GATA4 is essential for bone mineralization via ERα and TGFβ/BMP pathways

Miriam Güemes, Alejandro J Garcia, Diana Rigueur, Stephanie Runke, Weiguang Wang, Gexin Zhao, Victor Hugo Mayorga, Elisa Atti, Sotirios Tetradis, Bruno Péault, Karen Lyons, Gustavo A Miranda-Carboni, Susan A Krum

Research output: Contribution to journalArticlepeer-review


Osteoporosis is a disease characterized by low bone mass, leading to an increased risk of fragility fractures. GATA4 is a zinc-finger transcription factor that is important in several tissues, such as the heart and intestines, and has recently been shown to be a pioneer factor for estrogen receptor alpha (ERα) in osteoblast-like cells. Herein, we demonstrate that GATA4 is necessary for estrogen-mediated transcription and estrogen-independent mineralization in vitro. In vivo deletion of GATA4, driven by Cre-recombinase in osteoblasts, results in perinatal lethality, decreased trabecular bone properties and abnormal bone development. Microarray analysis revealed GATA4 suppression of TGFβ signaling, necessary for osteoblast progenitor maintenance and concomitant activation of BMP signaling, necessary for mineralization. Indeed, pSMAD1/5/8 signaling, downstream of BMP signaling, is decreased in the trabecular region of conditional knockout femurs, and pSMAD2/3, downstream of TGFβ signaling, is increased in the same region. Together these experiments demonstrate the necessity of GATA4 in osteoblasts. Understanding the role of GATA4 to regulate the tissue specificity of estrogen-mediated osteoblast gene regulation and estrogen-independent bone differentiation may help to develop therapies for post-menopausal osteoporosis. © 2014 American Society for Bone and Mineral Research.

Original languageEnglish
JournalJournal of Bone and Mineral Research
Publication statusPublished - 16 Jun 2014


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