Osteoporosis (OP) is a common systemic skeletal disorder characterized by reduced bone mineral density (BMD) and an increased risk of fractures. In contrast, osteoarthrosis (OA) is primarily a joint disease associated with elevated BMD in the subchondral bone and therefore represents an opposite pathology, or a reverse phenotype, of OP in research studies. OP is a complex genetic disease influenced by numerous environmental and genetic factors with small individual effects, which makes their identification and evaluation challenging. Significant progress has been achieved through genome-wide association studies (GWAS), which have identified multiple loci and genes associated with BMD and fractures; however, these findings lack functional validation of gene roles.
In this dissertation, we focused on evaluating the function of three genes – FUBP3, ANAPC1, and MPP7 – as GWAS loci containing these genes showed strong genome-wide significant associations (p < 10⁻⁸) with BMD and fractures (FUBP3: p = 3.4 × 10⁻²²; ANAPC1: p = 1.5 × 10⁻⁹; MPP7: p = 2.4 × 10⁻¹⁶). We designed a multi-level experimental approach that included: analysis of gene expression in bone and muscle tissue of patients with OP and OA as well as control subjects, monitoring of gene expression during differentiation of mesenchymal stromal/stem cells (MSC) into osteoblasts, adipocytes, and myocytes, and experimental manipulation of gene expression (silencing or knockout) in relevant cellular models.
In bone tissue of patients with OP, the expression of all three genes was decreased, whereas in OA only FUBP3 expression was reduced. In muscle tissue, gene expression was also decreased in OP, indicating pleiotropic functions of these genes. During osteogenic differentiation of MSC, expression of FUBP3 and ANAPC1 significantly increased, confirming their involvement in osteogenesis. We demonstrated that silencing of ANAPC1 affects the early stages of osteogenesis, knockout of MPP7 results in complete inhibition of mineralization, and knockout of FUBP3 leads to impaired mineralization.
Our results provide the first evidence of the roles of FUBP3, ANAPC1, and MPP7 in human bone biology and their association with OP and OA. This study contributes to the understanding of the genetic basis of osteoporosis and represents an important step toward the identification of novel biomarkers and the development of targeted therapies for personalized treatment of osteoporosis.
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