Annexins A5, A2, and A6 (Anx-A5, -A2, and -A6) are quantitatively major proteins of the matrix vesicle nucleational core that is responsible for mineral formation. Anx-A5 significantly activated the induction and propagation of mineral formation when incorporated into synthetic nucleation complexes made of amorphous calcium phosphate (ACP) and Anx-A5 or of phosphatidylserine (PS) plus ACP (PS-CPLX) and Anx-A5. Incorporation of Anx-A5 markedly shortened the induction time, greatly increasing the rate and overall amount of mineral formed when incubated in synthetic cartilage lymph. Constructed by the addition of Ca 2؉ to PS, emulsions prepared in an intracellular phosphate buffer matched in ionic composition to the intracellular fluid of growth plate chondrocytes, these biomimetic PS-CPLX nucleators had little nucleational activity. However, incorporation of Anx-A5 transformed them into potent nucleators, with significantly greater activity than those made from ACP without PS. The ability of Anx-A5 to enhance the nucleation and growth of mineral appears to stem from its ability to form twodimensional crystalline arrays on PS-containing monolayers. However, some stimulatory effect also may result from its ability to exclude Mg 2؉ and HCO 3 ؊ from nucleation sites. Comparing the various annexins for their ability to activate PS-CPLX nucleation yields the following: avian cartilage Anx-A5 > human placental Anx-A5 > avian liver Anx-A5 > avian cartilage Anx-A6 Ͼ Ͼ cartilage Anx-A2. The stimulatory effect of human placental Anx-A5 and avian cartilage Anx-A6 depended on the presence of PS, since in its absence they either had no effect or actually inhibited the nucleation activity of ACP. Anx-A2 did not significantly enhance mineralization.
Matrix vesicles (MVs)2 are extracellular, lipid bilayer-enclosed microstructures released by cells that initiate mineral formation in newly forming bone (1-4). MVs have also been found to initiate ectopic calcification in calcific tendonitis, apatite deposition osteoarthritis, cardiac valve calcification, and atherosclerotic lesions (5-7). MVs isolated from growth plate cartilage by gentle proteolytic digestion and trituration of growth plate tissue (8) retain the ability to induce mineral formation when incubated in synthetic cartilage lymph (SCL) (9). They have been shown to be enriched in several phospholipids, especially phosphatidylserine (PS) (10, 11), a lipid with high affinity for Ca 2ϩ (12,13 MVs contain a detergent-stable core that can induce mineral formation (22, 23). The activity of this nucleational core is inhibited by Zn 2ϩ and is destroyed by treatment with pH 6 citrate buffer. Fourier-transform infrared, NMR, and SDS-PAGE characterization (8,(23)(24)(25) has shown that the nucleational core contains three main components: 1) amorphous calcium phosphate (ACP), 2) membrane-associated CPLX, and, of special interest here, 3) the annexins, lipid-dependent Ca 2ϩ -binding proteins that are especially rich in MVs (8,[25][26][27][28].To elucidate the roles of these components...