Scientific article
English

RANKL‐Induced Increase in Cathepsin K Levels Restricts Cortical Expansion in a Periostin‐Dependent Fashion: A Potential New Mechanism of Bone Fragility

Publication date2021
Abstract

Receptor activator of nuclear factor‐κΒ ligand (RANKL) is necessary and sufficient to promote osteoclastogenesis and a key pathogenic factor in osteoporosis. Failure of periosteal apposition to compensate for bone loss due to endosteal resorption further contributes to bone fragility. Whether these two processes are biologically related, however, remains unknown. Using high‐resolution peripheral quantitative computed tomography (HR‐pQCT), we first examined cortical bone parameters at distal radius and tibia in postmenopausal women (PMW) as well as in cadaveric human adult humeri. Increases in medullary area were negatively correlated with cortical bone volume but positively with total bone volume, and this relationship was stronger in the dominant arm, suggesting a mechanically driven process. To investigate the role of RANKL in this dual process, we used mice overexpressing huRANKL (huRANKLTg+). Trabecular and cortical bone volume (Ct.BV) are reduced in these mice, whereas cortical total volume (Ct.TV) is increased. In these bones, Sost mRNA levels are downregulated and periostin (Postn) mRNA levels upregulated, hence providing a positive message for periosteal bone formation. In turn, genetic deletion of Postn in huRANKLTg+ mice prevented the increase in Ct.TV and aggravated bone fragility. In contrast, cathepsin K (Ctsk) ablation improved Ct.TV in both huRANKLTg+ and wild‐type (WT) mice and stimulated periosteal bone formation, while augmenting Postn protein levels. Therefore, bone strength in huRANKLTg+/Ctsk−/− mice was restored to WT levels. These findings suggest that high levels of RANKL not only induce endosteal bone loss but may somewhat restrict periosteal bone formation by triggering periostin degradation through cathepsin K, hence providing a biological mechanism for the observed limited increase in cortical area in postmenopausal women. © 2021 American Society for Bone and Mineral Research (ASBMR).

Keywords
  • Aging
  • Antiresorptives
  • Genetic animal models
  • Non-collagenous protein
  • Osteoporosis
  • Bioanthropology
Funding
  • Swiss National Science Foundation - 3100A0‐116633/1
  • Autre - Merck for the cathepsin K part (ME9450 to NB and SF)
Citation (ISO format)
BONNET, Nicolas et al. RANKL‐Induced Increase in Cathepsin K Levels Restricts Cortical Expansion in a Periostin‐Dependent Fashion: A Potential New Mechanism of Bone Fragility. In: Journal of Bone and Mineral Research, 2021. doi: 10.1002/jbmr.4307
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0884-0431
285views
1downloads

Technical informations

Creation29/04/2021 09:13:00
First validation29/04/2021 09:13:00
Update13/10/2025 16:23:19
Status update16/03/2023 00:32:53
Last indexation08/07/2026 09:17:14
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack