PMID- 33993186 OWN - NLM STAT- MEDLINE DCOM- 20211014 LR - 20211014 IS - 2041-4889 (Electronic) VI - 12 IP - 5 DP - 2021 May 15 TI - Beraprost ameliorates postmenopausal osteoporosis by regulating Nedd4-induced Runx2 ubiquitination. PG - 497 LID - 10.1038/s41419-021-03784-8 [doi] LID - 497 AB - Bone health requires adequate bone mass, which is maintained by a critical balance between bone resorption and formation. In our study, we identified beraprost as a pivotal regulator of bone formation and resorption. The administration of beraprost promoted differentiation of mouse bone mesenchymal stem cells (M-BMSCs) through the PI3K-AKT pathway. In co-culture, osteoblasts stimulated with beraprost inhibited osteoclastogenesis in a rankl-dependent manner. Bone mass of p53 knockout mice remained stable, regardless of the administration of beraprost, indicating that p53 plays a vital role in the bone mass regulation by beraprost. Mechanistic in vitro studies showed that p53 binds to the promoter region of neuronal precursor cell-expressed developmentally downregulated 4 (Nedd4) to promote its transcription. As a ubiquitinating enzyme, Nedd4 binds to runt-related transcription factor 2 (Runx2), which results in its ubiquitination and subsequent degradation. These data indicate that the p53-Nedd4-Runx2 axis is an effective regulator of bone formation and highlight the potential of beraprost as a therapeutic drug for postmenopausal osteoporosis. FAU - Zheng, Huo-Liang AU - Zheng HL AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Xu, Wen-Ning AU - Xu WN AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Zhou, Wen-Sheng AU - Zhou WS AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Yang, Run-Ze AU - Yang RZ AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Chen, Peng-Bo AU - Chen PB AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Liu, Tao AU - Liu T AUID- ORCID: 0000-0002-1482-4858 AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. FAU - Jiang, Lei-Sheng AU - Jiang LS AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. jiangleisheng@xinhuamed.com.cn. FAU - Jiang, Sheng-Dan AU - Jiang SD AUID- ORCID: 0000-0001-6653-1881 AD - Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200082, Shanghai, China. jiangshengdan@xinhuamed.com.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210515 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Core Binding Factor Alpha 1 Subunit) RN - 0 (N4BP1 protein, human) RN - 0 (Nuclear Proteins) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (RNA-Binding Proteins) RN - 0 (RUNX2 protein, human) RN - 35E3NJJ4O6 (beraprost) RN - DCR9Z582X0 (Epoprostenol) SB - IM MH - Core Binding Factor Alpha 1 Subunit/*metabolism MH - Epoprostenol/*analogs & derivatives/pharmacology/therapeutic use MH - Humans MH - Nuclear Proteins/*metabolism MH - Osteoporosis, Postmenopausal/*genetics MH - Platelet Aggregation Inhibitors/pharmacology/*therapeutic use MH - RNA-Binding Proteins/*metabolism MH - Ubiquitination PMC - PMC8124066 COIS- The authors declare no competing interests. EDAT- 2021/05/17 06:00 MHDA- 2021/10/15 06:00 PMCR- 2021/05/15 CRDT- 2021/05/16 20:56 PHST- 2021/01/15 00:00 [received] PHST- 2021/04/30 00:00 [accepted] PHST- 2021/04/28 00:00 [revised] PHST- 2021/05/16 20:56 [entrez] PHST- 2021/05/17 06:00 [pubmed] PHST- 2021/10/15 06:00 [medline] PHST- 2021/05/15 00:00 [pmc-release] AID - 10.1038/s41419-021-03784-8 [pii] AID - 3784 [pii] AID - 10.1038/s41419-021-03784-8 [doi] PST - epublish SO - Cell Death Dis. 2021 May 15;12(5):497. doi: 10.1038/s41419-021-03784-8.