To confirm this hypothesis, we evaluated the effect of Ris at different concentrations on COX 2 as well as on b ALP gene expression in vitro. Alkaline phosphatase, a glycoprotein attached to the outer cell membrane by a glycosylphosphatidyli nositol anchor, exists as several isoenzymes and many isoforms Pacritinib phase 3 present in tissues and serum. The ALP gene at locus 2q34eq37 encodes the human intest inal isoenzyme of ALP whereas at locus 1p36ep34 encodes the human tissue nonspecific ALP isoforms derived from bone, liver, and kidney. In this study, we analyzed the RNA expression related to locus 1p36ep34, so in the bone marrow environment our results are referred specifically to osteogenic lineage. This aspect is very important because, in this context, b ALP may be considered a specific differentiation mar ker of osteoblastic precursors.
The concomitant increased expression of COX 2 and b ALP genes after treatment with Ris suggests a direct effect on osteogenic differentiation of mesenchymal precursors. This direct effect on osteoblastic lineage has been recently sug gested Inhibitors,Modulators,Libraries also in another study in vitro, in which zoledro nate induced sustained commitment of bone marrow derived mesenchymal stem cells for osteogenic differen tiation. To confirm the direct relationship between COX 2 increase and osteoblastic activity, we co treated cells with a specific COX 2 inhibitor, able to decrease the mRNA COX 2 level, obtaining a con comitant significant decrease of b ALP and COX 2 gene expression.
However, the decreased bALP expression induced by NS 398 could Inhibitors,Modulators,Libraries be due also to the decreased viability of bALP expressing cells, in addition to the effect on reduced osteogenic differentiation of mesench ymal precursors. In addition, we evaluated Ris effects on osteocyte cells in vitro, and we observed similar results obtained Inhibitors,Modulators,Libraries on osteoblasts. This implies that, in addition to an increased Inhibitors,Modulators,Libraries osteogenic recruitment, Ris is able to prolong the lifespan of osteogenic lineage mature cells. Also in this case, COX2 gene was involved as suggested by b ALP gene expression level in cells treated with Ris alone or in combination with NS 398 inhibitor. The ability of Ris to prevent negative GC effects observed on osteo genic precursors was confirmed also in MLO Y4 osteo cyte cells in agreement with our results in vivo.
These findings are of clinical relevance because they suggest a new mechanism through which bisphospho nates could exert their anabolic action on bone. The final result is a positive balance in bone turnover, char acterized by an increased number of active osteoblastic osteocytic cells Inhibitors,Modulators,Libraries that have an important relevance in pre sence of bone diseases affecting osteoblastic lineage such as glucocorticoid induced osteoporosis. In addition, this is Brefeldin A FDA the first study showing a direct effect of Ris on osteocytes through the upregulation of COX 2 gene expression.