New insights into the molecular mechanism of multiple synostoses syndrome (SYNS): mutation within the GDF5 knuckle epitope causes noggin-resistance

J Bone Miner Res. 2012 Feb;27(2):429-42. doi: 10.1002/jbmr.532.

Abstract

Growth and differentiation factor 5 (GDF5), a member of the bone morphogenetic protein (BMP) family, is essential for cartilage, bone, and joint formation. Antagonists such as noggin counteract BMP signaling by covering the ligand's BMP type I (BMPRI) and type II (BMPRII, ActRII, ActRIIB) interaction sites. The mutation GDF5-S94N is located within the BMPRII interaction site, the so-called knuckle epitope, and was identified in patients suffering from multiple synostoses syndrome (SYNS). SYNS is characterized by progressive symphalangism, carpal/tarsal fusions, deafness and mild facial dysmorphism. Here we present a novel molecular mechanism of a GDF5 mutation affecting chondrogenesis and osteogenesis. GDF5-S94N exhibits impaired binding to BMPRII causing alleviated Smad and non-Smad signaling and reduced chondrogenic differentiation of ATDC5 cells. Surprisingly, chondrogenesis in mouse micromass cultures was strongly enhanced by GDF5-S94N. By using quantitative techniques (SPR, reporter gene assay, ALP assay, qPCR), we uncovered that this gain of function is caused by strongly reduced affinity of GDF5-S94N to the BMP/GDF antagonist noggin and the consequential lack of noggin inhibition. Thus, since noggin is upregulated during chondrogenic differentiation, GDF5-S94N exceeds the GDF5 action, which results in the phenotypic outcome of SYNS. The detailed molecular characterization of GDF5-S94N as a noggin-resistant growth factor illustrates the potential of GDF5 mutants in applications with defined therapeutical needs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Bone Morphogenetic Protein Receptors / metabolism
  • Carrier Proteins / pharmacology
  • Cell Differentiation / drug effects
  • Cells, Cultured
  • Chondrogenesis / drug effects
  • Enzyme Activation / drug effects
  • Epitopes / genetics*
  • Growth Differentiation Factor 5 / chemistry*
  • Growth Differentiation Factor 5 / genetics*
  • Humans
  • Immobilized Proteins / pharmacology
  • Mice
  • Molecular Sequence Data
  • Mutant Proteins / metabolism
  • Mutation / genetics*
  • Myoblasts / drug effects
  • Myoblasts / metabolism
  • Myoblasts / pathology
  • Osteoblasts / drug effects
  • Osteoblasts / metabolism
  • Osteoblasts / pathology
  • Protein Binding / drug effects
  • Signal Transduction / drug effects
  • Smad Proteins / metabolism
  • Syndrome
  • Synostosis / enzymology
  • Synostosis / genetics*
  • Synostosis / pathology
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Carrier Proteins
  • Epitopes
  • Growth Differentiation Factor 5
  • Immobilized Proteins
  • Mutant Proteins
  • Smad Proteins
  • noggin protein
  • p38 Mitogen-Activated Protein Kinases
  • Bone Morphogenetic Protein Receptors