Endoplasmic Reticulum Stress-Unfolding Protein Response-Apoptosis Cascade Causes Chondrodysplasia in a col2a1 p.Gly1170Ser Mutated Mouse Model
et al. (2014) Endoplasmic Reticulum Stress-Unfolding Protein Response-Apoptosis Cascade Causes
Chondrodysplasia in a col2a1 p.Gly1170Ser Mutated Mouse Model. PLoS ONE 9(1): e86894. doi:10.1371/journal.pone.0086894
Endoplasmic Reticulum Stress-Unfolding Protein Response-Apoptosis Cascade Causes Chondrodysplasia in a col2a1 p.Gly1170Ser Mutated Mouse Model
Guoyan Liang 0
Chengjie Lian 0
Di Huang 0
Wenjie Gao 0
Anjing Liang 0
Yan Peng 0
Wei Ye 0
Zizhao Wu 0
Peiqiang Su 0
Dongsheng Huang 0
Salvatore V. Pizzo, Duke University Medical Center, United States of America
0 1 Department of Orthopedics, Sun Yat-sen Memorial Hospital of Sun Yat-sen University , Guangzhou, Guangdong , China , 2 Department of Breast Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University , Guangzhou, Guangdong , China , 3 Department of Orthopedics, the First Affiliated Hospital of Sun Yat-sen University , Guangzhou, Guangdong , China
The collagen type II alpha 1 (COL2A1) mutation causes severe skeletal malformations, but the pathogenic mechanisms of how this occurs are unclear. To understand how this may happen, a col2a1 p.Gly1170Ser mutated mouse model was constructed and in homozygotes, the chondrodysplasia phenotype was observed. Misfolded procollagen was largely synthesized and retained in dilated endoplasmic reticulum and the endoplasmic reticulum stress (ERS)-unfolded protein response (UPR)-apoptosis cascade was activated. Apoptosis occurred prior to hypertrophy, prevented the formation of a hypertrophic zone, disrupted normal chondrogenic signaling pathways, and eventually caused chondrodysplasia. Heterozygotes had normal phenotypes and endoplasmic reticulum stress intensity was limited with no abnormal apoptosis detected. Our results suggest that earlier chondrocyte death was related to the ERS-UPR-apoptosis cascade and that this was the chief cause of chondrodysplaia. The col2a1 p.Gly1170Ser mutated mouse model offered a novel connection between misfolded collagen and skeletal malformation. Further investigation of this mouse mutant model can help us understand mechanisms of type II collagenopathies.
Funding: This work was supported by the National Natural Science Foundation of China (No. 81371907, No. 30971587 and No. 81071703), the Fundamental
Research Funds for the Central Universities (No. 11ykzd10), and the Science Foundation of Guangdong Province (2010B031600224). The funders had no role in
study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing Interests: The authors have declared that no competing interests exist.
. These authors contributed equally to this work.
To date, there are at least 339 records of collagen type II alpha
1(COL2A1) mutation types . Such mutations alter the gene
encoding the a1 chain of procollagen type II producing various
chondrodysplasias, which can be lethal (hypochondrodysplasia) or
deforming (spondyloepihyseal dysplasia congenital, and Kniest
dysplasias, and Stickler syndrome) or simply as mild hip and knee
joint diseases [2,3,4]. Although such phenotypes vary, a disordered
growth plate and slowed endochondral ossification are commonly
seen [5,6,7,8]. Understanding chondrodysplasia requires clarifying
the relationship between mutated collagen and the malformed
To study the COL2A1 mutation phenotype and the possible
mechanisms behind it, at least 13 different mouse models have been
reported (see Table S1) [5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,
21,22,23,24,25,26,27]. Most transgenic mice have a phenotype of
chondrodysplasia/spondyloepiphyseal dysplasia, with nonfatal
malformations in heterozygotes, and lethal deformities in homozygotes.
In summary, the severity of the phenotype in these transgenic mice
may involve several factors: the mutation type (large deletion . point
mutation); mutation position (C-propeptide . Gly substitution .
Y-position . X-position); and whether normal type II collagen exists
(homozygotes . heterozygotes; homologous
recombination/mutagenesis . traditional transgene). Interestingly, deformed growth
plates with an abnormal cell ratio and disordered orientation of
proliferative cells were common phenomena in these models, in spite
of diverse severities. This general character of abnormal cell behavior
caused by different mutations implies that the abnormal cell behavior
may explain irregular skeletal development. Thus, more insight into
col2a1-mutated chondrocytes is needed.
Mutated collagen II can affect cell behavior through a series of
reactions that lead to apoptosis. Previously, researchers reported
that mutated collagen excessively accumulated in dilated
endoplasmic reticulum (ER) whereas collagen excreted into the
extracellular matrix decreased sharply [8,15,20]. Further
investigations indicated that the mutant molecules which retained in ER
could induce ERS and activate a signaling network of the unfolded
protein response (UPR) to eliminate misfolded collagen and
maintain homeostasis [5,26]. Once the mutated protein was
continuously synthesized and homeostasis was perturbed,
apoptosis was initiated. However, the influence of the
ERS-UPRapoptosis cascade in mutated chondrocytes is still uncertain, so
Figure 1. Construction of mutated mouse model. (A) Schematic description of transgene construction. A c.3508G.A mutation in Ex50 was
generated by PCR-based site-directed mutagenesis and introduced into the targeting vector containing exons form Ex40 to Ex53 of the col2a1 gene.
A PGK-Neo gene and a PGK-TK gene were also introduced for the positive-negative selection. After being transfected into ES cells, the mutation was
transferred into the genome by homologous recombination. The double resistant colonies which were verified with 59arm+39arm PCR and
sequencing were considered correctly generated and further used for microinjection. (B) Sequencing results of mice of the 3 genotypes. Arrow
denotes the c.3508G.A mutation in Ex50. (C) Phenotypes of the neonates of 3 genotypes. Homozygotes were cyanotic immediately after birth and
died rapidly; heterozygotes had normal phenotypes.
Figure 2. Morphological measurements of mutant fetuses and mice. (A) Heights of E16.5, E18.5 embryos and newborns. (B) Weights of E16.5,
E18.5 embryos and newborns. (C) Humeri lengths of E16.5, E18.5 embryos and newborns. (D) Femur lengths of E16.5, E18.5 embryos and newborns.
Sample size $3 littermates/genotype/time point. *P,0.05 was considered statistically significant.
more information is needed to clarify the relationship between
mutated collagen induced apoptosis and chondrodysplasia.
We here describe a novel incomplete dominant inherited line of
gene knock-in mice harboring the col2a1p.Gly1170Ser mutation.
We provide comprehensive evidence of the ERS-UPR-apoptosis
cascade in chondrocytes of homozygotes. When chondrocytes
underwent apoptosis before hypertrophy, the hypertrophic zone
disappeared in the growth plate. We suspected that untimely cell
apoptosis prevented formation of a hypertrophic zone and
disrupted normal chondrogenic signaling pathways. Therefore,
the growth plate in the col2a1 mutated mouse was abnormally
Figure 3. Skeletal analysis of mutant fetuses. (A) Alizarin Red and Alcian blue staining results of E16.5, E18.5 embryos and newborns. (B) Details
of the skeletal structures between 3 genotypes: 1. forelimbs 2. hindlimbs 3. front paws 4. hind paws 5. ribs 6. lumbar spines. Note that in
homozygotes, the middle phalanges were non-ossified, the intercostal spaces were decreased, and the vertebrae were shortened and widened.
Heterozygotes were normal.
Figure 4. Histological study of growth plate. (A) H&E staining of the growth plates from E19.5 embryos. (B) Toluidine blue staining and (C)
Safranin O staining of the growth plates showed decreased proteoglycans in mutated mice. (DF) IHC analysis of the type II collagen (D), Sox9 (E), and
type X collagen (F) were abnormally expressed in homozygotes. All scale bars = 100 mm.
Materials and Methods
This series of studies was approved by the ethics committee of
Sun Yat-Sen University, and all procedures involving animals met
the relevant guidelines for humane care of laboratory animals.
Construction of col2a1 p.G1170S knock-in Mouse
A fragment containing the col2a1 gene was first isolated from a
bacterial artificial chromosome (BAC) cloned. Then, the
p.G1170S missense mutation was introduced and the
col2a1Knock-in vector was constructed according to a
recombinationbased approach, as previously described [5,28,29]. Embryonic
stem (ES) cells (SCR012, derived from the 129 Sv/Ev mouse
strain) were transfected with the linearized targeting vector by
electroporation (Bio-Rad Gene Pulser, 240 V/500 mF, 45 mg
DNA per 26107 cells). A selection with G418 (300 mg/ml) and
ganciclovir (2 mmol/L) was maintained for 8 days.
Doubleresistant colonies were selected, expanded, and analyzed for the
presence of the recombination event by PCR mutant exon
sequencing. Primers for 59arm PCR verification:
(5L)59-AGGGGGCGCCAGAGGGCAGTAAAG-39; primers for 39arm PCR
(3R)59CTGCGCCCAGCATCTGTAGGGGTCTT-39; primer for
sequencing: 59-GGTCCACCTGGCCCTGTT-39. Chimeric mice
were generated by microinjection of homologous recombinant ES
cells into C57BL/6J blastocysts, which were implanted into the
uterine horn of pseudopregnant foster mothers. Chimeras were
then mated with C57BL/6J wild-type females and germ-line
transmission was confirmed by agouti coat color and genotyping.
Genomic DNA was isolated from the mouse tail, and genotyping
was performed by PCR product sequencing. Heterozygous
offspring were interbred to generate homozygous mutated mice.
Animals were housed in a temperature- and humidity- controlled
room under a 12-h light-and-dark cycle with food and water ad
Fetuses, neonates and adult mice were euthanized, genotyped
and measured with a Vernier caliper and an electronic scale. Data
for height, the lengths of right femurs and humeri, and total
animal weights were collected.
Fetuses and euthanized neonates were genotyped, skinned,
eviscerated and fixed in 95% EtOH for 3 days. Then, the mice
were transferred to acetone and incubated overnight to remove
fat. Alcian blue staining was performed in a solution of 80%
EtOH, 20% acetic acid, and 0.015% alcian blue for 4 days.
Specimens were rinsed and soaked in 95% EtOH for 3 days.
Alizarin red staining was then performed overnight in a solution of
0.002% alizarin red and 1% KOH. After rinsing with water,
Figure 5. Quantitative analysis of growth plate and immunostaining. (A) Total growth plate and chondrocyte zone heights of wild types and
heterozygotes. (B) Integrated optical density (IOD) values of collagen type II for all 3 groups. (C) IOD values of Sox9 for all 3 groups. (D) IOD values of
collagen type X for all 3 groups. Sample size $3 littermates/genotype. IOD value of each sample was obtained from the average of 3 different
sections under the same power lens. *P,0.05 was considered statistically significant.
specimens were kept in 1% KOH solution until the skeletons
became clearly visible. Specimens were transferred into glycerol:
ethanol (1:1) for documentation and storage.
Histological and Immunohistochemical (IHC) Analysis
Limbs were fixed in 4% paraformaldehyde for 24 h and
decalcified in 10% EDTA for 3 days. Paraffin sections (4-mm) were
obtained and stained with Hematoxylin and Eosin (H&E), safranin
O and toluidine blue. Mean values of heights of the reserve,
proliferative, hypertrophic zones, and the total growth plate were
calculated from measurements taken at 3 positions across the
proximal tibia growth plates using ImageJ version 1.44p software.
IHC/Immunocytochemistry (ICC) was performed with
Hsitostain-Plus kit (ZSGB-BIO, China). Primary antibodies included:
collagen II (Sigma, USA), sox 9 (Abcam, UK), collagen X (Abcam,
UK), and activated-caspase 3 (Bioworld, USA). Detection was
conducted with a DAB horseradish peroxidase color development
kit (ZSGB-BIO, China). Semi quantitative analysis of IHC images
through integrated optical density (IOD) was taken using
ImagePro Plus version 18.104.22.1680 software.
Chondrocytes isolated from embryos were cultured for five days
with DMEM/10% FBS. Cells were then fixed and analyzed under
confocal microscopy with anti-collagen II and anti-Grp78.
TUNEL and EdU Labeling Assay
A TUNEL assay was performed according to the
manufacturers instructions (MBL, Japan). An EdU labeling assay was
performed with a Click-iT EdU Imaging Kit (Invitrogen, USA).
Pregnant (19 days gestation) female mice were injected
intraperitoneally (ip) with 100 mg/g EdU 3 h before being euthanized.
Limb sections were manipulated according to the manufacturers
Electron microscopy analysis was performed, by standard
procedures on growth plate cartilage from the lower limbs of
newborn mice. Ultra-thin sections were stained with uranyl acetate
and lead citrate, and examined using a Tecnai transmission
electron microscope (FEI, USA) operated at 80 kV.
Immunofluorescence and Confocal Microscopic Analysis
Chondrocytes were isolated from the articular cartilage of 3
genotypes, and cultured for 5 days with Dulbeccos modified eagle
medium (DMEM) containing 10% fetal bovine serum (FBS). Cells
were labeled with mouse anti-collagen II (Sigma-Aldrich, USA)
and rabbit anti-Grp78 (BIP, a chaperone serving as an ER marker;
Epitomics, USA). Secondary antibodies were Alexa 594 for
collagen II and Alexa 488 for Grp78 (Invitrogen, USA),
respectively, followed by staining with DAPI. Signals were
captured with a Zeiss LSM710 confocal laser scanning
Figure 6. Transmission electron microscope analysis. Transmission electron microscope analysis of the extracellular matrix (A, B, C) and
chondrocytes (D, E, F) in the proliferating zone of the growth plates from E19.5 embryos. Dilated vesicles, such as the ER (1), and Golgi body (2), were
commonly seen in transgenic chondrocytes (E, F). Scale bar for ac corresponded to 1 nm, and bar for DF corresponded to 200 nm.
Real-time RT-PCR Assay
Total RNA was isolated from rib cartilage from neonates using
RNAiso Plus reagent (TaKaRa, China) and converted to cDNA.
Real-time PCR was performed on a Roche LightCycler 480
System using SYBR Green Real-time PCR Master Mix
(TOYOBO, Japan).The expression of Chop, Total-Xbp1,
SplicedXbp1, Grp78 (BIP), ATF4 and ATF6, was detected to measure ERS.
Expression of the GAPDH gene was used as a reference. Each
reaction was processed in triplicate, and an average DCt value
from the whole group was used. Relative gene expression was
obtained for each using the 22DDCt method.
Data distributions were expressed as the mean 6 standard
deviation of the mean (SD), and level of significance was set at
P,0.05. Mean values of the groups were compared with two
independent samples t test (for two groups) or one-way ANOVA,
and subsequent pairwise mean comparisons performed by post hoc
(Bonferroni) tests (for 3 groups) using SPSS for Windows statistical
software package, version 13.0.
Generation of Transgenic Mice
The targeting construct represented 13.998 kb of mouse
genomic DNA and contained exons (Ex) from Ex40 to Ex53 of
the col2a1 gene. Figure 1A depicts the targeting strategy: the
homologous recombination between the targeted locus and the
targeting construct leads to a modified gene that contained a
positively selectable PGK-Neo gene. The p.G1170S missense
mutation, encoded by a GGT R AGT change, was located in
Ex50. The targeting construct contained a copy of the negatively
selectable PGK-TK gene, allowing the use of a positive-negative
selection of homologous recombinant ES clones. Ninety-six
double-resistant ES clones were successfully amplified. The
screening for the targeting event was conducted with PCR and
sequencing, and 9 independent ES clones were validated. After
blastocyst re-implantations, 11 viable chimeras were obtained and
bred with wild-type mice (WT). Finally, heterozygous mice
(Hetero) were characterized, and homozygous mutated mice
(Homo) were generated by interbreeding heterozygous founders
(Figure 1B). Litters from heterozygous offspring were normal in
number. Neonates of heterozygotes survived and appeared
normal, whereas homozygous offspring died shortly after birth
from respiratory distress (Figure 1C). The dead homozygotes were
severely dwarfed, with shortened trunks and limbs, hypoplastic
thoraces, distended abdomens, cranial bulges, short snouts,
truncated facial bones and cleft palates.
Abnormal Physical Development and Skeletal Features of
Fetuses at E16.5, E18.5, and newborns were collected for
morphological measurements. No obvious differences were
observed with respect to height and weight at all time points
among the 3 genotypes (Figure 2, AB). Humeri and femurs
lengths also did not differ significantly among the 3 genotypes at
E16.5. However, the humeri and femurs were significantly shorter
in homozygotes at E18.5 and in newborns (P,0.05; Figure 2,
Figure 7. EdU study in growth plates. Short term labeled (3 h) EdU assay results in growth plates of E18.5 embryos. (A) Green fluorescent signals
indicated proliferated cells and DAPI staining for nucleuses. (B) Statistical analysis of the positive rates within littermates (nWT = 2/nHetero = 5/
nHomo = 3, each limbs had $3 sections for analysis) showed that proliferating chondrocytes were significantly decreased in homozygotes (*P,0.01).
CD). No significant difference was observed with respect to
weight, height and long bone length of different genotypes of adult
mice (data not shown). The shortening of the homozygous long
Figure 8. Confocal microscope analysis in chondrocytes. Confocal microscope analysis results of chondrocytes that were isolated from
articular cartilages of E19.5 embryos, cultured for 5 days, and processed with immunofluorescence with antibodies for type II collagen (left) and
Grp78 (middle, an ER marker). Merged photos (right) showed abnormal assembly and intracellular retention of mutated type II collagen in
homozygous cells. Scale bar = 10 mm.
Fetuses at E16.5, and E18.5, and newborns were obtained for
skeletal analysis. In homozygotes, alcian blue/alizarin red staining
revealed severe defects in skeletal development (Figure 3, AB).
The differences were discernible since E16.5 and became more
pronounced with growth. These fetuses were smaller, with
shortened and widened long bones, abnormal scapulae, shapeless
pelvises, non-ossified middle phalanges, malformed ribcages, and
less mineralized vertebrae. These anomalies indicated that
cartilage shaping was disturbed in mice lacking normal collagen
II and endochondral ossification was slowed. As previously
expected, intramembranous ossification was not affected.
Heterozygotes were not abnormal and were difficult to distinguish from
wild types by appearance.
Abnormal Histological Structure of the Mutant Fetus with
Disappearance of the Hypertrophic Zone
Histological analyses of E19.5 mice revealed that the normal
architecture disappeared in the homozygous growth plate
(Figure 4A). Chondrocytes in the resting zone of the homozygotes
seemed to be normally distributed. However, the proliferating
chondrocytes became fusiform, decreased in number, and aligned
transversely and chaotically. The hypertrophic zone was lost;
Figure 9. Relative ERS-related genes in rib cartilages of littermates. Each genotype contained more than 3 littermates. Gene expression was
measured by real-time quantitative RT-PCR and normalized to GAPDH expression. Relative expression was calculated using the 2-DDCt method.
*P,0.05 was considered statistically significant.
although, several hypertrophic chondrocytes could be observed at
the boundary between the cartilage and the ossification zone.
Trabecular bones could not form properly because of loss of
regular alignment of hypertrophic cells. However, there was no
remarkable change in heterozygotes, and the heights of each zone
remained similar to wild types (Figure 5A). Toluidine blue and
safranin O staining revealed that proteoglycans were reduced
severely in homozygotes, but heterozygotes appeared similar to
wild types (Figure 4, BC). Type II collagen decreased in both
heterozygotes and homozygotes (IOD values reduced , 18.4 and
43.0%, respectively, when compared with wild types)
(Figure 4D&5B). Expression of Sox9 (which regulates the
expression of type II collagen) in the growth plate was significantly
decreased in homozygotes (Figure 4E&5C). Although
hypertrophic cells were barely generated in homozygotes, they expressed
almost 20% more type X collagen in the hypertrophic zone
(Figure 4F & 5D).
Transmission electron microscope analysis depicted fewer
collagen fibers and proteoglycan aggregates in mutated cartilage,
and abnormal type II collagen in homozygotes was assembled into
aberrant bundles (Figure 6, AC). An EdU assay showed that the
rate of cell multiplication in the homozygous proliferating zone
decreased significantly, indicating fewer proliferating chondrocytes
in the homozygous growth plates (Figure 7, AB). These data show
that collagen II expressing cells, i.e., proliferative cells, decreased
in the mutated cartilage before they could differentiate into
ERS-UPR-apoptosis Cascade in Mutated Chondrocytes
To ascertain why proliferative cells decreased and the
hypertrophic zone disappeared, we examined programmed cell death.
Previously, investigators reported that mutated collagen was
retained in the ER and caused ERS, leading to an UPR signaling
network, causing apoptosis [26,27]. In our mouse model, we
observed that the rough ER in mutated chondrocytes was dilated
and glycogen granules abnormally accumulated, especially in
homozygotes (Figure 6, DF). Confocal microscope analysis of
cultured chondrocytes collected from embryonic cartilage showed
that the mutated type II procollagen in homozygotes assembled
into bundles, co-localized with the ER, and was retained
intracellularly (Figure 8). Expression of several ERS-related genes,
including Chop, Total-Xbp1, Spliced-Xbp1, Grp78 (BIP), ATF4, ATF6,
were all up-regulated in homozygous cartilage and partly
increased in heterozygotes (Figure 9). Cleaved caspase-3 was
increased in homozygous cartilage, indicating that the caspase
cascade was activated (Figure 10A). An increase in apoptotic cells
in the homozygous growth plate was confirmed with TUNEL
assay (Figure 10, BC). Nevertheless, activated caspase-3 and
apoptosis were similar in heterozygotes and wild types. These
results indicated that in homozygotes, the ERS-UPR-apoptosis
cascade reduced proliferative chondrocytes before they could
differentiate into hypertrophic chondrocytes. Thus, the
hypertrophic zone disappeared and further deformed the growth plate. In
heterozygotes which synthetized less mutant collagen, mild effects
were seen. The ERS-UPR was activated as well, and cells could
remain in homeostatic balance, avoiding apoptosis and
Here we report studies in a col2a1 p.Gly1170Ser knock-in mouse
model that we constructed to reveal possible mechanisms of how
the col2a1 mutation caused chondrodysplasia. Mutated
procollagens were restrained in the ER, and subsequently ERS and UPR
was activated to degrade misfolded proteins and keep cellular
homeostasis. In homozygotes, the stress was severe enough to
trigger apoptosis and proliferative chondrocytes underwent
programmed cell death before they further transformed into
hypertrophic cells. Eventually, disordered growth plates and
chondrodysplasia occurred. In contrast, in heterozygotes,
apoptosis was avoided after limited ERS, and the normal growth plate
structure and endochondral ossification process were maintained.
Mutations of membrane and secretory proteins which
synthesized in the ER can induce the ERS-apoptosis cascade which is
Figure 10. Experimental evidence for apoptosis. (A) Immunostaining of cleaved caspase-3 in the growth plates. (B) TUNEL assay results showed
apoptosis chondrocytes (green fluorescence) with DAPI labeled nucleuses. (C) Statistical analysis of the positive rates within littermates ($10 sections
for each genotype) showed increased apoptosis in homozygotes (*P,0.01). Scale bar = 100 mm.
thought to be important to diabetes, Alzheimers disease,
osteogenesis imperfecta and others [30,31,32]. Mutation of
extracellular matrix (ECM) genes (col1a1, col2a1 and col10a1) has
been shown to activate the ERS-apoptosis cascade, an important
cause for ECM dysfunction [27,30,33]. Our work suggests that the
ERS-apoptosis cascade may mediate the col2a1 mutation to cause
chondrodysplasia. In our mouse model, ERS was observed in
homozygotes and heterozygotes, but the intensities were uniquely
manifested in electron microscope graphs, confocal images, and
with respect to elevated ERS-related genes. This difference, which
may be derived from the different synthetic quality of mutated
collagens, may explain the differences in apoptosis. Moreover,
when compared with other col2a1 mutations, though apoptosis
would not always happen, ERS could be observed in almost all
mutant models [20,26,27]. Taken these together, we concluded
that mutation of col2a1 which produced misfolded proteins caused
ERS, but whether apoptosis occurred is more complex and may be
associated with different mutation types and positions.
In our homozygous growth plate, apoptosis was the major cause
for chondrodysplasia as it influenced the formation of proliferative
and hypertrophic zones, and these data have been supported in
other literatures [26,27,34]. However, deficiency of normal
collagens in the cartilage matrix was also considered to cause
disordered growth plates and chondrodysplasia in previous
research [5,6,8,20]. Of course, this may be an important reason,
and we also observed an absence of normal collagen in the
extracellular matrix. But, actually, when we reviewed their
experimental results,abundant evidences for the existence of
ERS, especially retained mutant collagens and dilated ER in
electron microscopic images, could be observed widely [8,12,20].
Thus, ERS associated apoptosis may be at least another important
pathway leading to chondrodysplasia. Almost all col2a1 mutant
homozygotes had similarly severe malformations such as dwarfism,
short limbs, impaired endochondral ossification and even lethal
deformities [5,8,15,27]. For these cases, lack of normal collagens
and extracellular structure appeared to be more important than
apoptosis for skeleton malformation; a finding that was confirmed
by Esapa who reported that col2a1 Ser1386Pro mutant
homozygotes developed typical chondrodysplasia without ERS associated
apoptosis . Heterozygous phenotypes varied considerably and
this could not be explained by a deficiency of normal collagens.
Other researchers have attributed this to dominant-negative effects
of mutant collagen, but until now, evidence for this has been
scarce [8,20,33]. Some reports suggest that in heterozygotes,
mutant collagens in the cartilage matrix were less than 50% and
the retention of misfolded proteins in enlarged ERs was observed
[35,36]. It means that a substantial proportion of mutant collagen
could not be secreted. Subsequently, degradation of retained
proteins (the UPR) can induce ERS. Stress intensities were
different due to variations in retained collagen arising from
different kinds of mutations . Thus, stress severity decided the
occurrence of apoptosis. Additionally, thermostability of mutant
procollagen may also influence induction of the ERS-apoptosis
cascade [26,34]. Moreover, some researchers have suggested that
certain kinds of mutant collagens can incorporate with normal
ones and secrete into the ECM, permitting heterozygotes to escape
apoptosis [37,38]. In summary, we speculate that ERS-associated
apoptosis may offer a better explanation for the varied
pathogenesis of heterozygotes.
Our study still has some limitations. For instance, we could not
find or induce hip joint lesions of the human COL2A1
p.Gly1170Ser mutation in this mouse model until now. However,
we are investigating this different phenotype in future work.
Whats more, collagen type II is not the only structural material for
the cartilage matrix; it can modulate chondrogenesis and
osteogenesis as an extracellular signal molecule [39,40,41].
Therefore, alterations of signaling pathways regulating
endochondral ossification in the growth plate caused by the
ERS-UPRapoptosis cascade and/or a lack of normal collagen may be a
promising research direction.
Summary of all the COL2A1 mutated mouse
We are grateful to the Shanghai Biomodel Organism Science and
Technology Development Co., Ltd. for assistance with the transgenic
mouse model. We thank LetPub for its linguistic assistance during the
preparation of this manuscript.
Conceived and designed the experiments: PS Dongsheng Huang.
Performed the experiments: GL CL Di Huang AL YP WY ZW. Analyzed
the data: WG. Wrote the paper: GL CL.
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