Metabolic activities affect femur and lumbar vertebrae remodeling,and anti-resorptive risedronate disturbs femoral cortical bone remodeling

Metabolic activities are closely correlated with bone remodeling and long-term anti-resorptive bisphosphonate treatment frequently causes atypical femoral fractures through unclear mechanisms. To explore whether metabolic alterations affect bone remodeling in femurs and lumbar vertebrae and whether anti-osteoporotic bisphosphonates perturb their reconstruction, we studied three mouse strains with different fat and lean body masses (BALB/c, C57BL6, and C3H mice). These mice displayed variable physical activity, food and drink intake, energy expenditure, and respiratory quotients. Following intraperitoneal calcein injection, double calcein labeling of the femoral diaphysis, as well as serum levels of the bone-formation marker procollagen type-I N-terminal propeptide and the bone-resorption marker C-terminal telopeptide of type-I collagen, revealed increased bone turnover in mice in the following order: C3H > BALB/c ≥ C57BL6 mice. In addition, bone reconstitution in femurs was distinct from that in lumbar vertebrae in both healthy control and estrogen-deficient osteoporotic mice with metabolic perturbation, particularly in terms of femoral trabecular and cortical bone remodeling in CH3 mice. Interestingly, subcutaneous administration of bisphosphonate risedronate to C3H mice with normal femoral bone density led to enlarged femoral cortical bones with a low bone mineral density, resulting in bone fragility; however, this phenomenon was not observed in mice with ovariectomy-induced femoral cortical bone loss. Together, these results suggest that diverse metabolic activities support various forms of bone remodeling and that femur remodeling differs from lumbar vertebra remodeling. Moreover, our findings imply that the adverse effect of bisphosphonate agents on femoral cortical bone remodeling should be considered when prescribing them to osteoporotic patients.Subject terms: Bone, Bone quality and biomechanics     

Determination of inorganic elements in iliac crests of rabbits by NAA

This paper deals with the osteoporosis model of New Zealand rabbits in order to study the function of inorganic elements for women patients with osteoporosis. The thirty cases of iliac crest are collected and determined using neutron activation analysis (NAA). The results show that the fluorine concentrations in the experimental group are higher than those in control group and the magnesium concentrations are significantly lower (P<0.001), but the concentrations of K, Na, Ca, Ba, Mn, Sr show no remarkable difference. Combined with the serum biochemical markers of bone formation and resorption, the physiological functions of some metal elements in bone are also discussed.     

Bee Bread Can Alleviate Lipid Abnormalities and Impaired Bone Morphology in Obese Zucker Diabetic Rats

This study examined for the first time whether bee bread (BB, consisting of monofloral rape bee pollen) could alleviate lipid derangements and reduced bone quality in Zucker diabetic fatty (ZDF) rats, which are considered an appropriate animal model for type 2 diabetes mellitus (T2DM) investigation. Adult ZDF rats were segregated into four groups: lean non-diabetic rats (L group), obese diabetic rats untreated (C group), and those treated with the BB at two doses (500 and 700 mg/kg body weight, respectively, B1 and B2 groups) for 10 weeks. Significantly reduced levels of total cholesterol and triglyceride were recorded in the B2 group versus the C group. In both BB-treated groups, significantly increased relative volume of trabecular bone and trabecular thickness, enhanced density of secondary osteons, accelerated periosteal bone apposition, and improved blood flow were observed. A positive effect of higher dose of BB on femoral weight and cortical bone thickness was also demonstrated. Our results suggest a promising potential of BB to ameliorate T2DM-related complications associated with lipid and bone damages.     

Curculigo orchioides polysaccharides extraction,characterization, and their protective effects against femoral head necrosis

The use of steroid drugs such as dexamethasone in long-term treatment poses a challenge called femoral head necrosis. To reduce the destructive effects of dexamethasone, the use of herbal suppressants such as Curculigo orchioides polysaccharides (COPs) is recommended despite the ambiguities in their chemical composition and the effects of each component on the anti-necrosis activity of the femoral head. In this study, after separation of COPs through hot water–ethanol precipitation method and purification through DEAE-Sepharose fast flow column, their properties were explained by FTIR, NMR, methylation and chromatography. Moreover, the COPs biocompatibility and its inhibitory effects against dexamethasone-induced cytotoxicity were evaluated by MTT assay and gene expression on human primary osteoblasts cells. The results exhibit that the 4756 Da molecular weight COPs is generally composed of Rha, Ara, Fru, Xyl, Man, Glc, Gal, Glu A and Gal A. Also, MTT results recognized high biocompatibility of COPs and suppressive effect on dexamethasone. Also, COPs significantly reduced dexamethasone-induced intracellular levels of apoptosis and ROS. Furthermore, the use of COPs has significantly increased ALP activity, collagen content and mineralization, which are very effective in differentiating HPOS cells to repair bone tissue. Meanwhile, the gene expression outcomes indicate an increase in Bcl-2 expression gene and decrease in BAX, Caspase-9 and Caspase-3 gene expression in the presence of COPs, which are important in controlling apoptotic activity and bone regeneration. Overall, this study revealed that COPs can lead to the treatment of femoral head necrosis.     

Degradation of poly(lactide-co-glycolide) and its composites with carbon fibres and hydroxyapatite in rabbit femoral bone

The aim of the present work was to analyse the degradation rate of PGLA copolymer depending on a modifier (hydroxyapatite, carbon fibres) under in vivo conditions (rabbit femoral bone). Also, the influence of the implantation site on the degradation rate of a copolymer (rabbit mandible and femoral bone) was analyzed as a continuation of our previous research.The structural and phase changes of poly(lactide-co-glycolide) and its composite with hydroxyapatite and carbon fibres were determined on the basis of IR and NMR spectroscopy. Additionally, microscopic observations with elemental analyses were performed (SEM, EDS).The addition of a modifying phase accelerates implant degradation. However, modifying additives promote regeneration of the treated bone tissue simultaneously with faster polymer degradation. The compositions of a copolymer and composites are variable during degradation.The process of copolymer degradation in the femoral bone is much faster in comparison with previous studies on mandibles. This may be caused by higher activity of osteoblasts, differences in blood supply and oxygenation of tissue as well as different anatomical structure of these two kinds of bones.FTIR and NMR methods allow for following the changes occurring in the resorbable copolymer structure with time and they are very useful tools in analyzing the degradation mechanism and rate of aliphatic polyesters and their composites.     

A study on thorium levels in human femur bones

The incorporation of naturally occurring thorium isotopes in human femur bones was studied by analyzing 28 bone samples. The results show that the activity concentrations of ²³²Th and ²³⁰Th are in the range of the blank values resulting in an upper limit of theirs activity concentrations in human bones. The presence of ²²⁸Th can be attributed, on the basis of model calculations, to the radioactive decay of deposited ²²⁸Ra. We conclude that thorium is not detectably incorporated into human bones.     

INAA of Ca, Cl, K, Mg, Mn, Na, P, and Sr contents in the human cortical and trabecular bone

Summary Concentration of Ca, Cl, K, Mg, Mn, Na, P, and Sr were determined by instrumental neutron activation analysis using short-lived radionuclides in intact cortical and trabecular bone of femoral neck and iliac crest of 81 relatively healthy 15-55 years old women (n = 36) and men (n = 45). In cortical bone the Ca, P, and Mg mass fractions in the femoral neck were statistically significantly higher, and Cl, K, and Na lower, than the values for the iliac crest. In trabecular bone the Cl, K, and Na mass fractions in the iliac crest were significantly higher, and Ca, P also higher, than the values for the femoral neck.     

Determination of alkaline-earth metals in foetus bones by inductively-coupled plasma atomic-emission spectrometry

Alkaline-earth metals in human bone samples have been determined simultaneously by inductively-coupled plasma atomic-emission spectrometry (ICP-AES). Results obtained by atomic-absorption spectrometry for Mg, Sr and Ba, and complexometry for Ca, have been compared with those by ICP-AES for a laboratory-control bone sample. Accuracy and precision were examined by analysing the IAEA animal bone standard (H-5). Agreement with the certified values to within 5% was obtained. The concentrations of the elements in foetal bone have also been determined.     

Gene transfection using biodegradable nanospheres: results in tissue culture and a rat osteotomy model

In this paper, we have investigated sustained release biodegradable nanospheres for the delivery of plasmid DNA. The nanospheres were formulated using a proprietary co-polymer emulsion technique to encapsulate plasmid DNA. Gene transfection with nanospheres containing reporter genes (human placental alkaline phosphatase (AP) or Luciferase) was demonstrated in tissue culture (293T and COS-7 cells), and also in vivo in a nonunion femoral fracture (osteotomy) rat model. The bone gap was filled with nanospheres and gene expression in the implantation site was measured five weeks after the initial surgery. The nanospheres had a mean diameter of 230 nm, with a DNA loading of 0.7%w/w. These nanospheres demonstrated sustained release of the encapsulated DNA under in vitro physiologic conditions with an 82% cumulative DNA release over 17 days. The transfection efficiency of the nanospheres in tissue culture was two to five orders of magnitude greater than the gene expression with the same amount of plasmid DNA in solution. In the rat studies, the mean AP activity in the tissue retrieved from the osteotomy site in the experimental group was 291.8±52.5 cpm Versus 54.1±26.5 cpm (mean±S.E.M., P=0.03) in the sham control group. In conclusion, plasmid DNA nanospheres could be used as an effective nonviral method of gene delivery. In the future, nanospheres containing therapeutic genes, such as those encoding parathyroid hormone peptide, 1–34 amino acids (PTH-34) or Bone Morphogenic Protein-4 (BMP-4), could be used for the healing of nonunion bone fracture sites.     

Concentration of232Th,230Th and228Th in various tissues of Japanese subjects

The concentration of²³²Th,²³⁰Th and²²⁸Th in various human tissues of Japanese subjects obtained at autopsies are reported. The tissue samples were weighed, spiked with²³⁴Th tracer and ashed by acid. The solution was dried on a hot-plate. Separation of thorium radionuclides was accomplished through cation-exchange resin chromatography and electrodeposition. The concentrations of thorium isotopes were measured by -spectrometry. Thorium-232 and²³⁰Th concentrations were found to be highest in lung, followed by bone. The maximum concentration of²²⁸Th was in bone. The lowest concentrations of thorium isotopes were in muscle.     

The effect of Moringa oleifera polysaccharides on the regulation of glucocorticoid-induced femoral head necrosis: In vitro and in vivo

One of the common challenges in using glucocorticoid in the long term is the development of femoral head necrosis. To address this challenge, the use of glucocorticoid suppressors like plant polysaccharides has been considered. In this study, Moringa oleifera polysaccharide was isolated through hot water–ethanol precipitation method and purified by DEAE-Sepharose fast flow column. Then, they were characterized by FT-IR, NMR, methylation, and chromatography assays. The polysaccharide biocompatibility was investigated by MTT assay and its effect on osteoblasts was evaluated by controlling gene expression. Also, the effect of polysaccharide on dexamethasone-induced femoral head necrosis in rats was assessed by hydroxyproline, hexosamine and morphometric parameters. The results show that 2 Da molecular weight polysaccharide is mainly composed of Rha, Ara, Fru, Xyl, Man and Gal in the molar ratio of 1.7:2.1:3.4:5.9:5.8:1.3. Meanwhile, MTT results on osteoblasts cells showed polysaccharide biocompatibility, while significantly reducing the negative effects of glucocorticoid. Likewise, polysaccharide significantly reduced the levels of apoptosis and intracellular ROS of glucocorticoid-induced femoral necrosis. Moreover, the results of gene expression indicated a decrease in the expression of TNF-α and IL-6 genes using polysaccharide, which is very effective in preventing apoptotic activity. Also, Polysaccharide increased bone density, bone volume per tissue volume, trabecular thickness, and the hexosamine to hydroxyproline ratio in the rat serum in the presence of glucocorticoids, which are very effective in the process of femoral head necrosis. Furthermore, polysaccharide significantly increases the OCN, RUNX2 and COL-1 genes expression in cartilage tissue, which is in line with the result of morphometric parameters. Overall, this study suggests that the use of polysaccharide could result in the treatment of femoral head necrosis.     

Longitudinal 3D Blood Flow Distribution Provided by Diffuse Correlation Tomography during Bone Healing in a Murine Fracture Model

Noninvasive monitoring of vascularization can potentially diagnose impaired bone healing earlier than current radiographic methods. In this study, a noncontact diffuse correlation tomography (DCT) technique was employed to measure longitudinal blood flow changes during bone healing in a murine femoral fracture model. The three-dimensional distribution of the relative blood flow was quantified from one day pre-fracture to 48 days post-fracture. For three mice, frequent DCT measurements were performed every other day for one week after fracture, and then weekly thereafter. A decrease in blood flow was observed in the bone fracture region at one day post-fracture, followed by a monotonic increase in blood flow beyond the pre-injury baseline until five to seven days post-fracture. For the remaining 12 mice, only weekly DCT measurements were performed. Data collected on a weekly basis show the blood flow for most mice was elevated above baseline during the first two post-fracture weeks, followed by a subsequent decrease. Torsional strength of the excised femurs was measured for all 15 mice after 7 weeks of healing. A metric based on the early blood flow changes shows a statistically significant difference between the high strength group and the low strength group.     

The dose-effect of icariin on the proliferation and osteogenic differentiation of human bone mesenchymal stem cells

Icariin had been reported as a potential agent for osteogenesis, but the dose-effect relationship needed further research to realize the clinical application of icariin. We isolated and purified human bone mesenchymal stem cells (hBMSCs) and stimulated them with different concentrations of icariin. The cytotoxicity of icariin was evaluated by the methylthiazolytetrazolium (MTT) assay method. The proliferation and osteogenic differentiation of such hBMSCs were investigated for different concentrations of icariin. We found that icariin had a dose-dependent effect on the proliferation and osteogenic differentiation of hBMSCs in a suitable concentration range from 10(-9) M to 10(-6) M, but at concentrations above 10(-5) M, the cytotoxicity limited its use. The extremely low cost of icariin and its high abundance make it appealing for bone regeneration.     

Evaluation of radiation resistance of the bacterial contaminants from femoral heads processed for allogeneic transplantation

Femoral heads excised during surgery were obtained from patients who had a fractured neck of the femur and were processed as bone allograft. The bacterial contaminants were isolated from femoral heads at different stages of processing and identified based on morphological characteristics and biochemical tests. Bacterial contaminants on bone were mainly Gram-positive bacilli and cocci (58.3%). Twenty-four isolates from bone samples were screened for resistance to radiation. The D₁₀ values for Gram-negative bacteria isolated from femoral heads ranged from 0.17 to 0.65 kGy. Higher D₁₀ values 0.56–1.04 kGy were observed for Gram-positive bacterial isolates.     

Application of neutron activation analysis to the study of element concentration and exchange in fossil bones

It has long been known that a variety of elements are introduced into voids in the structure of bone during fossilization. Visual examination of the cross-section of many bones in the early stages of fossilization reveal a staining which is most intense near the outer surface. This suggests that concentration gradients must exist for elements entering the bone. To investigate this possibility quantitatively, we have determined elemental concentrations in such bones as a function of depth below the outer surface. Using a SLOWPOKE reactor, we have analysed a number of samples of bone taken from secondary deposits of river sediments in the Old Crow region of the Yukon Territory, Canada. Our preliminary work indicates the decrease in concentration with depth into the cortex for previously recognized post-mortal elements such as U, F, Ba, Mn and Fe. Our measurements show that V, Sc, and Co also vary in this way and can be included in this group. As the hollow central shafts of bones are approached, concentrations increase again. Bones found in the Old Crow region display a variety of surface staining ranging from almost white through red to brown and black. There is a strong correlation between Fe and less positive relations between F and Ba, and staining. Highest Mn concentrations occur at the surfaces of light-coloured bones in which the staining is restricted to the outer 1 mm. Because of the wide range of concentrations which exist amont post-mortal elements in these bones, correlations among these elements can be studied. Manganese and barium, for example, are correlated within each bone, but the correlation patterns differ from bone to bone. These relationships must reflect the nature of the chemical processes associated with the deposition of the elements within the bones. A comparison of these patterns show that some of the bones have been exposed to more than one set of environmental conditions. This data thus provides a way of studying these processes in bones in which the introduction of elements from the environment has not completely and uniformly filled all the available voids.     

Trace elements distribution and post-mortem intake in human bones from Middle Age by total reflection X-ray fluorescence

The purpose of the present work is to investigate the suitability of TXRF technique to study the distribution of trace elements along human bones of the 13th century, to conclude about environmental conditions and dietary habits of old populations and to study the uptake of some elements from the surrounding soil.In this work, we used TXRF to quantify and to make profiles of the elements through long bones. Two femur bones, one from a man and another from a woman, buried in the same grave were cross-sectioned in four different points at a distance of 1 cm. Microsamples of each section were taken at a distance of 1 mm from each other.Quantitative analysis was performed for Ca, Mn, Fe, Cu, Zn, Sr, Ba and Pb. Very high concentrations of Mn and Fe were obtained in the whole analysed samples, reaching values higher than 2% in some samples of trabecular tissue, very much alike to the concentrations in the burial soil. A sharp decrease for both elements was observed in cortical tissue. Zn and Sr present steady concentration levels in both kinds of bone tissues. Pb and Cu show very low concentrations in the inner tissue of cortical bone. However, these concentrations increase in the regions in contact to trabecular tissue and external surface in contact with the soil, where high levels of both elements were found. We suggest that contamination from the surrounding soil exists for Mn and Fe in the whole bone tissue. Pb can be both from post-mortem and ante-mortem origin. Inner compact tissue might represent in vivo accumulation and trabecular one corresponds to uptake during burial. The steady levels of Sr and Zn together with soil concentration lower levels for these elements may allow us to conclude that they are originated from in vivo incorporation in the hydroxyapatite bone matrix.     

Concentration of239, 240Pu in human bone

Some results of the plutonium determination for bone ash samples collected in Japan are presented. Mean^239,240Pu concentration in the adult vertebra was 0.53 pCi/kg of ash during the period 1978 through 1983. The data are roughly in coincidence with estimated plutonium concentrations in the trabecular bone from reported air plutonium concentrations using the ICRP model and metabolic data, and weight of bone in Reference Japanese Man.     

Comparison of the determination of body calcium by in-vivo neutron activation analysis (IVNAA) and dual energy X-ray absorptiometry (DEXA)

The measurement of total body calcium is an important tool in the diagnosis and treatment of many diseases associated with bone. This measurement is done by IVNAA or DEXA. A knowledge of normal bone mineral mass for a given person, is necessary to determine whether or not a measured quantity is normal or low. The factors that determine bone mineral mass in a person are not clearly known. IVNAA indicates that bone mineral mass is a function of height but not the age whereas the reverse is indicated by DEXA. In this work, we have measured the bone mineral mass of over 200 normal volunteers by IVNAA and DEXA and have developed a methametical model for DEXA (for lumbar spine and femoral neck) as a function of height, age, weight and years after menopause. In determining the bone mineral mass, height is the predominant factor under 20 years of age and age appers to be the dominant factor for over 20 years. The equation derived is useful in calculating the normal bone mineral mass in a patient against which the measured value can be compared.     

Native Collagen II Relieves Bone Impairment through Improving Inflammation and Oxidative Stress in Ageing db/db Mice

Ageing-related bone impairment due to exposure to hyperglycemic environment is scarcely researched. The aim was to confirm the improvement effects of Native Collagen II on bone impairment in ageing db/db mice, and the ageing model was established by normal feeding for 48-week-old. Then, the ageing db/db mice were randomly assigned to Native Collagen II intervention, the ageing model, and the chondroitin sulfate + glucosamine hydrochloride control groups. After 12 weeks of treatment, femoral microarchitecture and biomechanical parameters were observed, biomarkers including bone metabolism, inflammatory cytokines, and oxidative stress were measured, and the gastrocnemius function and expressions of interleukin (IL) 1β, receptor activator of nuclear factor (NF)-κB ligand (RANKL), and tartrate-resistant acid phosphatase (TRAP) were analyzed. The results showed that the mice in the Native Collagen II intervention group showed significantly superior bone and gastrocnemius properties than those in the ageing model group, including bone mineral density (287.65 ± 72.77 vs. 186.97 ± 32.2 mg/cm³), gastrocnemius index (0.46 ± 0.07 vs. 0.18 ± 0.01%), muscle fiber diameter (0.0415 ± 0.005 vs. 0.0330 ± 0.002 mm), and cross-sectional area (0.0011 ± 0.00007 vs. 0.00038 ± 0.00004 mm²). The Native Collagen II intervention elevated bone mineralization and formation and decreased bone resorption, inflammatory cytokines, and the oxidative stress. In addition, lower protein expression of IL-1β, RANKL, and TRAP in the Native Collagen II intervention group was observed. These findings suggested that Native Collagen II improved bones impaired by T2DM during ageing, and the likely mechanism was partly due to inhibition of inflammation and oxidative stress.