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Updated: Jun 16, 2025

Isolation of Quiescent Stem Cell Populations from Individual Skeletal Muscles
Published on: December 9, 2022
Iron-dependent KDM4D activity controls the quiescence-activity balance of MSCs via the PI3K-Akt-Foxo1 pathway
Zhongyu Xie1, Yunshu Che1,2, Guo Huang3
1Department of Orthopedics, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518033, P. R. China.
Abstract:
Iron deficiency is a prevalent nutritional deficit associated with organ damage and dysfunction. Recent research increasingly associates iron deficiency with bone metabolism dysfunction, although the precise underlying mechanisms remain unclear. Some studies have proposed that iron-dependent methylation-erasing enzyme activity regulates cell proliferation and differentiation under physiological or pathological conditions. However, it remains uncertain whether iron deficiency inhibits the activation of quiescent mesenchymal stem cells (MSCs) by affecting histone demethylase activity. In our study, we identified KDM4D as a key player in the activation of quiescent MSCs. Under conditions of iron deficiency, the H3K9me3 demethylase activity of KDM4D significantly decreased. This alteration resulted in increased heterochromatin with H3K9me3 near the PIK3R3 promoter, suppressing PIK3R3 expression and subsequently inhibiting the activation of quiescent MSCs via the PI3K-Akt-Foxo1 pathway. Iron-deficient mice displayed significantly impaired bone marrow MSCs activation and decreased bone mass compared to normal mice. Modulating the PI3K-Akt-Foxo1 pathway could reverse iron deficiency-induced bone loss.
Insights
Iron deficiency impairs mesenchymal stem cell activation by reducing KDM4D demethylase activity, affecting bone metabolism. Restoring the PI3K-Akt-Foxo1 pathway can reverse iron deficiency-related bone loss.
Area of Science:
- Biochemistry
- Cell Biology
- Bone Metabolism
Background:
- Iron deficiency is a widespread nutritional issue impacting organ function.
- Emerging evidence links iron deficiency to bone metabolism dysfunction, but mechanisms are unclear.
- Iron-dependent enzymes regulate cell processes, yet their role in mesenchymal stem cell (MSC) activation under iron deficiency is unknown.
Purpose of the Study:
- To investigate the role of histone demethylase activity in iron deficiency-induced inhibition of quiescent MSC activation.
- To identify key molecular players involved in this process.
Main Methods:
- Investigated KDM4D's role in MSC activation under iron deficiency.
- Assessed H3K9me3 demethylase activity and heterochromatin formation near the PIK3R3 promoter.
- Utilized iron-deficient mouse models to evaluate bone marrow MSC activation and bone mass.
- Examined the PI3K-Akt-Foxo1 pathway's involvement.
Main Results:
- Identified KDM4D as crucial for quiescent MSC activation.
- Iron deficiency significantly decreased KDM4D's H3K9me3 demethylase activity.
- Increased heterochromatin near the PIK3R3 promoter suppressed its expression via the PI3K-Akt-Foxo1 pathway, inhibiting MSC activation.
- Iron-deficient mice showed impaired MSC activation and reduced bone mass.
Conclusions:
- Iron deficiency inhibits MSC activation by reducing KDM4D activity, leading to PIK3R3 downregulation and PI3K-Akt-Foxo1 pathway disruption.
- This mechanism contributes to bone loss in iron deficiency.
- Targeting the PI3K-Akt-Foxo1 pathway offers a potential therapeutic strategy for iron deficiency-induced bone loss.
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