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4-PBA Treatment Improves Bone Phenotypes in the Aga2 Mouse Model of Osteogenesis Imperfecta
Authors:Ivan Duran  Jennifer Zieba  Fabiana Csukasi  Jorge H. Martin  Davis Wachtell  Maya Barad  Brian Dawson  Bohumil Fafilek  Christina M. Jacobsen  Catherine G. Ambrose  Daniel H. Cohn  Pavel Krejci  Brendan H. Lee  Deborah Krakow
Affiliation:1. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Laboratory of Bioengineering and Tissue Regeneration (LABRET), Department of Cell Biology, Genetics and Physiology, University of Málaga, Institute of Biomedical Research in Malaga (IBIMA), Málaga, Spain

Networking Biomedical Research Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Andalusian Centre for Nanomedicine and Biotechnology (BIONAND), Málaga, Spain

ID and JZ are joint first authors.

Contribution: Conceptualization, ​Investigation, Methodology, Visualization, Writing - original draft;2. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

ID and JZ are joint first authors.

Contribution: Conceptualization, ​Investigation, Methodology, Visualization, Writing - original draft, Writing - review & editing;3. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Laboratory of Bioengineering and Tissue Regeneration (LABRET), Department of Cell Biology, Genetics and Physiology, University of Málaga, Institute of Biomedical Research in Malaga (IBIMA), Málaga, Spain

Networking Biomedical Research Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Andalusian Centre for Nanomedicine and Biotechnology (BIONAND), Málaga, Spain

Contribution: ​Investigation;4. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Contribution: ​Investigation;5. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Contribution: ​Investigation, Writing - original draft;6. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA

Contribution: ​Investigation;7. Department of Biology, Faculty of Medicine, Masaryk University, Brno, Czech Republic

International Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic

Contribution: ​Investigation;8. Divisions of Endocrinology and Genetics and Genomics, Boston Children's Hospital, Boston, MA, USA

Department of Pediatrics, Harvard Medical School, Boston, MA, USA

Contribution: Resources;9. Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA

Contribution: ​Investigation;10. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Department of Molecular Cell and Developmental Biology, University of California at Los Angeles, Los Angeles, CA, USA;11. Department of Biology, Faculty of Medicine, Masaryk University, Brno, Czech Republic

International Clinical Research Center, St. Anne's University Hospital, Brno, Czech Republic

Contribution: Conceptualization, Resources, Writing - review & editing;12. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA;13. Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California at Los Angeles, Los Angeles, CA, USA

Abstract:Osteogenesis imperfecta (OI) is a genetically heterogenous disorder most often due to heterozygosity for mutations in the type I procollagen genes, COL1A1 or COL1A2. The disorder is characterized by bone fragility leading to increased fracture incidence and long-bone deformities. Although multiple mechanisms underlie OI, endoplasmic reticulum (ER) stress as a cellular response to defective collagen trafficking is emerging as a contributor to OI pathogenesis. Herein, we used 4-phenylbutiric acid (4-PBA), an established chemical chaperone, to determine if treatment of Aga2+/− mice, a model for moderately severe OI due to a Col1a1 structural mutation, could attenuate the phenotype. In vitro, Aga2+/− osteoblasts show increased protein kinase RNA-like endoplasmic reticulum kinase (PERK) activation protein levels, which improved upon treatment with 4-PBA. The in vivo data demonstrate that a postweaning 5-week 4-PBA treatment increased total body length and weight, decreased fracture incidence, increased femoral bone volume fraction (BV/TV), and increased cortical thickness. These findings were associated with in vivo evidence of decreased bone-derived protein levels of the ER stress markers binding immunoglobulin protein (BiP), CCAAT/−enhancer-binding protein homologous protein (CHOP), and activating transcription factor 4 (ATF4) as well as increased levels of the autophagosome marker light chain 3A/B (LC3A/B). Genetic ablation of CHOP in Aga2+/− mice resulted in increased severity of the Aga2+/− phenotype, suggesting that the reduction in CHOP observed in vitro after treatment is a consequence rather than a cause of reduced ER stress. These findings suggest the potential use of chemical chaperones as an adjunct treatment for forms of OI associated with ER stress. © 2022 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).
Keywords:osteogenesis imperfecta  Aga2  bone  4-PBA  ER stress  Chop−/−  Bip+/−
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