Sustained activation of the extracellular signal-regulated kinase pathway is required for extracellular calcium stimulation of human osteoblast proliferation

Elevated levels of [Ca2+](o) in bone milieu as a result of the resorptive a ction of osteoclasts are implicated in promoting proliferation and migratio n of osteoblasts during bone remodeling. However, mitogenic effects of [Ca2 +](o) have only been shown in some, but not all, clonal osteoblast-like cel ls, and the molecular mechanisms underlying [Ca2+](o)-induced mitogenic sig naling are largely unknown. In this study we demonstrated for the first tim e that [Ca2+](o) stimulated proliferation of primary human osteoblasts and selectively activated extracellular signal-regulated kinases (ERKs), Neithe r p38 mitogen-activated protein (MAP) kinase nor stress-activated protein k inase was activated by [Ca2+](o). Treatment of human osteoblasts with a MAP kinase kinase inhibitor, PD98059, impaired both basal and [Ca2+](o)-stimul ated phosphorylation of ERKs and also reduced both basal and [Ca2+](o)-stim ulated proliferation. [Ca2+](o) treatment resulted in two distinctive phase s of ERK activation: an acute phase and a sustained phase. An inhibition ti me course revealed that it was the sustained phase, not the acute phase, th at was critical for [Ca2+](o)-stimulated osteoblast proliferation. Our resu lts demonstrate that mitogenic responsiveness to [Ca2+](o) is present in pr imary human osteoblasts and is mediated via prolonged activation of the MAP kinase kinase/ERK signal pathway.