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ATF4 is a substrate of RSK2 and an essential regulator of osteoblast biology; implication for Coffin-Lowry Syndrome.

Coffin-Lowry Syndrome (CLS) is an X-linked mental retardation condition associated with skeletal abnormalities. The gene mutated in CLS, RSK2, encodes a growth factor-regulated kinase. However, the cellular and molecular bases of the skeletal abnormalities associated with CLS remain unknown. Here, we show that RSK2 is required for osteoblast differentiation and function. We identify the transcription factor ATF4 as a critical substrate of RSK2 that is required for the timely onset of osteoblast differentiation, for terminal differentiation of osteoblasts, and for osteoblast-specific gene expression. Additionally, RSK2 and ATF4 posttranscriptionally regulate the synthesis of Type I collagen, the main constituent of the bone matrix. Accordingly, Atf4-deficiency results in delayed bone formation during embryonic development and low bone mass throughout postnatal life. These findings identify ATF4 as a critical regulator of osteoblast differentiation and function, and indicate that lack of ATF4 phosphorylation by RSK2 may contribute to the skeletal phenotype of CLS.

Pubmed ID: 15109498


  • Yang X
  • Matsuda K
  • Bialek P
  • Jacquot S
  • Masuoka HC
  • Schinke T
  • Li L
  • Brancorsini S
  • Sassone-Corsi P
  • Townes TM
  • Hanauer A
  • Karsenty G



Publication Data

April 30, 2004

Associated Grants


Mesh Terms

  • Abnormalities, Multiple
  • Activating Transcription Factor 4
  • Animals
  • Cell Differentiation
  • Cell Line
  • Cell Nucleus
  • Collagen Type I
  • Extracellular Matrix
  • Gene Expression Regulation, Enzymologic
  • Genes, Regulator
  • Intellectual Disability
  • Mice
  • Mice, Mutant Strains
  • Morphogenesis
  • Osteoblasts
  • Osteocalcin
  • Phosphorylation
  • Protein Processing, Post-Translational
  • Recombinant Proteins
  • Ribosomal Protein S6 Kinases
  • Substrate Specificity
  • Syndrome
  • Trans-Activators
  • Transcription Factors
  • Transcriptional Activation
  • X Chromosome