Osteoporosis is a common problem of aging and results from a failure of hom
eostatic mechanisms to regulate osteogenesis and mineralization, Bovine and
human forms of fetuin glycoprotein bind to the transforming growth factor
(TGF)-beta/BMP (bone morphogenic protein) cytokines and block their osteoge
nic activity in cell culture assays (Demetriou, M., Binkert, C,, Sukhu, B.,
Tenenbaum, H. C., and Dennis, J. W. (1996) J, Biol. Chem, 271, 12755-12761
). Fetuin is a prominent serum glycoprotein and a major noncollagenous comp
onent of mineralized bone in mammals. In this study, we show that recombina
nt fetuin and native serum protein have similar potency as inhibitors of os
teogenesis in dexamethasone-treated rat bone marrow cell cultures (dex-RBMC
). Recombinant bovine fetuin also bound to TGF-beta 1 and BMP-2 in vitro wi
th kinetics similar to native fetuin, Although TGF-beta 1 is required for o
steogenesis in dex-RBMC, the cytokine also inhibited osteogenesis at concen
trations greater than or equal to 10 pM. Titration of fetuin or anti-TGF-be
ta 1 antibodies into the bone marrow cultures in the presence of 10 pM TGF-
beta 1 restored osteogenesis, whereas titrations of the same reagents into
cultures with 0.3 pM added TGF-beta 1 were inhibitory, confirming the bipha
sic nature of the TGF-beta 1 response. Suppression of osteogenesis by both
TGF-beta 1 and the antagonist proteins required their presence within the f
irst 6 days of culture, well before mineralization at 10-12 days. Northern
analysis showed that both fetuin and high dose TGF-beta 1 suppressed expres
sion of the bone-associated transcripts alkaline phosphatase, osteopontin,
collagen type I, and bone sialoprotein. The suppression of osteogenesis by
fetuin and by high dose TGF-beta 1 was accompanied by the differentiation o
f an alternate cell lineage with adipocyte characteristics. In summary, the
biphasic osteogenic response to TGF-beta 1 suggests that overlapping gradi
ents of TGF-beta/EMP cytokines and fetuin regulate osteogenesis in remodeli
ng bone.