Upload
independent
View
0
Download
0
Embed Size (px)
Citation preview
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Activated b-catenin induces myogenesis andinhibits adipogenesis in BM-derived mesenchymal
stromal cells
YC Shang1, C Zhang1,2, SH Wang3, F Xiong2, CP Zhao1, FN Peng1, SW Feng1,
MJ Yu2, MS Li1, YN Zhang1 and Y Li2
1Department of Neurology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, PR China,2Center for Stem Cell Biology and Tissue Engineering, Sun Yat-sen University, Guangzhou, PR China, and
3Department of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, PR China
Background
Mesenchymal stromal cells (MSC) have been thought to be attractive
candidates for the treatment of degenerative muscle diseases. However,
little is known about the molecular mechanisms governing the myogenic
differentiation in MSC. As the Wnt signaling pathway has been
associated with myogenesis in embryogenesis and post-natal muscle
regeneration, we hypothesized that the Wnt signaling pathway may be
involved in governing the myogenic differentiation in MSC.
Methods
Primary MSC were isolated from Sprague�Dawley rats and
expanded in proliferation medium. The rMSC were transfected with
a constitutively active hb-catenin (S37A) plasmid or control vector by
Lipofectamine followed by G418 selection. The transfected rMSC were
grown to 80% confluence and then cultured in myogenic or adipogenic
differentiation medium. Cells were characterized by light microscopy,
immunofluorescence and RT-PCR at different time points after
myogenic or adipogenic introduction.
Results
Ectopic expression of activated b-catenin located primarily in the
nucleus and activated transcription in rMSC. Overexpression of
stabilized b-catenin induced 27.193.91% rMSC forming long
multinucleated cells expressing MyoD, myogenin, desmin and myosin
heavy chain (MHC) via evoking the expression of skeletal muscle-
specific transcription factors. In addition, overexpression of activated
b-catenin inhibited the adipogenic differentiation in rMSC through
down-regulated expressions of C/EBPa and PPARg.
Discussion
To our knowledge, this is the first evidence that activated b-catenin
can induce myogenic differentiation in rMSC. The ability of stabilized
b-catenin to induce myogenic differentiation in rMSC may allow for
its therapeutic application.
Keywords
adipogenic differentiation, b-catenin, mesenchymal stromal cells,
myogenic differentiation, Wnt.
IntroductionDuchenne muscular dystrophy (DMD) is the most
common and lethal genetic muscle disorder in children.
The incidence is about 1/3500 live male births and there is
no efficient pharmacologic treatment at the moment [1].
Stem cell therapy provides a potential strategy for the
treatment of this disease. Multiple stem cell populations,
such as embryonic stem cells and stem cells derived from
muscle, have been assayed for their ability to treat
muscular dystrophy [2� 4]. However, there are many
ethical and immunologic problems associated with these
stem cells, restricting their use in the treatment of DMD
and other severe forms of muscular dystrophy [5,6].
Mesenchymal stromal cells (MSC), separated from
other cells in BM by virtue of their adherence to the
plastic walls of tissue culture containers, are capable of
Correspondence to: Cheng Zhang, Department of Neurology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, PR China.
E-mail: [email protected]
Cytotherapy (2007) Vol. 9, No. 7, 667� 681
– 2007 ISCT DOI: 10.1080/14653240701508437
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
differentiating into skeletal muscle cells, as well as
osteoblasts, chondrocytes and adipocytes, under appro-
priate culture conditions [7,8]. MSC are also easily
obtained from various sources and propagated manifold
ex vivo to clinically relevant numbers [9]. Furthermore,
MSC avoid ethical and immunologic hurdles associated
with embryonic stem cells, making them attractive candi-
dates for tissue repair and gene therapy [5,10].
Several studies have shown that transplanted MSC can
contribute to muscle cells and restore sarcolemmal
expression of dystrophin in the mdx mouse model of
DMD [11,12]. MSC as the source of cell therapy to treat
muscular diseases has been promising in principle, but the
process is rather inefficient when comparing the number of
cells implanted with the amount of formed muscle cells. A
key to improving current protocols lies in exploiting the
molecular mechanisms governing the distinct steps of
myogenic differentiation in MSC [13].
The Wnt family includes more than 20 cysteine-rich
secreted glycoproteins and plays an important role in
embryogenesis, covering generation of cell polarity, speci-
fication of cell fate and regulation of proliferation and
differentiation [14,15]. Wnts effect targeted gene expres-
sion by several different signaling pathways [16]. The
canonical pathway is best characterized at the present time.
In the absence of Wnts, b-catenin is phosphorylated by
glycogen synthase kinase-3b (GSK-3b), in association with
axin and adenomatous polyposis coli (APC). These
proteins target b-catenin for degradation by the ubiquitin
proteasome pathway [17]. When Wnts bind to the
Frizzled�LRP5�LRP6 receptor complex, Disheveled
(Dvl) is activated and inhibits the phosphorylation of
b-catenin. This results in b-catenin stabilization and
accumulation in cytoplasm. The stabilized b-catenin
enters the nucleus to bind with members of the T-cell
factor (TCF) and lymphoid enhancer factor (LEF)
transcription factor family and induces expression of target
genes [18].
The Wnt signaling pathway has been associated with
myogenesis in embryogenesis and postnatal muscle regen-
eration. During embryonic development, Wnt1 and
Wnt3a, expressed in the dorsal neural tube, and Wnt7a,
expressed in surface ectoderm, have been shown to activate
the expression of myogenic regulatory factor genes in the
paraxial mesoderm [19,20]. On the other hand, myogenesis
is severely reduced in pre-somitic mesoderm and newly
formed somites by soluble Frizzled-related proteins
(sFRP), which are the Wnt antagonists [21]. Furthermore,
defects in myogenesis have been observed in Wnt-1/Wnt-
3a double-knockout mouse embryos [22]. In post-natal
muscle regeneration, it has been shown that Wnt proteins
induce myogenic differentiation in CD45� stem cells [23].
Although these data demonstrate the important roles of
Wnts in regulation of myogenic differentiation in embry-
ogenesis and muscle regeneration, little is known about
whether the Wnt signaling pathway induces myogenic
differentiation in BM-derived MSC.
Recent experiments have suggested that Wnt signaling
has the capacity to promote proliferation and regulate the
invasion of MSC [24]. Moreover, Wnt signaling has an
inhibitory effect on osteogenic and adipogenic differentia-
tion in MSC [25,26]. These studies suggest that Wnt
signaling plays a potentially important role in the control
of the stem cell properties of MSC.
In light of the established role of the canonical Wnt
pathway during embryo myogenesis, we hypothesized that
this pathway may regulate myogenic differentiation of
MSC. To test this hypothesis, we transfected rat MSC
(rMSC) with activated hb-catenin (S37A). Our results
show that the activated b-catenin induces rMSC differ-
entiation into multinuclear myotubes under appropriate
culture conditions and the induction is accomplished by
evoking the expressions of the myogenic regulatory factors
(MRF) in MSC. We also observed that activated b-catenin
blocked adipogenic differentiation in rMSC. These data
suggest that Wnt/b-catenin signaling plays important roles
in the differentiation of rMSC.
MethodsIsolation, culture and differentiation of rMSC
All animal experiments were approved by the animal care
and experimentation committee of Sun Yat-sen University
(Guangzhou, PR China). Adult male Sprague�Dawley rats
(60� 80 g) were obtained from Sun Yat-sen University
laboratory animal center. The rMSC were isolated from
Sprague�Dawley rats according to the method described
by Wakitani et al. [27], with some modification. In brief,
femora and tibiae of male Sprague�Dawley rats were
collected and the adherent soft tissues were carefully
removed. The BM plugs were hydrostatically expelled
from the bones by syringes filled with proliferation
medium. The BM cells were centrifuged and resuspended
twice in proliferation medium. After resuspension, the
cells were introduced into 25-cm2 tissue culture flasks.
668 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Approximately 7� 10 days after seeding, the culture flasks
became nearly confluent and the adherent cells were
released with 0.25% trypsin (Gibco Laboratories, USA),
split 1:2, and seeded into fresh culture flasks. The cells
were cultured in proliferation medium, comprising
DMEM (Gibco Laboratories) and 10% FCS (HyClone,
USA). The medium was changed every 3� 4 days. Cells
were grown at 378C in a humidified atmosphere with 5%
CO2.
Skeletal myogenic differentiation was induced by cul-
turing transfected rMSC in myogenic differentiation
medium consisting of DMEM and 2% horse serum (HS;
HyClone). The medium was changed every 3� 4 days and
immunofluorescence analysis for expression of the muscle-
specific markers MyoD, myogenin, desmin and myosin
heavy chain (MHC) was performed at 0, 2, 5, 10 and 15
days after myogenic induction. As a morphologic para-
meter of myogenic differentiation, the fusion index was
defined as the number of nuclei residing in cells containing
three or more nuclei divided by the total number of nuclei
counted. Six random fields at 20-fold magnification were
examined under the microscope at 0, 2, 5, 10 and 15 days
after myogenic induction. Each fusion index represented
the mean value of three independent cultures and was
expressed as mean9SD.
Osteogenic differentiation was studied after incubating
cells in proliferation medium supplemented with 0.01 mm
dexamethasone, 10 mM b-glycerophosphate and 50 mM
l- ascorbic acid-2-phosphate (Sigma, USA). Osteogenic
differentiation was revealed after 3 weeks by deposition of
a mineralized hydroxyapatite extracellular matrix, as
detected by microscopy after staining with 40 mM Alizarin
Red S (Sigma).
For adipogenic differentiation, cells were cultured in
proliferation medium supplemented with 1 mM dexametha-
sone, 0.5 mM methyl-isobutylxanthine and 10 mg/mL
insulin (Sigma). Terminal differentiation was confirmed
after 3 weeks by staining cytoplasmic lipid droplets with
0.5% Oil Red O (Sigma). Oil Red O stain was quantified by
extraction with 4% Igepal (Sigma) in isopropanol for
15 min and measurement of absorbance at 520 nm. Values
represent the mean9SD.
FACS analysis
Analysis of cell-surface molecules was performed on
passage 3 cultures of rMSC using flow cytometry and
the following procedure. Cells were collected and washed
in flow cytometry buffer consisting of 2% BSA and 0.1%
sodium azide in PBS. Then rMSC were incubated with
FITC-conjugated MAb, including anti-CD11b, anti-
CD29, anti-CD44, anti-CD45 (Chemicon, USA), anti-
CD34 and anti-c-Kit Ab (Santa Cruz Biotechnology,
USA). Non-specific fluorescence was determined using
equal aliquots of the cell preparation, which were
incubated with anti-mouse MAb. Data were acquired and
analyzed on a FACScalibur with CellQuest software
(Becton Dickinson and Co., USA).
Plasmids and cell transfections
Expression construct of mutant human b-catenin (S37A)
[hb-catenin (S37A)] was generously provided by Dr Z. Sun
(Departments of Surgery and Genetics, Stanford Univer-
sity School of Medicine, Stanford, CA, USA)[28]. The
mutant of hb-catenin (S37A) with a single point mutation
in the GSK-3b phosphorylation site was generated by a
PCR-based mutagenesis scheme. The appropriate frag-
ments with in-frame restriction enzyme sites were gener-
ated by PCR, cleaved with restriction enzymes and cloned
into the pcDNA3 vector (Invitrogen Corp., USA). Empty
pcDNA3 vector served as a control. The rMSC were
transfected with hb-catenin (S37A) expression plasmid or
empty pcDNA3 vector by Lipofectamine 2000 according
to the manufacturer’s instructions (Invitrogen Corp., USA).
Cells were selected by G418 (200 mg/mL; Sigma) for 14
days. Cells were allowed to recover to 80% confluency for
5� 7 days after G418 selection. To estimate the transfec-
tion efficiency, rMSC were transfected separately with the
pcDNA3-EGFP plasmid under the same conditions as
those used for hb-catenin (S37A) plasmid. The efficiency
of transfection was 82.490.3% after G418 selection. The
MSC transfected with hb-catenin (S37A) or empty
plasmid were termed rMSC (S37A) or rMSC (E). In order
to verify the expression of hb-catenin (S37A) in trans-
fected cells, total RNA and proteins were extracted from
rMSC (S37A) or control cells at 3 and 6 weeks after gene
transfection and used for RT-PCR and Western blot
analysis.
Immunofluorescence analysis
For immunofluorescence analysis, cells grown on glass
coverslips were fixed in methanol/acetone (1:1, v/v) for
10 min at room temperature. Blocking was carried out in
3% BSA in PBS for 30 min and the primary Ab was diluted
1:50 (b-catenin, Cell Signaling Technology, USA; Flag,
b-catenin induces myogenesis and inhibits adipogenesis 669
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Sigma) and 1:200 (MyoD, myogenin, desmin, MHC, Santa
Cruz Biotechnology) in a solution containing 3% BSA.
Incubation was carried out at room temperature for 1 h or
at 48C overnight. After three washes in PBS, the secondary
Ab (CY3-conjugated goat� ant� rabbit, FITC-conjugated
goat� ant� rabbit, CY3-conjugated goat� ant�mouse Ab;
Santa Cruz Biotechnology) was used at a 1:200 dilution in
3% BSA, and the incubation lasted for 1 h at room
temperature. Nuclear localization of immunostaining
was confirmed by counterstaining with 4?,6-diamidino-
2-phenylindole (DAPI; Sigma) at a 1:5000 dilution in PBS.
The immunofluorescence images were recorded using an
Olympus immunofluorescence microscope. The percen-
tages of MyoD-, myogenin-, desmin- and MHC-positive
cells were calculated from the ratio of positive cells to total
cells counted. Six random fields at 20-fold magnification
were examined under the microscope at 0, 2, 5, 10 and 15
days after myogenic induction. Values represent the
mean9SD.
Reverse transcription�PCR
Total RNA was extracted from the cells at the indicated
time points using Trizol reagent (Invitrogen Corp.) and
treated with RNase-free DNase to remove any contam-
inating genomic DNA, according to the manufacturer’s
protocol. Complementary DNA (cDNA) was obtained by
reverse transcription of 1 mg total RNA using the Revert
AidTM H Minus First Strand Synthesis Kit (Fermentas,
USA). Each PCR reaction was carried out in 25 mL
mixture. The primer sequences were designed based on
published cDNA sequences: 5?-AAA GAC GAT GAC
GAC AAG-3?and 5?-CAT TAG TGG GAT GAG CAG-
3? for hb-catenin (S37A), generating a 391-bp fragment;
5?-GGC TTT CAA CCA TCT CAT TC-3? and 5?-GTT
GGT CAG AAG TCC CAT TAC-3? for Pax3, generating
a 343-bp fragment; 5?-TTC GGG AAG AAA GAG GAC
G-3?and 5?-ATG GTT GAT GGC GGA AGG-3? for
Pax7, generating a 512-bp fragment; 5?-CTA CAG CGG
CGA CTC AGA CG-3? and 5?-TTG GGG CCG GAT
GTA GGA-3? for MyoD, generating a 563-bp fragment
[29]; 5?-TTA GAA GTG GCA GAG GGC TC-3? and
5?-AGG TGC GCA GGA AAT CCG CA-3? for Myf4,
generating a 475-bp fragment [30]; 5?-GAG CCA AGA
GTA GCA GCC TTC G -3? and 5?-GTT CTT TCG
GGA CCA GAC AGG G-3? for Myf5, generating a 440-
bp fragment; 5?-ACT ACC CAC CGT CCA TTC AC-3?and 5?-TCG GGG CAC TCA CTG TCT CT-3? for
myogenin, generating a 233-bp fragment [29]; 5?-CTC
AGG CTT CAA GAT TTG GTG G-3? and 5?-TTG
TGC CTC TCT TCG GTC ATT C-3? for MHC,
generating a 265-bp fragment; 5?-GCC TTG CTG TGG
GGA TGT CT-3? and 5?-CGA AAC TGG CAC CCT
TGA AAA AT-3? for peroxisome proliferator activated
receptor gamma (PPARg), generating a 355-bp fragment;
5?-GGC GGG AAC GCA ACA ACA-3? and 5?-GAG
ATC CAG CGA CCC TAA ACC A-3? for CCAAT/
enhancer binding protein alpha (C/EBPa), generating a
292-bp fragment. To control the amount of RNA in
different samples, expression of glucose-6-phosphate de-
hydrogenase (Gapdh) was used, amplified with primers 5?-ACC ACA GTC CAT GCC ATC AC-3? and 5?-TCC
ACC ACC CTG TTG CTG TA-3?, generating a 451-bp
fragment. All the primers were synthesized by Saibaisheng
Tec. (China). Amplification products were electrophoresed
on 1.5% agarose gels and visualized by ethidium bromide
staining followed by UV light illumination.
Western blot analysis
Cell extracts were prepared by lysing 2�106 transfected
rMSC in 100 mL 1�PBS containing 1% Nonidet P-40,
0.5% sodium deoxycholate, 0.1% SDS, 1 mM phenyl-
methylsulfonyl fluoride, 10 mg/mL leupeptin and
1 mg/mL aprotinin for 10 min at 48C. Lysates were
centrifuged at 12 000 g for 15 min at 48C, and supernatants
were saved. The protein content was determined by the
Bradford assay (Bio-Rad, USA). Equal amounts of proteins
(10 mg) were loaded and separated by a 6% biphasic SDS�PAGE gel and electrotransferred to a PVDF membrane
(Millipore, USA). The membranes were blocked in TBST
containing 5% (w/v) powdered milk (Bio-Rad) for 1 h at
room temperature. For detection of b-catenin or FLAG,
blots were probed with a rabbit-derived anti-b-catenin Ab
(Cell Signaling Technology) or anti-FLAG M2 MAb
(Sigma) at a dilution of 1:1000 for 1 h at room temperature.
For detection of Gapdh, blots were probed with a mouse-
derived MAb at a dilution of 1 in 10 000 (Santa Cruz
Biotechnology). For secondary detection, goat anti-rabbit
(1:3000) or goat anti-mouse IgG (1:10 000) Ab coupled to
horseradish peroxidase was used (Santa Cruz Biotechnol-
ogy, USA) for 1 h. After washing, the blot was incubated in
peroxidase substrate for 5 min prior to exposure to
photographic films (Sigma).
670 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Statistical analysis
All data are presented as mean9SD. The Student’s t-test
was used to determine statistical significance. A value of
PB0.05 was considered statistically significant. The
experiments were repeated two to four times, and data
from representative experiments are shown.
ResultsMorphology and characterization of rMSC in
culture
Primary rMSC were allowed to attach to the surface of the
plates for 3 days. Adherent spindle-shaped rMSC colonies
were observed as sparsely distributed after removal of non-
adherent cells. Primary rMSC expanded to cover 90% of
the culture and were passaged at a 1:2 dilution after being
detached with trypsin after 7� 10 days. The rMSC used
in this study were from the third to the fifth passages
(Figure 1A).
To characterize the rMSC, we first performed FACS to
detect the immunophenotype of isolated rMSC at passage
3. The results showed that rMSC expressed CD29
(b1-integrin) and CD44. The positive ratios of CD29 and
CD44 were 97.8% and 95.1% separately. In contrast,
rMSC did not express CD11b, CD34, CD45 and c-kit
(Figure 1B). Furthermore, we induced cell differentiation
of isolated rMSC according to published protocols [8].
rMSC differentiated into osteoblastic cells after culture in
osteogenic differentiation medium for 3 weeks, as judged
by their ability to mineralize the extracellular matrix
(Figure 1C). After exposure to an adipogenic stimulus for 3
weeks, cells displayed an adipocyte phenotype, as shown
by the accumulation of neutral lipid droplets in the
cytoplasm (Figure 1D). These results confirmed that the
isolated cells exhibited the previously reported properties
of MSC [8].
Expression of activated hb-catenin in rMSC
To investigate the potential roles of Wnt signaling in the
differentiation of rMSC, we transfected rMSC with a
constitutively active hb-catenin (S37A) plasmid by Lipo-
fectamine followed by G418 selection. hb-catenin (S37A)
harboring a serine to alanine substitution at position 37
failed to be phosphorylated by GSK-3b. Consequently,
degradation via the ubiquitin pathway was blocked, leading
to an accumulation of unphosphorylated b-catenin, which
translocated to the nucleus and activated the transcription
Figure 1. Characterization of isolated rMSC. (A) Phase-contrast microscopy of the fibroblast-like morphology of rMSC in the 3rd passage. (B)
FACS analysis of rMSC: the result revealed rMSC expressed CD29 and CD45 but did not express CD11b, CD34, CD45 and c-kit. (C) Osteogenic
differentiation of rMSC: rMSC were cultured for 3 weeks with osteogenic induction medium, and calcium deposits were visualized by alizarin red
staining. (D) Adipogenic differentiation of rMSC: rMSC were cultured for 3 weeks in adipogenic induction medium. Lipid vacuoles were
visualized by Oil Red O staining. Results are representative graphs of three independent experiments. Scale bars: 100 mm.
b-catenin induces myogenesis and inhibits adipogenesis 671
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
of targeted genes. The expression of hb-catenin (S37A) in
transfected rMSC was detected by RT-PCR and Western
blot analysis. As shown in Figure 2A, a high level of hb-
catenin (S37A) expression in rMSC (S37A) was confirmed
by RT-PCR analysis at 3 weeks after gene transfection. We
also detected the expression of hb-catenin (S37A) in rMSC
(S37A) at 6 weeks after transfection, despite the fact that
the level of hb-catenin (S37A) expression decreased. On
the other hand, no expression of hb-catenin (S37A) was
detected in control cells at either 3 or 6 weeks after gene
transfection by RT-PCR. To confirm the data obtained by
RT-PCR analysis, Western blot analysis was performed.
Detection of hb-catenin (S37A) protein using a MAb
against FLAG confirmed the expression of exogenous
hb-catenin (S37A) gene at the protein level in rMSC
(S37A) (Figure 2B). We did not detect exogenous
hb-catenin (S37A) protein in control cells at either time
point. Both endogenous b-catenin and exogenous hb-
catenin (S37A) proteins were detected in total lysates using
an anti-b-catenin Ab. These data indicate that the
transfection of hb-catenin (S37A) successfully results in
ectopic expression of this gene in rMSC (S37A).
It has been shown that stabilized b-catenin (S37A)
localizes primarily in the nucleus and induces the expres-
sion of targeted genes after transfection into HCT116 cells
and chondrocytes [31,32]. Therefore we performed im-
munocytochemistry to determine the subcellular localiza-
tion of hb-catenin (S37A) in transfected rMSC. Exogenous
hb-catenin (S37A) was detected with anti-FLAG Ab and
the results demonstrated that exogenous hb-catenin
(S37A) localized primarily in the nucleus, with
weak staining in the cytoplasm (Figure 3A�C). No
FLAG-positive cells were observed in the control cells
(Figure 3D�F). On the other hand, anti-b-catenin Ab was
used to detect the distribution of endogenous and
exogenous b-catenin. We found that b-catenin localized
in the cytoplasm and at the cell surface of rMSC (S37A)
and control cells (Figure 3G�L). Moreover, there was a
clear nuclear staining of b-catenin in rMSC (S37A)
(Figure 3G� I) but not in control cells (Figure 3J�L).
These results suggested that transfected stabilized hb-
catenin (S37A) localizes primarily in the nucleus in rMSC
(S37A).
Effect of activated b-catenin on myogenic
differentiation in rMSC
It has been shown that the Wnt canonical pathway plays an
important role in induction of embryonic myogenesis. We
hypothesized that the canonical pathway would also
contribute to the muscle differentiation of MSC. To verify
this hypothesis, we determined whether stimulation of
Wnt signaling by constitutive expression of hb-catenin
(S37A) influenced the myogenic differentiation in
rMSC. When the rMSC (S37A) (Figure 4A) or rMSC
(E) (Figure 4E) were at approximately 80% of confluence,
the cells were induced by using myogenic differentiation
medium. A few multinucleated cells were observed after
3� 5 days of treatment with differentiation medium in
rMSC (S37A) (Figure 4B). The number and length of
multinucleated cells increased gradually along with the
induction in rMSC (S37A) (Figure 4C, D).The fusion
index was 8.6592.58% at 5 days after administration of
myogenic induction medium, and reached 27.193.91% 15
days after induction (Figure 4G). Spontaneous contrac-
tions were observed in a few of these multinucleated cells
when viewing the living cultures. Fifteen days was selected
as the latest time point examined because culture beyond
Figure 2. Expression of hb-catenin (S37A) in rMSC (S37A). (A)
Total cellular RNA was extracted and then RT-PCR was conducted to
estimate the level of hb-catenin (S37A) mRNA expression in rMSC
(S37A) and control cells at 3 and 6 weeks after gene transfection.
Equal loading of RNA samples was checked by amplification of Gapdh
cDNA. (B) Detection of expression of exogenous and endogenous
b-catenin protein in rMSC by Western blots at 3 and 6 weeks after
gene transfection. Exogenous hb-catenin (S37A) protein was detected
with anti-FLAG Ab. Total b-catenin levels were detected with an Ab
directed against b-catenin. Relative amounts of protein present in
aliquots of each cell extract were revealed by detection expression of
Gapdh protein. Results are representative graphs of three independent
experiments.
672 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
this led to lifting of the myotubes from the plate as the
result of spontaneous contractions of the cells. On the
other hand, culture of control rMSC (E) under identical
induction conditions for up to 15 days failed to result in
muscle differentiation (Figure 4F).
To confirm further the myogenic nature of the multi-
nucleated cells observed by phase-contrast microscopy, a
time� course immunofluorescence analysis was examined.
Prior to myogenic induction, both rMSC (S37A) and
control cells were negative for markers of the muscle
Figure 3. Immunofluorescence analysis of subcellular localization of exogenous and endogenous b-catenin in rMSC (S37A) (A�C, G� I) and
control cells (D� F, J�L). Exogenous hb-catenin (S37A) was detected with an anti-FLAG Ab (A, C, D, F). Total b-catenin levels were detected
with an anti-b-catenin Ab (G, I, J, L). The nucleus was stained with DAPI (B, E, H, K). Results are representative graphs of three independent
experiments. Scale bars: 50 mm.
b-catenin induces myogenesis and inhibits adipogenesis 673
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
lineage, including MyoD, myogenin, desmin and MHC.
After exposure to myogenic induction medium, the rMSC
(S37A) gradually expressed these markers (Figure 5A�D).
The percentage of MyoD-positive cells at day 2 was
12.191.1% in rMSC (S37A). The percentage peaked at
day 5 (20.593.2%) and declined thereafter (Figure 6A).
The expression of myogenin increased sequentially, with
0%, 5.1%, 9.9%, 17.8% and 26.7% of cells being positive
on days 0, 2, 5, 10 and 15 after myogenic induction,
respectively (Figure 6B). The expression of desmin and
MHC increased in a similar fashion. The percentages of
desmin- (Figure 6C) and MHC- (Figure 6D) positive cells
reached a maximum on day 15 (28.794.4% and 29.59
3.8%, respectively). These results suggested that the
multinucleated cells induced from rMSC (S37A) were
myogenic. In contrast, the control cells cultured under
identical conditions for up to 15 days were negative for
these markers (Figure 5E�H).
To analyze further the initiation of the skeletal mus-
cle program in rMSC, the expressions of the skeletal
Figure 4. Phase� contrast microscopy observations on the morphology of rMSC during myogenic induction. rMSC (S37A) were cultured in
myogenic differentiation medium for 15 days. Phase� contrast photographs were taken at 0 (A), 5 (B), 10 (C) and 15 (D) days of incubation in
rMSC (S37A). (E, F) rMSC (E) cultured at 0 and 15 days, respectively, in myogenic differentiation medium. The myogenic fusion index, defined as
the number of nuclei residing in cells containing three or more nuclei divided by the total number of nuclei counted, was determined at 0, 2, 5, 10, 15
days in rMSC (S37A) after induction of myogenic differentiation (G). Results are representative graphs of three independent experiments. Scale
bars: 100 mm.
Figure 5. Expression of myogenic markers in rMSC (S37A) and control cells after myogenic introduction. rMSC (S37A) and control cells were
cultured in myogenic induction medium for 15 days and stained for MyoD (A, E), myogenin (B, F), desmin (C, G) and MHC (D, H). Results are
representative graphs of three independent experiments. Scale bars: 100 mm.
674 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Figure 5 (Continued )
b-catenin induces myogenesis and inhibits adipogenesis 675
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
muscle-specific transcription factors, including Pax3, Pax7,
MyoD, Myf5, Myf4 and myogenin, were examined by RT-
PCR 15 days after the initiation of myogenic induction (5
weeks after gene transfection). As shown in Figure 7, hb-
catenin (S37A) was expressed as expected in differentiated
rMSC (S37A) cells and not in control cells. Pax3 expres-
sion was detected in both control and rMSC (S37A) cells.
However, compared with control cells, the expression of
Pax3 was down-regulated in rMSC (S37A) cells. The
expression of Pax7, MyoD, Myf5, Myf4 and myogenin was
detected only in rMSC (S37A) cells. Control cells cultured
for 15 days in myogenic differentiation media failed to
express these transcription factors. These data demon-
strated that activated b-catenin induced myogenic differ-
entiation in rMSC by triggering the expressions of the
skeletal muscle-specific transcription factors.
Figure 6. Percentages of MyoD- (A), myogenin- (B), desmin- (C) and MHC- (D) positive cells at 0, 5, 10, 15 days after myogenic introduction in
rMSC (S37A). Error bars represent the SD. Results are representative of three independent experiments.
676 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
Effect of activated b-catenin on adipogenic
differentiation in rMSC
The Wnt signaling pathway has been shown to play
important roles in mesodermal cell fate determination in
pre-adipocytes and myoblasts [33]. rMSC are multipotent
stem cells that are capable of differentiating into both
myoblasts and adipocytes. We speculated that activation of
Wnt signaling by transfected stabilized b-catenin might
direct the MSC fate towards myogenesis while preventing
commitment to the adipogenesis in rMSC. To investigate
the effects of activated b-catenin on adipogenic differ-
entiation of rMSC, both control and rMSC (S37A) cells
were induced by using adipogenic differentiation medium
for 3 weeks. The adipogenic differentiation was evidenced
by positive Oil Red O staining of lipid droplets present in
the cytoplasm of the cells. As shown in Figure 8B, control
cells accumulated a lot of lipid droplets after 3 weeks
of adipogenic induction. In contrast, accumulation of
lipid droplets was blocked dramatically in rMSC (S37A)
(Figure 8A). Lipid formation in control cells and rMSC
(S37A) was quantified and the results showed that the
accumulation of lipid in rMSC (S37A) was significantly
lower than that in control cells (0.6390.042 vs. 0.949
0.101, PB0.001; Figure 8C).
C/EBPa and PPARg have been thought to be the
essential transcriptional activators and markers of terminal
differentiation of adipogenesis. To investigate further the
mechanism involved in the inhibition of adipogenesis, we
examined the effect of activated b-catenin on expres-
sions of C/EBPa and PPARg by RT-PCR. As shown in
Figure 8D, the expressions of both C/EBPa and PPARgwere down-regulated in rMSC (S37A) at 3 weeks after
adipogenic induction (6 weeks after gene transfection)
compared with control cells (Figure 8D). These data
demonstrated that activated b-catenin could inhibit adipo-
genic differentiation by suppressing the expressions of
C/EBPa and PPARg in rMSC.
DiscussionWhile evidence for the significance of Wnt signaling in
embryonic development and differentiation has accumu-
lated in many model organisms, such as drosophila,
zebrafish, chicken and mouse, the specific roles of
b-catenin in myogenic and adipogenic differentiation in
adult stem cells have not been well studied. Only a few
studies have indirectly revealed that b-catenin may
contribute to myogenic specification and inhibit adipo-
genic differentiation in adult stem cells [23,26,34]. In the
current paper, we have used rat BM MSC to study the
effects of b-catenin signaling on myogenic and adipogenic
differentiation. To our knowledge, this is the first study
demonstrating that activated b-catenin can induce myo-
genic differentiation in rMSC. We have also shown that
stabilized b-catenin has an inhibitory effect on adipogenic
differentiation in rMSC. All these data implicate b-catenin
as a key signal in controlling myogenic and adipogenic
differentiation in adult stem cells.
Figure 7. RT-PCR analysis of the expression of skeletal muscle-
specific transcription factors. RNA was isolated from rMSC (S37A)
and control cells, which were cultured in myogenic induction medium
for 15 days (about 5 weeks after gene transfection). Gapdh was used as
a loading control. Results are representative graphs of three
independent experiments.
b-catenin induces myogenesis and inhibits adipogenesis 677
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
b-catenin is a multifunctional protein that involves the
cadherin-based cell adhesion and Wnt signaling pathway
[35]. b-catenin located in the cell membrane is associated
with the cytoplasmic region of E-cadherin and involved in
cell� cell adhesion [36]. b-catenin located in both the
nucleus and cytoplasm is a key component in the Wnt
signaling pathway. The role in cell adhesion of b-catenin is
not associated with the one in the Wnt signal pathway.
Mutants of b-catenin cannot function in cell adhesion
because they fail to interact with a-catenin. However,
mutant b-catenin still can transduce Wnt signals [37]. The
amino terminus of b-catenin, which contains a series of
serine and threonine residues, is involved in regulating its
stability [38]. These residues can be phosphorylated by
GSK-3b. Once these residues are phosphorylated, b-
catenin is degraded rapidly by the ubiquitin�proteasome
pathway [17]. Mutations in these residues means b-catenin
avoids being degraded and becomes stable. b-catenin with
these mutations is thought to be constitutively active.
Previous studies have shown that ectopic expression of
stabilized b-catenin (S37A) can enter the nucleus and
regulate the target gene expression in HCT116 cells
and chondrocytes [31,32]. In the present study, we also
applied activated hb-catenin (S37A) to mimic the function
of the Wnt signal and explore its possible role in myogenic
differentiation of rMSC.
A myriad of evidence has demonstrated that MSC can
differentiate into a variety of other cell types in vitro and in
Figure 8. Effect of hb-catenin (S37A) on adipogenic differentiation of rMSC. The rMSC (S37A) (A) and control cells (B) were cultured in
adipogenic induction medium for 3 weeks and stained with Oil Red O cells. Scale bars: 100 mm. (C) Quantification of lipid formation in rMSC
(S37A) and control cells. The asterisk represents a statistically significant difference in the accumulation of lipid between rMSC (S37A) and
control cells; error bars represent the SD. Semi-quantitative RT-PCR analysis of the expression of C/EBPa and PPARg (D). RNA was isolated
from rMSC (S37A) and control cells, which were cultured in adipogenic induction medium for 3 weeks (6 weeks after gene transfection). Gapdh
was used as a loading control. Results are representative graphs of three independent experiments.
678 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
vivo [39]. The specific differentiation is regulated by a
series of signaling pathways. The canonical Wnt signaling
is thought to be a key regulator [40,41]. Recent studies
have demonstrated that Wnt signaling controls the balance
between myogenic and adipogenic potential in vivo and in
vitro [33,42,43]. Myoblasts isolated from Wnt10b� /�mice show increased adipogenic potential, probably con-
tributing to excessive lipid accumulation in actively
regenerating myofibers in vivo in Wnt10b� /� mice. The
alteration in Wnt signaling in myoblasts with age may
contribute to the impairment of muscle regenerative
capacity and increased muscle adiposity [42]. Inhibition
of the Wnt signaling pathway by overexpression of Axin or
Dickkopf-1 (Dkk-1) in pre-adipocytes promotes these cells
to differentiate into adipocytes [33,43]. On the other hand,
activation of the Wnt signaling pathway by overexpression
of Wnt-1 or a b-catenin mutant (b-catenin S33Y) inhibits
adipogenesis in vitro [33]. Furthermore, disruption of Wnt
signaling by expression of dominant-negative TCF4
(dnTCF4) causes transdifferentiation of myoblasts into
adipocytes in vitro . This implies that Wnt signaling plays
an important role in mesodermal cell fate determination
[33]. Other reports have demonstrated that activated
b-catenin prevents adipogenic differentiation and induces
early osteoblast differentiation in C3H10T1/2 MSC
[44,45]. As our results demonstrate that activation of the
Wnt signaling pathway by overexpression of a stabilized
b-catenin promotes myogenesis and inhibits adipogenesis
in rMSC, we hypothesize that, through activation of Wnt
signaling, b-catenin might direct a mesenchymal stromal
cell fate towards myogenesis while preventing commit-
ment to the adipogenesis.
Pax7 belongs to a family of genes that encode paired-
box transcription factors involved in the control of
developmental process. Pax7 is specifically expressed in
satellite cells and is required for the specification of the
satellite cell lineage [46]. The result that stable b-catenin
activates the expression of Pax7 is supported by other
researches. One recent study has shown that the expression
of Pax7 in isolated CD45� adult stem cells is rapidly
induced following Wnt treatment [23]. Another study has
demonstrated that direct expression of the constitutively
active form of LEF (CA-LEF) results in the activation of
Pax7 in mBM-MASC [34]. These observations provide
compelling evidence that Wnt signaling induces adult
stem cells to form myogenic progenitors by activating the
expression of Pax7. Our results show that the transfected
activated form of b-catenin induces the expression of Pax7
in rMSC. So these data suggest that Pax7 represents the
target gene of Wnt signaling that directs the myogenic
specification of adult stem cells.
At the present time, there are no effective treatments for
degenerative muscle diseases. There is a large interest in
transplanting adult stem cells to treat these disorders. The
ability of activated b-catenin to induce myogenic differ-
entiation in rMSC may allow for its therapeutic applica-
tion. Besides regulating the differentiation of adult stem
cells, Wnt signaling could influence the proliferation,
survival and migration of adult stem cells. Therefore the
biologic roles of Wnt signaling in adult stem cells should
be clarified further to avoid possible detrimental adverse
effects in stem cell-based treatment [47]. Future studies
will provide a rational foundation for stem cell-based
tissue repair in humans.
AcknowledgementsWe thank Dr Zijie Sun for providing the mutant human
b-catenin (S37A) plasmid. This work was supported by
grants from the National Natural Science Foundation of
China (30370510, 30170337), the Key Project of the State
Ministry of Public Health (2001321).
References
1 Chakkalakal JV, Thompson J, Parks RJ et al . Molecular, cellular,
and pharmacological therapies for Duchenne/Becker muscular
dystrophies. FASEB J 2005;19:880� 91.
2 Bhagavati S, Xu W. Generation of skeletal muscle from
transplanted embryonic stem cells in dystrophic mice. Biochem
Biophys Res Commun 2005;333:644� 9.
3 Torrente Y, Tremblay JP, Pisati F et al . Intraarterial injection of
muscle-derived CD34 (�) Sca-1(�) stem cells restores
dystrophin in mdx mice. J Cell Biol 2001;152:335� 48.
4 Payne TR, Oshima H, Sakai T et al . Regeneration of dystrophin-
expressing myocytes in the mdx heart by skeletal muscle stem
cells. Gene Ther 2005;12:1264� 74.
5 Price FD, Kuroda K, Rudnicki MA. Stem cell based therapies to
treat muscular dystrophy. Biochim Biophys Acta 2007;1772:272�83.
6 Cossu G, Mavilio F. Myogenic stem cells for the therapy of
primary myopathies: wishful thinking or therapeutic perspec-
tive? J Clin Invest 2000;105:1669� 74.
7 Friedenstein AJ, Gorskaja JF, Kulagina NN. Fibroblast precur-
sors in normal and irradiated mouse hematopoietic organs. Exp
Hematol 1976;4:267� 74.
8 Pittenger MF, Mackay AM, Beck SC et al . Multilineage
potential of adult human mesenchymal stem cells. Science
1999;284:143� 7.
b-catenin induces myogenesis and inhibits adipogenesis 679
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
9 Reyes M, Lund T, Lenvik T et al . Purification and ex vivo
expansion of postnatal human marrow mesodermal progenitor
cells. Blood 2001;98:2615� 25.
10 Le Blanc K, Pittenger M. Mesenchymal stem cells: progress
toward promise. Cytotherapy 2005;7:36� 45.
11 Dezawa M, Ishikawa H, Itokazu Y et al . Bone marrow stromal
cells generate muscle cells and repair muscle degeneration.
Science 2005;309:314� 7.
12 De Bari C, Dell’Accio F, Vandenabeele F et al . Skeletal muscle
repair by adult human mesenchymal stem cells from synovial
membrane. J Cell Biol 2003;160:909� 18.
13 Parker MH, Seale P, Rudnicki MA. Looking back to the embryo:
defining transcriptional networks in adult myogenesis. Nat Rev
Genet 2003;4:497� 507.
14 Moon RT, Kohn AD, De Ferrari GV et al . WNT and beta-
catenin signalling: diseases and therapies. Nat Rev Genet
2004;5:691� 701.
15 Yu JM, Kim JH, Song GS et al . Increase in proliferation and
differentiation of neural progenitor cells isolated from postnatal
and adult mice brain by Wnt-3a and Wnt-5a. Mol Cell Biochem
2006;288:17� 28.
16 Gordon MD, Nusse R. Wnt signaling: multiple pathways,
multiple receptors, and multiple transcription factors. J Biol
Chem 2006;281:22429� 33.
17 Aberle H, Bauer A, Stappert J et al . Beta-catenin is a target for
the ubiquitin� proteasome pathway. Embo J 1997;16:3797� 804.
18 Li L, Yuan H, Xie W et al . Dishevelled proteins lead to two
signaling pathways. Regulation of LEF-1 and c-Jun N-terminal
kinase in mammalian cells. J Biol Chem 1999;274:129� 34.
19 Munsterberg AE, Kitajewski J, Bumcrot DA et al . Combinatorial
signaling by Sonic hedgehog and Wnt family members induces
myogenic bHLH gene expression in the somite. Genes Dev
1995;9:2911� 22.
20 Tajbakhsh S, Borello U, Vivarelli E et al . Differential activation
of Myf5 and MyoD by different Wnts in explants of mouse
paraxial mesoderm and the later activation of myogenesis in the
absence of Myf5. Development 1998;125:4155� 62.
21 Borello U, Coletta M, Tajbakhsh S et al . Transplacental delivery
of the Wnt antagonist Frzb1 inhibits development of caudal
paraxial mesoderm and skeletal myogenesis in mouse embryos.
Development 1999;126:4247� 55.
22 Ikeya M, Takada S. Wnt signaling from the dorsal neural tube is
required for the formation of the medial dermomyotome.
Development 1998;125:4969� 76.
23 Polesskaya A, Seale P, Rudnicki MA. Wnt signaling induces the
myogenic specification of resident CD45� adult stem cells
during muscle regeneration. Cell 2003;113:841� 52.
24 Neth P, Ciccarella M, Egea V et al . Wnt signaling regulates the
invasion capacity of human mesenchymal stem cells. Stem Cells
2006;24:1892� 903.
25 Jian H, Shen X, Liu I et al . Smad3-dependent nuclear
translocation of beta-catenin is required for TGF-beta1-induced
proliferation of bone marrow-derived adult human mesenchy-
mal stem cells. Genes Dev 2006;20:666� 74.
26 De Boer J, Wang HJ, Van Blitterswijk C. Effects of Wnt signaling
on proliferation and differentiation of human mesenchymal stem
cells. Tissue Eng 2004;10:393� 401.
27 Wakitani S, Saito T, Caplan AI. Myogenic cells derived from rat
bone marrow mesenchymal stem cells exposed to 5-azacytidine.
Muscle Nerve 1995;18:1417� 26.
28 Sharma M, Chuang WW, Sun Z. Phosphatidylinositol 3-kinase/
Akt stimulates androgen pathway through GSK3beta inhibition
and nuclear beta-catenin accumulation. J Biol Chem
2002;277:30935� 41.
29 Hyatt JP, Roy RR, Baldwin KM et al . Nerve activity-indepen-
dent regulation of skeletal muscle atrophy: role of MyoD and
myogenin in satellite cells and myonuclei. Am J Physiol Cell
Physiol 2003;285:C1161� 73.
30 Armand AS, Pariset C, Laziz I et al . FGF6 regulates muscle
differentiation through a calcineurin-dependent pathway in
regenerating soleus of adult mice. J Cell Physiol 2005;204:297�
308.
31 Lee HK, Choi YS, Park YA et al . Modulation of oncogenic
transcription and alternative splicing by beta-catenin and an
RNA aptamer in colon cancer cells. Cancer Res 2006;66:10560� 6.
32 Ryu JH, Kim SJ, Kim SH et al . Regulation of the chondrocyte
phenotype by beta-catenin. Development 2002;129:5541� 50.
33 Ross SE, Hemati N, Longo KA et al . Inhibition of adipogenesis
by Wnt signaling. Science 2000;289:950� 3.
34 Belema Bedada F, Technau A et al . Activation of myogenic
differentiation pathways in adult bone marrow-derived stem
cells. Mol Cell Biol 2005;25:9509� 19.
35 Willert K, Nusse R. Beta-catenin: a key mediator of Wnt
signaling. Curr Opin Genet Dev 1998;8:95� 102.
36 Hinck L, Nathke IS, Papkoff J et al . Dynamics of cadherin/
catenin complex formation: novel protein interactions and
pathways of complex assembly. J Cell Biol 1994;125:1327� 40.
37 Orsulic S, Peifer M. An in vivo structure� function study of
armadillo, the beta-catenin homologue, reveals both separate
and overlapping regions of the protein required for cell adhesion
and for wingless signaling. J Cell Biol 1996;134:1283� 300.
38 Yost C, Torres M, Miller JR et al . The axis-inducing activity,
stability, and subcellular distribution of beta-catenin is regulated
in Xenopus embryos by glycogen synthase kinase 3. Genes Dev
1996;10:1443� 54.
39 Herzog EL, Chai L, Krause DS. Plasticity of marrow-derived
stem cells. Blood 2003;102:3483� 93.
40 Kleber M, Sommer L. Wnt signaling and the regulation of stem
cell function. Curr Opin Cell Biol 2004;16:681� 7.
41 Reya T, Clevers H. Wnt signalling in stem cells and cancer.
Nature 2005;434:843� 50.
42 Vertino AM, Taylor-Jones JM, Longo KA et al . Wnt10b
deficiency promotes coexpression of myogenic and adipogenic
programs in myoblasts. Mol Biol Cell 2005;16:2039� 48.
43 Christodoulides C, Laudes M, Cawthorn WP et al . The Wnt
antagonist Dickkopf-1 and its receptors are coordinately
regulated during early human adipogenesis. J Cell Sci
2006;119:2613� 20.
680 YC Shang et al.
Dow
nloa
ded
By:
[Yal
e U
nive
rsity
Lib
rary
] At:
13:5
2 21
Oct
ober
200
7
44 Bain G, Muller T, Wang X et al . Activated beta-catenin induces
osteoblast differentiation of C3H10T1/2 cells and participates
in BMP2 mediated signal transduction. Biochem Biophys Res
Commun 2003;301:84� 91.
45 Mbalaviele G, Sheikh S, Stains JP et al . Beta-catenin and BMP-2
synergize to promote osteoblast differentiation and new bone
formation. J Cell Biochem 2005;94:403� 18.
46 Seale P, Sabourin LA, Girgis-Gabardo A et al . Pax7 is required
for the specification of myogenic satellite cells. Cell
2000;102:777� 86.
47 Luo J, Chen J, Deng ZL et al . Wnt signaling and human diseases:
what are the therapeutic implications? Lab Invest 2007;87:97�
103.
b-catenin induces myogenesis and inhibits adipogenesis 681