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The pivotal role of the Hes1/Piezo1 pathway in the pathophysiology of glucocorticoid-induced osteoporosis
Nagahiro Ochiai, Yuki Etani, Takaaki Noguchi, Taihei Miura, Takuya Kurihara, Yuji Fukuda, Hidetoshi Hamada, Keisuke Uemura, Kazuma Takashima, Masashi Tamaki, Teruya Ishibashi, Shohei Ito, Satoshi Yamakawa, Takashi Kanamoto, Seiji Okada, Ken Nakata, Kosuke Ebina
Nagahiro Ochiai, Yuki Etani, Takaaki Noguchi, Taihei Miura, Takuya Kurihara, Yuji Fukuda, Hidetoshi Hamada, Keisuke Uemura, Kazuma Takashima, Masashi Tamaki, Teruya Ishibashi, Shohei Ito, Satoshi Yamakawa, Takashi Kanamoto, Seiji Okada, Ken Nakata, Kosuke Ebina
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Research Article Bone biology Therapeutics

The pivotal role of the Hes1/Piezo1 pathway in the pathophysiology of glucocorticoid-induced osteoporosis

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Abstract

Glucocorticoid-induced osteoporosis (GIOP) lacks fully effective treatments. This study investigated the role of Piezo1, a mechanosensitive ion channel component 1, in GIOP. We found reduced Piezo1 expression in cortical bone osteocytes from patients with GIOP and a GIOP mouse model. Yoda1, a Piezo1 agonist, enhanced the mechanical stress response and bone mass and strength, which were diminished by dexamethasone (DEX) administration in GIOP mice. RNA-seq revealed that Yoda1 elevated Piezo1 expression by activating the key transcription factor Hes1, followed by enhanced CaM kinase II and Akt phosphorylation in osteocytes. This improved the lacuno-canalicular network and reduced sclerostin production and the receptor activator of NF-κB/osteoprotegerin ratio, which were mitigated by DEX. Comparative analysis of mouse models and human GIOP cortical bone revealed downregulation of mechanostimulated osteogenic factors, such as osteocrin, and cartilage differentiation markers in osteoprogenitor cells. In human periosteum-derived cells, DEX suppressed differentiation into osteoblasts, but Yoda1 rescued this effect. Our findings suggest that reduced Piezo1 expression and activity in osteocytes and periosteal cells contribute to GIOP, and Yoda1 may offer a novel therapeutic approach by restoring mechanosensitivity.

Authors

Nagahiro Ochiai, Yuki Etani, Takaaki Noguchi, Taihei Miura, Takuya Kurihara, Yuji Fukuda, Hidetoshi Hamada, Keisuke Uemura, Kazuma Takashima, Masashi Tamaki, Teruya Ishibashi, Shohei Ito, Satoshi Yamakawa, Takashi Kanamoto, Seiji Okada, Ken Nakata, Kosuke Ebina

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Figure 5

Effects of DEX and Yoda1 on human cortical bone and MLO-Y4 cells.

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Effects of DEX and Yoda1 on human cortical bone and MLO-Y4 cells.
(A–D) ...
(A–D) Human femoral neck cortical bone samples obtained from hip arthroplasty procedures were cleared of soft tissues. Subsequently, they were incubated overnight, followed by DEX and Yoda1 treatment for 6 hours (n = 3). Four experimental groups were established: Control (untreated), Yoda1 alone (10 μM), DEX alone (1 μM), and DEX+Yoda1 (combination of 1 μM DEX and 10 μM Yoda1). (E) WB analysis of Piezo1 and β-actin protein levels in MLO-Y4 cells following overnight treatment with DEX and subsequent 24-hour exposure to Yoda1. (F and G) WB analysis of Akt and ERK phosphorylation in response to DEX treatment and subsequent 2 hours of Yoda1 administration. (H) MLO-Y4 cells were incubated with DEX (0.1 and 1 μM) for 24 hours. Subsequently, all groups were treated with Yoda1 (1 μM) to monitor changes in Ca2+ influx (n = 3). (I) Yoda1 (10 μM) to monitor changes in Ca2+ influx (n = 3). (J) Impact of KN-93, a CaMKII selective inhibitor, on Akt phosphorylation in MLO-Y4 cells treated with DEX, preincubated with KN-93 for 2 hours, and then exposed to Yoda1 for 1 hour. (K and L) Morphological changes in F-actin structure in MLO-Y4 cells subjected to DEX and Yoda1 for 72 hours were visualized using rhodamine-phalloidin (see Supplemental Methods) and Hoechst 33342 staining. Images were acquired using an In Cell Analyzer 6000 at ×40 magnification (scale bars: 50 μm). (L) Actin cross-linking points were quantified (n = 8). Results are presented as the mean ± SD. Statistical significance was evaluated using a 1-way ANOVA followed by a Tukey-Kramer post hoc test. *P < 0.05, **P < 0.01, ***P < 0.001 for Control vs. DEX (0.1 μM) + Yoda1; †P < 0.05, ††P < 0.01, †††P < 0.001 for Control vs. DEX (1 μM) + Yoda1.

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