Cited by 87Bone Metabolism and DiseasesBone health and osteoporosis researchHeterotopic Ossification and Related Conditions

Transferrin receptor 2 controls bone mass and pathological bone formation via BMP and Wnt signalling

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Rauner, Martina, Baschant, Ulrike, Roetto, Antonella, Pellegrino, Rosa Maria, Rother, Sandra, Salbach-Hirsch, Juliane, Weidner, Heike, Hintze, Vera +15 more·2019·Nature Metabolism

Abstract

Transferrin receptor 2 (Tfr2) is mainly expressed in the liver and controls iron homeostasis. Here, we identify Tfr2 as a regulator of bone homeostasis that inhibits bone formation. Mice lacking Tfr2 display increased bone mass and mineralization independent of iron homeostasis and hepatic Tfr2. Bone marrow transplantation experiments and studies of cell-specific Tfr2 knockout mice demonstrate that Tfr2 impairs BMP-p38MAPK signaling and decreases expression of the Wnt inhibitor sclerostin specifically in osteoblasts. Reactivation of MAPK or overexpression of sclerostin rescues skeletal abnormalities in Tfr2 knockout mice. We further show that the extracellular domain of Tfr2 binds BMPs and inhibits BMP-2-induced heterotopic ossification by acting as a decoy receptor. These data indicate that Tfr2 limits bone formation by modulating BMP signaling, possibly through direct interaction with BMP either as a receptor or as a co-receptor in a complex with other BMP receptors. Finally, the Tfr2 extracellular domain may be effective in the treatment of conditions associated with pathological bone formation.

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  • TFR2 expression in osteoclasts and osteoblasts places this iron sensor at the crossroads of red cell production, iron homeostasis and bone turnover.

    “The recently demonstrated TFR2 expression in osteoclasts and osteoblasts70 places this iron sensor at the crossroads of red cell production, iron homeostasis and bone turnover.”

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Authors
Rauner, M., Baschant, U., Roetto, A., Pellegrino, R. M., Rother, S., Salbach-Hirsch, J., Weidner, H., Hintze, V., Campbell, G., Petzold, A., Lemaitre, R., Henry, I., Bellido, T., Theurl, I., Altamura, S., Colucci, S., Muckenthaler, M. U., Schett, G., Komla-Ebri, D. S. K., Bassett, J. H. D., Williams, G. R., Platzbecker, U., & Hofbauer, L. C.
Affiliations
  • Technische Universität Dresden (DE)
  • University of Turin (IT)
  • Max Bergmann Center of Biomaterials (DE)
  • Hamburg University of Technology (DE)
  • Biotechnologisches Zentrum (DE)
  • Max Planck Institute of Molecular Cell Biology and Genetics (DE)
  • Indiana University Indianapolis (US)
  • Innsbruck Medical University (AT)
  • Heidelberg University (DE)
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • Imperial College London (GB)
  • University Hospital Leipzig (DE)
  • Center for Regenerative Therapies Dresden (DE)
Corresponding author
Rauner, Martina
Venue
Nature Metabolism
Published
2019-01-07
Volume
1
Issue
1
Pages
111-124
ISSN
2522-5812 (ISSN-L)
OpenAlex
W2901508573
Cited by
87
References
10
Citations by year
2026: 5 · 2025: 11 · 2024: 13 · 2023: 6 · 2022: 16 · 2021: 14 · 2020: 14 · 2019: 8
FWCI
3.20
Type
journal article
Language
en
Open access
Locations
  • Nature Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
  • Spiral (Imperial College London) (submittedVersion)
  • tub.dok (Hamburg University of Technology) (submittedVersion)
Funders
  • U.S. Department of Veterans Affairs (IK6 BX004596, I01 BX002104)
  • Wellcome Trust (101123WILLIAMS, 101123, 110141/Z/15/Z, 110140, 110140/Z/15/Z, 110141)
  • Deutsche Forschungsgemeinschaft (SFB 655)
  • Technische Universität Dresden
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR059357)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
  • Health Sciences › Medicine › Rheumatology › Heterotopic Ossification and Related Conditions
Keywords
transferrin receptor 2, bone homeostasis, bone formation, bone mass, BMP signaling, Wnt signaling, sclerostin, p38 MAPK, osteoblasts, heterotopic ossification, decoy receptor, BMP-2, iron homeostasis, bone mineralization

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