CHAPEL HILL, NC - Imagine you have a bone fracture or a hip replacement, and you need bone to form, but you heal slowly - a common fact of life for older people. Instead of forming bone, you could form fat. Researchers at the University of North Carolina School of Medicine may have found a way to tip the scale in favor of bone formation. They used cytochalasin D, a naturally occurring substance found in mold, as a proxy to alter gene expression in the nuclei of mesenchymal stem cells to force them to become osteoblasts (bone cells).
By treating stem cells - which can become fat or bone cells - with cytochalasin D- the result was clear: the stem cells became bone cells. Further, injecting a small amount of cytochalasin D into the bone marrow space of mice caused bone to form. This research, published in the journal Stem Cells, details how the scientists altered the stem cells and triggered bone growth.
"And the bone forms quickly," said Janet Rubin, MD, senior author of the paper and professor of medicine at the UNC School of Medicine. "The data and images are so clear; you don't have to be a bone biologist to see what cytochalasin D does in one week in a mouse."
Rubin added, "This was not what we expected. This was not what we were trying to do in the lab. But what we've found could become an amazing way to jump-start local bone formation. However, this will not address osteoporosis, which involves bone loss throughout the skeleton."
At the center of the discovery is a protein called actin, which forms fibers that span the cytoplasm of cells to create the cell's cytoskeleton. Osteoblasts have more cytoskeleton than do adipocytes (fat cells). Buer Sen, MD, first author of the Stem Cells paper and research associate in Rubin's lab, used cytochalasin D to break up the actin cytoskeleton. In theory - and according to the literature - this should have destroyed the cell's ability to become bone cells. The cells, in turn, should have been more likely to turn into adipocytes. Instead, Sen found that actin was trafficked into the nuclei of the stem cells, where it had the surprising effect of inducing the cells to become osteoblasts.
"My first reaction was, 'No way, Buer,'" Rubin said. "'This must be wrong. It goes against everything in the literature.' But he said, 'I've rerun the experiments. This is what happens.'" Rubin's team expanded the experiments while exploring the role of actin. They found that when actin enters and stays in the nucleus, it enhances gene expression in a way that causes the cell to become an osteoblast.
"Amazingly, we found that the actin forms an architecture inside the nucleus and turns on the bone-making genetic program," Rubin said. "If we destroy the cytoskeleton but do not allow the actin to enter the nucleus, the little bits of actin just sit in the cytoplasm, and the stem cells do not become bone cells."
Rubin's team then turned to a mouse model. Using live mice, they showed that cytochalasin D induced bone formation in mice.
Bone formation in mice isn't very different from that in humans, so this research might be translatable. And while cytochalasin D might not be the actual agent scientists use to trigger bone formation in the clinic, Rubin's study shows that triggering actin transport into the nuclei of cells may be a good way to force mesenchymal stem cells to become bone cells.
Rubin, the vice chair for research at the UNC School of Medicine, holds join appointments in pediatrics and pharmacology, and is an adjunct professor of bioengineering.
This work was funded by the National Institutes of Health.