In general, small GTPases localize to specific membrane compartments. This property is dependent on post-translational prenylation, which involves the attachment of a hydrophobic isoprenoid lipid group (either a 15-carbon farnesyl or 20-carbon geranylgeranyl moiety) to a conserved cysteine residue contained within characteristic prenylation motifs in the C-terminus of most small GTPases. This modification is performed by one of three protein prenyl transferase enzymes (farnesyl transferase, geranylgeranyl transferase (GGTase) I or Rab GGTase), specificity being determined by the prenylation motif in the protein substrate.
13 Most small GTPases, including the Rab subfamily and most of the Rho subfamily, are modified with geranylgeranyl groups; GTPases modified by farnesylation include most of the Ras proteins and some Rho family proteins.
The fundamental importance of small GTPases in osteoclast biology became apparent a decade ago, following our discovery that nitrogen-containing bisphosphonate (N-BP) drugs inhibit bone resorption by blocking protein prenylation.
14,15 These “blockbuster” drugs are non-hydrolysable analogs of pyrophosphate that target rapidly to the skeleton and are used worldwide as the frontline treatment for common diseases associated with increased bone resorption, such as post-menopausal osteoporosis, cancer-associated bone disease and Paget's disease.
16 N-BP drugs, such as risedronate, alendronate and zoledronate, are very effective inhibitors of bone resorption because they are internalised selectively into osteoclasts during the resorption of drug-coated bone.
17,18 Once internalised, N-BPs disrupt osteoclast polarization (by preventing formation of the actin ring, disrupting normal vesicular trafficking and formation of the RB) and also cause osteoclast apoptosis.
18 These effects of N-BPs are now known to be the result of disruption of protein prenylation, since these drugs mimic the structure of isoprenoid lipids such as geranyl diphosphate (GPP) and thereby potently inhibit farnesyl diphosphate (FPP) synthase, a key enzyme in the mevalonate pathway of isoprenoid and cholesterol biosynthesis.
19–21 The exact mechanism of inhibition of FPP synthase has recently been clarified from the X-ray crystal structure of the enzyme and involves the “slow-tight” binding of the drug to one of the two isoprenoid lipid substrate pockets, resulting in conformational changes in the enzyme.
22–24 Some N-BPs are also weak inhibitors of other enzymes in the mevalonate pathway, such as geranylgeranyl diphosphate (GGPP) synthase, squalene synthase and IPP isomerase.
18Inhibition of FPP synthase activity in osteoclasts results in the depletion of FPP and GGPP that are necessary for the prenylation of small GTPases. As a result, small GTPases accumulate in the unprenylated form and fail to localize to membrane compartments ().
25 This effect can be easily measured in cultured cells by monitoring the metabolic incorporation of [
14C] mevalonate into prenylated proteins (),
14,18,26 by protein gel blot analysis of cell lysates using an antibody that specifically hybridizes to the unprenylated form of the small GTPase Rap1A (),
27 or by visualizing the subcellular localization of small GTPases such as Rab6 ().
25Since prenylated small GTPases act as molecular switches, their activity must be tightly controlled. Recent studies suggest that some unprenylated small GTPases such as Rac that accumulate in the cytosol after exposure of cells to N-BPs, are predominantly their active GTP-bound state (presumably due to lack of interaction with regulatory GAP proteins), causing inappropriate activation of downstream signaling kinases such as p38.
28 Inhibition of the mevalonate pathway by N-BPs therefore appears to disrupt osteoclast function either by causing loss of prenylated proteins (and loss of downstream signaling) and/or accumulation of unprenylated proteins (and therefore inappropriate activation of downstream signaling pathways or sequestration of effectors).
18 These effects on small GTPase signaling result in disruption of cytoskeletal organization and vesicular trafficking in osteoclasts, causing loss of the SZ and RB, and in osteoclast apoptosis. In particular, geranylgeranylated, rather than farnesylated, small GTPases are essential for osteoclast function and survival, since geranylgeraniol (a cell-permeable form of GGPP) overcomes the inhibition of osteoclast formation and bone resorption by N-BPs.
15,29 Furthermore, small GTPases geranylgeranylated by GGTase I (such as Rho, Rac and Cdc42) are crucial for osteoclast function (see below), since an inhibitor of GGTase I (GGTI-298) closely mimics the effects of N-BPs on osteoclast polarization and survival.
30 We also identified the first-known specific inhibitors of Rab GGTase (RGGT), which closely resemble the structure of N-BPs but contain a carboxylate moiety instead of one of the phosphonate groups.
25,31 These phosphonocarboxylate (PC) compounds appear to inhibit RGGT by preventing the second geranylgeranylation step of Rab proteins that are normally di-geranylgeranylated, perhaps by binding to a GG-cysteine recognition site on RGGT that may be required to align non-geranylgeranylated Rabs for the second step of lipid modification.
32 These agents specifically disrupt the prenylation and localization of Rab GTPases in osteoclasts and also inhibit bone resorption, by disrupting vesicular trafficking.
25,31The naturally occurring mouse strain known as
gunmetal is an interesting in vivo model of defective Rab prenylation. This defect is characterized by a 75% reduction of RGGT activity due an autosomal recessive mutation in the gene encoding the α-chain of this enzyme.
33 We have shown that macrophages and osteoclasts from these mice are more sensitive to the effects of PCs, thereby confirming that these drugs act through inhibition of RGGT.
34 Moreover, although
gunmetal mice do not exhibit an overt bone phenotype, osteoclasts generated in vitro from these mice exhibit a reduced resorptive capacity, despite being able to rearrange their cytoskeleton into F-actin rings.
35 This phenotype closely mimics the effects of pharmacological inhibition of RGGT on osteoclasts
31 and confirms that Rab prenylation is essential for osteoclast activity; however the identity of the underprenylated Rab GTPases that contribute to the resorptive defect remains unclear.