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Urinary phthalate metabolites associated with bone mineral density in adults: Data from the NHANES 2011–2018 与成人骨矿物质密度相关的尿液邻苯二甲酸酯代谢物:2011-2018年国家健康调查(NHANES)数据
IF 3.5 2区 医学
Bone Pub Date : 2024-10-14 DOI: 10.1016/j.bone.2024.117287
Jian Yang , Yanan Feng
{"title":"Urinary phthalate metabolites associated with bone mineral density in adults: Data from the NHANES 2011–2018","authors":"Jian Yang ,&nbsp;Yanan Feng","doi":"10.1016/j.bone.2024.117287","DOIUrl":"10.1016/j.bone.2024.117287","url":null,"abstract":"<div><div>Phthalates (PAEs) are common environmental endocrine disruptors and environmental bone poisons that can reduce bone mineral density (BMD). The purpose of this study is to investigate whether the concentration of PAE metabolites in urine is related to BMD in many parts of adult bones. We examined a series of cross-sectional data of male (<em>n</em> = 1835) and female (<em>n</em> = 1756) participants aged 18 to 59 years old in the National Health and Nutrition Examination Survey from 2011 to 2018 and measured urine PAE metabolites and dual-energy X-ray absorption to determine BMD (total body, lumbar spine, and pelvis). We used linear regression to test the correlation between a single phthalate biomarker and BMD. After adjusting all confounding variables, MEHP was positively correlated with BMD of total body, lumbar spine and pelvis, and BMD levels of the total body, lumbar spine and pelvis decreased with the increase of MECPP concentration. We used the restricted cubic spline function to test the nonlinear correlation between PAE biomarkers and BMD. The results show that urinary PAE metabolites have a nonlinear relationship with total body BMD, lumbar spine BMD, and pelvic BMD. With the increase in the PAE concentration, the BMD level first increased and then decreased, showing an inverted U-shaped trend (<em>P</em> &lt; 0.05). Gender stratification also shows the same related trend. PAEs may be related to the BMD of adults. When the concentration of PAEs increases to a certain threshold, it will lead to a significant decrease in BMD.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117287"},"PeriodicalIF":3.5,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is decreased psoas volume a risk factor for hip fracture? A comparative study of patients with and without hip fractures using the exact matching technique 腰肌收缩量减少是髋部骨折的风险因素吗?使用精确匹配技术对髋部骨折患者和非髋部骨折患者进行的比较研究。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-13 DOI: 10.1016/j.bone.2024.117278
Hee Chung Chung , Woorim Choi , Chul-Ho Kim , Ji Wan Kim
{"title":"Is decreased psoas volume a risk factor for hip fracture? A comparative study of patients with and without hip fractures using the exact matching technique","authors":"Hee Chung Chung ,&nbsp;Woorim Choi ,&nbsp;Chul-Ho Kim ,&nbsp;Ji Wan Kim","doi":"10.1016/j.bone.2024.117278","DOIUrl":"10.1016/j.bone.2024.117278","url":null,"abstract":"<div><h3>Introduction</h3><div>Sarcopenia is linked to increased fall and hip fracture risk. However, studies often overlook comprehensively controlling for age, sex, bone mineral density (BMD), and body mass index (BMI). Our study aimed to determine if sarcopenia, determined by evaluating the psoas muscle volume, is an independent risk factor for hip fractures. We employed a methodological approach that includes the exact matching technique.</div></div><div><h3>Methods</h3><div>In this cross-sectional comparative study, we compared the data of patients who sustained hip fractures between 2015 and 2021 with those of a control group from a health screening center in a single center. The study included 545 patients with hip fractures and 1292 without fractures. We collected data on demographics, BMD determined using dual-energy X-ray absorptiometry, and abdominal and pelvic computed tomography (APCT) scans for psoas muscle volume analysis.</div></div><div><h3>Results</h3><div>The analysis after exact matching of 266 pairs revealed that psoas volume/height<sup>2</sup> was the most significant and dominant risk factor among the evaluated indices. Multivariate logistic regression analysis, adjusting for age, sex, BMI, and BMD, identified height or height<sup>2</sup>-adjusted psoas muscle volume as an independent risk factor for hip fractures (<em>p</em> = 0.042 and <em>p</em> = 0.002, respectively). Age, female sex, lower BMI, and lower BMD were associated with an increased risk of hip fractures.</div></div><div><h3>Conclusion</h3><div>Decreased psoas muscle volume adjusted for patient height independently predicts hip fracture risk. Psoas volume assessment via APCT is a practical tool for identifying at-risk individuals, emphasizing the necessity of including sarcopenia in hip fracture risk assessments.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117278"},"PeriodicalIF":3.5,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel genetic mouse model of osteoporosis with double heterozygosity of Irx3 and Irx5 characterizes sex-dependent phenotypes in bone homeostasis Irx3和Irx5双杂合子骨质疏松症新型遗传小鼠模型揭示了骨稳态中性别依赖表型的特征
IF 3.5 2区 医学
Bone Pub Date : 2024-10-12 DOI: 10.1016/j.bone.2024.117282
Xinyu Chen , Zhengchao Dou , Joe Eun Son , Meng Duan , Fei Yang , Shankuan Zhu , Chi-Chung Hui
{"title":"A novel genetic mouse model of osteoporosis with double heterozygosity of Irx3 and Irx5 characterizes sex-dependent phenotypes in bone homeostasis","authors":"Xinyu Chen ,&nbsp;Zhengchao Dou ,&nbsp;Joe Eun Son ,&nbsp;Meng Duan ,&nbsp;Fei Yang ,&nbsp;Shankuan Zhu ,&nbsp;Chi-Chung Hui","doi":"10.1016/j.bone.2024.117282","DOIUrl":"10.1016/j.bone.2024.117282","url":null,"abstract":"<div><div><em>Iroquois</em> homeobox gene 3 (<em>Irx3</em>) and <em>Irx5</em> encode transcription factors that play crucial roles in limb development and bone formation. Previous studies using knockout mice have revealed a role of <em>Irx3</em> and <em>Irx5</em> in osteogenesis in young adult mice. However, whether these genes are also essential for bone homeostasis in adulthood and contribute to bone diseases remain poorly understood. Osteoporosis is a disease characterized by lower bone mineral density and disrupted bone microarchitecture, typically occurs in postmenopausal women. Here, we demonstrate that <em>Irx3</em>/<em>5</em><sup>dHet</sup> mice with a half-reduction of <em>Irx3</em> and <em>Irx5</em> dosage serve as a novel model of osteoporosis. By micro-computed tomography, we found that <em>Irx3</em>/<em>5</em><sup>dHet</sup> mice exhibited sex-dependent bone loss patterns. While male <em>Irx3</em>/<em>5</em><sup>dHet</sup> mice progressively lost trabecular microstructures with aging, female mutants exhibited lower bone mineral density (BMD) and bone volume fraction (BV/TV) at early adulthood (9–15 weeks old) but without further loss later at 1 year of age. Bone marrow adipocytes are known to be elevated at the expenses of lower osteogenesis in osteoporotic bone marrow. Surprisingly, we found sex-dependent changes in adipogenesis at the age of skeletal maturity that bone marrow adipocytes were reduced in female <em>Irx3</em>/<em>5</em><sup>dHet</sup> mice along with deteriorated osteogenesis, while male mice exhibited elevated adipogenesis. In summary, we reported a novel genetic model for osteoporosis-like phenotypes, highlighting sex-dependent bone mineral density and bone marrow adipocyte characteristics.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117282"},"PeriodicalIF":3.5,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of AKR1B10 in osteogenic differentiation of mesenchymal stem cells and atrophic nonunion AKR1B10在间充质干细胞成骨分化和萎缩性骨不连中的作用。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-12 DOI: 10.1016/j.bone.2024.117284
Jie Wu , Runze Li , Chen Liu , Weiming Li
{"title":"The role of AKR1B10 in osteogenic differentiation of mesenchymal stem cells and atrophic nonunion","authors":"Jie Wu ,&nbsp;Runze Li ,&nbsp;Chen Liu ,&nbsp;Weiming Li","doi":"10.1016/j.bone.2024.117284","DOIUrl":"10.1016/j.bone.2024.117284","url":null,"abstract":"<div><div>Atrophic nonunion is a chronic disease without effective medications. Here, high-throughput mRNA sequencing was used to explore the novel targets in atrophic nonunion. AKR1B10, a member of aldo-keto reductase family 1, is upregulated in atrophic nonunion tissues. There are currently no studies to reveal the role of AKR1B10 in atrophic nonunion. We used rat bone marrow-derived mesenchymal stem cells (BMSCs) to explore the effect of AKR1B10 on the osteogenic differentiation and autophagy. In vivo, we implanted collagen sponges loaded with LV-shAKR1B10-transduced BMSCs into rat fractured femurs to explore the role of AKR1B10 in fracture healing. The results showed that AKR1B10 reduced the activity of ALP, suppressed the expression of COL1A1, RUNX2 and OCN, and inhibited calcification deposition in osteogenically differentiated BMSCs. AKR1B10 reduced the expression of LC3II, decreased the number of autophagosomes, and promoted the expression of p62. In addition, the promoting effect of AKR1B10 knockdown on osteogenic differentiation of BMSCs was attenuated by 3-MA treatment. Implantation of collagen sponges found that knockdown of AKR1B10 promoted bone fracture healing. In conclusion, AKR1B10 inhibited the osteogenic differentiation and autophagy, and delayed the bone fracture healing. These results provide a new perspective on revealing the role of AKR1B10 in nonunion and may also provide a new therapeutic target for the treatment of nonunion.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117284"},"PeriodicalIF":3.5,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What personal factors are associated with osteoporosis, fragility fracture, and osteopenia? A population-level analysis using the United Kingdom Biobank 哪些个人因素与骨质疏松症、脆性骨折和骨质疏松有关?利用英国生物数据库进行的人群分析。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-11 DOI: 10.1016/j.bone.2024.117277
Elizabeth Duckworth , Romil Shah , Colin O'Neill , Eeric Truumees , Vagheesh Narasimhan , Prakash Jayakumar
{"title":"What personal factors are associated with osteoporosis, fragility fracture, and osteopenia? A population-level analysis using the United Kingdom Biobank","authors":"Elizabeth Duckworth ,&nbsp;Romil Shah ,&nbsp;Colin O'Neill ,&nbsp;Eeric Truumees ,&nbsp;Vagheesh Narasimhan ,&nbsp;Prakash Jayakumar","doi":"10.1016/j.bone.2024.117277","DOIUrl":"10.1016/j.bone.2024.117277","url":null,"abstract":"<div><h3>Purpose</h3><div>Osteopenia, osteoporosis, and fragility fractures pose a major public health concern. Population-level clinical and biopsychosocial data may uncover modifiable risk factors to target when developing whole person approaches to managing these conditions. The purpose of this study was to identify personal risk factors associated with osteoporosis, fragility fractures, and osteopenia from the United Kingdom Biobank (UKB) – a large population-level database.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional study using the UKB to evaluate the association between 39 systematically selected explanatory variables with a diagnosis of osteopenia, osteoporosis, or fragility fracture. Bivariate analysis was performed followed by multivariable logistic regression adjusting for multicollinearity using covariance testing.</div></div><div><h3>Results</h3><div>Of 502,507 patients in the UKB, 40,657 had complete bone mineral density information from DEXA scans, and 32,193 had sustained a fragility fracture in the previous five years. In multivariable regression, increased time spent watching television (OR 1.15), living in an area with a high index of deprivation (OR 1.14), infrequent visits from friends and family (OR 1.09), experiencing symptoms of anxiety (OR 1.09), experiencing symptoms of depression (OR 1.08), and decreased exercise frequency (OR 1.03), were associated with increased risk of osteoporosis. Decreased exercise frequency (OR 1.27), increased BMI (OR 1.2), living in an area with a high index of deprivation (OR 1.11), and decreased salary (OR 1.10) were associated with increased risk of fragility fracture. Symptoms of anxiety (OR 1.15), living in an area with a high index of deprivation (OR 1.13), and increased time spent watching television (OR 1.11), living alone (OR 1.08), and symptoms of depression (OR 1.06), were associated with increased risk of osteopenia (<em>p</em> &lt; 0.05 for all variables).</div></div><div><h3>Conclusion</h3><div>Analysis of population-level datasets reveal a range of modifiable mental, social, and lifestyle/behavioral health factors that can inform multidisciplinary team-based care, including strategies that respond to psychosocial concerns and sustaining healthy lifestyles and behaviors in patients experiencing osteoporosis, fragility fracture, and osteopenia. Future work should assess the impact of integrated, whole person management programs for these conditions on longitudinal outcomes.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117277"},"PeriodicalIF":3.5,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic effect of bloodletting on bone deterioration induced by hypobaric hypoxia in young rats 放血对低压缺氧引起的幼鼠骨骼退化的治疗作用
IF 3.5 2区 医学
Bone Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117281
Doudou Hao , Suyuan Wang , Lin Feng , Suying Zhu , Yang Zhong , Fengying Zhang , Yanli Chen , Yongxing Fu , Zhiyou Shi , Feng Tang , Yunhong Wu
{"title":"Therapeutic effect of bloodletting on bone deterioration induced by hypobaric hypoxia in young rats","authors":"Doudou Hao ,&nbsp;Suyuan Wang ,&nbsp;Lin Feng ,&nbsp;Suying Zhu ,&nbsp;Yang Zhong ,&nbsp;Fengying Zhang ,&nbsp;Yanli Chen ,&nbsp;Yongxing Fu ,&nbsp;Zhiyou Shi ,&nbsp;Feng Tang ,&nbsp;Yunhong Wu","doi":"10.1016/j.bone.2024.117281","DOIUrl":"10.1016/j.bone.2024.117281","url":null,"abstract":"<div><h3>Objectives</h3><div>High-altitude regions, comprising hypoxic condition, are associated with different altitude-induced pathologies, including a reduction in bone density. Elucidating the mechanisms underlying bone degradation in such environments and developing targeted interventions and therapeutics is important. Bloodletting therapy has promising clinical applications, but its effects on the skeletal system and bone homeostasis are not well understood. The aim of this study was to investigate the effects of a hypobaric hypoxia environment on specific femoral morphological and structural properties, including the bone volume, cortical thickness, and trabecular microarchitecture, in juvenile Sprague–Dawley (SD) rats, and to explore the potential modulating effects of a bloodletting intervention on these parameters.</div></div><div><h3>Methods</h3><div>Male SD rats, 6 weeks of age, were subjected to a simulated hypobaric hypoxia environment, replicating a 5000-m altitude, for 12 weeks. For the bloodletting intervention group, rats were subjected to a weekly 500 μL tail vein blood withdrawal. Micro-CT technology, hematoxylin and eosin staining, and tartrate-resistant acid phosphatase staining were employed to comprehensively assess the femoral microstructure, tissue architecture, and cellular morphology. Additionally, immunofluorescence analysis was conducted to quantify the expression of key proteins, and transcriptome analysis was performed to identify differentially expressed genes.</div></div><div><h3>Results</h3><div>Exposing rats to hypobaric hypoxia led to a significant reduction in the bone mineral content, trabecular bone number, and cortical bone thickness, suggesting a deterioration of bone microstructure. Additionally, the hypoxic environment upregulated the expression of RANKL and HIF-1α, while downregulating RUNX2 expression. Notably, although bloodletting intervention did not significantly reverse these bone structural changes, transcriptome analysis revealed its regulatory influence on the expression of key genes, particularly <em>Mmp2</em>, <em>Fosl2</em>, and <em>URS0000B2A65A</em>, which are implicated in pathways governing the hypoxic response, osteoclast differentiation, and PI3K–Akt signaling.</div></div><div><h3>Conclusion</h3><div>This study highlights the detrimental effect of hypobaric hypoxia on the bone microstructure of juvenile rats and underscores the therapeutic potential of bloodletting to ameliorate this condition. Additionally, our study on the regulatory mechanisms mediating the effects of bloodletting on gene expression offers new perspectives on bone alterations. It suggests promising avenues for the development of novel preventative measures and targeted therapies to address the challenges posed by related bone disorders.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117281"},"PeriodicalIF":3.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of PET/CT versus CT only in the assessment of new heterotopic ossification bone lesions in patients with fibrodysplasia ossificans progressiva 正电子发射计算机断层显像(PET)/计算机断层扫描(CT)与单纯计算机断层扫描(CT)在评估渐进性纤维性骨化症患者新的异位骨化骨病变方面的比较。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117280
Dinko González Trotter, Jennifer McGinniss, Kusha Mohammadi, Bret J. Musser, Gary A. Herman, Scott Mellis, Aris N. Economides
{"title":"Comparison of PET/CT versus CT only in the assessment of new heterotopic ossification bone lesions in patients with fibrodysplasia ossificans progressiva","authors":"Dinko González Trotter,&nbsp;Jennifer McGinniss,&nbsp;Kusha Mohammadi,&nbsp;Bret J. Musser,&nbsp;Gary A. Herman,&nbsp;Scott Mellis,&nbsp;Aris N. Economides","doi":"10.1016/j.bone.2024.117280","DOIUrl":"10.1016/j.bone.2024.117280","url":null,"abstract":"<div><div>Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare disorder characterized by the deposition of bone in soft tissues, known as heterotopic ossification (HO). This post hoc analysis compared the performance of two imaging modalities for the detection and volumetric measurement of new HO lesions. LUMINA-1, a phase 2, randomized, double-blind study (NCT03188666), evaluated the safety and efficacy of garetosmab, an anti-activin A antibody, versus placebo in adult patients with FOP. From baseline through to week 28, <sup>18</sup>F-labeled sodium fluoride positron emission tomography (PET)/X-ray computed tomography (CT) and CT-only scans prospectively acquired during the initial placebo-controlled period of the study were independently reviewed by two sets of fixed blinded readers plus an adjudicator for the presence and volume of new HO lesions. The number of patients with new lesions was 14/44 (31.8 %) and 12/44 (27.3 %) as detected by PET/CT and CT only, respectively. The aggregate number/volume of new lesions were very similar both for the placebo and the garetosmab group between PET/CT (27/245.0 cm<sup>3</sup> and 3/21.3 cm<sup>3</sup>, respectively) and CT only (37/261.8 cm<sup>3</sup> and 1/0.1 cm<sup>3</sup>, respectively). The mean (standard deviation) number of new lesions per patient by PET/CT through week 28 was 0.68 (1.57) versus 0.86 (1.95) as detected by CT only. Through week 28, the mean (standard deviation) volume of new lesions per patient detected by PET/CT was 6.05 (14.88) cm<sup>3</sup> versus 5.94 (21.13) cm<sup>3</sup> by CT only. Moderate agreement between PET/CT and CT-only detection was observed when identifying patients with new lesions, with a kappa coefficient of 0.46 (standard error, 0.146; 95 % confidence interval, 0.17–0.74). CT-only imaging showed similar performance to PET/CT in the detection and characterization of new HO lesions. CT-only imaging therefore is a viable option for the assessment of therapies on new HO in patients with FOP.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117280"},"PeriodicalIF":3.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stress fracture of bone under physiological multiaxial cyclic loading: Activity-based predictive models 生理多轴循环负荷下的骨应力性骨折:基于活动的预测模型
IF 3.5 2区 医学
Bone Pub Date : 2024-10-10 DOI: 10.1016/j.bone.2024.117279
Winson T. George , Shayom Debopadhaya , Samuel J. Stephen , Bryan A. Botti , David B. Burr , Deepak Vashishth
{"title":"Stress fracture of bone under physiological multiaxial cyclic loading: Activity-based predictive models","authors":"Winson T. George ,&nbsp;Shayom Debopadhaya ,&nbsp;Samuel J. Stephen ,&nbsp;Bryan A. Botti ,&nbsp;David B. Burr ,&nbsp;Deepak Vashishth","doi":"10.1016/j.bone.2024.117279","DOIUrl":"10.1016/j.bone.2024.117279","url":null,"abstract":"<div><div>While it is known that excessive accumulation of fatigue damage from daily activities contributes to fracture, a model of bone failure under physiologically relevant multiaxial cyclic loading needs to be developed in order to develop effective management strategies for stress or fatigue fractures. The role of strain-induced damage from repetitive loading is a strong candidate for such a model, as cycles of mechanical loading leading to failure can be measured directly. However, this approach has been limited by the restrictions of uniaxial loading models, which often overestimates the fatigue life of bone and suggests that bone will only break well beyond the realistic limits of exercise. To address this gap and develop a physiologically relevant model, our study leverages the power of four commonly used engineering failure criteria as a model for multiaxial loading using a cohort of human tibiae from cadaveric donors (age range 21–85 years old). Four failure criteria (Von Mises, Tsai-Wu, Findley critical plane, and maximum shear strain) were found to be effective <em>in vitro</em> models of tibial fracture when age groups of donors were combined (r<sup>2</sup> &gt; 0.84) and stratified (younger: 21–52-years-old <em>versus</em> older: 57–85-years-old) (r<sup>2</sup> &gt; 0.83) (<em>p</em> &lt; 0.001). Each failure criterion displayed distinctly lower fatigue curves for the older age group. The maximum shear strain model was used to determine the efficacy of this approach to predict fatigue fractures in humans using published <em>in vivo</em> data from human volunteers. Consistent with <em>in vivo</em> observations in general population, the model demonstrated failure at 5000 to 200,000 loading cycles depending on activities such as jumping, sprinting, and walking, with a 3-fold reduction of fatigue life in older donors. These findings dramatically improve estimates of fatigue life under repetitive loading and demonstrate how age-related changes in bone significantly increase its propensity for fatigue-induced fractures.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117279"},"PeriodicalIF":3.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Piezo1 expression in mature osteocytes is dispensable for the skeletal response to mechanical loading 成熟骨细胞中 Piezo1 的表达对于骨骼对机械负荷的反应是不可或缺的。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-09 DOI: 10.1016/j.bone.2024.117276
Xuehua Li , Connie Zhang , Cameron E. Vail , John T. Sherrill , Jinhu Xiong
{"title":"Piezo1 expression in mature osteocytes is dispensable for the skeletal response to mechanical loading","authors":"Xuehua Li ,&nbsp;Connie Zhang ,&nbsp;Cameron E. Vail ,&nbsp;John T. Sherrill ,&nbsp;Jinhu Xiong","doi":"10.1016/j.bone.2024.117276","DOIUrl":"10.1016/j.bone.2024.117276","url":null,"abstract":"<div><div>Mechanical loading is essential for bone growth and homeostasis, with osteocytes considered the primary mechanosensors. Deleting the mechanosensitive ion channel Piezo1 from Dmp1-Cre-targeted cells, which include both osteoblasts and osteocytes, resulted in reduced bone mass and impaired skeletal responses to mechanical stimuli. To specifically isolate Piezo1's role in osteocytes, we used Sost-Cre mice to generate mice with Piezo1 deletion exclusively in mature osteocytes. These mice exhibited lower bone mineral density, decreased cancellous bone mass, and reduced cortical thickness with decrease periosteal expansion. However, unlike mice lacking Piezo1 in both osteoblasts and osteocytes, those with Piezo1 deletion in mature osteocytes responded normally to mechanical loading. These findings suggest that Piezo1 expression in mature osteocytes contributes to bone maintenance under normal physiological condition, but is dispensable for the skeletal response to mechanical loading.</div></div>","PeriodicalId":9301,"journal":{"name":"Bone","volume":"190 ","pages":"Article 117276"},"PeriodicalIF":3.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Macrophage-derived amphiregulin promoted the osteogenic differentiation of chondrocytes through EGFR/Yap axis and TGF-β activation 巨噬细胞衍生的两性胰岛素通过表皮生长因子受体/Yap轴和TGF-ehβ激活促进软骨细胞的成骨分化。
IF 3.5 2区 医学
Bone Pub Date : 2024-10-09 DOI: 10.1016/j.bone.2024.117275
Xinyi Wang, Shuo Wang, Hailin Mu, Chang Yang, Wei Dong, Xinru Wang, Jiawei Wang
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