Lithium rescues cultured rat metatarsals from dexamethasone-induced growth failure.


Journal

Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714

Informations de publication

Date de publication:
29 Apr 2024
Historique:
received: 22 09 2023
accepted: 24 03 2024
revised: 18 02 2024
medline: 30 4 2024
pubmed: 30 4 2024
entrez: 29 4 2024
Statut: aheadofprint

Résumé

Glucocorticoids are commonly used in children with different chronic diseases. Growth failure represents a so far untreatable undesired side-effect. As lithium chloride (LiCl) is known to induce cell renewal in various tissues, we hypothesized that LiCl may prevent glucocorticoid-induced growth failure. We monitored growth of fetal rat metatarsals cultured ex-vivo with dexamethasone and/or LiCl, while molecular mechanisms were explored through RNA sequencing by implementing the differential gene expression and gene set analysis. Quantification of β-catenin in human growth plate cartilage cultured with dexamethasone and/or LiCl was added for verification. After 14 days of culture, the length of dexamethasone-treated fetal rat metatarsals increased by 1.4 ± 0.2 mm compared to 2.4 ± 0.3 mm in control bones (p < 0.001). The combination of LiCl and dexamethasone led to bone length increase of 1.9 ± 0.3 mm (p < 0.001 vs. dexamethasone alone). By adding lithium, genes for cell cycle and Wnt/β-catenin, Hedgehog and Notch signaling, were upregulated compared to dexamethasone alone group. LiCl has the potential to partially rescue from dexamethasone-induced bone growth impairment in an ex vivo model. Transcriptomics identified cell renewal and proliferation as candidates for the underlying mechanisms. Our observations may open up the development of a new treatment strategy for bone growth disorders. LiCl is capable to prevent glucocorticoid-induced growth failure in rat metatarsals in vitro. The accompanying drug-induced transcriptomic changes suggested cell renewal and proliferation as candidate underlying mechanisms. Wnt/beta-catenin pathway could be one of those novel mechanisms.

Sections du résumé

BACKGROUND BACKGROUND
Glucocorticoids are commonly used in children with different chronic diseases. Growth failure represents a so far untreatable undesired side-effect. As lithium chloride (LiCl) is known to induce cell renewal in various tissues, we hypothesized that LiCl may prevent glucocorticoid-induced growth failure.
METHODS METHODS
We monitored growth of fetal rat metatarsals cultured ex-vivo with dexamethasone and/or LiCl, while molecular mechanisms were explored through RNA sequencing by implementing the differential gene expression and gene set analysis. Quantification of β-catenin in human growth plate cartilage cultured with dexamethasone and/or LiCl was added for verification.
RESULTS RESULTS
After 14 days of culture, the length of dexamethasone-treated fetal rat metatarsals increased by 1.4 ± 0.2 mm compared to 2.4 ± 0.3 mm in control bones (p < 0.001). The combination of LiCl and dexamethasone led to bone length increase of 1.9 ± 0.3 mm (p < 0.001 vs. dexamethasone alone). By adding lithium, genes for cell cycle and Wnt/β-catenin, Hedgehog and Notch signaling, were upregulated compared to dexamethasone alone group.
CONCLUSIONS CONCLUSIONS
LiCl has the potential to partially rescue from dexamethasone-induced bone growth impairment in an ex vivo model. Transcriptomics identified cell renewal and proliferation as candidates for the underlying mechanisms. Our observations may open up the development of a new treatment strategy for bone growth disorders.
IMPACT CONCLUSIONS
LiCl is capable to prevent glucocorticoid-induced growth failure in rat metatarsals in vitro. The accompanying drug-induced transcriptomic changes suggested cell renewal and proliferation as candidate underlying mechanisms. Wnt/beta-catenin pathway could be one of those novel mechanisms.

Identifiants

pubmed: 38684886
doi: 10.1038/s41390-024-03192-6
pii: 10.1038/s41390-024-03192-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

Références

Ciancia, S. et al. Osteoporosis in Children and Adolescents: When to Suspect and How to Diagnose It. Eur. J. Pediatr. 181, 2549–2561 (2022).
pubmed: 35384509 pmcid: 9192469 doi: 10.1007/s00431-022-04455-2
Blodgett, F. M., Burgin, L., Iezzoni, D., Gribetz, D. & Talbot, N. B. Effects of Prolonged Cortisone Therapy on the Statural Growth, Skeletal Maturation and Metabolic Status of Children. N. Engl. J. Med. 254, 636–641 (1956).
pubmed: 13309649 doi: 10.1056/NEJM195604052541402
Rygg, M. et al. A Longitudinal Printo Study on Growth and Puberty in Juvenile Systemic Lupus Erythematosus. Ann. Rheum. Dis. 71, 511–517 (2012).
pubmed: 21998114 doi: 10.1136/annrheumdis-2011-200106
Luo, J. M. & Murphy, L. J. Dexamethasone Inhibits Growth Hormone Induction of Insulin-Like Growth Factor-I (Igf-I) Messenger Ribonucleic Acid (Mrna) in Hypophysectomized Rats and Reduces Igf-I Mrna Abundance in the Intact Rat. Endocrinology 125, 165–171 (1989).
pubmed: 2737140 doi: 10.1210/endo-125-1-165
Chrysis, D., Ritzen, E. M. & Savendahl, L. Growth Retardation Induced by Dexamethasone Is Associated with Increased Apoptosis of the Growth Plate Chondrocytes. J. Endocrinol. 176, 331–337 (2003).
pubmed: 12630918 doi: 10.1677/joe.0.1760331
Zaman, F., Chrysis, D., Huntjens, K., Fadeel, B. & Savendahl, L. Ablation of the Pro-Apoptotic Protein Bax Protects Mice from Glucocorticoid-Induced Bone Growth Impairment. PLoS One 7, e33168 (2012).
pubmed: 22442678 pmcid: 3307731 doi: 10.1371/journal.pone.0033168
Ohnaka, K., Tanabe, M., Kawate, H., Nawata, H. & Takayanagi, R. Glucocorticoid Suppresses the Canonical Wnt Signal in Cultured Human Osteoblasts. Biochem. Biophys. Res. Commun. 329, 177–181 (2005).
pubmed: 15721290 doi: 10.1016/j.bbrc.2005.01.117
Naito, M., Ohashi, A. & Takahashi, T. Dexamethasone Inhibits Chondrocyte Differentiation by Suppression of Wnt/Beta-Catenin Signaling in the Chondrogenic Cell Line Atdc5. Histochem. Cell Biol. 144, 261–272 (2015).
pubmed: 26105025 doi: 10.1007/s00418-015-1334-2
Baron, R. & Kneissel, M. Wnt Signaling in Bone Homeostasis and Disease: From Human Mutations to Treatments. Nat. Med. 19, 179–192 (2013).
pubmed: 23389618 doi: 10.1038/nm.3074
Zhu, Z. et al. Lithium Stimulates Human Bone Marrow Derived Mesenchymal Stem Cell Proliferation through Gsk-3beta-Dependent Beta-Catenin/Wnt Pathway Activation. FEBS J. 281, 5371–5389 (2014).
pubmed: 25265417 doi: 10.1111/febs.13081
Smith, E., Coetzee, G. A. & Frenkel, B. Glucocorticoids Inhibit Cell Cycle Progression in Differentiating Osteoblasts Via Glycogen Synthase Kinase-3beta. J. Biol. Chem. 277, 18191–18197 (2002).
pubmed: 11877389 doi: 10.1074/jbc.M109708200
Cade, J. F. Lithium Salts in the Treatment of Psychotic Excitement. Med J. Aust. 2, 349–352 (1949).
pubmed: 18142718 doi: 10.5694/j.1326-5377.1949.tb36912.x
Berger, G. E. et al. Neuroprotective Effects of Low-Dose Lithium in Individuals at Ultra-High Risk for Psychosis. A Longitudinal Mri/Mrs Study. Curr. Pharm. Des. 18, 570–575 (2012).
pubmed: 22239590 doi: 10.2174/138161212799316163
Findling, R. L. et al. Combination Lithium and Divalproex Sodium in Pediatric Bipolar Symptom Re-Stabilization. J. Am. Acad. Child Adolesc. Psychiatry 45, 142–148 (2006).
pubmed: 16429084 doi: 10.1097/01.chi.0000189135.05060.8a
Bagi, C. & Burger, E. H. Mechanical Stimulation by Intermittent Compression Stimulates Sulfate Incorporation and Matrix Mineralization in Fetal Mouse Long-Bone Rudiments under Serum-Free Conditions. Calcif. Tissue Int. 45, 342–347 (1989).
pubmed: 2509024 doi: 10.1007/BF02556004
De Luca, F. et al. Regulation of Growth Plate Chondrogenesis by Bone Morphogenetic Protein-2. Endocrinology 142, 430–436 (2001).
doi: 10.1210/endo.142.1.7901
Eriksson, E. et al. Bortezomib Is Cytotoxic to the Human Growth Plate and Permanently Impairs Bone Growth in Young Mice. PLoS One 7, e50523 (2012).
pubmed: 23226303 pmcid: 3511518 doi: 10.1371/journal.pone.0050523
Schneider, C. A., Rasband, W. S. & Eliceiri, K. W. Nih Image to Imagej: 25 Years of Image Analysis. Nat. Methods 9, 671–675 (2012).
pubmed: 22930834 pmcid: 5554542 doi: 10.1038/nmeth.2089
Anders, S., Pyl, P. T. & Huber, W. Htseq-a Python Framework to Work with High-Throughput Sequencing Data. Bioinformatics 31, 166–169 (2015).
pubmed: 25260700 doi: 10.1093/bioinformatics/btu638
Love, M. I., Huber, W. & Anders, S. Moderated Estimation of Fold Change and Dispersion for Rna-Seq Data with Deseq2. Genome Biol. 15, 550 (2014).
pubmed: 25516281 pmcid: 4302049 doi: 10.1186/s13059-014-0550-8
Wu, D. & Smyth, G. K. Camera: A Competitive Gene Set Test Accounting for Inter-Gene Correlation. Nucleic Acids Res. 40, e133 (2012).
pubmed: 22638577 pmcid: 3458527 doi: 10.1093/nar/gks461
Zaman, F. et al. Dexamethasone Differentially Regulates Bcl-2 Family Proteins in Human Proliferative Chondrocytes: Role of Pro-Apoptotic Bid. Toxicol. Lett. 224, 196–200 (2014).
pubmed: 24172751 doi: 10.1016/j.toxlet.2013.10.020
R: A Language and Environment for Statistical Computing (R Foundation for Statistical Computing, Vienna, Austria, 2019).
Kilkenny, C., Browne, W. J., Cuthill, I. C., Emerson, M. & Altman, D. G. Improving Bioscience Research Reporting: The Arrive Guidelines for Reporting Animal Research. PLoS Biol. 8, e1000412 (2010).
pubmed: 20613859 pmcid: 2893951 doi: 10.1371/journal.pbio.1000412
Minashima, T., Zhang, Y., Lee, Y. & Kirsch, T. Lithium Protects against Cartilage Degradation in Osteoarthritis. Arthritis. Rheumatol. 66, 1228–1236 (2014).
pubmed: 24470226 doi: 10.1002/art.38373
Thompson, C. L. et al. Lithium Chloride Prevents Interleukin-1β Induced Cartilage Degradation and Loss of Mechanical Properties. J. Orthop. Res. 33, 1552–1559 (2015).
pubmed: 26174175 pmcid: 4973828 doi: 10.1002/jor.22913
Hui, W. et al. Lithium Protects Cartilage from Cytokine-Mediated Degradation by Reducing Collagen-Degrading Mmp Production Via Inhibition of the P38 Mitogen-Activated Protein Kinase Pathway. Rheumatology 49, 2043–2053 (2010).
pubmed: 20634235 doi: 10.1093/rheumatology/keq217
Lozanoff, S., Sciulli, P. W. & Negulesco, J. A. The Effect of Lithium Carbonate Administration on Growth in the Domestic Fowl. Growth 49, 91–104 (1985).
pubmed: 3924743
Chen, Y. et al. Beta-Catenin Signaling Plays a Disparate Role in Different Phases of Fracture Repair: Implications for Therapy to Improve Bone Healing. PLoS Med. 4, e249 (2007).
pubmed: 17676991 pmcid: 1950214 doi: 10.1371/journal.pmed.0040249
Lieu, C. A. et al. Lithium Prevents Parkinsonian Behavioral and Striatal Phenotypes in an Aged Parkin Mutant Transgenic Mouse Model. Brain Res. 1591, 111–117 (2014).
pubmed: 25452026 doi: 10.1016/j.brainres.2014.10.032
Xu, W., Ge, Y., Liu, Z. & Gong, R. Glycogen Synthase Kinase 3beta Orchestrates Microtubule Remodeling in Compensatory Glomerular Adaptation to Podocyte Depletion. J. Biol. Chem. 290, 1348–1363 (2015).
pubmed: 25468908 doi: 10.1074/jbc.M114.593830
Zanni, G. et al. Lithium Treatment Reverses Irradiation-Induced Changes in Rodent Neural Progenitors and Rescues Cognition. Mol. Psychiatry 26, 322–340 (2021).
pubmed: 31723242 doi: 10.1038/s41380-019-0584-0
Thompson, C. L., Wiles, A., Poole, C. A. & Knight, M. M. Lithium Chloride Modulates Chondrocyte Primary Cilia and Inhibits Hedgehog Signaling. FASEB J. 30, 716–726 (2016).
pubmed: 26499268 doi: 10.1096/fj.15-274944
Zhou, X. et al. Chondroprotective Effects of Palmatine on Osteoarthritis in Vivo and in Vitro: A Possible Mechanism of Inhibiting the Wnt/Beta-Catenin and Hedgehog Signaling Pathways. Int. Immunopharmacol. 34, 129–138 (2016).
pubmed: 26945831 doi: 10.1016/j.intimp.2016.02.029
Ding, L. et al. Beta‑Catenin Signalling Inhibits Cartilage Endplate Chondrocyte Homeostasis in Vitro. Mol. Med. Rep. 20, 567–572 (2019).
pubmed: 31180546 pmcid: 6580047
Guidotti, S. et al. Lithium Chloride Dependent Glycogen Synthase Kinase 3 Inactivation Links Oxidative DNA Damage, Hypertrophy and Senescence in Human Articular Chondrocytes and Reproduces Chondrocyte Phenotype of Obese Osteoarthritis Patients. PLoS One 10, e0143865 (2015).
pubmed: 26618897 pmcid: 4664288 doi: 10.1371/journal.pone.0143865
Zieba, J. T., Chen, Y. T., Lee, B. H. & Bae, Y. Notch Signaling in Skeletal Development, Homeostasis and Pathogenesis. Biomolecules 10, 332 (2020).
pubmed: 32092942 pmcid: 7072615 doi: 10.3390/biom10020332
Kronenberg, H. M. Developmental Regulation of the Growth Plate. Nature 423, 332–336 (2003).
pubmed: 12748651 doi: 10.1038/nature01657
Chagin, A. S., Karimian, E., Sundstrom, K., Eriksson, E. & Savendahl, L. Catch-up Growth after Dexamethasone Withdrawal Occurs in Cultured Postnatal Rat Metatarsal Bones. J. Endocrinol. 204, 21–29 (2010).
pubmed: 19815587 doi: 10.1677/JOE-09-0307
Sproule, B. Lithium in Bipolar Disorder: Can Drug Concentrations Predict Therapeutic Effect? Clin. Pharmacokinet. 41, 639–660 (2002).
pubmed: 12126457 doi: 10.2165/00003088-200241090-00002
McKnight, R. F. et al. Lithium Toxicity Profile: A Systematic Review and Meta-Analysis. Lancet 379, 721–728 (2012).
pubmed: 22265699 doi: 10.1016/S0140-6736(11)61516-X
Ehrlich, B. E., Clausen, C. & Diamond, J. M. Lithium Pharmacokinetics: Single-Dose Experiments and Analysis Using a Physiological Model. J. Pharmacokinet. Biopharm. 8, 439–461 (1980).
pubmed: 7252790 doi: 10.1007/BF01059545
Ryves, W. J. & Harwood, A. J. Lithium Inhibits Glycogen Synthase Kinase-3 by Competition for Magnesium. Biochem. Biophys. Res. Commun. 280, 720–725 (2001).
pubmed: 11162580 doi: 10.1006/bbrc.2000.4169
Kawasaki, Y. et al. Phosphorylation of GSK-3beta by cGMP-dependent protein kinase II promotes hypertrophic differentiation of murine chondrocytes. J. Clin. Invest. 118, 2506–2515 (2008).
pubmed: 18551195 pmcid: 2423867 doi: 10.1172/JCI35243E1
Ning, B. et al. Dual function of beta-catenin in articular cartilage growth and degeneration at different stages of postnatal cartilage development. Int. Orthop. 36, 655–664 (2012).
pubmed: 21755332 doi: 10.1007/s00264-011-1315-6
Krase, A., Abedian, R., Steck, E., Hurschler, C. & Richter, W. BMP activation and Wnt-signalling affect biochemistry and functional biomechanical properties of cartilage tissue engineering constructs. Osteoarthr. Cartil. 22, 284–292 (2014).
doi: 10.1016/j.joca.2013.11.011
Thompson, C. L. et al. Chondrocyte expansion is associated with loss of primary cilia and disrupted hedgehog signalling. Eur. Cell Mater. 34, 128–141 (2017).
pubmed: 28929469 doi: 10.22203/eCM.v034a09
Soave, A., Chiu, L. L. Y., Momin, A. & Waldman, S. D. Lithium chloride-induced primary cilia recovery enhances biosynthetic response of chondrocytes to mechanical stimulation. Biomech. Model Mechanobiol. 21, 605–614 (2022).
pubmed: 35091857 doi: 10.1007/s10237-021-01551-4

Auteurs

Ondrej Soucek (O)

Vera Vavrova Lab/VIAL, Department of Paediatrics, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic. ondrej.soucek@lfmotol.cuni.cz.
Paediatric Endocrinology Unit, Department of Children's and Women's Health, Karolinska Institutet, Stockholm, Sweden. ondrej.soucek@lfmotol.cuni.cz.

Ondrej Cinek (O)

Department of Paediatrics and Department of Medical Microbiology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Lilly Velentza (L)

Paediatric Endocrinology Unit, Department of Children's and Women's Health, Karolinska Institutet, Stockholm, Sweden.

Valerij Semjonov (V)

Department of Paediatrics and Department of Medical Microbiology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Martin Bezdicka (M)

Vera Vavrova Lab/VIAL, Department of Paediatrics, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Farasat Zaman (F)

Paediatric Endocrinology Unit, Department of Children's and Women's Health, Karolinska Institutet, Stockholm, Sweden.

Lars Sävendahl (L)

Paediatric Endocrinology Unit, Department of Children's and Women's Health, Karolinska Institutet, Stockholm, Sweden.
Astrid Lindgren Children´s Hospital, Karolinska University Hospital, Stockholm, Sweden.

Classifications MeSH