trabecular bone

骨小梁
  • 文章类型: Journal Article
    股骨头是同种异体移植物和生物力学研究中最常用的骨骼之一。然而,关于新鲜收获的小梁骨的小梁骨微结构参数的报道很少。据我们所知,这是首次研究,以表征手术后立即测试的股骨头的微观结构,并将其与常规冷冻获得的微观结构进行比较。这项研究旨在研究在-80°C下冷冻6周是否会影响新鲜收获的骨组织的小梁微结构。这项研究分为两组:一组是新鲜收获的人股骨头,另一组是相同的人股骨头,在-80°C下冷冻6周。使用X射线显微计算机断层扫描(µCT)扫描每个股骨头,以获得微观结构参数,包括骨体积分数(BV/TV),平均小梁厚度(Tb。th),小梁分离(Tb。sp),各向异性程度(DA),和连接密度(Conn.D).对于所测量的任何参数,新鲜组和冷冻组之间没有统计学上的显着差异。这项研究表明,与手术后立即测试的新鲜收获的股骨头相比,在-80°C下冷冻6周不会改变骨微结构。
    The femoral head is one of the most commonly used bones for allografts and biomechanical studies. However, there are few reports on the trabecular bone microarchitectural parameters of freshly harvested trabecular bones. To our knowledge, this is the first study to characterize the microstructure of femoral heads tested immediately after surgery and compare it with the microstructure obtained with conventional freezing. This study aims to investigate whether freezing at -80 °C for 6 weeks affects the trabecular microstructure of freshly harvested bone tissue. This study was divided into two groups: one with freshly harvested human femoral heads and the other with the same human femoral heads frozen at -80 °C for 6 weeks. Each femoral head was scanned using an X-ray microcomputed tomography scanner (µCT) to obtain the microarchitectural parameters, including the bone volume fraction (BV/TV), the mean trabecular thickness (Tb.th), the trabecular separation (Tb.sp), the degree of anisotropy (DA), and the connectivity density (Conn.D). There was no statistically significant difference between the fresh and the frozen groups for any of the parameters measured. This study shows that freezing at -80 °C for 6 weeks does not alter bone microstructure compared with freshly harvested femoral heads tested immediately after surgery.
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  • 文章类型: Journal Article
    估计年龄在法医鉴定中至关重要。医学成像在年龄分析中的应用越来越多,促进了用于骨骼宏观评估的新定量方法的开发。本研究旨在通过不同的非侵入性成像技术,确定与年龄相关的小梁微结构变化与实际年龄的关系,以用于法医学中的年龄估计。根据系统评价和荟萃分析(PRISMA)声明的首选报告项目报告了该系统评价。使用PubMed/MEDLINE进行了电子搜索,Scopus,和Cochrane数据库以及GoogleScholar搜索。使用解剖学质量评估工具进行定性合成。详细的文献检索产生了3467篇文章。最终共有14篇文章被纳入研究。采用叙事方法来综合数据。显微计算机断层扫描,高分辨率周边定量计算机断层扫描,和锥形束计算机断层扫描已用于年龄的定量估计。这些成像技术有助于识别用于实际年龄估计的小梁骨微结构参数。骨小梁的年龄相关变化包括骨体积分数的减少,小梁数,和连接密度和小梁分离的增加。这项研究还表明,形态指标随年龄和解剖部位而变化。本研究已在国际前瞻性系统审查注册中心(PROSPERO)注册,注册号为CDRD42023391873。
    Estimating chronological age is crucial in forensic identification. The increased application of medical imaging in age analysis has facilitated the development of new quantitative methods for the macroscopic evaluation of bones. This study aimed to determine the association of age-related changes in the trabecular microstructure with chronological age for age estimation in forensic science through different non-invasive imaging techniques. This systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. An electronic search was performed with PubMed/MEDLINE, Scopus, and Cochrane databases as well as with a Google Scholar search. Qualitative synthesis was performed using the Anatomical Quality Assessment tool. A detailed literature search yielded 3467 articles. A total of 14 articles were ultimately included in the study. A narrative approach was employed to synthesize the data. Microcomputed tomography, high-resolution peripheral quantitative computed tomography, and cone beam computed tomography have been used for the quantitative estimation of age. These imaging techniques aid in identifying the trabecular bone microarchitectural parameters for chronological age estimation. Age-related changes in trabecular bone included a decrease in the bone volume fraction, trabecular number, and connectivity density and an increase in trabecular separation. This study also revealed that morphometric indices vary with age and anatomical site. This study is registered with the International Prospective Register of Systematic Reviews (PROSPERO) with the registration number CDRD42023391873.
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  • 文章类型: Journal Article
    四足颌骨的主要功能是将颌骨肌肉力传递到咬合点。下颚力传递的路径从未被研究过,但可以用负载路径来量化——最短的,从施力区域到支撑约束的最严格路线。在这里,我们使用载荷路径分析来映射从肌肉附件到咬合点和下颌关节的力传递,并评估小梁和皮质骨的不同配置如何影响载荷路径。我们创建了弗吉尼亚负鼠下颌骨的三个模型,Didelphisvirginiana,每个都有皮质骨壳,但是内部空间具有不同的材料特性:皮质-小梁模型,其中内部空间用小梁骨的体积特性建模;皮质中空模型,其中小梁和下颌管被建模为中空的;和实体皮质模型,其中内部被建模为皮质骨。将这些模型与公布的体内咬合力和骨应变数据进行了比较,以及为每个模型计算的负载路径。皮质-小梁模型,最接近实际形态,通过体内数据得到了最好的验证。在所有三个模型中,载荷路径都局限于皮质骨,尽管它在皮层中的路径取决于内部模型的材料属性。我们的分析表明,大部分力通过皮质传递,而不是骨小梁,并强调了载荷路径分析在理解骨架中的形函数关系方面的潜力。
    The primary function of the tetrapod jaw is to transmit jaw muscle forces to bite points. The routes of force transfer in the jaw have never been studied, but can be quantified using load paths--the shortest, stiffest routes from regions of force application to support constraints. Here we use load path analysis to map force transfer from muscle attachments to bite point and jaw joint, and to evaluate how different configurations of trabecular and cortical bone affect load paths. We created three models of the mandible of the Virginia opossum, Didelphis virginiana, each with a cortical bone shell, but with different material properties for the internal spaces: a cortical-trabecular model, in which the interior space is modeled with bulk properties of trabecular bone; a cortical-hollow model, in which trabeculae and mandibular canal are modeled as hollow; and a solid-cortical model, in which the interior is modeled as cortical bone. The models were compared with published in vivo bite force and bone strain data, and the load paths calculated for each model. The cortical-trabecular model, which most closely approximates the actual morphology, was best validated by in vivo data. In all three models the load path was confined to cortical bone, although its route within the cortex varied depending on the material properties of the inner model. Our analysis shows that most of the force is transferred through the cortical, rather than trabecular bone, and highlights the potential of load path analysis for understanding form-function relationships in the skeleton.
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  • 文章类型: Journal Article
    骨关节炎(OA)是马的常见病,导致骨小梁结构和影像学纹理的变化。尽管分形维数(FD)和缺失度已经被用来量化人类的这些变化,它们在马匹中的应用仍处于起步阶段。这项研究评估了FD的使用,骨面积分数(BA/TA),在50次不同OA程度的马掌指关节的影像学检查中,定量近指骨(P1)骨小梁骨差异的缺陷。在Dorsopalmar视图中,感兴趣的区域被定义在近端的骨小梁骨,P1矢状槽的内侧和外侧。在患有严重OA的马中观察到较低的BA/TA值(P=0.003)。在不同的OA度数中,FD和缺位没有发现显着差异(P>0.1)。FD,BA/TA,在不同掌指骨OA程度的马的P1骨小梁的影像学纹理变化中,缺位不能有效识别。
    Osteoarthritis (OA) is a prevalent condition in horses, leading to changes in trabecular bone structure and radiographic texture. Although fractal dimension (FD) and lacunarity have been applied to quantify these changes in humans, their application in horses remains nascent. This study evaluated the use of FD, bone area fraction (BA/TA), and lacunarity in quantifying trabecular bone differences in the proximal phalanx (P1) in 50 radiographic examinations of equine metacarpophalangeal joints with varying OA degrees. In the dorsopalmar view, regions of interest were defined in the trabecular bone of the proximal epiphysis, medial and lateral to the sagittal groove of P1. Lower BA/TA values were observed medially in horses with severe OA (P=0.003). No significant differences in FD and lacunarity were found across OA degrees (P>0.1). FD, BA/TA, and lacunarity were not effective in identifying radiographic texture changes in the P1 trabecular bone in horses with different metacarpophalangeal OA degrees.
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  • 文章类型: Journal Article
    这个数值分析,通过采用Tresca和VonMises失效准则,评估了在五次运动(侵入,挤压,小费,旋转,和平移)以及在逐渐的水平牙周破裂(0-8毫米)期间。此外,他们评估了骨质流失产生的变化,以及缺血和吸收风险。该分析在405个模拟中采用了9名患者的81个模型。两种失效标准均显示出相似的定性结果,Tresca在数量上高出1.09-1.21。三种正畸负荷之间没有定性差异。定量地,与0.6N相比,可以看到加倍(1.2N)和四倍(2.4N)。旋转和平移,然后翻倒是压力最大的,特别是对于减少的牙周组织,容易出现较高的缺血和吸收风险。在完整的牙周组织中,可以安全地使用1.2N,但只能在减少的牙周组织中进行挤压和侵入。超过0.6N容易增加其他三种运动的缺血和再吸收风险。在完整的牙周组织中,应力在整个小梁结构中传播。在牙周组织减少的情况下,应力集中(在4mm的应力变化分布损失标记之后),并在剩余的牙槽窝的子宫颈三分之一处增加。
    This numerical analysis, by employing Tresca and Von Mises failure criteria, assessed the biomechanical behavior of a trabecular bone component subjected to 0.6, 1.2, and 2.4 N orthodontic forces under five movements (intrusion, extrusion, tipping, rotation, and translation) and during a gradual horizontal periodontal breakdown (0-8 mm). Additionally, they assessed the changes produced by bone loss, and the ischemic and resorptive risks. The analysis employed eighty-one models of nine patients in 405 simulations. Both failure criteria showed similar qualitative results, with Tresca being quantitatively higher by 1.09-1.21. No qualitative differences were seen between the three orthodontic loads. Quantitatively, a doubling (1.2 N) and quadrupling (2.4 N) were visible when compared to 0.6 N. Rotation and translation followed by tipping are the most stressful, especially for a reduced periodontium, prone to higher ischemic and resorptive risks. In an intact periodontium, 1.2 N can be safely applied but only in a reduced periodontium for extrusion and intrusion. More than 0.6 N is prone to increasing ischemic and resorptive risks for the other three movements. In an intact periodontium, stress spreads in the entire trabecular structure. In a reduced periodontium, stress concentrates (after a 4 mm loss-marker for the stress change distribution) and increases around the cervical third of the remaining alveolar socket.
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  • 文章类型: Journal Article
    致密骨和骨小梁的分子结构存在明显差异。在致密骨中,需要骨粉的完全溶解以有效地从羟基磷灰石释放DNA。在保存软组织的骨小梁中,我们假设骨粉的完全溶解不需要从胶原中释放DNA。为了调查这个问题,对45对第二次世界大战的骨干(致密骨)-骨phy(小梁骨)股骨对进行了研究,分别采用完全溶出(FD)和部分溶出(PD)提取法处理。使用qPCRPowerQuant分析评估DNA质量和数量,和常染色体STRs进行分型以确认分离DNA的真实性。我们的结果支持在致密骨和小梁骨中DNA保存的不同机制,因为FD方法仅在致密骨中比PD方法更有效,在骨小梁中没有观察到DNA产量的差异,显示当处理小梁骨组织时,骨粉不需要完全溶解。此外,当应用PD时,在致密骨和小梁骨之间观察到DNA产量的显着差异,从小梁骨比致密骨中提取更多的DNA。当应用于致密骨和小梁骨时,通过FD方法分离的相似量的DNA也支持了用PD方法处理的小梁骨的高度适用性。另外,当用FD方法提取致密骨且用PD方法提取小梁骨时,分离相似量的DNA。在骨骼化人体遗骸的常规鉴定中,用PD方法处理骨小梁,缩短了提取程序,简化了研磨过程。
    Significant variation exists in the molecular structure of compact and trabecular bone. In compact bone full dissolution of the bone powder is required to efficiently release the DNA from hydroxyapatite. In trabecular bone where soft tissues are preserved, we assume that full dissolution of the bone powder is not required to release the DNA from collagen. To investigate this issue, research was performed on 45 Second World War diaphysis (compact bone)-epiphysis (trabecular bone) femur pairs, each processed with a full dissolution (FD) and partial dissolution (PD) extraction method. DNA quality and quantity were assessed using qPCR PowerQuant analyses, and autosomal STRs were typed to confirm the authenticity of isolated DNA. Our results support different mechanisms of DNA preservation in compact and trabecular bone because FD method was more efficient than PD method only in compact bone, and no difference in DNA yield was observed in trabecular bone, showing no need for full dissolution of the bone powder when trabecular bone tissue is processed. In addition, a significant difference in DNA yield was observed between compact and trabecular bone when PD was applied, with more DNA extracted from trabecular bone than compact bone. High suitability of trabecular bone processed with PD method is also supported by the similar quantities of DNA isolated by FD method when applied to both compact and trabecular bone. Additionally similar quantities of DNA were isolated when compact bone was extracted with FD method and trabecular bone was extracted with PD method. Processing trabecular bone with PD method in routine identification of skeletonized human remains shortens the extraction procedure and simplifies the grinding process.
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  • 文章类型: Journal Article
    骨建模涉及通过成骨细胞介导的沉积添加骨材料或通过破骨细胞介导的再吸收来去除骨材料,以响应骨细胞感知的负荷变化。这个过程的特点是沉积和再吸收的独立发生,这可以同时发生在骨内的不同位置,由于其不同区域的应力水平的变化。骨功能适应的原理指出,皮质和骨小梁组织将通过调节(即,骨建模)它们的形态和结构,以机械地改善其机械功能,以符合习惯性的体内载荷方向。这一原则与各个研究领域有关,例如改进的骨科植入物的开发,老年骨质疏松患者的预防医学,以及灭绝物种运动行为的调查。在本次审查中,以哺乳动物胫骨为例,探索皮质骨和骨小梁模型,并研究其对骨骼功能适应的影响。在简短介绍和阐述影响骨骼建模的机械刺激特征之后,对皮质骨和骨小梁建模和骨功能适应的文献进行了详细的批判性评估。通过综合涉及小型哺乳动物(啮齿动物)的研究的关键发现,大型哺乳动物,和人类,研究表明,检查皮质和骨小梁结构对于理解骨功能适应至关重要。组合方法可以更全面地了解这种重要的生理现象,因为每个结构对这种现象有独特的贡献。
    Bone modeling involves the addition of bone material through osteoblast-mediated deposition or the removal of bone material via osteoclast-mediated resorption in response to perceived changes in loads by osteocytes. This process is characterized by the independent occurrence of deposition and resorption, which can take place simultaneously at different locations within the bone due to variations in stress levels across its different regions. The principle of bone functional adaptation states that cortical and trabecular bone tissues will respond to mechanical stimuli by adjusting (i.e., bone modeling) their morphology and architecture to mechanically improve their mechanical function in line with the habitual in vivo loading direction. This principle is relevant to various research areas, such as the development of improved orthopedic implants, preventative medicine for osteopenic elderly patients, and the investigation of locomotion behavior in extinct species. In the present review, the mammalian tibia is used as an example to explore cortical and trabecular bone modeling and to examine its implications for the functional adaptation of bones. Following a short introduction and an exposition on characteristics of mechanical stimuli that influence bone modeling, a detailed critical appraisal of the literature on cortical and trabecular bone modeling and bone functional adaptation is given. By synthesizing key findings from studies involving small mammals (rodents), large mammals, and humans, it is shown that examining both cortical and trabecular bone structures is essential for understanding bone functional adaptation. A combined approach can provide a more comprehensive understanding of this significant physiological phenomenon, as each structure contributes uniquely to the phenomenon.
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  • 文章类型: Journal Article
    汞是一种全球污染物,在诸如斯特勒海狮(SSL)之类的长寿命捕食者中以组织特异性方式进行生物积累。骨是一种保存完好的材料,适合研究千年规模的趋势;然而,关于SSL中单个骨骼内和骨骼元素之间的总汞浓度([THg])的分布和变异性知之甚少。我们评估了SSL骨[THg]相对于生理年龄的变异性,骨类型,在骨头内纵向,和骨骼元素之间。幼犬骨骼(平均值±SD;31.4±13.58ppb)的[THg]高于成人(7.9±1.91ppb)。与中骨干相比,骨phy附近的单个长骨中的[THg]更大,变化更大。肋骨中的小狗海绵状骨(62.7±44.79ppb)的[THg]大于长骨(23.5±8.83ppb)和指骨(19.6±10.78ppb)。这些差异可能是由于骨成分的变化,增长,和周转率。这项研究提供了骨骼中[THg]的标准化采样程序,以改善对汞随时间和空间变化的解释。
    Mercury is a global contaminant that bioaccumulates in a tissue-specific manner in long-lived predators such as Steller sea lions (SSL). Bone is a well-preserved material amenable for studying millennial scale trends; however, little is known about the distribution and variability of total mercury concentrations ([THg]) within individual bones and among bone elements in SSL. We assessed SSL bone [THg] variability with respect to physiologic age, bone type, longitudinally within a bone, and among bone elements. Pup bones (mean ± SD; 31.4 ± 13.58 ppb) had greater [THg] than adults (7.9 ± 1.91 ppb). There were greater and more variable [THg] within individual long bones near epiphyses compared to mid-diaphysis. Pup spongy bone in ribs (62.7 ± 44.79 ppb) had greater [THg] than long bones (23.5 ± 8.83 ppb) and phalanges (19.6 ± 10.78 ppb). These differences are likely due to variability in bone composition, growth, and turnover rate. This study informs standardized sampling procedures for [THg] in bone to improve interpretations of mercury variability over time and space.
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  • 文章类型: Journal Article
    使用股骨近端防旋髓内钉(PFNA)治疗股骨转子间骨折时,刀片切口是常见的并发症。尽管已经引入了水泥增量以克服切割效应,这种方法的微观力学仍有待澄清。虽然先前的研究已经开发了基于实验室准备或尸体样本的有限元(FE)模型来研究水泥-小梁界面,它们的苛刻性质和固有缺点限制了它们的应用。这项研究的目的是开发一种新颖的“一步成型”方法,用于创建水泥-小梁界面FE模型,以研究其与PFNA有关的微观力学与水泥增强。使用显微计算机断层扫描扫描了人的股骨头,并分割四个感兴趣的体积(VOI)小梁。使用ANSYS软件将VOI小梁封闭在盒子中以表示骨水泥的封装区域。使用Hypermesh软件基于布尔运算进行四面体网格划分。最后,去除元素后,建立了包含四个交叉深度的四个水泥-小梁界面有限元模型和包含不同体积分数的五个有限元模型。摩擦接触的影响,无摩擦接触,并确定了骨与水泥之间的粘结接触特性。量化了交叉和加载骨骼中的最大微动和应力,并在增强前后的情况下进行了比较。三种接触方法的微动和应力差异很小。微运动和应力随着交错深度的增加而降低。近端交叉骨中的应力显示出与骨体积分数相关(R2=0.70);在最近端加载区域的微动(R2=0.61)和应力(R2=0.93)均表现出相似的相关趋势。当比较扩增后和扩增前的情况时,减少指状骨的微动比减少应力更有效,特别是在水泥边界附近。胶结导致加载骨内的微运动显着减少,而压力的下降很小。在骨体积分数(BV/TV)较低的模型中可以观察到明显的位移和应力降低梯度。总之,水泥强化在减少微动而不是压力方面更有效。此外,在低BV/TV的情况下,骨水泥的增强作用尤其突出。骨水泥的利用可能主要通过限制微动和部分屏蔽应力来促进小梁骨和PFNA的稳定。
    Blade cut-out is a common complication when using proximal femoral nail anti-rotation (PFNA) for the treatment of intertrochanteric fractures. Although cement augmentation has been introduced to overcome the cut-out effect, the micromechanics of this approach remain to be clarified. While previous studies have developed finite element (FE) models based on lab-prepared or cadaveric samples to study the cement-trabeculae interface, their demanding nature and inherent disadvantages limit their application. The aim of this study was to develop a novel \'one-step forming\' method for creating a cement-trabeculae interface FE model to investigate its micromechanics in relation to PFNA with cement augmentation. A human femoral head was scanned using micro-computed tomography, and four volume of interest (VOI) trabeculae were segmented. The VOI trabeculae were enclosed within a box to represent the encapsulated region of bone cement using ANSYS software. Tetrahedral meshing was performed with Hypermesh software based on Boolean operation. Finally, four cement-trabeculae interface FE models comprising four interdigitated depths and five FE models comprising different volume fraction were established after element removal. The effects of friction contact, frictionless contact, and bond contact properties between the bone and cement were identified. The maximum micromotion and stress in the interdigitated and loading bones were quantified and compared between the pre- and post-augmentation situations. The differences in micromotion and stress with the three contact methods were minimal. Micromotion and stress decreased as the interdigitation depth increased. Stress in the proximal interdigitated bone showed a correlation with the bone volume fraction (R2 = 0.70); both micromotion (R2 = 0.61) and stress (R2 = 0.93) at the most proximal loading region exhibited a similar correlation tendency. When comparing the post- and pre-augmentation situations, micromotion reduction in the interdigitated bone was more effective than stress reduction, particularly near the cement border. The cementation resulted in a significant reduction in micromotion within the loading bone, while the decrease in stress was minimal. Noticeable gradients of displacement and stress reduction can be observed in models with lower bone volume fraction (BV/TV). In summary, cement augmentation is more effective at reducing micromotion rather than stress. Furthermore, the reinforcing impact of bone cement is particularly prominent in cases with a low BV/TV. The utilization of bone cement may contribute to the stabilization of trabecular bone and PFNA primarily by constraining micromotion and partially shielding stress.
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  • 文章类型: Journal Article
    Ca2+/钙调蛋白依赖性蛋白激酶激酶2(CaMKK2)是一种多功能,丝氨酸/苏氨酸蛋白激酶在炎症中起主要作用,全身能量代谢,和骨骼重塑。我们先前报道了CaMKK2的整体消融或其全身药理学抑制通过刺激成骨细胞和抑制破骨细胞导致小鼠骨量增加。然而,一个直接的,激酶在成骨细胞谱系中的细胞内在作用尚未确定。在这里,我们报道了骨祖细胞中CaMKK2的条件性缺失,使用Osterix1(Osx1)-GFP::Cre(四环素-off)小鼠系,由于急性刺激了雄性和雌性小鼠的成骨细胞功能,导致小梁骨量增加。仅在雌性小鼠中维持有条件的骨祖细胞衍生的CaMKK2消融后的成骨细胞和骨形成的急性模拟。仅在雄性条件性敲除小鼠中,皮质骨处的骨膜骨形成得到增强,而不会改变皮质骨的质量或强度。早期成骨细胞中CaMKK2的长时间缺失伴随着两性破骨细胞的刺激,表示耦合效应。值得注意的是,去除强力霉素的“仅Cre”Osx1-GFP::Cre小鼠中没有小梁和皮质骨量的改变。因此,在骨祖细胞中条件性缺失CaMKK2后,小梁和皮质骨表面的成骨细胞功能增加表明该激酶在成骨细胞中具有直接但性别不同的作用。
    Ca2+/calmodulin-dependent protein kinase kinase 2 (CaMKK2) is a multi-functional, serine/threonine protein kinase with predominant roles in inflammation, systemic energy metabolism, and bone remodeling. We previously reported that global ablation of CaMKK2 or its systemic pharmacological inhibition led to bone mass accrual in mice by stimulating osteoblasts and inhibiting osteoclasts. However, a direct, cell-intrinsic role for the kinase in the osteoblast lineage has not been established. Here we report that conditional deletion of CaMKK2 from osteoprogenitors, using the Osterix 1 (Osx1) - GFP::Cre (tetracycline-off) mouse line, resulted in increased trabecular bone mass due to an acute stimulation of osteoblast function in male and female mice. The acute simulation of osteoblasts and bone formation following conditional ablation of osteoprogenitor-derived CaMKK2 was sustained only in female mice. Periosteal bone formation at the cortical bone was enhanced only in male conditional knockout mice without altering cortical bone mass or strength. Prolonged deletion of CaMKK2 in early osteoblasts was accompanied by a stimulation of osteoclasts in both sexes, indicating a coupling effect. Notably, alterations in trabecular and cortical bone mass were absent in the doxycycline-removed \"Cre-only\" Osx1-GFP::Cre mice. Thus, the increase in osteoblast function at the trabecular and cortical bone surfaces following the conditional deletion of CaMKK2 in osteoprogenitors is indicative of a direct but sex-divergent role for the kinase in osteoblasts.
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