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Erschienen in: European Journal of Nutrition 2/2018

21.11.2016 | Original Contribution

Effect of buffalo casein-derived novel bioactive peptides on osteoblast differentiation

verfasst von: Srinu Reddi, Venkatesa Perumal Shanmugam, Kemgang Sonfack Tanedjeu, Suman Kapila, Rajeev Kapila

Erschienen in: European Journal of Nutrition | Ausgabe 2/2018

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Abstract

Purpose

Epidemiological and intervention studies show that milk consumption in childhood and during adolescence is related to higher bone mineral density. Milk and milk products prevent the bone loss in pre- and postmenopausal women. Apart from calcium, there are other biologically active compounds in milk such as bioactive peptides which may play a role in promoting bone health. Casein is the major protein in milk which has also been reported to have numerous biological active peptides within it. The hypothesis of the present study was to identify the key peptides behind osteoanabolic nature of the milk protein, which further can be used to prepare functional foods to alleviate bone diseases like osteoporosis. Hence, this study was carried out to investigate osteogenic nature of four novel bioactive peptides [PEP1 (EDVPSER), PEP2 (NAVPITPTL), PEP3 (VLPVPQK) and PEP4 (HPHPHLSF)] derived from buffalo casein by in vitro osteoblast differentiation model.

Methods

Calvaria cells were isolated from 3-day-old rat pups, cultured under in vitro conditions till confluence and further used for experiments. Calvarial osteoblast cells were cultured in the presence or absence of peptides including positive controls up to 21 days. Effect of peptides was checked at regular intervals by quantifying osteoblast differentiation marker genes (ALP, OCN and COL-1) expression, alkaline phosphatase activity, osteocalcin level in culture supernatants, mineral deposition by alizarin red staining and caspase-3 and 9 assays.

Results

The osteoblast differentiation marker genes (ALP, OCN and COL-1) expression was significantly [(p < 0.01) (p < 0.001)] up-regulated in the presence of these peptides. The peptides also significantly induced alkaline phosphatase activity, osteocalcin level and mineral deposition in comparison with the control. It was also observed that all the four peptides did not show any cytotoxic effect during 21-day treatment period.

Conclusion

All peptides enhanced osteoblast differentiation along with the positive controls. These results hold an immense scope to use peptides as preventive measure for reducing incidence of osteoporosis. These peptides can also be used as drugs and can be utilized as functional ingredients in functional foods preparation for osteoporosis therapy, but in vivo studies are required for further confirmation.
Literatur
1.
Zurück zum Zitat Leslie WD, Adler RA, Fuleihan GEH, Hodsman A, Kendler DL, McClung M, Miller PD, Watts NB (2006) International society for clinical densitometry. Application of the 1994 WHO classification to populations other than postmenopausal Caucasian women: the 2005 ISCD Official Positions. J Clin Densitom 9(1):22–30CrossRef Leslie WD, Adler RA, Fuleihan GEH, Hodsman A, Kendler DL, McClung M, Miller PD, Watts NB (2006) International society for clinical densitometry. Application of the 1994 WHO classification to populations other than postmenopausal Caucasian women: the 2005 ISCD Official Positions. J Clin Densitom 9(1):22–30CrossRef
2.
Zurück zum Zitat Riggs BL, Khosla S, Melton LJ (2001) The type I/type II model for involutional osteoporosis. Academic, San Diego, pp 49–58 Riggs BL, Khosla S, Melton LJ (2001) The type I/type II model for involutional osteoporosis. Academic, San Diego, pp 49–58
3.
Zurück zum Zitat Musumecia G, Loretoa C, Clementib G, Fiorec CE, Martineza G (2011) An in vivo experimental study on osteopenia in diabetic rats. Acta Histochem 113:619–625CrossRef Musumecia G, Loretoa C, Clementib G, Fiorec CE, Martineza G (2011) An in vivo experimental study on osteopenia in diabetic rats. Acta Histochem 113:619–625CrossRef
4.
Zurück zum Zitat Castrogiovanni P, Trovato FM, Szychlinska MA, Nsir H, Imbesi R, Musumecia G (2016) The importance of physical activity in osteoporosis. From the molecular pathways to the clinical evidence. Histol Histopathol 31(11):1183–1194 Castrogiovanni P, Trovato FM, Szychlinska MA, Nsir H, Imbesi R, Musumecia G (2016) The importance of physical activity in osteoporosis. From the molecular pathways to the clinical evidence. Histol Histopathol 31(11):1183–1194
5.
Zurück zum Zitat Pichler K, Loreto C, Leonardi R, Reuber T, Weinberg AM, Musumecia G (2013) RANKL is downregulated in bone cells by physical activity (treadmill and vibration stimulation training) in rat with glucocorticoid-induced osteoporosis. Histol Histopathol 28(9):1185–1196 Pichler K, Loreto C, Leonardi R, Reuber T, Weinberg AM, Musumecia G (2013) RANKL is downregulated in bone cells by physical activity (treadmill and vibration stimulation training) in rat with glucocorticoid-induced osteoporosis. Histol Histopathol 28(9):1185–1196
6.
Zurück zum Zitat Musumeci G, Loreto C, Leonardi R, Castorina S, Giunta S, Carnazza ML, Trovato FM, Pichler K, Weinberg AM (2013) The effects of physical activity on apoptosis and lubricin expression in articular cartilage in rats with glucocorticoid-induced osteoporosis. J Bone Miner Metab 31:274CrossRef Musumeci G, Loreto C, Leonardi R, Castorina S, Giunta S, Carnazza ML, Trovato FM, Pichler K, Weinberg AM (2013) The effects of physical activity on apoptosis and lubricin expression in articular cartilage in rats with glucocorticoid-induced osteoporosis. J Bone Miner Metab 31:274CrossRef
7.
Zurück zum Zitat Owen TA, Aronow M, Shalhoub V et al (1990) Progressive development of the rat osteoblast phenotype invitro: reciprocal relationships in expression of genes associated with osteoblast proliferation and differentiation during formation of the bone extracellular matrix. J Cell Physiol 143(3):420–430CrossRef Owen TA, Aronow M, Shalhoub V et al (1990) Progressive development of the rat osteoblast phenotype invitro: reciprocal relationships in expression of genes associated with osteoblast proliferation and differentiation during formation of the bone extracellular matrix. J Cell Physiol 143(3):420–430CrossRef
8.
Zurück zum Zitat Dworetzky SI, Fey EG, Penman S, Lian JB, Stein JL, Stein GS (1990) Progressive changes in the protein composition of the nuclear matrix during rat osteoblast differentiation. Proc Natl Acad Sci USA 87:4605–4609CrossRef Dworetzky SI, Fey EG, Penman S, Lian JB, Stein JL, Stein GS (1990) Progressive changes in the protein composition of the nuclear matrix during rat osteoblast differentiation. Proc Natl Acad Sci USA 87:4605–4609CrossRef
9.
Zurück zum Zitat Beck JGR, Zerler B, Moran E (2001) Gene array analysis of osteoblast differentiation. Cell Growth Differ 12(2):61–83 Beck JGR, Zerler B, Moran E (2001) Gene array analysis of osteoblast differentiation. Cell Growth Differ 12(2):61–83
10.
Zurück zum Zitat Moore MAS (2005) Converging pathways in leukemogenesis and stem cell self-renewal. Exp Hematol 33:719–737CrossRef Moore MAS (2005) Converging pathways in leukemogenesis and stem cell self-renewal. Exp Hematol 33:719–737CrossRef
11.
Zurück zum Zitat Stein GS, Lian JB, Owen TA (1990) Relationship of cell growth to the regulation of tissue-specific gene expression during osteoblast differentiation. FASEB J 4:3111–3312CrossRef Stein GS, Lian JB, Owen TA (1990) Relationship of cell growth to the regulation of tissue-specific gene expression during osteoblast differentiation. FASEB J 4:3111–3312CrossRef
12.
Zurück zum Zitat Weinreb M, Shinar D, Rodan GA (1990) Different pattern of alkaline phosphatase, osteopontin, and osteocalcin expression in developing rat bone visualized by in situ hybridization. J Bone Miner Res 5:831–842CrossRef Weinreb M, Shinar D, Rodan GA (1990) Different pattern of alkaline phosphatase, osteopontin, and osteocalcin expression in developing rat bone visualized by in situ hybridization. J Bone Miner Res 5:831–842CrossRef
13.
Zurück zum Zitat Orimo H (2010) The mechanism of mineralization and the role of alkaline phosphatase in health and disease. J Nippon Med Sch 77:4–12CrossRef Orimo H (2010) The mechanism of mineralization and the role of alkaline phosphatase in health and disease. J Nippon Med Sch 77:4–12CrossRef
14.
Zurück zum Zitat Franceschi RT, Iyer BS (1992) Relationship between collagen synthesis and expression of the osteoblast phenotype in MC3T3-E1 cells. J Bone Miner Res 7:235–246CrossRef Franceschi RT, Iyer BS (1992) Relationship between collagen synthesis and expression of the osteoblast phenotype in MC3T3-E1 cells. J Bone Miner Res 7:235–246CrossRef
15.
Zurück zum Zitat Huttunen MM, Pekkinen M, Ahlstrom MEB, Lamberg-Allarddt CJE (2008) Long-term effects of tripeptide Ile-Pro-Pro on osteoblast differentiation in vitro. J Nutr Biochem 19:708–715CrossRef Huttunen MM, Pekkinen M, Ahlstrom MEB, Lamberg-Allarddt CJE (2008) Long-term effects of tripeptide Ile-Pro-Pro on osteoblast differentiation in vitro. J Nutr Biochem 19:708–715CrossRef
16.
Zurück zum Zitat Kim HK, Kim JH, Park DS, Park KS, Kang SS, Lee JS, Jeonga MH, Yoon TR (2012) Osteogenesis induced by a bone forming peptide from the prodomain region of BMP-7. Biomaterials 33:7057–7063CrossRef Kim HK, Kim JH, Park DS, Park KS, Kang SS, Lee JS, Jeonga MH, Yoon TR (2012) Osteogenesis induced by a bone forming peptide from the prodomain region of BMP-7. Biomaterials 33:7057–7063CrossRef
18.
Zurück zum Zitat Fukushima N, Hiraoka K, Shirachi I, Kojima M, Nagata K (2010) Isolation and characterization of a novel peptide, osteoblast activating peptide (OBAP), associated with osteoblast differentiation and bone formation. Biochem Biophys Res Commun 400:157–163CrossRef Fukushima N, Hiraoka K, Shirachi I, Kojima M, Nagata K (2010) Isolation and characterization of a novel peptide, osteoblast activating peptide (OBAP), associated with osteoblast differentiation and bone formation. Biochem Biophys Res Commun 400:157–163CrossRef
19.
Zurück zum Zitat Fukushima N, Hanada R, Teranishi H et al (2005) Ghrelin directly regulates bone formation. J Bone Min Res 20(5):790–798CrossRef Fukushima N, Hanada R, Teranishi H et al (2005) Ghrelin directly regulates bone formation. J Bone Min Res 20(5):790–798CrossRef
20.
Zurück zum Zitat Widyowati R (2001) Alkaline phosphatase activity of Graptophyllum pictum and Sphilanthes acmella fractions against MC3T3-E1 cells as marker of osteoblast differentiation cells. Int J Pharm Pharm Sci 3(1):34–37 Widyowati R (2001) Alkaline phosphatase activity of Graptophyllum pictum and Sphilanthes acmella fractions against MC3T3-E1 cells as marker of osteoblast differentiation cells. Int J Pharm Pharm Sci 3(1):34–37
21.
Zurück zum Zitat FitzGerald RJ, Meisel H (2000) Milk protein-derived peptide inhibitors of angiotensin-converting enzyme. Br J Nutr 84(1):S33–S37 FitzGerald RJ, Meisel H (2000) Milk protein-derived peptide inhibitors of angiotensin-converting enzyme. Br J Nutr 84(1):S33–S37
22.
Zurück zum Zitat Chomczynski P, Sacchi N (1987) Single-step method of RNA isolation by acid guanidinium thiocyanate–phenol–chloroform extraction. Anal Biochem 162:156–159CrossRef Chomczynski P, Sacchi N (1987) Single-step method of RNA isolation by acid guanidinium thiocyanate–phenol–chloroform extraction. Anal Biochem 162:156–159CrossRef
23.
Zurück zum Zitat Haque E, Chand R, Kapila S (2009) Biofunctional properties of bioactive peptides of milk origin. Food Rev Int 25(1):28–43CrossRef Haque E, Chand R, Kapila S (2009) Biofunctional properties of bioactive peptides of milk origin. Food Rev Int 25(1):28–43CrossRef
24.
Zurück zum Zitat Shimizu M (2004) Food-derived peptides and intestinal functions. BioFactors 21:43–47CrossRef Shimizu M (2004) Food-derived peptides and intestinal functions. BioFactors 21:43–47CrossRef
25.
Zurück zum Zitat Chee WSS, Suriah AR, Chan SP, Zaitun Y, Chan YM (2003) The effect of milk supplementation on bone mineral density in postmenopausal Chinese women in Malaysia. Osteoporos Int 14:828–834CrossRef Chee WSS, Suriah AR, Chan SP, Zaitun Y, Chan YM (2003) The effect of milk supplementation on bone mineral density in postmenopausal Chinese women in Malaysia. Osteoporos Int 14:828–834CrossRef
26.
Zurück zum Zitat Matkovic V, Landoll JD, Badenhop-Stevens NE et al (2004) Nutrition influences skeletal development from childhood to adulthood: a study of hip, spine and forearm in adolescent females. J Nutr 134:7015–7055CrossRef Matkovic V, Landoll JD, Badenhop-Stevens NE et al (2004) Nutrition influences skeletal development from childhood to adulthood: a study of hip, spine and forearm in adolescent females. J Nutr 134:7015–7055CrossRef
27.
Zurück zum Zitat Behera PS, Kumar R, Sandeep IVR, Kapila R, Dang AK, Kapila S (2013) Casein hydrolysates enhances osteoblast proliferation and differentiation in mouse bone marrow culture. Food Biosci 2:24–30CrossRef Behera PS, Kumar R, Sandeep IVR, Kapila R, Dang AK, Kapila S (2013) Casein hydrolysates enhances osteoblast proliferation and differentiation in mouse bone marrow culture. Food Biosci 2:24–30CrossRef
28.
Zurück zum Zitat Reddi S, Shanmugam VP, Kapila S, Kapila R (2016) Identification of buffalo casein derived bioactive peptides with osteoblast proliferation activity. Eur Food Res Technol. doi:10.1007/s00217-016-2710-4 Reddi S, Shanmugam VP, Kapila S, Kapila R (2016) Identification of buffalo casein derived bioactive peptides with osteoblast proliferation activity. Eur Food Res Technol. doi:10.​1007/​s00217-016-2710-4
29.
Zurück zum Zitat Gregory CA, Gunn WG, Peister A, Prockop DJ (2004) An Alizarin red-based assay of mineralization by adherent cells in culture: comparison with cetylpyridinium chloride extraction. Anal Biochem 329(1):77–84CrossRef Gregory CA, Gunn WG, Peister A, Prockop DJ (2004) An Alizarin red-based assay of mineralization by adherent cells in culture: comparison with cetylpyridinium chloride extraction. Anal Biochem 329(1):77–84CrossRef
30.
Zurück zum Zitat Yoon K, Buenaga R, Rodan GA (1987) Tissue specificity and developmental expression of rat osteopontin. Biochem Biophys Res Commun 148:1129–1136CrossRef Yoon K, Buenaga R, Rodan GA (1987) Tissue specificity and developmental expression of rat osteopontin. Biochem Biophys Res Commun 148:1129–1136CrossRef
31.
Zurück zum Zitat Strauss PG, Closs EI, Schmidt J, Erfle V (1990) Gene expression during osteogenic differentiation in mandibular condyles in vitro. J Cell Biol 110:1369–1378CrossRef Strauss PG, Closs EI, Schmidt J, Erfle V (1990) Gene expression during osteogenic differentiation in mandibular condyles in vitro. J Cell Biol 110:1369–1378CrossRef
33.
Zurück zum Zitat Hauschka PV, Lian JB, Cole DE, Gundberg CM (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone. Physiol Rev 69:990–1047CrossRef Hauschka PV, Lian JB, Cole DE, Gundberg CM (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone. Physiol Rev 69:990–1047CrossRef
34.
Zurück zum Zitat Yamaguchi A, Katagiri T, Ikeda T et al (1991) Recombinant human bone morphogenetic protein-2 stimulates osteoblastic maturation and inhibits myogenic differentiation in vitro. J Cell Biol 113:681–687CrossRef Yamaguchi A, Katagiri T, Ikeda T et al (1991) Recombinant human bone morphogenetic protein-2 stimulates osteoblastic maturation and inhibits myogenic differentiation in vitro. J Cell Biol 113:681–687CrossRef
35.
Zurück zum Zitat Koh ET, Torabinejad M, PittFord TR, Brady K, McDonald F (1997) Mineral trioxide aggregate stimulates a biological response in human osteoblasts. J Biomed Mater Res 37:432–439CrossRef Koh ET, Torabinejad M, PittFord TR, Brady K, McDonald F (1997) Mineral trioxide aggregate stimulates a biological response in human osteoblasts. J Biomed Mater Res 37:432–439CrossRef
36.
Zurück zum Zitat Spreafico A, Frediani B, Capperucci C et al (2006) Osteogenic growth peptide effects on primary human osteoblast cultures: potential relevance for the treatment of glucocorticoid-induced osteoporosis. J Cell Biochem 98:1007–1020CrossRef Spreafico A, Frediani B, Capperucci C et al (2006) Osteogenic growth peptide effects on primary human osteoblast cultures: potential relevance for the treatment of glucocorticoid-induced osteoporosis. J Cell Biochem 98:1007–1020CrossRef
37.
Zurück zum Zitat Kostenuik PJ et al (1999) Skeletal unloading causes resistance of osteoprogenitor cells to parathyroid hormone and to insulin-like growth factor-I. J Bone Miner Res 14:21CrossRef Kostenuik PJ et al (1999) Skeletal unloading causes resistance of osteoprogenitor cells to parathyroid hormone and to insulin-like growth factor-I. J Bone Miner Res 14:21CrossRef
38.
Zurück zum Zitat Kasperk C et al (1995) Human bone cell phenotypes differ depending on their skeletal site of origin. J Clin Endocrinol Metab 80(8):2511–2517 Kasperk C et al (1995) Human bone cell phenotypes differ depending on their skeletal site of origin. J Clin Endocrinol Metab 80(8):2511–2517
39.
Zurück zum Zitat Huttunen MM, Pekkinen M, Ahlstrom MEB, Lamberg-Allarddt CJE (2007) Effects of bioactive peptides isoleucine–proline–proline (IPP), valine–proline–proline (VPP) and leucine-lysine-proline (LKP) on gene expression of osteoblasts differentiated from human mesenchymal stem cell. Br J Nutr 98:780–788CrossRef Huttunen MM, Pekkinen M, Ahlstrom MEB, Lamberg-Allarddt CJE (2007) Effects of bioactive peptides isoleucine–proline–proline (IPP), valine–proline–proline (VPP) and leucine-lysine-proline (LKP) on gene expression of osteoblasts differentiated from human mesenchymal stem cell. Br J Nutr 98:780–788CrossRef
40.
Zurück zum Zitat Choi YJ, Lee JY, Chung CP, Park YJ (2012) Enhanced osteogenesis by collagen-binding peptide from bone sialoprotein in vitro and in vivo. J Biomed Mater Res Part A 101(2):547–554 Choi YJ, Lee JY, Chung CP, Park YJ (2012) Enhanced osteogenesis by collagen-binding peptide from bone sialoprotein in vitro and in vivo. J Biomed Mater Res Part A 101(2):547–554
41.
Zurück zum Zitat Wolf BB, Green DR (1999) Suicidal tendencies: apoptotic cell death by caspase family proteinases. J Biol Chem 274:20049–20052CrossRef Wolf BB, Green DR (1999) Suicidal tendencies: apoptotic cell death by caspase family proteinases. J Biol Chem 274:20049–20052CrossRef
42.
Zurück zum Zitat Bump NJ, Hackett M, Hugunin M et al (1995) Inhibition of ICE family proteases by baculovirus antiapoptotic protein p35. Science 269:1885–1888CrossRef Bump NJ, Hackett M, Hugunin M et al (1995) Inhibition of ICE family proteases by baculovirus antiapoptotic protein p35. Science 269:1885–1888CrossRef
43.
Zurück zum Zitat Nicholson DW, Thornberry NA (1997) Caspases: killer proteases. Trends Biochem Sci 22:299–306CrossRef Nicholson DW, Thornberry NA (1997) Caspases: killer proteases. Trends Biochem Sci 22:299–306CrossRef
44.
Zurück zum Zitat Plotkin LI, Robert S, Weinstein A et al (1999) Prevention of osteocyte and osteoblast apoptosis by bisphosphonates and calcitonin. J Clin Investig 104:1363–1374CrossRef Plotkin LI, Robert S, Weinstein A et al (1999) Prevention of osteocyte and osteoblast apoptosis by bisphosphonates and calcitonin. J Clin Investig 104:1363–1374CrossRef
45.
Zurück zum Zitat Chua CC, Chua BHL, Chen Z, Landy C, Hamdy RC (2003) Dexamethasone induces caspase activation in murine osteoblastic MC3T3-E1 cells. Biochim Biophys Acta 1642:79–85CrossRef Chua CC, Chua BHL, Chen Z, Landy C, Hamdy RC (2003) Dexamethasone induces caspase activation in murine osteoblastic MC3T3-E1 cells. Biochim Biophys Acta 1642:79–85CrossRef
46.
Zurück zum Zitat Kim SW, Her SJ, Park SJ et al (2005) Ghrelin stimulates proliferation and differentiation and inhibits apoptosis in osteoblastic MC3T3-E1 cells. Bone 37:359–369CrossRef Kim SW, Her SJ, Park SJ et al (2005) Ghrelin stimulates proliferation and differentiation and inhibits apoptosis in osteoblastic MC3T3-E1 cells. Bone 37:359–369CrossRef
47.
Zurück zum Zitat Tang S, Xie H, Yuan L et al (2007) Apelin stimulates proliferation and suppresses apoptosis of mouse osteoblastic cell line MC3T3-E1 via JNK and PI3-K/Akt signaling pathways. Peptides 28:708–718CrossRef Tang S, Xie H, Yuan L et al (2007) Apelin stimulates proliferation and suppresses apoptosis of mouse osteoblastic cell line MC3T3-E1 via JNK and PI3-K/Akt signaling pathways. Peptides 28:708–718CrossRef
48.
Zurück zum Zitat Navarrete R, Hyzy SL, Almaguer-Flores A, Mauth C, Gemperli AC, Boyan BD, Schwartz Z (2013) Amelogenin peptide extract increases differentiation and angiogenic and local factor production and inhibits apoptosis in human osteoblasts. Biomaterials. doi:10.5402/2013/347318 Navarrete R, Hyzy SL, Almaguer-Flores A, Mauth C, Gemperli AC, Boyan BD, Schwartz Z (2013) Amelogenin peptide extract increases differentiation and angiogenic and local factor production and inhibits apoptosis in human osteoblasts. Biomaterials. doi:10.​5402/​2013/​347318
Metadaten
Titel
Effect of buffalo casein-derived novel bioactive peptides on osteoblast differentiation
verfasst von
Srinu Reddi
Venkatesa Perumal Shanmugam
Kemgang Sonfack Tanedjeu
Suman Kapila
Rajeev Kapila
Publikationsdatum
21.11.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 2/2018
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-016-1346-2

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