Abstract
Alveolar bone loss is a main manifestation of periodontitis. Human periodontal ligament stem cells (PDLSCs) are considered as optimal seed cells for alveolar bone regeneration due to its mesenchymal stem cell like properties. Osteogenic potential is the premise for PDLSCs to repair alveolar bone loss. However, the mechanism regulating osteogenic differentiation of PDLSCs remain elusive. In this study, we identified Neuron-derived orphan receptor 1 (NOR1), was particularly expressed in PDL tissue in vivo and gradually increased during osteogenic differentiation of PDLSCs in vitro. Knockdown of NOR1 in hPDLSCs inhibited their osteogenic potential while NOR1 overexpression reversed this effect. In order to elucidate the downstream regulatory network of NOR1, RNA-sequencing was used. We found that downregulated genes were mainly enriched in TGF-β, Hippo, Wnt signaling pathway. Further, by western blot analysis, we verified that the expression level of phosphorylated-SMAD2/3 and phosphorylated-SMAD4 were all decreased after NOR1 knockdown. Additionally, ChIP-qPCR and dual luciferase reporter assay indicated that NOR1 could bind to the promoter of TGFBR1 and regulate its activity. Moreover, overexpression of TGFBR1 in PDLSCs could rescue the damaged osteogenic potential after NOR1 knockdown. Taken together, our results demonstrated that NOR1 could activate TGF-β/SMAD signaling pathway and positively regulates the commitment of osteoblast lineages of PDLSCs by targeting TGFBR1 directly.
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Introduction
Alveolar bone is the main structure of periodontal supporting tissue, playing an important role in tooth development, eruption and chewing movement [1]. Alveolar bone loss is usually caused by periodontitis, trauma, tumor or genetic defects. Regeneration of the alveolar bone remains a challenge for dentist and researchers. At present, many researchers have tried to regenerate the alveolar bone based on tissue engineering technology which involves stem cells, biological signals, and cell-seeded scaffold [2]. With the biological characteristics of clonal proliferation, immune regulation and multi-lineage differentiation potential, periodontal ligament stem cells (PDLSCs) were considered as the optimal seed cells for alveolar bone regeneration [3]. In a clinical trial, researchers used human PDLSCs derived from wisdom teeth to generate cell sheets and transplanted them with a β-TCP scaffold and biodegradable polyglycolic acid mesh into the periodontal defects. At 6 months of post‐surgery, all patients showed a increase of bone height [4].
During alveolar bone regeneration, PDLSCs undergone osteogenic differentiation. In order to improve the efficiency of PDLSCs in repairing periodontal bone defects, it is imperative to clarify the molecular mechanisms underlying the osteogenic differentiation of PDLSCs. Previous studies have indicated that transcription factors, such as RUNX2, SP7, MSX2, DLX5 and ATF4 [5,6,7,8], play an vital role in initiating and modulating the osteoblast differentiation of PDLSCs by binding to cis-regulatory elements such as promoters and enhancers. However, the transcription factor network governing the osteogenic process of PDLSCs has not yet been fully explored.
Neuron-derived orphan receptor 1 (NOR1), a member of orphan nuclear receptor family that includes Nur77 and Nurr1 [9], is widely expressed [10,11,12,13]. Functionally, NOR1 is a transcription factor involved in adipogenesis, inflammation, vascular remodeling, glucose and lipid metabolism [14, 15]. For Nurr1 and Nur77, their role in bone homeostasis has been widely studied [16, 17]. It was reported that reduced Nurr1 expression in MC3T3-E1 cells and primary cultured mouse calvarial osteoblasts decreased the expression of osteoblast differentiation marker genes, including osteocalcin (OCN) and collagen type I alpha 1(COL1A1) [16]. Another research revealed that myeloid specific deletion of Nur77 resulted in osteopenia [17]. NOR1 shares highly homology with Nurr1 and Nur77, suggesting they may possess similar functions. More importantly, it has been reported that the expression of NOR1 was markedly upregulated in parathyroid hormone (PTH) stimulated mouse skulls and long bone-derived osteoblasts [18], which indicates that NOR1 may be involved in the process of osteogenic differentiation. However, the specific role of NOR1 in osteogenic differentiation and bone formation has not yet been reported.
In the present study, we explored the expression of NOR1 in PDL tissue in vivo and during osteoblast differentiation of PDLSCs in vitro. Additionally, we elucidated the effects of NOR1 on the commitment of osteoblast lineages of PDLSCs by gain-of-function and loss-of-function assays. Combining RNA sequencing (RNA-seq) and ChIP sequencing (ChIP-seq) analysis, we revealed the genomewide profile of NOR1-regulated genes and downstream signaling pathways during osteoblast differentiation of PDLSCs.
Materials and methods
Cell culture
Human PDLSCs were isolated from the donor who experienced tooth extraction for orthodontic reason at the department of stomatology, Peking University Shenzhen Hospital. This study was approved by the ethics committee of Peking University Shenzhen Hospital (Approval Number: 2024-032-01). The informed consent was obtained from the donors. In brief, the teeth were washed in sterilized PBS until the roots turned white. The periodontal ligament tissue was scraped from the middle third of tooth root, carefully. Subsequently, the tissue was digested with 3 mg/ml collagenase and 4 mg/ml dispase enzyme. After 1 h, the digestion solution was centrifugated, the supernatant was discarded and the cell sediment was re-suspended in alpha MEM medium supplemented with 10% fetal bovine serum, 1% penicilin and streptomycin. The cell culture medium was changed every two day. The passage 3–6 of PDLSCs were used in the subsequent experiments.
Osteogenic differentiation
PDLSCs were seeded on 6 well plate with the density of 1 × 105 cells/well. After reaching sub-confluence, cells were treated with osteogenic cocktail purchased from Cyagen Biosciences Inc. (Guangzhou, China) according to the manufacturer’s instruction. After osteogenic induction, cells were collected for subsequent experiments.
Quantitative reverse transcriptase-polymerase chain reaction (RT-qPCR) analysis
Total RNA was extracted from PDLSCs using TRIzol reagent (Invitrogen, Carlsbad, CA, USA). Then, a total of one µg RNA was reverse transcribed into cDNA using the PrimeScript™ RT Master Mix kit (Takara, Japan) according to manufacturer’ s instruction. Subsequently, cDNA was used as the template for qPCR analysis using SYBR Premix EX Taq solution (Takara, Japan) according to the manufacturer’s protocol. The thermocycle conditions used in amplification were as follows: 95°C for 5 s; 60 °C for 30 s; 72 °C for 30 s. The primers used in this experiment are listed in Table 1. β-actin was used as the internal control. Data analysis was performed using the 2−ΔΔCq method reported by Livak and Schmittgen [19]. All qPCR assays were repeated at least three times.
Western-blot analysis
Cells in each group were harvested and lysed with RIPA buffer supplemented with protease and phoshatase inhibitors (Roche, Germany). The cell lysate was centrifuged at 12,000 rpm for 10 min. The protein concentration was measured using a BCA protein assay kit (Thermo, USA). An equal amount of protein from each sample was loaded into SDS-PAGE gels for electrophoresis and then transferred onto PVDF membrane (Millipore, Billerica, MA, USA). The transferred membrane was blocked with QuickBlock™ Blocking buffer (Beyotime, Wuhan, China) for 20 min and incubated with primary antibodies overnight. The primary antibodies used were as follows: NOR1 (1:1000, Proteintech Group.Inc, Rosemont, USA), RUNX2 (1:1000, Cell Signaling Technology.Inc, Boston, USA), OCN(1:1000, Bioss, Beijing, China), COL1A1 (1:1000, Cell Signaling Technology.Inc, Boston, USA), TGFBR1 (1:1000, Invitrogen, California, USA), Phosphorylated-SMAD2/3 (1:1000, Cell Signaling Technology.Inc, Boston, USA), Phosphorylated-SMAD4 (1:1000, Abcepta, San Diego, USA), SMAD2/3 (1:1000, Cell Signaling Technology.Inc, Boston, USA), SMAD4 (1:1000, Cell Signaling Technology.Inc, Boston, USA), SMAD7(1:1000, Abcepta, San Diego, USA) and β-actin (1:5000, Bioss, Beijing, China). Subsequently, the membranes were incubated with horseradish peroxidase-conjugated secondary antibodies for 1 h at room temperature. The protein bands were visualized using an enhanced chemiluminescence (ECL) kit (Millipore, Billerica, MA, USA) and captured using Tanon 5200 chemiluminescent imaging system (shanghai, China). β-actin was used as the internal reference.
ALP staining
PDLSCs were cultured on 12 well plate at a density of 4 × 103 cells/well. After cell adhesion, the culture medium was replaced with osteogenic cocktail containing 50 µg/ml ascorbic acid, 10 mmol/L β-glycerophosphate, and 10 nmol/L dexamethasone. The osteogenic medium was replaced every two day. After induction for 7 d, PDLSCs were stained for ALP using a BCIP/NBT kit (Beyotime, China) according to the manufacturer’s instruction.
Alizarin red staining
For Alizarin red staining, PDLSCs were seeded on 12 well plate at a density of 4 × 103 cells/well. Cells were cultured in osteogenic medium. After 21d, cells were rinsed with PBS, fixed with 4% paraformaldehyde for 15 min. And next, cells were stained with Alizarin red solution for 30 min at room temperature. Subsequently, cells were washed extensively with distilled water and images were captured using an inverted microscope.
Lentivirus production and infection
The plasmids, a NOR1 overexpression (LV-NOR1) and knock-down (sh-NOR1) plasmid and the corresponding empty vectors (LV-con and sh-NC), were constructed by Hanbio Biotechnology Co. Ltd (Wuhan, China). Overexpressed plasmid and knock-down plasmid were transfected into HEK293E cells along with PMD2G and PSPAX2. After 48–72 h of transfection, lentivirus particles in the culture supernatant were collected and centrifuged. Human PDLSCs were infected with lentivirus particles for 12 h using polybrene. After 48 h, cells in each group were observed under light and fluorescence microscopes. The ratio of GFP-labeled cells to total cells was quantified by imaging six fields of view under 20x magnification using a fluorescence microscope. The efficiency of NOR1 overexpression and knock-down were determined by RT-qPCR and western blot analysis.
RNA-seq
PDLSCs were seeded on 6 well plate with the density of 1 × 105 cells/well. After sub-confluence, cells were ground under liquid nitrogen in a mortar and pestle, and the resulting powder dissolved in TRIzol™ Reagent (Invitrogen, Carlsbad, CA, USA), then extracted total RNA. The quality and purity of RNA were examined by a NanoDrop™ One/OneC spectrophotometer (Thermo Scientific, Waltham, MA, USA) and Life Invitrogen Qubit RNA BR (Broad-Range) Assay Kit. RNA integrity was analyzed using Agilent 4200 TapeStation system (Agilent, Santa Clara, CA, USA). 0.1-1 µg of total RNA per sample was prepared for library preparation. The NEBNext® Poly(A) mRNA Magnetic Isolation Module and NEBNext® Ultra™ II mRNA Library Prep Kit for Illumina® were used for mRNA isolation and library construction following the manufacturer’s protocols. As for the quality control of library, Qubit dsDNA HS Assay Kit was used to measure the concentration of library, then Agilent 4200 was used to examine the distribution of segments in library. Finally, library molar concentration was determined using the KAPA Library Quant kit (illumina) universal qPCR Mix. High-throughput transcriptome sequencing was performed on an Illumina NovaSeq 6000 platform according to the manufacturer’ s instructions. Then, we assessed the quality of the raw sequencing data using FastQC and trimmed low-quality reads and adapter sequences using Trimmomatic v0.39. Clean reads were aligned to the human genome (GRCh38) using HISAT2 v2.2.1, and gene-level counts were obtained using featureCounts v2.0.1. Differential expression analysis was performed using DESeq2 v1.32.0. Genes with adjusted p-value < 0.05 was considered significantly differentially expressed. Functional and pathway enrichment analysis was conducted using clusterProfiler v4.2.0, with hypergeometric tests used to identify significantly enriched GO terms in GO enrichment analysis, and a significance threshold set at p-value < 0.05 for KEGG pathway enrichment analysis.
ChIP-seq
We analyzed the result of ChIP-seq published in Nature Communication by Florian Haller et al. (dataset accession number: EGAS00001002795) [20] to find out the direct downstream targets regulating by NOR1.
Dual luciferase activity assay
3000 bp upstream of TGFBR1 was inserted into the pGL3-basic plasmid. Plasmids overexpressing NOR1 and the corresponding empty vector were purchased from genechem Co. Ltd. (Shanghai, China). The promoter plasmid was co-transfected into HEK293E cells with NOR1 overexpressed plasmid and pRL-TK plasmid using lipofectamine 3000 (Invitrogen, USA). After 36–48 h of transfection, cells were lysed and measured using the Dual-Luciferase® Assay System (Promega, USA) according to the manufacturer’s instructions. Renilla luciferase was used as an internal control.
ChIP-qPCR
Chromatin immunoprecipitation was performed using EZ-ChIP™ chromatin immunoprecipitation kit (Millipore, Billerica, MA, USA) according to the manufacturer’s instructions. In brief, PDLSCs at a density of 1 × 106 cells/dish were cross-linked by 1% formaldehyde. Then, the cells were collected and suspended in lysis buffer. The cross-linked DNA were sonicated into 200–1000 bp fragment. Protein G agarose was added into diluted DNA buffer and then centrifuged and followed by adding anti-NOR1 (Proteintech Group, Inc, Rosemont, USA) or IgG antibody (Proteintech Group, Inc, Rosemont, USA). The complex of protein and DNA were eluted and purified. Lastly, the purified DNA was analyzed by qPCR. The primers for qPCR were listed in Supplementary Table 1.
Hematoxylin and eosin (H&E) staining and immunohistochemistry (IHC).
Healthy third molars were collected from the department of stomatology, Peking University Shenzhen Hospital. The teeth were fixed with 4% paraformaldehyde for 24 h and were decalcified using 10% EDTA for 10 months, followed by dehydrating and emdedding in paraffin. All specimens were cut into 5 μm sections. And slices were dried, deparaffinized and rehydrated. Hematoxylin and eosin staining was used for histological and histomorphometric analysis. To detect the expression of NOR1 in periodontal ligament tissue, immunohistochemical staining was used according to the manufacturer’s instruction (Zhong Shan Biotech, Beijing, China). Briefly, the slides were treated with citrate for 24 h for antigen repair, and then incubated with 3% hydrogen peroxide to eliminate endogenous peroxidase. After that, slides were rinsed with PBS for three times, blocked with sheep serum for 1 h, incubated with primary antibody against NOR1 (1:200, Abcam, Cambridge, UK), overnight. Next day, the slices were washed with PBS three times and incubated with appropriate second antibody for 1 h at room temperature. Subsequently, the expression of NOR1 was detected using the DAB kit (Maixin Biotech. Co., Ltd, Fuzhou, China) according to the manufacturer’s instruction.
Statistical analysis
All data in this study were analyzed using GraphPad Prism 6 Software. Statistical differences were assessed by unpaired Student’s t-test for two groups after Shapiro-Wilk test for the normal distribution of values. And one-way analysis of variance (ANOVA) was used for three groups, followed by Tukey’s post hoc test as appropriate. All data are presented as mean ± standard deviation (SD), as indicated in figure legends. A value of P < 0.05 was considered statistically significant.
Results
NOR1 is expressed in PDL tissue and upregulated during osteogenic differentiation of human PDLSCs
As shown in Fig. 1A, HE staining showed the nornal morphology of PDL tissue. IHC staining revealed that NOR1 was expressed extensively in PDL tissue and located in periodontal cell nucleus. Subsequently, we isolated PDLSCs from PDL tissue. The result of immunofluoresence staining showed that cultured PDLSCs were positive expression of mesenchymal cell marker, vimentin, while negative expression of epithelial cell marker, pan cytokeratin (PCK) (Supplementary Fig. 1A). Next, we used flow cytometry to detect surface markers of PDLSCs. As can be seen in Supplementary Fig. 1B-G, PDLSCs express markers of MSCs, including CD44 (99.5%), CD105 (97.8%) and are negative for HLA-DR (0.17%), CD45 (0.02%), CD34 (0.34%). Further, cells were cultured with osteogenic and adipogenic medium. After osteogenic induction for 21d, PDLSCs exhibited calcific nodules formation (Supplementary Fig. 1H, 1I). After adipogenic induction for 18d, cells showed a large amount of lipid accumulation (Supplementary Fig. 1J, 1 K). Taken together, these results indicated that cultured PDLSCs are mesenchymal origin with the ability of multi-lineage differentiation.
To detect the expression of NOR1 during osteogenic differentiation of PDLSCs in vitro, we collected RNA and protein sample of PDLSCs induced for 0, 3, 6, 12d. The results of RT-qPCR showed that the expression of osteogenic markers, alkaline phosphatase (ALPL), RUNX family transcription factor 2 (RUNX2), type I (a) collagen (COL1A1) and osteocalcin (OCN), were increased after mineralization induction (Fig. 1B-E). Interestingly, NOR1 expression was also gradually increased during the osteogenic differentiation of PDLSCs (Fig. 1F). Additionally, western-blot analysis and quantitative results of RUNX2, OCN, NOR1 expression were consistent with that of RT-qPCR assays (Fig. 1G and H). However, the expression of COL1A1 protein was upregulated at day 3 of osteogenic induction but was downregulated after osteogenic induction for 6d and 12d (Fig. 1G and H). Additionally, ALP staining showed increased ALP expression levels in PDLSCs following the induction of mineralization (Fig. 1I and J). Furthermore, calcium deposits and mineralized nodule formation in PDLSCs were steadily increased after osteogenic induction for 6d, 12d and 18d (Fig. 1K and L). The above results suggested that NOR1 may be of importance in regulating the process of the osteogenic differentiation of PDLSCs.
Knockdown of NOR1 reduces osteoblast differentiation while NOR1 overexpression increases the osteogenic potential of PDLSCs
To explore the function of NOR1 in the process of osteogenic differentiation of PDLSCs, we designed and constructed NOR1 shRNA to knock down its endogenous expression. The results of RT-qPCR showed that the expression of NOR1 and osteogenic genes, ALPL, RUNX2, COL1A1, OCN, were all downregulated in PDLSCs after NOR1 knocking down (Fig. 2A-E). The protein level of RUNX2, OCN and COL1A1 were also decreased upon the low expression of NOR1 in PDLSCs (Fig. 2F and G). After osteogenic induction for 7d, the result of ALP staining showed that NOR1 knocking down decreased the osteogenic potential of PDLSCs (Fig. 2H and I). After 21d, the result of Alizarin red staining indicated that knockdown of NOR1 in PDLSCs resulted in the decrease of calcific nodules formation (Fig. 2J and K).
Additionally, we constructed NOR1 overexpression plasmid, packaged in lentiviral particle and transfected in PDLSCs. The results of RT-qPCR indicated osteogenesis-related genes expression were increased after NOR1 overexpression (Fig. 3A-E), which is contrary to the results of NOR1 knocking down. The western blot analysis and quantitative results of RUNX2, OCN and COL1A1 expression were consistent with that of the RT-qPCR assays (Fig. 3F and G). Furthermore, we can see enhanced ALP activity (Fig. 3H and I) and more calcific nodules formation (Fig. 3J and K) in PDLSCs with NOR1 overexpression.
Taken together, we concluded that NOR1 could regulate the process of osteogenic differentiation of PDLSCs. When the expression of NOR1 is low in PDLSCs, osteogenic differentiation of PDLSCs is weakened while the osteogenic potential is enhanced after NOR1 overexpression.
NOR1 knockdown inhibits the activation of TGF-β/SMAD signaling pathway during osteoblast differentiation of PDLSCs
To further reveal the NOR1-related regulatory mechanisms during osteoblast differentiation of PDLSCs, we conducted RNA-seq in PDLSCs transfected with sh-NOR1 or scramble shRNA. According to our RNA-seq result, the expression of NOR1 was obviously downregulated in PDLSCs transfected with sh-NOR1 for 72 h (Fig. 4A). Totally, 897 genes were identified differentially expressed between knock-down group and control group. Among them, 341 genes were significantly upregulated while 556 genes were downregulated followed by sh-NOR1 transfection. The significantly downregulated genes including RUNX2, COL1A1, ALPL, BMP2, which are all osteogenic markers (Fig. 4A). Conversely, the expression of adipogenic markers PPARG and PPARPGA were upregulated (Fig. 4A).
Additionally, GO enrichment analysis showed that the downregulated genes were notably enriched in mineralization related GO term, including ossification (GO:0001503, q value = 3.46930493033829E-10) and bone mineralization (GO:0030282, q value = 2.94717652518901E-07), which indicated that NOR1 exerted positive effect on osteogenic differentiation and mineralization (Fig. 4B). Furthermore, KEGG analysis found that the downregulated genes by sh-NOR1 transfection were enriched in TGF-β signaling pathway (Fig. 4C). TGF-β signaling is indispensable for various physiological and pathological process, including osteoblast differentiation and bone formation [21, 22]. Specifically, upon ligand binding, TGFBR1 activates SMAD2 and SMAD3 through phosphorylation. Then, phosphorylated SMAD2 and SMAD3 cooperate with SMAD4 and form trimeric complexes, which are translocated into nucleus and regulate the transcription of downstream targets [23, 24]. At present, we found that the expression of main components of TGF-β signaling pathway, TGFBR1, phosphlyrated SMAD2/3 (p-SMAD2/3) and phosphlyrated SMAD4 (p-SMAD4), were significantly downregulated afer NOR1 knocking down in PDLSCs with or without osteogenic induction (Fig. 4D and E). However, sh-NOR1 transfection in PDLSCs had no effect on the expression of the inhibitory SMAD, SMAD7 (Supplementary Fig. 2A, 2B). Therefore, NOR1 knockdown had a negative effect on TGF-β/SMAD signaling pathway during osteoblast differentiation of PDLSCs.
NOR1 modulates osteogenesis of PDLSCs by targeting TGFBR1 directly
According to the result of Florian Haller et al’s, there is a significant enrichment of NOR1 peaks observed in the promoter region of TGFBR1 [20] (Fig. 5A). Our results of RT-qPCR indicated the expression of TGFBR1 is decreased upon NOR1 knocking down and is increased when NOR1 is overexpressed in PDLSCs (Fig. 5B). The results of western blot analysis and quantitative results are consistent with that of RT-qPCR assays (Fig. 5C-F). Importantly, dual luciferase reporter assay showed that sh-NOR1 reduced the promoter activity of TGFBR1 compared with transfection with mutant sequence (Fig. 5G) while NOR1 overexpression significantly increased the transcriptional activity of TGFBR1 promoter (Fig. 5H). Subsequently, ChIP-qPCR was used to examined the direct binding of NOR1 to the promoter region of TGFBR1 using the specific primer sets listed in Supplementary material. As shown in Fig. 5I, primers 1, 2, 3, 4, 5, 6 and 7 successfully amplified the corresponding PCR products from DNAs pulled down by NOR1 antibody. These results indicated that the transcriptional activity of TGFBR1 was modulated by NOR1
Next, to explore whether NOR1 modulates osteoblast differentiation of PDLSCs through targeting TGFBR1 directly. We contructed TGFBR1 overexpression plasmid and transfected into PDLSCs with NOR1 knockdown. The results of RT-qPCR indicated that the decreased expression of osteogenic genes, RUNX2, ALPL, OCN and COL1A1(Fig. 6A-D) caused by NOR1 konckdown (Fig. 6E) were all rescued by TGFBR1 overexpression (Fig. 6F). The results of western blot analysis of RUNX2, OCN and COL1A1 expression were consistent with that of RT-qPCR assay (Fig. 6G and H). The ALP staining also showed reversed osteogenic capacity after TGFBR1 overexpression (Fig. 6I and J). The Alizarin red staining further verified rescued mineralization ability due to TGFBR1 transfection in PDLSCs with low NOR1 expression (Fig. 6K and L).
In summary, NOR1 modulates the osteoblast differentiation of PDLSCs through targeting TGFBR1 directly and may activate the TGF-β/SMAD signaling pathway (Fig. 7).
Discussion
Transcription factors could regulate the expression of a large number of downstream genes and hence are considered as important regulator of osteogenesis. For PDLSCs, previous studies have revealed a multitude of transcription factors are involved in the osteoblast lineage commitment [25,26,27]. NOR1, a member of the NR4A subfamily of nuclear receptors, binds to the DNA sequence known as the NGFI-B (AAAGGTCA) response element to regulate cell proliferation [28], differentiation [29] and metabolism. However, there is still little knowledge about the biological role of NOR1 in osteoblast differentiation processes. At the present study, we for the first time found that NOR1 was expressed in PDL tissue and upregulated during osteogenic differentiation of PDLSCs. By using a strategy that combines gain- and loss-of function approaches, we found NOR1 is a positive regulator of osteogenic differentiation of PDLSCs. According to the bioinformatic analysis, there are potential NGFI-B response elements in the promoter region of several osteogenic markers, including ALPL, BSP, OCN, OPN and COL1A1. Except that, Nurr1, another member of NR4A subfamily of nuclear receptors which harbors the same DNA-binding domain and the ligand-binding domain with NOR1, induced OCN and OPN expression in osteoblasts via direct binding to and transactivation of their promoters [30, 31]. In PDLSCs, NOR1 may also regulate the expression of these osteogenic genes by direct binding to their promoter regions, but this need further exploration.
For MSCs, the osteogenic and adipogenic differentiation are considered to be a mutually exclusive process due to adipocytes and osteoblasts share a common progenitor source. Previously, a research demonstrated that knockdown of ASCC1 in hMSCs resulted in inhibited osteoblast differentiation while stimulated adipogenesis, which resulted in reduced mineralization and increased lipid droplets formation [32]. According to our results, NOR1 could promote osteogenesis of PDLSCs, but whether it promotes or inhibits the adipogenic differentiation is unclear. Interestingly, our RNA-seq results showed the adipogenic markers including PPARG and PPARPGA were upregulated after transfection with sh-NOR1 in PDLSCs. Based on this finding, we speculated that NOR1 inhibits the adipogenic differentiation and shift the balance of osteoblast differentiation and adipogenic differentiation of PDLSCs into osteogensis. In fact, other researchers have demonstrated NOR1 modulates the adipogenic process [33,34,35]. For example, it is reported that the adipogenic potential of pre-adipocyte 3T3-L1 or 3T3-F442A were inhibited obviously after NOR1 overexpression using retrovirus technology [13]. In the future study, we will focus on the role and mechanism of NOR1 modulating the adipogenesis of PDLSCs deeply and validating our hypothesis further.
TGF-β signaling is indispensable for bone formation and skeleton development. It has been indicated that TGF-β signaling-dificient mice including Tgfb1-null mice, MSC-specific and osteoprogenitor-specific Tgfbr2 CKO mice exhibited significant bone loss with reduced osteoblast number [36,37,38]. The enrichment analysis results of KEGG pathways in our study showed that TGF-β signaling pathway is enriched in sh-NOR1 transfected PDLSCs. Further, we proved the activation of SMAD2/3 and SMAD4 were both inhibited by NOR1 kocking down. These results verified TGF-β signaling pathway was involved in the process of NOR1 regulating the osteogenic differentiation of PDLSCs. However, we have not administrated the activator or inhibitor of TGF-β signaling pathway after NOR1 knocking down or overexpression, so we can not confirm the direct interaction between NOR1 and TGF-β signaling pathway. Additionally, the controversial viewpoints of TGF-β signaling in different stages of osteogenic differentiation exist among some researches. Several studies indicated that TGF-β could promote early differentiation and matrix production of osteoblast progenitor cells, but inhibit the later differentiation and mineralization [39, 40]. In these studies, TGF-β is deemed as the early inducer of the differentiation of osteoblasts from MSCs. However, a study on porcine SMSCs revealed that TGF-β signaling pathway was mainly enriched in the middle and later periods of osteogenic differentiation [41]. At the present study, we just observed a short time but not detected a longer period of osteogenic differentiation after sh-NOR1 transfection in PDLSCs. It is meaningful to further explore the role of TGF-β signaling pathway in osteoblast differentiation of PDLSCs in vitro and in vivo.
TGFBR1 is a serine and threonine kinase receptor, which transforms TGF-β signaling. Previously, a result of ChIP-seq showed a significant enrichment of NOR1 peaks in the promoter region of TGFBR1 [20]. In fact, TGFBR1 is necessary for osteogenic differentiation. A previous study reported that loss of TGFBR1 in mice primary neonatal calvarial cells leads to inhibition of osteogenic differentiation [42]. Additionally, inhibition of TGFBR1 down-regulates osteoblast differentiation and mineralization of human MSCs [43]. At present, we have confirmed TGFBR1 is a direct downstream target of NOR1 and TGFBR1 overexpression could rescue the damaged osteogenic potential caused by NOR1 knocking down in PDLSCs. According to the literatures, upon phosphorylated, TGFBR1 then phosphorylates either downstream SMAD2/3 or kinases that activate other pathways, including MAPKs, ERK, P38, JNK and PI3K/PKB [44]. Therefore, we put forward two hypotheses for the function of TGFBR1 in the process of NOR1 modulating osteoblast differentiation of PDLSCs. One is that NOR1 induces the activation of SMAD 2/3 through TGFBR1 and then leads to osteoblast differentiation of PDLSCs. The other is that NOR1 modulates the amount and activity of TGFBR1, then activates downstream noncanonical signalings including MAPKs or PI3K pathways to coordinate the osteoblast commitment.
Although we have verified that NOR1 is a novel transcription factor of osteogenesis of PDLSCs, we also need acknowledge that there are some limitations in the present study. Firstly, a study on porcine SMSCs indicated that the genetic background of donor MSCs exhibited differences in osteogenesis [41], but in our study, we mixed the PDL tissue from different donors to isolate human PDLSCs, which may veil the individual differences. Secondly, our RNA-seq results revealed that the downregulated genes in PDLSCs with NOR1 knocking down are also enriched in Wnt signaling pathway and Hippo signaling pathway, which are also reported to be involved in osteogenesis widely [45, 46]. TGF-β/SMAD signaling is deemed to crosstalk with these signaling pathways to regulate various biological responses [47]. However, we did not elucidate the crosstalk among these signaling pathways in the process of NOR1 regulating osteoblast differentiation of PDLSCs. Lastly, but definitely not least, most conclusions in our study from the in vitro cell experiments, the animal model should be applied in our future study.
Conclusion
In conclusion, we have successfully identified NOR1 as a positive regulator of osteogenesis of PDLSCs. Mechanistically, sh-NOR1 downregulates TGF-β/SMAD signaling pathway. In addition, we found NOR1 could bind to the promoter of TGFBR1 directly, modulating its activity and then coordinate the osteogenic process. Our findings provide new ideas for stem cell-based periodontal bone tissue engineering. Also, our results offer a new therapeutic target for bone loss-related diseases, such as osteoporosis and periodontitis.
Data availability
The data supporting the findings of the current study are available from the corresponding author upon reasonable request.
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This work was financially supported by the National Natural Science Foundation of China (No. 82301033), China postdoctoral science foundation (2022M712158), Shenzhen Science and technology Program (JCYJ20220531093814033 and JCYJ20210324110412035), Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties (No. SZGSP008).
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Y.W, contributed to conception, design, data acquisition, analysis, and interpretation, drafted the manuscript; H.J, contributed to conception, design and interpretation; Y.C.L, contributed to data acquisition and analysis; M.Q.L and Y.T.Z contributed to data acquisition; Y.T.L and G.X.M critically revised the manuscript, H.L.C and H.Y.Y, contributed to conception, design, data analysis and interpretation, critically revised the manuscript; All authors gave final approval and agree to be accountable for all aspects of the work.
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Wu, Y., Jing, H., Li, Y. et al. NOR1 promotes the osteoblastic differentiation of human periodontal ligament stem cells via TGF-β signaling pathway. Cell. Mol. Life Sci. 81, 338 (2024). https://doi.org/10.1007/s00018-024-05356-3
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DOI: https://doi.org/10.1007/s00018-024-05356-3