hand calcium binding S100 proteins. The He & Haydon group examined the expression of the S100A6 in human osteosarcoma, and found that approximately 83% (57 of 69) of the analyzed osteosarcomas stained positive for S100A6. The expression level of S100A6 did not correlate with overall survival (p = 0.13). However, of the 22 patients who did not have metastatic disease at both diagnosis and follow-up, all but two stained positively for S100A6. There is a trend towards decreased clinically evident metastasis in patients whose tumors positively stained for S100A6 (p = 0.013). Of the 39 patients who had no metastases at diagnosis, the risk of developing metastases decreased as S100A6 staining intensity increased (p = 0.043). Thus, these findings suggest that S100A6 may be associated with the pathogenesis of osteosarcoma. These studies have been supported by research grants from The Brinson Foundation, The Schweppe Foundation, and the OREF, as well as an OREF Resident Research Fellowship awarded to Dr. Hue L. Luu.

Molecular Basis Of Bone Formation

    Identification of BMP-9 as one of the most osteogenic BMPs Understanding the molecular mechanisms underlying bone formation is pivotal for understanding the pathogenesis of bone diseases, as well as for develop effective approaches to bone regeneration. Although several BMPs (mostly BMP-2 and BMP-7) have been shown to induce bone formation, it is unclear whether the currently used ones represent the most osteogenic BMPs. Until recently, comprehensive analysis of osteogenic activity of all BMPs has been hampered by the fact recombinant proteins are either not biologically active or not available for all BMPs. The He & Haydon group has recently constructed a panel of recombinant adenoviral vectors expressing the 14 types of human BMPs. Through a comprehensive analysis, they found that BMP-2, 6, and 9 emerge as the most potent osteogenic BMPs in osteoblastic progenitor cells in vitro. These findings have been published in the August 2003 issue of Journal of Bone and Joint Surgery with Introductory Comments. Furthermore, the He & Haydon group has recently concluded several rounds of in vivo studies and found that BMP-9 is reproducibly demonstrated as one of the most osteogenic BMPs to induce orthotopic bone formation in an orthotopic ossification animal model. These findings strongly suggest that, in addition to BMP-2 and BMP-7 that are currently used in clinical trails, BMP-6 and BMP-9 could represent equally, if not more effective osteogenic factors for bone regeneration in a clinical setting.

Molecular Mechanisms behind BMP-Induced Osteogenic Signaling

    To identify potentially important mediators of BMP-induced osteogenic signaling, the He & Haydon group has recently determined the gene expression differences between three osteogenic BMPs (i.e., BMP-2, 6, and 9) and two inhibitory/non-osteogenic BMPs (i.e., BMP-3 and 12). Through the microarray analysis of ~12,000 genes in pre-osteoblast progenitor cells, they found that expression level of 203 genes (105 up-regulated and 98 down-regulated) was altered >2-fold upon osteogenic BMP stimulation. BMP-regulated expression of the selected target genes was confirmed by RT-PCR and CodeLink microarray analysis. Gene ontology analysis revealed that osteogenic BMPs, but not inhibitory/non-osteogenic BMPs, activate genes involved in the proliferation of pre-osteoblast progenitor cells towards osteoblastic differentiation, and simultaneously inhibit myoblast-specific gene expression. These findings are consistent with the notion that osteogenesis and myogenesis are two divergent processes. The He & Haydon group is currently elucidating the functional importance of these downstream mediators in BMP-induced osteogenic signaling. These functional studies could uncover the missing links between disruption of normal osteoblast differentiation and osteosarcoma development. These studies have been supported by a research grant from The Aircast Foundation, as well as the OREF Career Development Award to Dr. Rex. C. Haydon.

 

• Up • Publications • Clinical • Biomechanical • Molecular Orthopaedics • Motion Analysis •

 


Last update: 
January 10, 2010