J Nutr Health. 2020 Aug;53(4):347-355. English.
Published online Aug 14, 2020.
© 2020 The Korean Nutrition Society
Original Article

Zinc modulation of osterix in MC3T3-E1 cells

Hyun-Ju Seo,1 Jin Boo Jeong,1,2 Young-Eun Cho,3 and In-Sook Kwun3
    • 1Institute of Agricultural Science and Technology, Andong National University, Andong 36729, Korea.
    • 2Department of Medicinal Plant Resources, Andong National University, Andong 36729, Korea.
    • 3Department of Food Science and Nutrition, Andong National University, Andong 36729, Korea.
Received January 15, 2020; Revised June 04, 2020; Accepted June 17, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Zinc is known to be associated with osteoblast proliferation and differentiation. Osterix as zinc-finger transcription factor is also related to osteoblast differentiation and bone formation. In the present study, we aimed to investigate whether zinc modulates osterix gene and protein expression in osteoblastic MC3T3-E1 cells.

Methods

MC3T3-E1 cells were cultured in zinc-dependent concentrations (0, 0.5, 1, 5, or 15 µM Zn), along with osteogenic control (normal osteogenic medium) for 1 and 3 days. The gene and protein expression levels of osterix were analyzed by real-time reverse transcription polymerase chain reaction and Western blotting, respectively.

Results

Zinc increased osteoblast proliferation in a concentration-dependent manner at day 1 and 3. Similarly, zinc increased the activity of osteoblast marker enzyme alkaline phosphatase in cells and media in a zinc concentration-dependent manner. Moreover, our results showed that the pattern of osterix gene expression by zinc was down-regulated within the low levels of zinc treatments (0.5–1 µM) at day 1, but it was up-regulated after extended culture period at day 3. Osterix protein expression by zinc showed the similar pattern of gene expression, which down-regulated by low zinc levels at day 1 and up-regulated back at day 3 as the early stage of osteoblast differentiation.

Conclusion

Our results suggest that zinc modulates osterix gene and protein expression in osteoblasts, particularly in low level of zinc at early stage of osteoblast differentiation period.

Keywords
zinc; osterix; MC3T3-E1 cells; osteoblast differentiation

INTRODUCTION

Bone constantly undergoes a process known as remodeling, which is an active process throughout the coupling activity of osteoclasts and osteoblasts [1, 2]. Osteoblasts are responsible for new bone formation [2]. In adults, bone remodeling rate is ranged at about 0–10% per year including postmenopausal women [3]. Skeletal component cells which are osteoblasts, chondrocytes, myocytes and adipocytes, are all derived from mesenchymal stem cells. The differentiation of osteoblasts from mesenchymal precursor cells requires a process that is controlled by transcription factors, including Runx2, osterix and many number of nuclear coregulators [4].

Osterix is a transcription factors with three zinc finger motifs. Osterix-null mice show a lack of osteoblasts which implies that osterix is a second transcription factor that is essential for osteoblast differentiation [5]. Osterix is expressed in osteoblasts of all endochondral and membranous bones [6]. There is no evidence yet which has provided to establish the osteoblast differentiation of osterix regulation in osteoblastic-like MC3T3-E1 cells.

Zinc is an essential trace element of bone growth and metabolism [7, 8, 9]. Zinc deficiency is characterized by growth retardation which is affected by the inhibition of skeletal growth in vivo animal model due to decreased osteoblast proliferation and differentiation [10, 11, 12]. Zinc also stimulates bone metabolism in rats and osteogenic formation in tissue cultures by increasing bone DNA and protein synthesis [13, 14]. Even zinc is well established to stimulate bone formation at low concentrations, although it also has a potent inhibitory effect on osteoclastic bone resorption in vitro [15].

In our previous study, Runx2 plays a pivotal role in bone formation through transcriptional regulation of its target genes for osteoblast differentiation by zinc concentration [16]. The purpose of the present study was to assess whether cellular zinc level could modulate osterix in MC3T3-E1 cells which could affect osteoblast function for bone formation.

METHODS

Reagents

Chemicals were obtained from Sigma (St. Louis, MO, USA). Cell culture reagents α-MEM, penicillin & streptomycin (PN/ST) and fetal bovine serum (FBS) were obtained from Gibco Laboratories (Grand Island, NY, USA). Primers for osterix and housekeeping gene (glyceraldehyde 3-phosphate dehydrogenase, GAPDH) were obtained from Invitrogen (Grand Island, NY, USA). Antibody for osterix was obtained from Abcam. Antibody for GAPDH as loading control was obtained from Cell Signaling (Danvers, MA, USA). Horseradish peroxidase-labeled donkey anti-rabbit immunoglobulin was purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA).

Cell culture and zinc-treatment

Mouse calvariae origin osteoblastic MC3T3-E1 cells (ATCC, CRL-2593) were seeded at a density of 1 × 105 and maintained in regular osteoblast growth medium (α-MEM with 10% FBS, 1 mM sodium pyruvate and 1% PN/ST) in an under a humidified atmosphere of 5% CO2 at a 37°C. After reaching 80-90% confluence, cells were treated with zinc (as 0, 0.5, 1, 5, 15 µM ZnCl2) and cultured for 1 day and 3 days. N,N,N′,N′-tetrakis(2-pyridyl-methyl)-ethylenediamine (TPEN, 5 µM) as an intracellular zinc chelator was added at the same time of zinc treatment to deplete cellular zinc level which was adjusted by the addition of ZnCl2. Normal osteogenic medium (OSM, growth media plus 10 mM β-glycerophosphate + 50 µg/mL ascorbic acid) was used as a normal control for 1 day and 3 days of culture.

Cell proliferation by MTT assay

Osteoblast viability was evaluated by MTT assay. Briefly, MC3T3-E1 cells were plated onto 96-well plates at a density of 1 × 104 cells/well and maintained in growth media for 24 hours. After reaching 80–85% confluence, cells were treated with zinc for 1 day and 3 days. Then, the cell was incubated with 10 µL of MTT solution (5 mg/mL) for an additional 3 hours. The resulting formazan crystals were dissolved in filtered dimethyl sulfoxide. The formation of formazan was measured by reading absorbance at a wavelength of 570 nm using Micro Elisa reader (Asys Hitech Expert 96; Asys Co., Eugendorf, Austria).

Cellular and media alkaline phosphatase (ALP) activity assay

Cellular (synthesized) and medium (secreted) ALP activities were measured based on colorimetric enzymatic activity [17]. MC3T3-E1 cells were treated with 0, 0.5, 1, 5, 15 µM zinc and OSM as a control for 1 day and 3 days. Cells were lysed of 0.02% Triton-X before sonicating for 30s twice on ice. These sonicated lysates were centrifuged at 12,000 × g for 15 minutes. The supernatant (cytoplasmic fraction) was collected and kept at -70°C until analysis. ALP activity in cellular cytosolic supernatant or medium was measured using para-nitrophenyl-phosphate (PNPP) as a substrate. Its conversion to para-nitrophenol (PNP) as the product was measured at 405 nm. Cellular ALP activity was normalized to protein concentration measured by the Bradford method. The enzyme activity was expressed as nmol PNPP/min/mg of protein (cellular) or nmol PNPP/min/mL (medium). A minimum of four dishes was assayed and experiments were repeated 2–3 times.

Real-time reverse transcription polymerase chain reaction (RT-PCR) for osterix mRNA expression

Real-time RT-PCR was performed for the quantification of osterix transcripts. Briefly, total RNA was prepared using Trizol reagent (Invitrogen) and cDNA was synthesized using a reverse transcription kit (Bioneer, Daejeon, Korea). Synthesized cDNAs were stored at −20°C for future analysis. Real-time RT-PCR was performed using the first-strand cDNA as the template in 20 µL SYBR Green PCR Master Mix (Takara Bio Inc., Shiga, Japan) using a fluorometric thermal cycler (Applied Biosystems 7500; Applied Biosystems, Foster City, CA, USA). Sequences of forward and reverse primers are listed in Table 1. PCR amplification condition was: 2 minutes at 50°C, 95°C initial activation step (10 minutes) and then 40 cycles of 95°C for denaturation (30 seconds), 60°C for annealing (45 seconds) and 70°C for extension (33 seconds). The progress of the PCR amplification was monitored in real-time by fluorescent measurement during each amplification cycle. The level of osterix mRNAs was normalized against the endogenous reference and expressed relative to the calibrator using the 2−∆∆Ct method. All reactions were performed in duplicate. Nuclease free water and 96-well optical plates were used for PCR amplification with appropriate caps.

Table 1
Primer sequences for osterix used for quantitative RT-PCR

Protein extraction and Western blot analysis

Cells were lysed with radioimmunoprecipitation assay (RIPA) buffer containing 20 mM Tris-HCl (pH 7.5), 150 mM NaCl, 1 mM ethylene glycol tetraacetic acid, 1% sodium deoxycholate, 2.5 mM sodium pyrophosphate, 1 mM β-glycerol, 1 mM Na3VO4, 1 µg/mL leupeptin and protease inhibitor mixture. Cell lysates were centrifuged at 12,000 × g for 15 minutes at 4°C. Supernatants were collected and stored at −70°C. Protein quantification was performed with Bradford protein assay reagent (Bio-Rad, Tokyo, Japan) [18].

For Western blot analysis, proteins (50 µg) were separated on sodium dodecyl sulfate-polyacrylamide gel electrophoresis and transferred to polyvinylidene fluoride membrane. The membranes were blocked for non-specific binding with 5% skim milk in phosphate-buffered saline containing 0.1% Tween-20 (PBS-T) for 3 hours at room temperature and then incubated with specific primary antibodies (target proteins) at 4°C overnight. After three washes with PBS-T, the membranes were incubated with secondary antibodies conjugated to horse radish peroxidase (sc-2004; Santa Cruz Biotechnology). Signals were visualized with an enhanced chemiluminescence kit (Super Pico Detection Reagent; Pierce, County, WA, USA) and quantified using ChemiDoc Gel Quantification System (Bio-Rad).

Nuclear protein extraction

After treatment, the cells were washed with PBS and cell pellets were resuspended in Buffer A (1 M HEPES (pH 7.9), 1 M KCl, 1 mM MgCl2, 0.1 mM ethylenediaminetetraacetic acid [EDTA] plus protease inhibitor cocktail [Cell Signaling, Danvers, MA, USA], 0.1 M PMSF, 0.1 M dithiothreitol [DTT]). Samples were incubated with 10% Nonidet P-40, and then centrifuged at 14,000 g for 1 minute at 4°C. Nuclei were pelleted by centrifugation, rinsed briefly with Buffer A and resuspended with Buffer C (1 M HEPES [pH 7.9], 1 M KCl, 4 M NaCl, 0.1 mM EDTA plus protease inhibitor cocktail [Cell signaling], 0.1 M PMSF, 0.1 M DTT), and incubated on ice for 20 min. After centrifugation at 14,000 g for 5 min at 4°C, and the supernatants were retained for transcription factor osterix Western blotting.

Statistical analysis

Values were analyzed with SPSS program (IBM Corp., Armonk, NY, USA). One-way analysis of variance was used to test the effects of different zinc levels within the time point. Once significance was detected, Turkey's honestly significant difference test was used for comparing differences between groups as post hoc analysis. A Significant difference was considered at p < 0.05.

RESULTS

Effect of zinc on osteoblastic MC3T3-E1 cell morphology

Osteoblastic MC3T3-E1 cells were morphologically shown to be less viable at low cellular zinc levels (0–1 µM zinc) on both day 1 and 3. Although cells were still attached to dishes at lower zinc levels, viable cells were less than those at higher zinc levels (5–15 µM). As culture days were extended, cells on day 3 were much less viable at lower zinc levels (0–0.5 µM) than those on day 1 (Fig. 1).

Fig. 1
Morphological characteristics of osteoblastic MC3T3-E1 cells treated with various concentrations of Zn for day 1 and day 3. Photographs were taken with a phase-contrast microscope at 100× magnification.
OSM, normal osteogenic differentiation media.

Effect of zinc on osteoblastic MC3T3-E1 cell viability

The effect of zinc on the functional integrity of osteoblasts was assessed by MTT viability assay. MTT assay results revealed that zinc affected cell viability of osteoblastic MC3T3-E1 cells when cells were treated with 0, 0.5, 1, 5, 15 µM ZnCl2 plus 5 µM TPEN as intercellular zinc chelator during 1 and 3 days (Fig. 2). At day 1, low levels of cellular zinc treatment (0–1 µM) decreased cell viability, compared to normal osteogenic media (OSM), while zinc treatment at higher than 5 µM showed the same viability as shown in normal OSM. However, as culture days extended, cell viability treated with zinc at low levels (0–1 µM) decreased dramatically. At day 3, cells treated with low levels of zinc (0–1 µM) showed very low cell viability, whereas treatment with zinc at high levels (5–15 µM) showed the same viabilities as the control. After treatment with 5 µM TPEN for 1 day and 3 days, 5 µM zinc appeared to be the cut-off zinc level for complete viability which was consistent with the normal osteogenic medium. This cell viability pattern, as based on the measurement of metabolic reduction of MTT by mitochondria dehydrogenases of viable cells, is consistent with the pattern shown in morphological pattern by zinc in Fig. 1.

Fig. 2
Osteoblastic MC3T3-E1 cell proliferation after treatment with various concentrations of Zn for day 1 and day 3. Data are presented as mean ± SEM (n = 10). Different superscript letters mean significantly different by Zn concentration as analyzed one-way analysis of variance, Tukey test (p < 0.05).
SEM, standard error of mean; OSM, normal osteogenic differentiation media.

Effect of zinc on ALP activity

ALP is a secretory enzyme which is synthesized by osteoblasts and secreted to the extracellular matrix. ALP is an osteoblast marker as well as a zinc-dependent enzyme. Effects of zinc treatment on cellular (synthesized) and medium (secretory) ALP activities of osteoblastic MC3T3-E1 cells are shown in Fig. 3A and B. The activity of cellular and medium ALP by zinc showed the similar patterns which is a zinc concentration-dependent pattern. Medium ALP activity which is the activity of the secretory enzyme showed a more zinc-dependent manner. This might be due to the release of ALP enzyme into the medium.

Fig. 3
Cellular (A) and medium (B) ALP activity in osteoblastic MC3T3-E1 cells treated with various Zn concentration for day 1 and 3. Data are presented as mean ± SEM (n = 3). Different superscript letters mean significantly different by Zn concentration as analyzed one-way analysis of variance, Tukey test (p < 0.05).
ALP, alkaline phosphatase; SEM, standard error of mean; OSM, normal osteogenic differentiation media.

Zinc modulates osterix gene and protein expression

Osterix gene and protein expressions by zinc for day 1 and 3 are shown in Fig. 4A and B. For osterix gene expression, zinc tended to up-regulate osterix mRNA expression as cellular zinc treatment increased within the range of 0.5–5 µM zinc at day 1 (although without significance at the possibility level of 0.05) (Fig. 4A). Also, 0 µM zinc addition didn't fell into this zinc-dependent manner and 15 µM zinc treatment showed almost the same level of osterix mRNA expression, compared with 5 µM zinc addition. At longer culture period of day 3, down-regulated osterix expression by low zinc treatment (0 and 0.5 µM) was recovered which implies the catching-up mode under cellular low zinc treatment (significance level of p < 0.05).

Fig. 4
Osterix mRNA (A) and protein (B) expression in osteoblastic MC3T3-E1 cells treated with various Zn concentration for day 1 and 3. Data are presented as mean ± SEM (n = 3). Different superscript letters mean significantly different by Zn concentration as analyzed one-way analysis of variance, Tukey test (p < 0.05).
SEM, standard error of mean; OSM, normal osteogenic differentiation media; OSX, osterix.

Osterix protein expression by zinc showed the pattern of up-regulated as zinc increased at day 1 (Fig. 4B). At day 3 of culture period, the pattern of osterix protein expression showed the catching-up mode which showed the adverse pattern of day 1 and the same pattern of mRNA expression. Both mRNA and protein expression of osterix by zinc implies that low zinc level down-regulated osterix gene and protein expression during short culture period (day 1), however it could be recovered as culture period extended.

DISCUSSION

Bone is a dynamic tissue that is continuously changed by the bone remodeling process [1]. The previous studies have shown that the bone remodeling process is related to many anabolic factors and signaling. These factors regulate skeletal gene and protein expression that acts as an activator or inhibitor for retaining bone mass [19, 20]. The expression of bone-related specific genes, such as ALP, type 1 collagen, osteocalcin, and osteopontin, and osterix is activated during osteoblast differentiation. Many transcription factors and cell signaling proteins also dynamically interact with each other and regulate their target gene expression in osteoblast differentiation period [21, 22, 23, 24].

The present study determined whether zinc could modulate osterix gene and protein in osteoblastic-like MC3T3-E1 cells. Osterix is the key transcription factor of osteogenesis, and essential for osteoblast differentiation and bone formation. Osterix-deficient mice show the absence of osteoblasts and defective bone formation which implies its crucial role for bone formation [5]. During the osteoblast differentiation period, osterix regulates the expression of several osteogenic factors as well as ALP, osteocalcin, osteonectin, and osteopontin [25]. In the present study, we investigated whether cellular zinc level affects osterix mRNA and protein expression, therefore zinc affects osteoblast-activated bone formation in osteoblastic MC3T3-E1 cells.

In this study, in experiment to see whether zinc stimulates osterix gene expression level, osterix mRNA expression showed up-regulated pattern by zinc level between 0.5–15 µM in MC3T3-E1 cell culture on day 1, which implies zinc could up-regulate osterix gene expression at very early days of osteoblastic cell culture with physiological zinc level (up to 15 µM zinc). As culture day of 3, zinc-stimulating osterix gene expression pattern was attenuated by zinc level which implies zinc stimulation of osterix gene expression was more prominent in day 1 which is a very early stage of osteoblast differentiation period (Fig. 4A).

This zinc stimulation effect on osterix expression was shown as the same pattern for osterix protein expression (Fig. 4B). Zinc up-regulates as cellular zinc level increased (day 1), and this stimulated pattern by zinc for osterix protein expression was decreased as culture period went by zinc level (day 3). This implies both zinc stimulates osterix gene and protein expression at early osteoblast differentiation period (day 1), and zinc deficiency (0–1 µM zinc) delayed osterix expression as shown on day 3. Also, the pattern of mRNA gene and protein expression in some case showed not consistent pattern; such as under 0 µM zinc level, mRNA expression did not showed any sign of down-regulation at day 1, however osterix protein expression showed the down-regulated protein expression and this would be elucidated at future study.

As low cellular zinc treatment in this study (0–5 µM) down-regulated osterix gene and protein expression, this would be related to another key bone-specific transcription factor Runx2 which is the upper regulator for various bone-specific transcription factors, including osterix [25]. When osteoblast differentiation decreased and inhibited, Runx2 expression and transcription level are down-regulated. The poor osterix expression by low zinc in this study would be due to Runx2 expression, even we did not examine in this study. In our data, cellular and medium ALP enzyme activity was also activated in zinc concentration-dependent manner during osteoblast proliferation and differentiation (day 1 and 3).

SUMMARY

In summary, our results showed that low cellular zinc level in osteoblasts down-regulated bone transcription factor osterix gene and protein expression during very early stage of osteoblast differentiation (day 1). As culture period extended, this down-regulated osterix expression by low zinc level showed the pattern of up-regulated. The study results imply that zinc modulates osterix gene and protein at an early stage of osteoblast differentiation. Further study for zinc action on osterix regulation how it works would be needed for elucidating zinc role in osteoblast differentiation.

Notes

Funding:This work was supported by a Research Grant of Andong National University.

Conflict of Interest:There are no financial or other issues that might lead to conflict of interest.

References

    1. Seibel MJ, Robins SP, Bilezikian JP. Urinary pyridinium crosslinks of collagen: specific markers of bone resorption in metabolic bone disease. Trends Endocrinol Metab 1992;3(7):263–270.
    1. Aubin JE, Triffitt JY. Mesenchymal stem cells and osteoblast differentiation. In: Bilezikian JP, Raisz LG, Rodan GA, editors. Principles of Bone Biology. 2nd ed. San: Academic Press; 2002. pp. 59-81.
    1. Garnero P, Sornay-Rendu E, Chapuy MC, Delmas PD. Increased bone turnover in late postmenopausal women is a major determinant of osteoporosis. J Bone Miner Res 1996;11(3):337–349.
    1. Franceschi RT, Ge C, Xiao G, Roca H, Jiang D. Transcriptional regulation of osteoblasts. Ann N Y Acad Sci 2007;1116(1):196–207.
    1. Nakashima K, Zhou X, Kunkel G, Zhang Z, Deng JM, Behringer RR, et al. The novel zinc finger-containing transcription factor osterix is required for osteoblast differentiation and bone formation. Cell 2002;108(1):17–29.
    1. Sun S, Wang Z, Hao Y. Osterix overexpression enhances osteoblast differentiation of muscle satellite cells in vitro. Int J Oral Maxillofac Surg 2008;37(4):350–356.
    1. Yamaguchi M. Role of zinc in bone formation and bone resorption. J Trace Elem Exp Med 1998;11(2-3):119–135.
    1. Ovesen J, Møller-Madsen B, Thomsen JS, Danscher G, Mosekilde L. The positive effects of zinc on skeletal strength in growing rats. Bone 2001;29(6):565–570.
    1. McClung JP, Stahl CH, Marchitelli LJ, Morales-Martinez N, Mackin KM, Young AJ, et al. Effects of dietary phytase on body weight gain, body composition and bone strength in growing rats fed a low-zinc diet. J Nutr Biochem 2006;17(3):190–196.
    1. Avery RA, Bettger WJ. Zinc deficiency alters the protein composition of the membrane skeleton but not the extractability or oligomeric form of spectrin in rat erythrocyte membranes. J Nutr 1992;122(3):428–434.
    1. Perry DK, Smyth MJ, Stennicke HR, Salvesen GS, Duriez P, Poirier GG, et al. Zinc is a potent inhibitor of the apoptotic protease, caspase-3. A novel target for zinc in the inhibition of apoptosis. J Biol Chem 1997;272(30):18530–18533.
    1. Telford WG, Fraker PJ. Preferential induction of apoptosis in mouse CD4+CD8+αβTCRIoCD3εIo thymocytes by zinc. J Cell Physiol 1995;164(2):259–270.
    1. Yamaguchi M, Yamaguchi R. Action of zinc on bone metabolism in rats. Increases in alkaline phosphatase activity and DNA content. Biochem Pharmacol 1986;35(5):773–777.
    1. Yamaguchi M, Oishi H, Suketa Y. Zinc stimulation of bone protein synthesis in tissue culture. Activation of aminoacyl-tRNA synthetase. Biochem Pharmacol 1988;37(21):4075–4080.
    1. Hashizume M, Yamaguchi M. Stimulatory effect of β-alanyl-L-histidinato zinc on cell proliferation is dependent on protein synthesis in osteoblastic MC3T3-E1 cells. Mol Cell Biochem 1993;122(1):59–64.
    1. Kwun IS, Cho YE, Lomeda RA, Shin HI, Choi JY, Kang YH, et al. Zinc deficiency suppresses matrix mineralization and retards osteogenesis transiently with catch-up possibly through Runx 2 modulation. Bone 2010;46(3):732–741.
    1. Bessey OA, Lowry OH, Brock MJ. A method for the rapid determination of alkaline phosphates with five cubic millimeters of serum. J Biol Chem 1946;164:321–329.
    1. Bradford MM. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 1976;72(1-2):248–254.
    1. Swarthout JT, D'Alonzo RC, Selvamurugan N, Partridge NC. Parathyroid hormone-dependent signaling pathways regulating genes in bone cells. Gene 2002;282(1-2):1–17.
    1. Harada S, Rodan GA. Control of osteoblast function and regulation of bone mass. Nature 2003;423(6937):349–355.
    1. Ducy P, Karsenty G. Two distinct osteoblast-specific cis-acting elements control expression of a mouse osteocalcin gene. Mol Cell Biol 1995;15(4):1858–1869.
    1. Karsenty G, de Crombrugghe B. Conservation of binding sites for regulatory factors in the coordinately expressed α1(I) and α2(I) collagen promoters. Biochem Biophys Res Commun 1991;177(1):538–544.
    1. Hatta M, Daitoku H, Matsuzaki H, Deyama Y, Yoshimura Y, Suzuki K, et al. Regulation of alkaline phosphatase promoter activity by forkhead transcription factor FKHR. Int J Mol Med 2002;9(2):147–152.
    1. Funato N, Ohtani K, Ohyama K, Kuroda T, Nakamura M. Common regulation of growth arrest and differentiation of osteoblasts by helix-loop-helix factors. Mol Cell Biol 2001;21(21):7416–7428.
    1. Zhang C. Transcriptional regulation of bone formation by the osteoblast-specific transcription factor Osx. J Orthop Surg 2010;5(37):37.

Metrics
Share
Figures

1 / 4

Tables

1 / 1

Funding Information
PERMALINK