PMID- 29694681 OWN - NLM STAT- MEDLINE DCOM- 20191024 LR - 20191024 IS - 1523-4681 (Electronic) IS - 0884-0431 (Linking) VI - 33 IP - 8 DP - 2018 Aug TI - Annexin A5 Involvement in Bone Overgrowth at the Enthesis. PG - 1532-1543 LID - 10.1002/jbmr.3453 [doi] AB - Little is known about the molecular mechanisms of enthesis formation in mature animals. Here, we report that annexin A5 (Anxa5) plays a critical role in the regulation of bone ridge outgrowth at the entheses. We found that Anxa5 is highly expressed in the entheses of postnatal and adult mice. In Anxa5-deficient (Anxa5(-/-) ) mice, the sizes of bone ridge outgrowths at the entheses of the tibias and femur were increased after age 7 weeks. Bone overgrowth was not observed at the fibrous enthesis where the fibrocartilage layer does not exist. More ALP-expressing cells were observed in the fibrocartilage layer in Anxa5(-/-) mice than in wild-type (WT) mice. Calcein and Alizarin Red double labeling revealed more mineralized areas in Anxa5(-/-) mice than WT mice. To examine the effects of mechanical forces, we performed tenotomy in which transmission of contractile forces by the tibial muscle was impaired by surgical muscle release. In tenotomized mice, bone overgrowth at the enthesis in Anxa5(-/-) mice was decreased to a level comparable to that in WT mice at 8 weeks after the operation. The tail-suspended mice also showed a decrease in bone overgrowth to similar levels in Anxa5(-/-) and WT mice at 8 weeks after hindlimb unloading. These results suggest that bone overgrowth at the enthesis requires mechanical forces. We further examined effects of Anxa5 gene knockdown (KD) in primary cultures of osteoblasts, chondrocytes, and tenocytes in vitro. Anxa5 KD increased ALP expression in tenocytes and chondrocytes but not in osteoblasts, suggesting that increased ALP activity in the fibrocartilaginous tissue in Anxa5(-/-) mice is directly caused by Anxa5 deletion in tenocytes or fibrocartilage cells. These data indicate that Anxa5 prevents bone overgrowth at the enthesis, whose formation is mediated through mechanical forces and modulating expression of mineralization regulators. (c) 2018 American Society for Bone and Mineral Research. CI - (c) 2018 American Society for Bone and Mineral Research. FAU - Shimada, Akemi AU - Shimada A AD - Department of Pharmacology, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Ideno, Hisashi AU - Ideno H AD - Department of Pharmacology, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Arai, Yoshinori AU - Arai Y AD - Nihon University, School of Dentistry, Chiyoda-ku, Tokyo, Japan. FAU - Komatsu, Koichiro AU - Komatsu K AD - Department of Pharmacology, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Wada, Satoshi AU - Wada S AD - Department of Orthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Yamashita, Teruhito AU - Yamashita T AD - Division of Hard Tissue Research, Institute for Oral Science, Matsumoto Dental University, Shiojiri, Japan. FAU - Amizuka, Norio AU - Amizuka N AD - Department of Developmental Biology of Hard Tissue, Division of Oral Health Science, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan. FAU - Poschl, Ernst AU - Poschl E AD - School of Biological Sciences, University of East Anglia, Norwich Research Park, Norwich, UK. FAU - Brachvogel, Bent AU - Brachvogel B AD - Experimental Neonatology, Department of Pediatrics and Adolescent Medicine, Center for Biochemistry, Medical Faculty, University of Cologne, Cologne, Germany. FAU - Nakamura, Yoshiki AU - Nakamura Y AD - Department of Orthodontics, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Nakashima, Kazuhisa AU - Nakashima K AD - Department of Pharmacology, Tsurumi University School of Dental Medicine, Yokohama, Japan. FAU - Mizukami, Hiroaki AU - Mizukami H AD - Division of Genetics Therapeutics, Center for Molecular Medicine, Jichi Medical University, Shimotsuke, Japan. FAU - Ezura, Yoichi AU - Ezura Y AD - Department of Molecular Pharmacology, Medical Research Institute, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan. FAU - Nifuji, Akira AU - Nifuji A AD - Department of Pharmacology, Tsurumi University School of Dental Medicine, Yokohama, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Bone Miner Res JT - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research JID - 8610640 RN - 0 (Annexin A5) RN - EC 3.1.3.1 (Alkaline Phosphatase) SB - IM MH - Alkaline Phosphatase/metabolism MH - Animals MH - Annexin A5/deficiency/*metabolism MH - *Bone Development MH - Bone and Bones/*metabolism MH - Cartilage/growth & development MH - Cell Differentiation MH - Chondrocytes/metabolism MH - Femur/growth & development/metabolism MH - Hindlimb/metabolism MH - Mice, Knockout MH - Osteoblasts/metabolism MH - Tendons/growth & development MH - Tenocytes/metabolism MH - Tibia/growth & development/metabolism MH - Weight-Bearing OTO - NOTNLM OT - ANNEXIN A5 OT - BONE MORPHOGENESIS OT - ENTHESIS OT - LACZ KNOCK-IN MOUSE OT - TENDON/LIGAMENT EDAT- 2018/04/26 06:00 MHDA- 2019/10/28 06:00 CRDT- 2018/04/26 06:00 PHST- 2017/08/24 00:00 [received] PHST- 2018/04/08 00:00 [revised] PHST- 2018/08/12 00:00 [accepted] PHST- 2018/04/26 06:00 [pubmed] PHST- 2019/10/28 06:00 [medline] PHST- 2018/04/26 06:00 [entrez] AID - 10.1002/jbmr.3453 [doi] PST - ppublish SO - J Bone Miner Res. 2018 Aug;33(8):1532-1543. doi: 10.1002/jbmr.3453.