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J Dent Res 84(5):422-427, 2005
© 2005 International and American Associations for Dental Research


RESEARCH REPORT
Biomaterials & Bioengineering

Effects of Cyclic Tensile Forces on the Expression of Vascular Endothelial Growth Factor (VEGF) and Macrophage-colony-stimulating Factor (M-CSF) in Murine Osteoblastic MC3T3-E1 Cells

M. Motokawa*, M. Kaku, Y. Tohma, T. Kawata, T. Fujita, S. Kohno, K. Tsutsui, J. Ohtani, K. Tenjo, M. Shigekawa, H. Kamada, and K. Tanne

Department of Orthodontics and Craniofacial Developmental Biology, Hiroshima University Graduate School of Biomedical Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan;

* corresponding author, motumo{at}hiroshima-u.ac.jp


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
It has been reported that vascular endothelial growth factor (VEGF), expressed by osteoblasts, can induce osteoclast recruitment and thus affects bone remodeling. The purpose of this study was to investigate the effects of cyclic tensile forces on the expression of VEGF and macrophage-colony-stimulating factor (M-CSF) in osteoblastic MC3T3-E1 cells. VEGF and M-CSF gene expression and protein concentration were determined by real-time PCR and enzyme-linked immunoassay. The expression of VEGF and M-CSF mRNA in the experimental group was higher than in the control group. The increase in the concentration of VEGF and M-CSF protein in the experimental group was time-dependent. Moreover, gadolinium (an S-A channel inhibitor), but not nifedipine (L-Type Ca2+ channel blocker), treatment reduced the concentration of VEGF and M-CSF mRNA and protein in the experimental groups. These findings suggest that cyclic tensile forces increase the expression of VEGF and M-CSF in osteoblastic MC3T3-E1 cells via a stretch-activated channel (S-A channel).

KEY WORDS: cyclic tensile forces • VEGF • M-CSF • MC3T3-E1 cells • S-A channel


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Vascular endothelial growth factor (VEGF) has been reported to possess neovascularization activity (Leung et al., 1989). It has been reported that human monocyte chemotaxis is induced via fms-like tyrosine kinase (Flt-1), which is one of the main receptors for VEGF (Barleon et al., 1996). Recent studies have shown that recombinant human (rh) VEGF induced significant osteoclast recruitment in osteopetrotic (op/op) mouse. This op/op mouse is characterized by a deficiency in osteoclasts, monocytes, and macrophages caused by the absence of functional macrophage-colony-stimulating factor (M-CSF) (Yoshida et al., 1990; Niida et al., 1999). Osteoclasts predominantly express Flt-1 and placenta growth factor (PlGF), which binds only to Flt-1 and can induce osteoclast recruitment in the same way as VEGF (Niida et al., 1999). These findings suggest that VEGF and PlGF may induce osteoclast recruitment via Flt-1 mediation. Moreover, our recent study (Kohno et al., 2003) demonstrated that osteoblasts expressed VEGF on the tension side of the alveolar bone during experimental tooth movement. It was also shown that the number of osteoclasts significantly increased after a local rhVEGF injection (Kaku et al., 2001; Kohno et al., 2003). Therefore, it is speculated that VEGF is closely related to bone remodeling, and that osteogenic cells, such as osteoblasts, may produce VEGF in response to stimulation by various biological factors.

There have been several reports about the effects of mechanical stimuli on bone cells (Neidlinger-Wilke et al., 1995). The effects of various mechanical stimuli—such as strain, compressive pressure (Ozawa et al., 1990), fluid flow (Kanno et al., 1999), and ultrasound (Reher et al., 1999)—have been examined in bone cells. A stretch-activated channel (S-A channel), which is a membrane stretch-activated ionic channel, was found in tissue-cultured embryonic chick skeletal muscle (Guharay and Sachs, 1984). Vascular endothelial cells have been reported to contain a cation-selective S-A channel permeable to calcium ions (Lansman et al., 1987). It was also demonstrated that intracellular Ca2+ increased in response to mechanical stretch via the S-A channel in human umbilical endothelial cells, and this response was blocked by gadolinium (Gd3+), a S-A channel blocker (Naruse and Sokabe, 1993). Recently, Kanzaki et al.(1999) identified a eukaryotic gene (Mid1) that encodes a mechanosensitive ion channel from yeast, and showed that Mid1 acts as a calcium-permeable cation-selective stretch-activated channel. Duncan and Misler (1989) reported that osteoblastic cells contain a S-A channel. Klein-Nulend et al.(1995) hypothesized that stress on bone causes fluid flow in the lacunar-canalicular system, which in turn stimulates the osteocytes to produce factors that regulate bone metabolism.

From these findings, it could be assumed that mechanical stimuli to osteoblasts are controlled through the S-A channel, and this results in the production of some bone remodeling factors.

In this study, we examined the effects of cyclic tensile forces on the expression of VEGF and M-CSF in osteoblastic MC3T3-E1 cells. We also investigated the influence of Gd3+, an S-A channel inhibitor, and the L-type calcium channel blocker nifedipine on VEGF and M-CSF expression.


   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Cell Culture
Murine osteoblastic MC3T3-E1 cells were obtained from RIKEN Cell Bank (Tsukuba, Japan) and cultured in {alpha}-modified MEM (Sigma, St. Louis, MO, USA) containing 10% FCS (Biological Industries, Kibbutz Beit-Haemek, Israel), 32 U/mL penicillin G (Meiji Seika, Tokyo, Japan), 250 µg/mL amphotericin B (Nacalai Tesque, Kyoto, Japan), and 60 µg/mL kanamycin (Meiji Seika, Tokyo, Japan) at 37°C in a humidified atmosphere of 5% CO2. The medium was changed twice a week. Cells were subcultured after treatment with 0.25% trypsin/EDTA and plated at 3 x 105 cells per 100-mm culture dish. For all experiments, cells between the 4th and the 10th passages were used.

Application of Cyclic Tensile Forces
A Flexcell strain unit FX-2000 (Flexcell International Co., Hillsborough, NC, USA) consists of a vacuum unit and a valve controlled by a computer program. MC3T3-E1 cells cultured on the flexible membrane base were subjected to cyclic tensile forces produced by the computer-controlled application of sinusoidal negative pressure. The flexible membranes supporting the cultured cells were deformed by negative pressure. Application of vacuum results in a maximum cell elongation of 20% at the well’s periphery, with the strain declining toward the center. The cells were placed in a humidified incubator in an atmosphere of 5% CO2 at 37°C. To examine the expression of VEGF and M-CSF mRNAs and their concentrations, we loaded various elongations of 7, 12, 17, and 24% at a frequency of 30 cycles/min for 12 hrs. Next, we investigated the influence of loading time changes (1, 3, 6, 12, and 24 hrs) upon the amounts of VEGF and M-CSF by 12% elongation.

Total RNA Extraction and cDNA Synthesis
Total RNA was isolated from the cell cultures with the use of a Quickprep Total RNA extraction kit (Amersham Biosciences Corp., Piscataway, NJ, USA). Single-stranded cDNA was synthesized from 1 µg of total RNA with the use of Oligo(dT)20 primer (Toyobo, Osaka, Japan) and a Rever Tra Ace-{alpha} first-strand cDNA synthesis kit (Toyobo).

Primers
Primers for VEGF mRNA, which amplify VEGF188, VEGF164, and VEGF120, were purchased from R&D Systems (Minneapolis Inc., Minneapolis, MN, USA).

Primers for M-CSF mRNA were used as reported by Mitrasinovic et al.(2001): 5'-CCCATATT- GCGACACCGAA-3' (sense) and 5'-AAGCAGTAACTGAGCAACGGG-3' (antisense), with G3PDH primer (Rever Tra Ace-{alpha} first-strand cDNA synthesis kit; Toyobo) as the control primer, and 5'-ACCACAGTCCATGCCATCAC-3' (sense) and 5'-TCCACCACCCTGTTGCTGTA-3' (antisense).

Real-time Quantitative PCR
Real-time PCR was performed with the SYBR Green I assay and the ABI Prism 7700 sequence detection system (Applied Biosystems, Foster City, CA, USA) from 1 µL of sample cDNA with three-stage program parameters as follows: 2 min at 50°C, 10 min at 95°C, and then 40 cycles of 45 sec at 94°C, 45 sec at 55°C, and 45 sec at 72°C. SYBER Green I dye intercalation into the minor groove of double-stranded DNA reaches maximum emission at 530 nm. PCR reactions for each sample were repeated three times for both target gene and the control.

Quantitative results of real-time fluorescence PCR were assessed by a cycle threshold (Ct) value, which identifies a cycle when the fluorescence of a given sample becomes significantly different from the baseline signal. Relative quantifications of the VEGF and M-CSF signals were normalized and expressed relative to the glyceraldehyde-3-phosphate dehydrogenase (G3PDH) signals.

Measurement of VEGF and M-CSF Concentrations
Conditioned medium from cultured MC3T3-E1 cells, with or without application of tensile force, was collected and centrifuged at 2000 rpm for 5 min. The amount of VEGF and M-CSF was measured by a quantitative sandwich enzyme immunoassay technique (Quantikine M mouse VEGF Immunoassay kit, Quantikine M mouse M-CSF Immunoassay kit; R&D Systems, Inc., Minneapolis, MN, USA), according to the manufacturer’s instructions. Standard curves were obtained, and the experiment was repeated 5 times.

Effects of Gd3+ and Nifedipine on the Expression of VEGF and M-CSF
The effects of Gd3+ and nifedipine on the expression of VEGF and M-CSF were examined in both force application and control groups. It has been reported that 1–100 µM Gd3+ inhibited S-A channels (Yang and Sachs, 1989). Cells were incubated with 10 and 100 µM Gd3+ chloridehexahydrate (Wako, Osaka, Japan) or 10 µM nifedipine (Sigma) for 30 min (Hung et al., 1996). After treatment of Gd3+ or nifedipine, 12% elongation was applied for 12 hrs.

Statistical Treatment
Statistical significance was evaluated by analysis of variance (ANOVA) and a multiple-comparison test (Scheffé’s test). A confidence level of p < 0.05 was defined as statistically significant.


   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Effects of Various Tensile Forces and Duration on the Expression of VEGF and M-CSF mRNAs
Expression of VEGF and M-CSF mRNAs in osteoblastic MC3T3-E1 cells was assessed after various elongations of 7, 12, 17, and 24% at a frequency of 30 cycles/min for 12 hrs. VEGF and M-CSF mRNAs in the experimental groups reached a maximum of 3.9- and 2.2-fold, respectively, after 12% elongation, and were significantly different from those of the control group (Fig. 1Go).



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Figure 1. Changes in the expression of VEGF and M-CSF mRNAs in osteoblastic MC3T3-E1 cells stimulated by various elongations for 12 hrs. Means and standard deviations of the expression of VEGF and M-CSF mRNAs under several elongations are shown. The dotted line indicates the expression of VEGF and M-CSF mRNAs in the control group. It was shown that VEGF and M-CSF mRNAs in the experimental groups reached the maximum of 3.9- and 2.2-fold at 12% elongation. Each condition was prepared in triplicate, and experiments were performed 3 times. (*p < 0.05 vs. control group).

 
Expression of the VEGF mRNA in the experimental group increased at 1 hr and was 4.2-fold greater than that in controls at 3 hrs after the application of tensile force. The amount of VEGF mRNA remained constant for up to 24 hrs, showing significant differences compared with the control groups at 3, 6, 12, and 24 hrs. The amount of M-CSF mRNA in the experimental group increased gradually from 3 hrs to 24 hrs after the loading and was significantly greater than the control levels at 12 and 24 hrs (Figs. 2Go, 3Go).



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Figure 2. Loading time changes in the expression of VEGF mRNA and protein concentration in osteoblastic MC3T3-E1 cells stimulated by 12% elongation. Means and standard deviations of the expression of VEGF mRNA and protein concentration under 12% elongation are shown. The dotted line indicates the expression of VEGF mRNA in the control group. The amount of VEGF mRNA in the experimental group significantly increased from 3 to 24 hrs after the loading compared with the control group. The protein concentration of VEGF in the experimental group increased time-dependently, showing significant differences compared with the control group at 3, 6, 12, and 24 hrs after the loading. Each condition was prepared in triplicate, and experiments were performed 3 times. (*p < 0.05 vs. control group).

 


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Figure 3. Loading time changes in the expression of M-CSF mRNA and protein concentration in osteoblastic MC3T3-E1 cells stimulated by 12% elongation. Means and standard deviations of the expression of M-CSF mRNA and protein concentration under 12% elongation are shown. The dotted line indicates the expression of M-CSF mRNA in the control group. The amount of M-CSF mRNA in the experimental group significantly increased after 12 and 24 hrs from the loading against the control group. The protein concentration of M-CSF in the experimental group increased time-dependently, showing significant differences compared with the control group at 6, 12, and 24 hrs after the loading. Each condition was prepared in triplicate, and experiments were performed 5 times. (*p < 0.05 vs. control group).

 
VEGF and M-CSF Protein Expression
The protein concentration of both VEGF and M-CSF increased after 12% elongation and was time-dependent (Figs. 2Go, 3Go). VEGF protein production significantly increased in the experimental group compared with the control group at 3, 6, 12, and 24 hrs. M-CSF protein production also increased significantly in the experimental group in comparison with the control group at 6, 12, and 24 hrs.

Effect of Gd3+ and Nifedipine Treatment
Gd3+ treatment reduced the expression of VEGF mRNAs in a dose-dependent manner under tensile force, and a significant difference was shown after 10 µM treatment. Ten and 100 µM Gd3+ treatment reduced the expression of M-CSF mRNA. Control cells without tensile force were not influenced by 100 µM Gd3+ treatment. Nifedipine treatment did not inhibit the expression of either VEGF or M-CSF mRNA (Fig. 4AGo).



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Figure 4. Effects of Gd3+ and nifedipine on the expression of VEGF and M-CSF in osteoblastic MC3T3-E1 cells stimulated by 12% elongation for 12 hrs (A). The protein concentrations of VEGF (B) and M-CSF (C) in the conditioned medium from MC3T3-E1 cells subjected to 12% elongation at 30 cycles/min for 12 hrs with or without Gd3+. (A) Means and standard deviations of the expression of VEGF and M-CSF mRNA are shown. The dotted line indicates the expression of VEGF and M-CSF mRNAs in the control group. The expression of VEGF mRNA was significantly reduced in the 100-µm Gd3+ treatment group but not in the 10-µm nifedipine group. The 10- and 100-µm Gd3+ treatment groups showed a significant decrease in the M-CSF mRNA, but there was no corresponding decrease in the difedipine group. Treatment with 100 µm Gd3+ showed no effect on control cells in the expressions of both VEGF and M-CSF mRNAs. (B,C) Means and standard deviations of the protein concentrations of VEGF and M-CSF were measured by a quantitative sandwich enzyme immunoassay technique. Significant decreases in VEGF and M-CSF concentrations were found in the 10- and 100-µm Gd3+ treatment groups. Each condition was prepared in triplicate, and experiments were performed 5 times. (*p < 0.05).

 
A quantitative sandwich enzyme immunoassay technique demonstrated that Gd3+ treatment reduced the amount of both VEGF and M-CSF proteins in a dose-dependent manner, and this decrease was significantly different compared with the untreated control group (Figs. 4BGo,4CGo).


   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
A previous in vivo study demonstrated that a 1% deformation on the tibial bone is at the upper limit of the physiological range for activities such as walking and running (Milgrom et al., 2000). However, during orthodontic treatment, bone tissue is continuously stimulated by larger mechanical forces. Conventional orthodontic force to the maxillary canines is around 60 g. Iwasaki et al.(2000) converted this force into compressive stress on the distal aspect of the canine teeth and showed that the stress was 13 kPa. In this study, a cyclic tensile force of 12% elongation (10 kPa) was shown to enhance the gene expression of both VEGF and M-CSF most effectively. Therefore, it is suggested that, during clinical orthodontic tooth movement, osteoblasts express these factors (VEGF and M-CSF) on the tension side of the alveolar bone, and this may be influenced by the orthodontic force.

A significant increase in VEGF and M-CSF mRNA and protein concentration was shown in the conditioned medium, under tensile force application over time. These results were similar to a previous study, which showed an enhancement of VEGF expression in human periodontal ligament fibroblasts treated in a Flexcell strain unit (Yoshino et al., 2003). The authors explained these findings by hypothesizing that mechanical stress activates cellular mechanotransducers, such as mechanosensitive ion channels, cytoskeleton, and integrins. A S-A channel is a stretch-activated ionic membrane channel, and the presence of such channels was first reported in tissue-cultured embryonic chick skeletal muscle (Guharay and Sachs, 1984) and osteoblast-like cells (Duncan and Misler, 1989). Naruse and Sokabe (1993) showed that stretching cellular membranes increased intracellular Ca2+ concentration in human umbilical endothelial cells cultured on silicon membranes. The Ca2+ response disappeared when extracellular Ca2+ was removed, or after Gd3+ treatment, which is a potent blocker of S-A channels. It was also demonstrated that orienting and elongating responses of cultured endothelial cells to cyclic stretch were inhibited by the removal of external Ca2+, or by the addition of Gd3+ (Naruse et al., 1998). These findings suggest that cell-orienting and -elongating responses are mediated by Ca2+-permeable S-A channels present on the cell membrane of endothelial cells. Recently, the homologue of the eukaryotic gene (Mid1) encoding the S-A channel was identified in yeast. It was revealed that Mid1 acts as a calcium-permeable, cation-selective stretch-activated channel (Kanzaki et al., 1999). Based on these findings, we hypothesized that mechanical stretch to osteoblastic MC3T3-E1 cells might cause them to express VEGF and M-CSF, and this may be mediated by S-A channel activation. Therefore, we investigated the effects of 10 and 100 µM Gd3+ on the expression of VEGF and M-CSF with tensile force application. Although Gd3+ is known as a potent S-A channel blocker (Hung et al., 1996), it also blocks voltage-dependent Ca2+ channels (Biagi and Enyeart, 1990). So, we examined the effect of 10 µM nifedipine, which is an L-type Ca2+ channel blocker. Gd3+ treatment inhibited the expression of VEGF and M-CSF genes and proteins, and the effect was dose-dependent. Nifedipine had no effect on VEGF and M-CSF genes or protein expression. Thus, it is clearly concluded that the expression of VEGF and M-CSF in cyclic tensile forces in osteoblast MC3T3-E1 cells is mediated by S-A channels.

VEGF, known as a vascular permeability factor (Senger et al., 1983), is a potent and specific mitogen for vascular endothelial cells and promotes neovascularization. Flt-1 and fetal liver kinase (Flk-1) (Terman et al., 1992) are the two main receptors for VEGF. It has been suggested that these receptors are involved in embryonic vascularization because of their localized expression during embryogenesis, and the impairment of blood vessel formation in Flt-1- and Flk-1-deficient mice (Fong et al., 1995). It is also well-documented that VEGF has various other biological functions, such as migration of human monocytes (Barleon et al., 1996) and osteoclast differentiation (Niida et al., 1999). Niida et al.(1999) showed that rhVEGF and receptor activator of nuclear factor {kappa}B ligand (RANKL)-supported osteoclast generation in vitro, although the effect was significantly smaller than that generated in the presence of rhM-CSF and rhRANKL. No osteoclasts were detected in the presence of rhM-CSF or rhVEGF without rhRAKL. Also, in an in vivo study, rhVEGF was shown to induce significant osteoclast recruitment and stimulated bone resorption in op/op mice; however, the number was smaller than those induced by rhM-CSF (Niida et al., 1999). For this reason, it is likely that VEGF acts mainly as a neovascularization factor, and is less active in osteoclast recruitment than is M-CSF. It has also been shown that osteoclasts predominantly express Flt-1, but not Flk-1. PlGF, which shows a higher degree of homology to VEGF and binds only to Flt-1, could induce osteoclast recruitment to the same extent as VEGF. Thus, it was strongly suggested that VEGF and PlGF might induce osteclast recruitment via Flt-1 (Niida et al., 1999). These results revealed that VEGF functionally overlaps with M-CSF in osteoclast differentiation, and it is also clear that VEGF and M-CSF are intimately involved in bone remodeling through osteoclast bone resorption.

Orthodontic tooth movement is achieved with alveolar bone resorption and new bone formation. Osteoblasts communicate with osteocytes through gap junctions and constitute a complex level of cellular organization (Doty, 1981). The increase in intracellular Ca2+ propagates from cell to cell via gap junctions (Xia and Ferrier, 1992). Furthermore, osteoblasts also regulate osteoclast differentiation and activation through osteoclast differentiation factor (ODF)/osteoprotegerin ligand (OPGL)/TNF-related activation-induced cytokine (TRANCE)/RANKL (Lacey et al., 1998). Our recent studies have demonstrated that local administration of rhVEGF during experimental tooth movement enhanced the number of osteoclasts and the rate of tooth movement (Kaku et al., 2001; Kohno et al., 2003). Osteoblasts on the tension side of the alveolar bone expressed VEGF during tooth movement, suggesting that VEGF is an essential factor for bone remodeling (Kohno et al., 2003). It was also reported that periodontal cells, such as periodontal ligament fibroblasts, express VEGF and induce angiogenesis in response to mechanical stimuli (Yoshino et al., 2003). From these findings, it is concluded that osteoblasts promote expression of VEGF and M-CSF in response to mechanical stress such as orthodontic tooth movement, and this is mediated by the S-A channel. Thus, these factors (VEGF and M-CSF) may support angiogenesis and bone resorption. Furthermore, it is likely that a chain-reaction of angiogenesis and bone remodeling may be promoted by VEGF and M-CSF successively.


   ACKNOWLEDGMENTS
 
This study was funded by a Grant-in-Aid (No. 14771179) from the Ministry of Education, Science, Sports and Culture of Japan.

Received September 1, 2003; Last revision November 23, 2004; Accepted February 4, 2005


   REFERENCES
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 ABSTRACT
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 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
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