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µCT analysis and TRAP staining of femurs and tibias of 4-week-old ank/ank mice and wild-type littermates. (A) 2D µCT reconstruction of the sagittal plane of the femoral metaphysis of wild-type (WT) and ank/ank mice. Bar = 1 mm. (B) 2D µCT reconstruction of the axial plane of the femoral metaphysis of wild-type and ank/ank mice. Bar = 1 mm. (C) Trabecular bone volume/tissue volume (BV/TV), trabecular number, trabecular thickness, and trabecular separation were calculated. (D) Cortical thickness was calculated. Cortical thickness in each sample was obtained at three points around the perimeter of each bone. Data presented in panels C and D are presented as mean ± SD for five male mice in each genotype group (ap < .01 versus wild-type littermates; bp < .05 versus wild-type littermates). (E) TRAP staining of sections of tibias of 4-week-old ank/ank mice and wild-type littermates. Bar = 200 µm. The osteoclast number is expressed per millimeter of bone surface; osteoclast surface is expressed as percent of bone surface. Data are presented as mean ± SD. for five male mice in each genotype group (ap < .01 versus wild-type littermates).

µCT analysis and TRAP staining of femurs and tibias of 4-week-old ank/ank mice and wild-type littermates. (A) 2D µCT reconstruction of the sagittal plane of the femoral metaphysis of wild-type (WT) and ank/ank mice. Bar = 1 mm. (B) 2D µCT reconstruction of the axial plane of the femoral metaphysis of wild-type and ank/ank mice. Bar = 1 mm. (C) Trabecular bone volume/tissue volume (BV/TV), trabecular number, trabecular thickness, and trabecular separation were calculated. (D) Cortical thickness was calculated. Cortical thickness in each sample was obtained at three points around the perimeter of each bone. Data presented in panels C and D are presented as mean ± SD for five male mice in each genotype group (ap < .01 versus wild-type littermates; bp < .05 versus wild-type littermates). (E) TRAP staining of sections of tibias of 4-week-old ank/ank mice and wild-type littermates. Bar = 200 µm. The osteoclast number is expressed per millimeter of bone surface; osteoclast surface is expressed as percent of bone surface. Data are presented as mean ± SD. for five male mice in each genotype group (ap < .01 versus wild-type littermates).

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The progressive ankylosis gene (ank) encodes a transmembrane protein that transports intracellular inorganic pyrophosphate (PP(i)) to the extracellular milieu. ank/ank mice, which express a truncated nonfunctional ANK, showed a markedly reduced bone mass, bone-formation rate, and number of tartrate-resistant acid phosphatase-positive (TRAP(+)) mult...

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Ankylosis progressive homolog (ANKH) is associated with fibroblast ossification in ankylosing spondylitis (AS). As the human ANKH gene is poorly characterized relative to its murine counterpart, the aim of the present study was to examine ANKH expression in ligament tissue isolated from patients with AS and the role played by this gene in AS‑associ...

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... Similar to its role in cartilage, ANK is regarded as an important regulator of calcification and development of bone tissue. While Ank knockdown decreased the expression of osteoblast marker genes Alpl, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells [13,14]. In ank mice, parameters of trabecular bone quality in the femur and tibia are affected [14] with a decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness [14]. ...
... While Ank knockdown decreased the expression of osteoblast marker genes Alpl, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells [13,14]. In ank mice, parameters of trabecular bone quality in the femur and tibia are affected [14] with a decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness [14]. These studies indicate that on the one hand, ANK prevents mineralization in the cartilage while on the other hand acts as a pro-mineralization factor in the bone. ...
... While Ank knockdown decreased the expression of osteoblast marker genes Alpl, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells [13,14]. In ank mice, parameters of trabecular bone quality in the femur and tibia are affected [14] with a decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness [14]. These studies indicate that on the one hand, ANK prevents mineralization in the cartilage while on the other hand acts as a pro-mineralization factor in the bone. ...
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... cleavage of the membrane-bound component, was demonstrated. The molecular signatures associated with the co-exposure-mediated osteogenesis inhibition included the enhanced downregulation of OPG, OCN, collagen, and cellular alkaline phosphatase mRNA transcription coupled with the decreased levels of mineral deposition conceivably due to the inhibition of the progressive ankylosis protein (ANK) signaling pathway, whose deficiency is known to impair osteoblastogenesis and bone formation [29]. The mineralization inhibition of bone nodules, coupled with the downregulation of bone sialoprotein mRNA and protein levels, was also found by Kamel and Yee [30] after continuous and intermittent exposure of primary rat calvarial cells to N-terminal PTHrP. ...
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... CST3 is an osteoclast coupling factor regulating osteoblast differentiation [94,111]. ANK2and SRCIN are regulators of osteoblast and osteoclast differentiation, and deficiency of the former has been associated with reduced bone mass and calcification [112][113][114]. ...
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... Interestingly, in the study by Elango et al. [28] on the osteo-differentiation of mesenchymal stem cells (MSCs), the cooperative inhibitory effect of PTHrP and soluble RANKL (sRANKL), a circulating form released in vivo by disintegrin metalloproteinase-mediated cleavage of the membrane-bound component, was demonstrated. The molecular signatures associated to the coexposure-mediated osteogenesis inhibition included the enhanced down-regulation of OPG, OC, collagen, and cellular alkaline phosphatase mRNA transcription coupled with the decreased levels of mineral deposition conceivably due to the inhibition of the progressive ankylosis protein (ANK) signaling pathway, whose deficiency is known to impair osteoblastogenesis and bone formation [29]. The mineralization inhibition of bone nodules, coupled with the down-regulation of bone sialoprotein mRNA and protein levels, was also found by Kamel and Yee [30] after continuous and intermittent exposure of primary rat calvarial cells to N-terminal PTHrP. ...
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Parathyroid-hormone-related protein (PTHrP) is encoded by PTHLH gene which, by alternative promoter usage and splicing mechanisms, can give rise to at least three isoforms of 139, 141 and 173 amino acids with distinct C-terminals. PTHrP is subjected to different post-translational processing that generates smaller bioactive forms, comprising amino terminus, midregion (containing a nuclear/nucleolar targeting signal) and carboxy terminus peptides. Both the full-length protein and the discrete peptides are key controllers of viability, proliferation, differentiation and apoptosis in diverse normal and pathological biological systems via the reprogramming of gene expression and remodulation of PKA or PKC-mediated signalization mechanisms. The aim of this review is to pick up selected studies on PTHrP-associated signatures as revealed by molecular profiling assays, focusing on the available data about exemplary differentiating, differentiated or non-tumoral cell and tissue models. In particular, the data presented relate to adipose, bone, dental, cartilaginous and skin tissues, and also intestinal, renal, hepatic, pulmonary and pancreatic epithelia, with a focus on hepatic fibrosis-, pancreatitis- and diabetes-related changes as diseased states. Whether reported, the biochemical and/or physiological aspects associated with the specific molecular modulation of gene expression and signal transduction pathways in the target model systems under examination will be also briefly commented.
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... Similar to its role in the cartilage, ANK is regarded as an important regulator of calci cation and Page 3/29 development of the bone tissue. While Ank knockdown decreased the expression of osteoblast marker genes ALPL, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells 12,13 . In ank mice, parameters of trabecular bone quality in the femur and tibia are affected 13 with a pronounced decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness 13 . ...
... While Ank knockdown decreased the expression of osteoblast marker genes ALPL, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells 12,13 . In ank mice, parameters of trabecular bone quality in the femur and tibia are affected 13 with a pronounced decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness 13 . These studies indicate dual roles of ANK as a mineralization inhibitor in the cartilage, whereas, a pro-mineralization factor in the bone. ...
... While Ank knockdown decreased the expression of osteoblast marker genes ALPL, Ibsp, and Sp7, its overexpression increased these markers in preosteoblastic MC3T3-E1 cells 12,13 . In ank mice, parameters of trabecular bone quality in the femur and tibia are affected 13 with a pronounced decrease in bone volume and trabecular thickness with increased trabecular separation, without an effect on cortical thickness 13 . These studies indicate dual roles of ANK as a mineralization inhibitor in the cartilage, whereas, a pro-mineralization factor in the bone. ...
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... Inorganic pyrophosphate accumulates both intracellularly and extracellularly, with the intracellular inorganic pyrophosphate being transported out of the cell through the progressive ankylosis protein (ANKH), which is a multi-pass pyrophosphate transporter [57,58]. The combined actions of ANKH and ENPP-1 result in an increased extracellular pyrophosphate concentration, which is inhibitory to the formation of the hydroxyapatite crystals [59,60]. For mineralisation to proceed, the elevated extracellular pyrophosphate concentration must be reduced. ...
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... The evidence of accelerated bone formation by the substantial volume that is populated by the host suggests that the CaP implant itself is recognized as an endogenous tissue. Additionally, the pyrophosphate content of the CaP implant could have a positive biological effect as previous results have shown that initial exposure of pyrophosphate to non-mineralizing osteoblast initiates mineralization in vitro (Kim et al., 2010). Even though pyrophosphate is known as a key regulator in biomineralization in vivo, inhibiting spontaneous mineralization, acting as the body's own softener and being part of normal metabolism (Fleisch & Bisaz, 1962;Millán, 2013;Orriss et al., 2016), we hypothesize that the complex crosstalk and feedback loops involved with pyrophosphate in the process of biomineralization could be central to the mechanism of which our CaP material is recognized and replaced by bone. ...
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... In theory, a compensatory upregulation of TNAP activity in bone could have reduced PPi incorporation in hydroxyapatite of ank mice. However, the reported reduced ALPL expression in ank osteoblasts (22) indicates that it is very unlikely that increased TNAP activity has contributed to the reduction in the amounts of PPi that incorporated into the mineral phase of bone of the mutant mice. In conclusion, analysis of bones of Enpp1 À/À and Ank mice recapitulates our results obtained in HEK293 cells, and shows that also in intact animals, Ank does not mediate release of substantial amounts of PPi from cells. ...
Article
The plasma membrane protein Ankylosis Homologue (ANKH, mouse ortholog: Ank) prevents pathological mineralization of joints by controlling extracellular levels of the mineralization inhibitor pyrophosphate (PPi). It was long thought that ANKH acts by transporting PPi into the joints. We recently showed that when overproduced in HEK293 cells, ANKH mediates release of large amounts of nucleoside triphosphates (NTPs), predominantly ATP, into the culture medium. ATP is converted extracellularly into PPi and AMP by the ectoenzyme ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1). We could not rule out, however, that cells also release PPi directly via ANKH. We now addressed the question if PPi leaves cells via ANKH using HEK293 cells that completely lack ENPP1. Introduction of ANKH in these ENPP1‐deficient HEK293 cells resulted in robust cellular ATP release without the concomitant increase in extracellular PPi seen in ENPP1‐proficient cells. Ank‐activity was previously shown to be responsible for about 75% of the PPi found in mouse bones. However, bones of Enpp1−/− mice contained <2.5% of the PPi found in bones of wild type mice, showing that Enpp1‐activity is also a prerequisite for Ank‐dependent PPi incorporation into the mineralized bone matrix in vivo. Hence, ATP release precedes ENPP1‐mediated PPi formation. We find that ANKH also provides about 25% of plasma PPi, whereas we have previously shown that 60–70% of plasma PPi is derived from the NTPs extruded by the ABC transporter, ABCC6. Both transporters that keep plasma PPi at sufficient levels to prevent pathological calcification, therefore do so by extruding NTPs rather than PPi itself. This article is protected by copyright. All rights reserved.