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      Ultra-structural defects cause low bone matrix stiffness despite high mineralization in osteogenesis imperfecta mice

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          Abstract

          Bone is a complex material with a hierarchical multi-scale organization from the molecule to the organ scale. The genetic bone disease, osteogenesis imperfecta, is primarily caused by mutations in the collagen type I genes, resulting in bone fragility. Because the basis of the disease is molecular with ramifications at the whole bone level, it provides a platform for investigating the relationship between structure, composition, and mechanics throughout the hierarchy. Prior studies have individually shown that OI leads to: 1. increased bone mineralization, 2. decreased elastic modulus, and 3. smaller apatite crystal size. However, these have not been studied together and the mechanism for how mineral structure influences tissue mechanics has not been identified. This lack of understanding inhibits the development of more accurate models and therapies. To address this research gap, we used a mouse model of the disease ( oim) to measure these outcomes together in order to propose an underlying mechanism for the changes in properties. Our main finding was that despite increased mineralization, oim bones have lower stiffness that may result from the poorly organized mineral matrix with significantly smaller, highly packed and disoriented apatite crystals. Using a composite framework, we interpret the lower oim bone matrix elasticity observed as the result of a change in the aspect ratio of apatite crystals and a disruption of the crystal connectivity.

          Highlights

          ► We have investigated osteogenesis imperfecta mice ( oim) bone matrix. ► oim mice have lower matrix stiffness and higher mineralization than wild type mice. ► Poor correlation found between stiffness and mineralization. ► Changes in apatite crystal structure and connectivity may play a role the degradation of material properties despite higher density.

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          Most cited references52

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          Mechanical properties and the hierarchical structure of bone.

          Detailed descriptions of the structural features of bone abound in the literature; however, the mechanical properties of bone, in particular those at the micro- and nano-structural level, remain poorly understood. This paper surveys the mechanical data that are available, with an emphasis on the relationship between the complex hierarchical structure of bone and its mechanical properties. Attempts to predict the mechanical properties of bone by applying composite rule of mixtures formulae have been only moderately successful, making it clear that an accurate model should include the molecular interactions or physical mechanisms involved in transfer of load across the bone material subunits. Models of this sort cannot be constructed before more information is available about the interactions between the various organic and inorganic components. Therefore, further investigations of mechanical properties at the 'materials level', in addition to the studies at the 'structural level' are needed to fill the gap in our present knowledge and to achieve a complete understanding of the mechanical properties of bone.
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            Elastic properties of human cortical and trabecular lamellar bone measured by nanoindentation.

            An experimental investigation was undertaken to measure the intrinsic elastic properties of several of the microstructural components of human vertebral trabecular bone and tibial cortical bone by the nanoindentation method. Specimens from two thoracic vertebrae (T-12) and two tibiae were obtained from frozen, unembalmed human male cadavers aged 57 and 61 years. After drying and mounting in epoxy resin nanoindentation tests were conducted to measure Young's modulus and the hardness of individual trabeculae in the vertebrae and single osteons, and interstitial lamellae in the tibiae. Measurements on the vertebral trabeculae were made in the transverse direction, and the average Young's modulus was found to be 13.5 +/- 2.0 GPa. The tibial specimens were tested in the longitudinal direction, yielding moduli of 22.5 +/- 1.3 GPa for the osteons and 25.8 +/- 0.7 GPa for the interstitial lamellae. Analysis of variance showed that the differences in the measured moduli are statistically significant. Hardness differences among the various microstructural components were also observed.
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              Biomechanics of bone: determinants of skeletal fragility and bone quality.

              Bone fragility can be defined by biomechanical parameters, including ultimate force (a measure of strength), ultimate displacement (reciprocal of brittleness) and work to failure (energy absorption). Bone fragility is influenced by bone size, shape, architecture and tissue 'quality'. Many osteoporosis treatments build bone mass but also change tissue quality. Antiresorptive therapies, such as bisphosphonates, substantially reduce bone turnover, impairing microdamage repair and causing increased bone mineralization, which can increase the brittleness of bone. Anabolic therapies, such as parathyroid hormone (PTH-(1-84)) or teriparatide (PTH-( 1-34)), increase bone turnover and porosity, which offset some of the positive effects on bone strength. Osteoporosis therapies may also affect bone architecture by causing the redistribution of bone structure. Restructuring of bone during treatment may change bone fragility, even in the absence of drug effects on bone mineral density (BMD). This effect may explain why some drugs can affect fracture incidence disproportionately to changes in BMD. For instance, in a recent clinical trial, PTH-(1-34) therapy caused a dose-related increase in spinal BMD without any dose-dependent effect on the observed decrease in spinal fracture incidence. This apparent disassociation between spinal BMD and bone fragility is probably due to effects of PTH-(1-34) on bone architecture within vertebral bodies. While it has been shown that BMD is highly heritable, bone mineral distribution and architecture are also under strong genetic influence. Recent findings suggest that different genes regulate trabecular and cortical structures within lumbar vertebrae, producing a wide range of bone architectural designs. These findings suggest that there is no single optimal bone architecture; instead many different architectural solutions produce adequate bone strength.
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                Author and article information

                Journal
                Bone
                Bone
                Bone
                Elsevier Science
                8756-3282
                1873-2763
                June 2012
                June 2012
                : 50
                : 6
                : 1317-1323
                Affiliations
                [a ]Department of Bioengineering, Imperial College London, London,SW7-2AZ, UK
                [b ]Department of Materials, Imperial College London, London, SW7-2AZ, UK
                [c ]Institute of Reproductive and Developmental Biology, Imperial College London, London, W12 0NN, UK
                [d ]Dental Physical Sciences, Barts and The London School of Medicine and Dentistry, QMUL, London, E1 4NS, UK
                [e ]Department of Engineering, Cambridge University, Cambridge, CB2-1PZ, UK
                Author notes
                [* ]Corresponding author at: Department of Bioengineering, Imperial College London, Royal School of Mines Building, South Kensington Campus, London, SW7 2AZ, UK. s.shefelbine@ 123456imperial.ac.uk
                Article
                BON9589
                10.1016/j.bone.2012.03.007
                3407875
                22449447
                a764feba-16b6-4d63-a518-f84af2fb3d7e
                © 2012 Elsevier Inc.

                This document may be redistributed and reused, subject to certain conditions.

                History
                : 8 November 2011
                : 7 February 2012
                : 7 March 2012
                Categories
                Original Full Length Article

                Human biology
                stiffness,mouse model,bone matrix,mineralization,osteogenesis imperfecta
                Human biology
                stiffness, mouse model, bone matrix, mineralization, osteogenesis imperfecta

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