Kinetic analysis of substrate utilization by native and TNAP-, NPP1-, or PHOSPHO1-deficient matrix vesicles.

During the process of endochondral bone formation, chondrocytes and osteoblasts mineralize their extracellular matrix by promoting the formation of hydroxyapatite seed crystals in the sheltered interior of membrane-limited matrix vesicles (MVs). Here, we have studied phosphosubstrate catalysis by osteoblast-derived MVs at physiologic pH, analyzing the hydrolysis of ATP, ADP, and PP(i) by isolated wild-type (WT) as well as TNAP-, NPP1- and PHOSPHO1-deficient MVs. Comparison of the catalytic efficiencies identified ATP as the main substrate hydrolyzed by WT MVs. The lack of TNAP had the most pronounced effect on the hydrolysis of all physiologic substrates. The lack of PHOSPHO1 affected ATP hydrolysis via a secondary reduction in the levels of TNAP in PHOSPHO1-deficient MVs. The lack of NPP1 did not significantly affect the kinetic parameters of hydrolysis when compared with WT MVs for any of the substrates. We conclude that TNAP is the enzyme that hydrolyzes both ATP and PP(i) in the MV compartment. NPP1 does not have a major role in PP(i) generation from ATP at the level of MVs, in contrast to its accepted role on the surface of the osteoblasts and chondrocytes, but rather acts as a phosphatase in the absence of TNAP. Copyright 2010 American Society for Bone and Mineral Research.

Introduction

Mineralization of cartilage and bone occurs by a series of physicochemical and biochemical processes that together facilitate the deposition of hydroxyapatite (HA) in specific areas of the extracellular matrix (ECM). Experimental evidence has pointed to the presence of HA crystals along collagen fibrils in the ECM,(1) as well as within the lumen of chondroblast- and osteoblast-derived matrix vesicles (MVs).(2) Investigators in the bone mineralization field generally are divided in supporting the collagen- versus the MV-mediated mechanism of mineralization. We see no incompatibility between these mechanisms. Our working model is that bone mineralization is first initiated within the lumen of MVs, and in a second step, HA crystals grow beyond the confines of the MVs and become exposed to the extracellular milieu, where they continue to propagate along collagen fibrils. This process is orchestrated by the balanced action of promoters and inhibitors of calcification.(3,4)

A primary inhibitor of ECM mineralization is extracellular inorganic pyrophosphate (PPi),(5) produced ectoplasmically by the enzymatic action of nucleotide pyrophosphatase/phosphodiesterase-1 (NPP1) that catabolizes extracellular ATP to produce PPi and AMP.(6) Intracellular PPi is also transported to the extracellular mileu by the channeling function of the ankylosis protein (ANK).(7) Tissue-nonspecific alkaline phosphatase (TNAP)(8) plays the crucial role of restricting the concentration of extracellular PPi to maintain a Pi/PPi ratio permissive for normal bone mineralization.(9–11) Mice deficient in NPP1 (Enpp1) or ANK (ank/ank) develop soft tissue calcification, including vascular calcification, resulting from the reduced production or transport of PPi,(10,12,13) whereas mice deficient in TNAP function (Akp2) display rickets and osteomalacia owing to an arrest in the propagation of HA crystals outside the MVs caused by an increase in extracellular PPi concentrations.(14–17) HA crystals are still present in TNAP-deficient MVs,(16) and it has been proposed that the soluble MV phosphatase PHOSPHO1, with specificity for phosphoethanolamine and phosphocholine,(18) might be involved in increasing the local intravesicular concentration of Pi to change the Pi/PPi ratio in favor of precipitation of HA seed crystals.(19) Finally, the coexpression of TNAP and type I collagen is necessary to cause mineralization of any ECM, indicating that propagation of HA crystals in the bone ECM is intimately dependent on the presence of type I collagen.(11)

While the substrate specificities for TNAP, NPP1, and PHOSPHO1 have been established using purified enzymes in vitro, here we have set out to examine substrate utilization by isolated osteoblast-derived MVs, where these and other enzymes are present together in a physiologic biologic compartment. Here we report the relative ability of WT MVs, as well as MVs deficient in TNAP, NPP1, or PHOSPHO1, to use the substrates ATP, ADP, and PPi under physiologic conditions.

Materials and Methods

MV isolation

The production and characterization of the Akp2(14) and Enpp1(20) mice has been reported. The Phospho1 mice were identified and selected from a screen of Phospho1-inactivating mutations of the N-ethyl-N-nitrosourea (ENU) mutagenesis sperm bank collection of Ingenium Pharmaceuticals AG (Martinsried, Germany). This strain carries a C>T mutation in codon 74 of exon 2 of the Phospho1 gene that leads to a premature stop codon (R74X) and the complete absence of PHOSPHO1 protein (not shown).

MVs were isolated from primary mouse calvarial osteoblasts removed from 1- to 3-day-old WT, Akp2, Enpp1, and Phospho1 pups by collagenase digestion. Osteoblasts were plated in 10 cm plates at a density of 0.75 × 106 in α modified essential medium (α-MEM, Invitrogen, Carlsbad, CA, USA) containing 10% fetal bovine serum (FBS). On the next day, the medium was replaced with differentiation medium (α-MEM with 10% FBS and 50 µg/mL ascorbic acid). The cells were grown for 18 days, with a medium change every third day. The cell monolayer was washed with medium without FBS and digested in a collagenase digestion mixture containing 0.45% collagenase (Worthington, Lakewood, NJ, USA), 0.12 mol/L NaCl, 0.01 mol/L KCl, 1000 U/mL of penicillin, 1 mg/mL of streptomycin, and 0.05 mol/L Tris buffer (pH 7.6) at 37°C. Collagenase digestion was done at 37°C for 1.5 to 2 hours. The collagenase digest then was centrifuged at 3500 rpm for 10 minutes to harvest cells. The supernatant was subjected to a two-step differential ultracentrifugation for the isolation of MVs. The first step involves the centrifugation of collagenase digest at 19,500 rpm for 10 minutes to remove nuclei, mitochondria, lysosomes, and smaller cell fragments. The supernatant then was further centrifuged at 42,000 rpm for 45 minutes to obtain a highly pure MV pellet. The yield of MVs was estimated by measuring the protein content by Bradford assay (Biorad, Hercules, CA, USA).

Expression and purification of recombinant enzymes

A soluble epitope tagged from of human TNAP was produced and purified as described previously.(21) Recombinant epitope-tagged human PHOSPHO1 was expressed and purified as described previously.(18) A plasmid containing residues 85 to 905 of mouse NPP1 fused to the rat NPP2 N-terminal signaling peptide (33 residues) was kindly provided by Dr Mathieu Bollen (Leuven, Belgium). To express NPP1, the 2.46 kb cDNA fragment containing the coding sequence of the extracellular region of the rat/mouse NPP1 fusion product was amplified and cloned into the pcDNA3.1/D-V5-His-TOPO expression vector (Invitrogen). The epitope-tagged NPP1 was expressed and secreted from 293 cells and purified from conditioned medium by Ni-column and size-exclusion fast protein liquid chromatography (FPLC).

Enzymatic assays

p-Nitrophenylphosphatase (p-NPP) activity was assayed discontinuously at 37°C by following the liberation of p-nitrophenolate ion (ɛ 1 M, pH 13 = 17,600 M cm) at 410 nm. Standard conditions were 50 mmol/L Tris buffer, pH 7.4, containing 2 mmol/L MgCl2 and 10 mmol/L p-NPP or pNP-TMP in a final volume of 0.5 mL. The reaction was initiated by the addition of the enzyme and stopped with 0.5 mL of 1 mol/L NaOH at appropriate time intervals.(22) ATPase, pyrophosphatase (PPiase), ADPase, and AMPase activities were assayed discontinuously by measuring the amount of inorganic phosphate liberated according to a procedure described previously,(23) adjusting the assay medium to a final volume of 0.5 mL. Standard assay conditions were 50 mmol/L Tris buffer, pH 7.4, containing 2 mmol/L MgCl2 and substrate. The reaction was initiated by the addition of the enzyme and stopped with 0.25 mL of cold 30% trichloracetic acid (TCA) at appropriate time intervals. The reaction mixture was centrifuged at 4000 × g, and phosphate was quantified in the supernatant after pH neutralization with 0.1 mol/L NaOH. The following inhibitors also were used, alone or in combination, to assess the contribution of individual MV enzymes to ATP hydrolysis: 1 mmol/L lanzoprazole (inhibitor of PHOSPHO1),(19) 30 µmol/L MLS-0038949 (inhibitor of TNAP),(24) and 0.25 mmol/L suramin (inhibitor of NPP1).(25) All determinations were carried out in duplicate, and the initial velocities were constant for at least 90 minutes, provided that less than 5% of substrate was hydrolyzed. Controls without added enzyme were included in each experiment to allow for the nonenzymatic hydrolysis of substrate. One enzyme unit (1 U) is defined as the amount of enzyme hydrolyzing 1.0 nmol of substrate per minute at 37°C per milliliter or milligram of protein, as specified in the text. Maximum velocity (Vm), apparent dissociation constant (K0.5), and Hill coefficient (n) obtained from substrate hydrolysis were calculated as described previously.(26) Data were reported as the mean of triplicate measurements of three different enzyme preparations.

Measurement of nucleotide hydrolysis by HPLC

The hydrolysis of ATP, ADP, and AMP was analyzed using WT and TNAP-, NPP1-, and PHOSPHO1-deficient MVs. Hydrolysis was determined at 37°C in 50 mmol/L Tris HCl buffer, pH 7.4, containing 2 mmol/L MgCl2 and 2 mmol/L ATP or ADP. The reaction was started by addition of the MVs, and at predetermined intervals, samples were removed and assayed immediately. Nucleotides were separated and quantified by HPLC, injecting a 20 µL aliquot of the sample into a C18 reversed-phase column (Shimadzu) and eluting it at 1.5 mL/min, with the mobile phase consisting of 50 mmol/L potassium–phosphate buffer (pH 6.4), 5 mmol/L tetrabutylammonium–hydrogen sulfate, and 18 % (v/v) methanol. The absorbance at 260 nm was monitored continuously, and the nucleotide concentrations were determined from the area under the absorbance peaks.

Calcification assay

The calcification ability of MVs was assayed by a nonradioactive calcium phosphate deposition assay described previously.(27) Briefly, 30 µg of MV proteins was first lysed in deionized water to release the enzymes present inside MVs and then incubated in a calcifying solution containing 2.2 mmol/L Ca2+ and 1.6 mmol/L Pi for 5.5 hours at 37°C. Incubation was terminated by centrifugation at 8800 × g for 30 minutes to coprecipitate MVs and calcium phosphate mineral formed during incubation. The pellet then was solubilized with 0.6 mol/L HCl for 24 hours. The calcium content of the HCl supernatant was determined colorimetrically by the O-cresolpthalein complexone method (Calcium Kit, Procedure 0150, Stanbio Laboratories, Boerne, TX, USA).

Results

The effects of increasing concentrations of ATP, ADP, and PPi on the Pi-generating activity of WT and genetically modified MVs deficient in TNAP, NPP1, or PHOSPHO1 are shown in Fig. 1, and the kinetic parameters are summarized in Table 1. Pi-generating activity values were highest when ATP was used as a substrate for all MV preparations. At concentrations above 10 mmol/L substrate, we observed inhibition of ATPase activity (not shown). Similar rates of hydrolysis were observed for NPP1-deficient and WT MVs, indicating negligible catalysis of ATP by NPP1 (see 1). In contrast, at 1 mmol/L ATP, no catalysis occurred by Tnap MVs, whereas maximum catalysis was found for WT MVs at this concentration, pointing to a crucial role for TNAP in substrate conversion (see 1). Phospho1 MVs showed intermediate ATP catalysis, with a substrate saturation curve extending over a wide range of concentrations. Correspondingly, the K0.5 for ATP in Tnap MVs was approximately 50-fold higher than that of WT MVs (see Table 1). The lowest Vm was found for Tnap MVs (see Table 1). We used enzyme inhibitors as a complementary means of validating the contributions of TNAP, NPP1, and PHOSPHO1 to Pi generation using ATP as substrate. Compound MLS-0038949 at 30 µmol/L inhibits the ATPase activity of purified TNAP by 89.0%, of purified NPP1 by 62%, and of purified PHOSPHO1 by 15.8% at pH 7.4. Suramin at a concentration of 0.25 mmol/L inhibited the ATPase activity of purified NPP1 by 81.8%, of purified PHOSPHO1 by 71%, and of purified TNAP by 19.7%. Lanzoprazole inhibited the ATPase activity of purified PHOSPHO1 by 52.8%, of purified NPP1 by 14.4%, and of purified TNAP by 2.4%. Hydrolysis of 1 mmol/L ATP by WT MVs was completely prevented by the simultaneous use of 30 µmol/L MLS-0038949, 0.25 mmol/L suramin, and 1 mmol/L lanzoprazole.

Fig. 1

Effect of increasing concentrations of ATP (A), ADP (B), and PPi (C) on the Pi-generating activity of the MVs: WT (•); TNAP-deficient (○); NPP1-deficient (□), and PHOSPHO1-deficient (Δ). Assays were done at 37°C and buffered with 50 mmol/L Tris HCl, pH 7.4, containing 2 mmol/L MgCl2 and substrate and released Pi measured as described in “Materials and Methods.”

Table 1

Kinetic Parameters for the Hydrolysis of ATP, ADP, and PPi by Purified TNAP and NPP1 and by WT and Genetically Modified MVs

				Matrix Vesicles (MVs)
Substrates	Kinetic parameters	Purified NPP1	Purified TNAP	Tnap−/−	Npp1−/−	Phospho1−/−	WT
ATP	Vm (U/mg)	20.9 ± 0.6	33.4 ± 0.9	7.7 ± 0.5	15.2 ± 0.4	9.0 ± 0.3	16.6 ± 0.2
	K0.5 (mM)	0.603 ± 0.05	0.030 ± 0.008	4.0 ± 0.11	0.21 ± 0.02	0.42 ± 0.03	0.085 ± 0.02
	n	0.688 ± 0.08	1.4 ± 0.05
ADP	Vm (U/mg)	30.0 ± 0.8	39.4 ± 0.5	1.6 ± 0.1	5.8 ± 0.2	2.6 ± 0.1	8.7 ± 0.3
	K0.5 (mM)	0.245 ± 0.4	0.040 ± 0.003	0.031 ± 0.003	0.047 ± 0.005	0.030 ± 0.004	0.077 ± 0.003
	n	1.06 ± 0.05	1.3 ± 0.06
PPi	Vm (U/mg)	44.4 ± 0.4	72.1 ± 0.9	2.7 ± 0.2	3.3 ± 0.1	2.2 ± 0.2	6.6 ± 0.2
	K0.5 (mM)	1.14 ± 0.07	0.15 ± 0.4	2.9 ± 0.1	0.24 ± 0.3	0.23 ± 0.3	0.16 ± 0.4
	n	0.859 ± 0.05	0.91 ± 0.03

Note: U/mg corresponds to the nmoles of phosphate released per minute per milligram of total protein. Data are reported as the mean ± SD of triplicate measurements of different matrix vesicle (MV) preparations.

Overall, ADP was a weaker substrate, but we observed similar relative Pi-generating activities as for ATP for all MVs (see 1). WT MVs were most active, whereas the lowest rate of Pi generation was found for Tnap MVs. Inhibition of ADPase activity was evident at ADP concentrations above 5 mmol/L for WT MVs and above 50 mmol/L for the other MVs (not shown). Both the Tnap and Phospho1 MVs were poorly active but with comparable K0.5 values (see Table 1).

With PPi as the substrate, Pi generation was significantly reduced for all genetically modified MVs compared with WT MVs. The K0.5 value obtained for Tnap MVs was about 20-fold higher than for WT MVs, and Npp1 and Phospho1 MVs displayed similar affinity constants (see 1 and Table 1). We observed inhibition of PPiase activity at PPi concentrations above 5 mmol/L for WT MVs, above 10 mmol/L for Phospho1 MVs, and above 50 mmol/L for Tnap and Npp1 MVs.

To investigate the strong loss of hydrolytic activity in Tnap and Phospho1 MVs in more detail, the kinetic properties of purified TNAP, NPP1, and PHOSPHO1 were analyzed under the same kinetic conditions. The saturation curves for Pi generation owing to hydrolysis of ATP, ADP, and PPi by isolated TNAP (Fig. 2) show highly efficient catalysis for all three substrates, with K0.5 values (see Table 1) close to the values measured in WT MVs and positive cooperativity for ATP and ADP (see Table 1). We found that NPP1 is able to hydrolyze ATP, ADP, and PPi with high velocity but lower affinity than TNAP (see Table 1), and negative cooperativity was observed for the hydrolysis of ATP and PPi (Fig. 3). In contrast, compared with the catalytic efficiency of purified TNAP, purified PHOSPHO1 behaved poorly, with Vm values of 0.57, 0.42, and 0.31 U/mg for the hydrolysis of ATP, ADP, and PPi, respectively (not shown). These measurements confirmed that PHOSPHO1 metabolizes ATP very inefficiently. Yet the data shown earlier (see Table 1 and 1) indicated reduced utilization of ATP by Phospho1 MVs. To understand this change, we measured the levels of TNAP activity for WT and Phospho1 MV preparations (4). We observed a reduction of up to 70% in TNAP activity in Phospho1 MVs. Calcification assays indicated a reduction in matrix calcification by both Tnap and Phospho1 MVs, whereas Npp1 MVs showed increased calcification compared with WT MVs (see 4).

Fig. 2

Effect of increasing concentrations of ATP (•), ADP (○), and PPi (▴) on the Pi-generating activity of purified TNAP. Assays were done at 37°C and buffered with 50 mmol/L Tris HCl, pH 7.4, containing 2 mmol/L MgCl2 and substrate and Pi measured as described in “Materials and Methods.” Note that for PPi, 2 mol of Pi is generated per mole of substrate.

Fig. 3

Effect of increasing concentrations of ATP (•), ADP (○), and PPi (▴) on the Pi-generating activity of purified NPP1. Assays were done at 37°C and buffered with 50 mmol/L Tris HCl, pH 7.4, containing 2 mmol/L MgCl2 and substrate and Pi measured as described in “Materials and Methods.” Note that for PPi, 2 mol of Pi is generated per mole of substrate.

Fig. 4

(A) Alkaline phosphatase activity in WT and PHOSPHO1-deficient MVs. Assays were buffered with 1 mol/L DEA, pH 9.6, containing 1 mmol/L MgCl2, 20 µmol/L ZnCl2, and 10 mmol/L p-NPP. Liberated p-nitrophenolate was measured at 410 nm as described in “Materials and Methods.” (B) Calcification ability by WT, PHOSPHO1-deficient, NPP1-deficient, and TNAP-deficient MVs, assayed as described in “Materials and Methods.”

To investigate in more detail how the simultaneous presence of various phosphatases in MVs would dictate nucleotide hydrolysis, we monitored the formation of reaction intermediates as a function of time during hydrolysis of ATP and ADP via separation and quantification of products by HPLC. The amounts of hydrolyzed ATP or ADP and the amounts of ADP and/or AMP produced for the different MV preparations are shown for the hydrolysis of ATP (Fig. 5) and ADP (Fig. 6). HPLC analysis demonstrated that ATP is hydrolyzed most efficiently (approximately 80% of the initial amount) by WT MVs, in agreement with the data shown in Fig. 1. Tnap MVs were least active (utilization of substrate approximately 20%). In agreement with our findings in Fig. 1, Phospho1 MVs and Tnap MVs were similarly inactive. The amount of ADP produced was similar for Phospho1 and WT MVs and was lowest for the Tnap MVs (see Fig. 5, ADP). AMP was produced to very low levels compared with the amount of ADP produced and, although different for all MVs studied, was most elevated for the WT MVs (see Fig. 5, AMP). AMP accumulated only to low levels (40 nmol) because it was hydrolyzed itself with high catalytic efficiency to adenosine and phosphate. Direct analytic phosphate measurements during AMP hydrolysis showed a rise in Pi paralleling the drop in the concentration of AMP with time (not shown). The amounts of Pi released after 36 hours of ATP hydrolysis were 987 ± 49, 177 ± 9, 423 ± 21, and 362 ± 18 nmol for WT, Tnap, Npp1, and Phospho1 MVs, respectively. When ADP was used as a substrate, the highest rate of catalysis was observed (see Fig. 6, ADP), again for WT MVs (approximately 90% of the initial amount), whereas the rate was comparatively lower (approximately 40%) for all genetically modified MVs. The amount of AMP produced was significantly different for all MVs and practically insignificant for Tnap MVs (see Fig. 6, AMP). Quantification of released Pi after 36 hours of reaction revealed 610 ± 31, 160 ± 8, 695 ± 34, and 229 ± 11 nmol for WT, Tnap, Npp1, and Phospho1 MVs, respectively. Comparison of the rate of AMP formation during catalysis of ATP (see Fig. 5) and ADP (see Fig. 6) shows that these are comparable, in agreement with our finding that the rate-limiting step in our setup is not the hydrolysis of ATP to ADP (see 1). Since, in addition, the ADP-to-AMP conversion and hydrolysis of AMP generate Pi, the rate of Pi formation is best described by the generation of ADP from ATP (see 5) and by the disappearance rate of ADP (see 6). Hence the higher Pi accumulation for ATP hydrolysis, the higher are the number of phosphate molecules in ATP over ADP.

Fig. 5

Amounts of hydrolyzed ATP and produced ADP and AMP by MVs: WT (•), TNAP-deficient (○), NPP1-deficient (□), and PHOSPHO1-deficient (Δ), monitored by HPLC analysis as described in “Materials and Methods.”

Fig. 6

Amounts of hydrolyzed ADP and produced AMP for MVs: WT (•), TNAP-deficient (○), NPP1-deficient (□), and PHOSPHO1-deficient (Δ), monitored by HPLC analysis as described in “Materials and Methods.”

Discussion

As we strive to understand the detailed roles of TNAP, NPP1, PHOSPHO1, and other important MV enzymes in the initiation of biomineralization, we must keep in mind the microenvironment in which these enzymes function, which can have a profound effect on their biologic properties. Recent data showed that the location of TNAP on the membrane of MVs plays a role in determining substrate selectivity in this microcompartment.(28) Those data indicated that assays of TNAP bound to MVs or to liposome-based systems may be more biologically relevant than assays done on solubilized enzyme preparations. Furthermore, under physiologic conditions, these enzymes function in concert when confronted with a physiologic mixture of substrates, and it would be relevant to understand their relative efficiency for individual substrates when present together in their native biologic compartment. Therefore, in this study we have compared the kinetic behavior of native WT MVs with that of MVs deficient in TNAP, NPP1, or PHOSPHO1 when confronted with physiologic substrates, that is, ATP, ADP, and PPi, at physiologic pH.

Comparison of the catalytic activities measured for all deficient and WT MVs identified ATP as the main MV substrate, in agreement with earlier observations.(29) We observed previously that ATP-dependent 45Ca precipitation was decreased in calvarial osteoblast-derived MVs from TNAP-deficient mice,(9) an observation that we attributed to the increases in MV PPi content resulting from reduced PPi hydrolysis in Tnap MVs. However, our present study clearly indicates that TNAP is not only an efficient PPiase but that at the level of MVs it also functions as a potent ATPase and ADPase. We also observed reduced utilization of ATP, resulting in decreased calcification, by Phospho1 MVs. This experimental result is explained not by decreased PHOSPHO1-mediated hydrolysis of ATP but rather by the up to 70% reduction in TNAP activity that can be found in Phospho1 osteoblasts and their MVs. Npp1 MVs show the typical hypercalcification behavior caused by their reduced content of PPi.(10)

Analysis of the Hill coefficients for the catalysis of ATP by the various MVs was suggestive of a slight negative cooperativity (n ranging from 0.44 to 1), which was not investigated further in the present study. The K0.5 values obtained for the hydrolysis of ATP by enzymes present in WT MVs were very similar to those reported for purified phosphatidylinositol phospholipase C-released alkaline phosphatase from membrane from rat osseous Plate(23) and those obtained for high-affinity substrate site from membrane-bound enzyme obtained from osseous plate.(29) The K0.5 value obtained from TNAP-deficient MVs instead was very similar to that of the low-affinity substrate site reported for ATPase activity of rat osseous plate.(30) Several lines of evidence had suggested that specific ATPase and TNAP from MVs were different enzymes.(31) While hydrolysis of ATP was reduced in the absence of TNAP and PHOSPHO1, significant residual ATPase activity remains, suggesting that another ATPase is still present in the MV membrane, either another specific ATPase(31) or NPP1.(32) In an attempt to clarify this issue further, we resorted to using inhibitors of the three phosphatases studied in this article. While the use of inhibitors is commonplace, this approach may lead to confounding results owing to potential off-target effects. Compound MLS-0038949 was selected through a comprehensive high-throughput screening campaign to identify specific inhibitors of TNAP.(24) This compound was found to be selective for TNAP and not to affect other targets, except CYP2C19, a member of the cytochrome P450 mixed-function oxidase system,(24,33) and we show here that it also inhibits NPP1 and PHOSPHO1 function to some extent. Suramin has been described as a specific NPP1 inhibitor, and we report here that it also inhibits TNAP and PHOSPHO1, besides being a nonselective P2 receptor antagonist.(34) Lanzoprazole was identified during a screening for small-molecule inhibitors as being specific for PHOSPHO1 and not affecting TNAP activity,(18) but as we have determined in the present study, it partially inhibits NPP1 activity. In addition, lansoprazole belongs to the family of 2-(2-pyridylmethylsulfinyl)-1H-benzimidazoles and is a well-known inhibitor of H+,K+-ATPase of stomach parietal cells.(35) While all these inhibitors can have off-target effects in vivo and documented cross-specificities for related phosphatases, their restricted and judicious use to further dissect the role of phosphatases involved in MV-mediated calcification appears justified. Thus, while it remains possible that these compounds may be inhibiting some yet unknown MV phosphatase, the complete inhibition of ATPase activity in WT MVs by the simultaneous use of MLS-0038949, suramin, and lanzoprazole appears to indicate that all ATPase activity in WT MVs can be accounted for by these three MV phosphatases, that is, TNAP, NPP1, and PHOSPHO1.

The high Pi-generating activity of NPP1 when confronted with ATP, ADP, or PPi indeed supports the contention that NPP1 can act as an ATPase, ADPase, and even PPiase on the surface of MVs (see Table 1) functioning as a backup metabolic pathway when TNAP activity is suboptimal. Indeed, the similar hydrolysis rates observed for Npp1 and WT MVs suggests that ATP is hydrolyzed more efficiently by TNAP than by NPP1, as demonstrated by the K0.5 values for these genetically deficient MVs (see Table 1). The same response was observed when using ADP as substrate, indicating that TNAP is also the main enzyme hydrolyzing this substrate (see 1). This interpretation is further supported by the 20-fold (ATP) and 6-fold (ADP) higher K0.5 values measured for purified NPP1 versus TNAP (see Table 1), which confer the latter enzyme with a competitive advantage for these nucleotide substrates. The K0.5 and Michaelis-Menten behavior for hydrolysis of PPi by TNAP in WT MVs are very similar to those obtained for PPiase activity from rat osseous plate alkaline phosphatase in the presence of 0.1 mmol/L magnesium ions,(36,37) indicating that TNAP can indeed hydrolyze PPi at physiologic conditions. The kinetic parameters measured for the TNAP-deficient MVs suggest that the remaining hydrolysis of PPi is accounted for by the PPiase activity of NPP1 in these vesicles. The ATPase and PPiase roles of NPP1 (producing Pi, not PPi) are visible only in the absence of TNAP (see Fig. 1 and Table 1). Thus the presence of such residual compensatory ATPase and PPiase activities very likely explains why TNAP-deficient mice are born with a mineralized skeleton and only begin to develop the classic features of hypophosphatasia on postnatal days 6 to 8.(14,15)

The hydrolysis of ATP, ADP, and PPi at pH 7.4 is of physiologic significance for the calcification process because it is known that TNAP, NPP1, and PHOSPHO1 play crucial roles in normal bone mineralization. This is well exemplified in this study by the reduced calcification ability of TNAP- and PHOSPHO1-deficient MVs, whereas NPP1-deficient MVs hypercalcify (see 4). Our working model is that bone mineralization is first initiated within the lumen of MVs. In a second step, HA crystals grow beyond the confines of the MVs and become exposed to the extracellular milieu, where they continue to propagate along collagen fibrils (Fig. 7). Hydroxyapatite seed crystals are formed in the sheltered interior of MVs favored by the Pi-generating activity of PHOSPHO1, as well as by the transport function of Pit 1/2 transporters. While NPP1 clearly has a role in PPi generation at the level of the chondrocyte and osteoblast membranes, at the level of MVs, NPP1 does not appear to use ATP efficiently. Instead, it is TNAP that has a major role both as a pyrophosphatase and as an ATPase and ADPase and thus participates in the calcification process both by restricting the concentration of extracellular PPi and by simultaneously contributing to the Pi pool available for calcification via its enzymatic action on ATP, ADP, and PPi. The cooperativity as well as competition of TNAP, NPP1, and PHOSPHO1 for these biomineralization substrates provides an additional level of regulation of metabolite flow for control of the calcification process.

Fig. 7

Schematic representation of the most favored enzymatic reactions in the MV compartment at physiologic pH. We surmise that HA seed crystals are formed in the sheltered interior of MVs favored by the Pi-generating ability of PHOSPHO1, as well as by the function of Pit1/2 phosphate transporters. While NPP1 clearly has a role in PPi-generation at the level of the chondrocyte and osteoblast membranes, at the level of MVs NPP1 does not use ATP efficiently. Instead, it is TNAP that has a major role both as a PPiase and an ATPase/ADPase and thus participates in the calcification process both by restricting the concentration of extracellular PPi and by also contributing to the Pi pool available for calcification. Thick lines indicate the most favored reactions, whereas dotted lines indicate alternative enzymatic pathways, such as the ability of NPP1 to act as a phosphatase.