Antisense oligonucleotides targeting Notch2 ameliorate the osteopenic phenotype in a mouse model of Hajdu-Cheney

Ernesto Canalis1,2,3, Tamar R Grossman4, Michele Carrer4

  • 1Department of Orthopaedic Surgery, UConn Health, Farmington, Connecticut 06030 canalis@uchc.edu.

Insights

Notch2 mutations cause bone loss in mice. Treating these mice with Notch2 antisense oligonucleotides (ASOs) reduced bone resorption and improved bone density, offering a potential therapeutic strategy for related bone diseases.

Area of Science:

  • Skeletal Biology
  • Genetics
  • Pharmacology

Background:

  • Notch receptors are crucial for skeletal development and bone remodeling.
  • Gain-of-function NOTCH2 mutations lead to Hajdu-Cheney syndrome, characterized by severe bone loss and developmental defects.
  • A mouse model with a Notch2 mutation (Notch2) exhibits significant bone osteopenia due to increased bone resorption.

Purpose of the Study:

  • To investigate the therapeutic potential of Notch2 antisense oligonucleotides (ASOs) in ameliorating bone loss in a mouse model of NOTCH2 mutation.
  • To assess the effect of Notch2 ASOs on Notch signaling pathway components and osteoclastogenesis.

Main Methods:

  • Subcutaneous administration of Notch2 ASOs to Notch2 mutant mice.
  • Analysis of Notch2 and target gene (Hey1, Hey2, HeyL) expression in skeletal tissues.
  • Microcomputed tomography (micro-CT) and bone histomorphometry to evaluate bone structure and osteoclast numbers.
  • Assessment of osteoclastogenesis in bone marrow-derived macrophages and RANKL expression in osteoblasts/osteocytes.

Main Results:

  • Notch2 ASO treatment successfully downregulated Notch2 and its target genes Hey1, Hey2, and HeyL in skeletal tissues.
  • Micro-CT and histomorphometry revealed amelioration of cancellous osteopenia and a decrease in osteoclast numbers in treated mice.
  • Notch2 ASOs reduced RANKL mRNA levels and suppressed enhanced osteoclastogenesis in bone marrow-derived macrophages from Notch2 mice.

Conclusions:

  • Systemic administration of Notch2 ASOs effectively ameliorates cancellous bone osteopenia in a mouse model with Notch2 mutation.
  • The therapeutic effect is mediated by downregulating Notch2 signaling, reducing osteoclast activity, and decreasing RANKL expression.
  • Notch2 ASOs represent a promising therapeutic strategy for Hajdu-Cheney syndrome and other bone disorders associated with NOTCH2 dysfunction.