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Laboratory of Molecular Signaling, The Babraham Institute (D.A.M.S., G.T., F.A.L., N.F.A., E.J.C., J.M.P.), Cambridge, United Kingdom CB2 4AT; and Musculoskeletal Disease Center, Jerry L. Pettis Memorial Veterans Affairs Medical Center (S.M., Y.K., J.E.W., D.J.B.), and Departments of Medicine and Biochemistry, Loma Linda University (S.M., D.J.B.), Loma Linda, California 92357
Address all correspondence and requests for reprints to: Dr. Jennifer M. Pell, Laboratory of Molecular Signaling, The Babraham Institute, Cambridge, United Kingdom CB2 4AT. E-mail: jenny.pell{at}bbsrc.ac.uk. Or to: Dr. Subburaman Mohan, Musculoskeletal Disease Center (151), Jerry L. Pettis Veterans Affairs Medical Center, 11201 Benton Street, Loma Linda, California 92357. E-mail: subburaman.mohan{at}med.va.gov.
| Abstract |
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| Introduction |
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Mice null for either Igf1 or Igf2 have severely delayed skeletal development (13, 14) with attenuated hypertrophy of terminally differentiated chondrocytes (6, 8). Igf1-null mice (11, 12) or mice null for the IGF type 1 receptor in osteoblasts (9) exhibit a strikingly decreased mineralization rate of osteoid matrix. In complementary experiments, targeted overexpression of Igf1 in osteoblasts increased the bone formation rate (BFR) and bone volume without altering osteoblast number (15).
The half-lives of the IGFs and their ability to activate the type 1 receptor are tightly controlled by six high affinity binding proteins (IGFBP-1 to -6). IGFBP-5 stimulates osteoblast and osteoclast proliferation and/or function in vitro and in vivo (16, 17, 18, 19, 20) and augments IGF action (21, 22). Microarray analysis revealed that Igfbp5 mRNA is up-regulated 30-fold during the latter stages of chondrogenesis (23). Indeed, IGFBP-5 has several features to support a key role in bone. It is the most abundant bone IGFBP (24) and has a high affinity for hydroxyapatite and ECM proteins, providing a mechanism to store IGFs (22, 25). ECM-associated IGFBP-5 has a decreased affinity for IGF-I, thereby stimulating IGF actions by delivering the IGFs to the type 1 receptor (22, 26, 27). The local release of sequestered IGFs and IGFBP-5 in bone could provide a means to couple osteoclastic bone resorption and osteoblastic bone formation during remodeling (28). This hypothesis is strengthened by the correlated decline in IGF-I and IGFBP-5 concentrations in the circulation and skeleton during aging (24, 29, 30, 31), with age-related impairment in the coupling of bone formation to resorption. In addition, circulating levels of free and total IGF-I and IGFBP-5 are reduced in osteoporosis patients (32, 33, 34).
Although it is still unclear whether the anabolic effects of IGFBP-5 in bone are solely due to stimulation of IGF actions, direct effects of IGFBP-5 on osteoblastic function have been observed in Igf1-null mice (19). Systemic administration of IGFBP-5 increases bone formation parameters in mice without altering serum IGF-I levels (18). Additional in vitro studies support the idea that mitogenic and antiapoptotic effects of IGFBP-5 may in part be independent of IGFs (16, 17, 19, 35); IGFBP-5-binding sites on osteoblast cell surfaces have been reported and may be phosphorylated in response to IGFBP-5 (36, 37). IGFBP-5 also possesses a nuclear localization signal and can form transcriptional complexes in osteoblasts (38).
Taken together, the current evidence suggests that IGFBP-5 may have a significant influence on BMD acquisition and maintenance in vivo. The aim of this investigation was therefore to examine the effects of overexpression of Igfbp5 in vivo (39) by measurement of bone parameters using dual energy x-ray absorptiometry (DEXA), peripheral quantitative computed tomography (pQCT), osteocalcin levels, and dynamic histomorphometry. We reveal significant gender- and age-related effects on skeletal development that are distinct from the Igf1- and Igf2-null phenotypes.
| Materials and Methods |
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Bone and serum collection
Hemizygous and WT littermates of both genders were analyzed at 3 wk (before puberty), 5 wk (completion of puberty), and 8 wk (adulthood) by DEXA or pQCT. Histomorphometry was performed on samples from mice at 5 wk of age when bone displays an active period of modeling; mice were injected ip with tetracycline hydrochloride (20 µg/g body weight; Sigma-Aldrich Corp., Dorset, UK) 8 d before harvesting and then with demeclocycline (20 µg/g body weight; Sigma-Aldrich Corp.) 2 d before harvesting. Mice were killed by CO2 inhalation. Blood was collected quickly by heart puncture, and serum was stored at 20 C. Bilateral femora and tibiae were dissected, cleaned of soft tissue, and stored at 70 C for DEXA or pQCT analyses. Histomorphometric analysis was performed on fresh femora fixed on ice with 4% paraformaldehyde for 46 h and stored in 70% ethanol. The longitudinal length of femora was measured with digital calipers (Stoelting, Wood Dale, IL).
IGFBP-5 RIA
Serum IGFBP-5 levels were measured using an RIA for mouse IGFBP-5 (41). Antibodies against recombinant human IGFBP-5 were raised in guinea pigs as described previously (29). IGFBP-5 antiserum from a guinea pig that demonstrated significant cross-reactivity toward mouse IGFBP-5 was selected for RIA. None of the other mouse IGFBPs displayed significant cross-reactivity. Mouse serum samples were diluted 1:10 before assay. The sensitivity of the assay was 10 ng/ml. The inter- and intraassay coefficients of variation were less than 10%.
Bone densitometry by DEXA
Bone mineral content (BMC), bone area, and areal BMD (aBMD) of the femora and tibiae were measured by DEXA using a PIXImus instrument (Lunar Corp., Madison, WI). The precision for BMC, area, and aBMD was ±1% for repeat measurements of the same bones.
Volumetric BMD (vBMD) and geometric parameters determined by pQCT
vBMD and geometric parameters at the proximal metaphysis, mid-diaphysis, and distal metaphysis of femora were determined by pQCT (Stratec XCT 960M, Norland Medical Systems, Fort Atkinson, WI). Previously, pQCT has been validated as a reliable method for determining vBMD and geometric parameters in mice (11, 12). Routine calibration was performed daily with a defined standard (cone phantom) containing hydroxyapatite embedded in Lucite (Norland Medical Systems, Inc.). Analysis of the scans was performed using the manufacturer-supplied software program (Stratec Medizintechnic, Bone Density software, version 5.40 C, Norland Medical Systems, Inc.). vBMD and the circumferences of the periosteum and endosteum were estimated by Loop analysis. The thresholds were set at 230630 mg/cm3. The voxel size was set at 0.07 mm, and a 0.5-mm thick slice was scanned through the entire length of the bone. The reference line as a center of scanning was set at the midpoint of the femur; thereafter, nine slices were scanned symmetrically from the reference line. The data for three slices from proximal, middle, or distal femur were averaged and expressed as proximal metaphysis, mid-diaphysis, or distal metaphysis. The coefficients of variation for vBMD, periosteal circumference, and endosteal circumference for repeat measurements of four mouse femora (two to five measurements) were less than 3%, 1%, and 2%, respectively.
Osteocalcin RIA
Serum osteocalcin levels were measured using an RIA that has been validated for measuring mouse osteocalcin (18). The sensitivity of the assay was 0.5 ng/ml. The inter- and intraassay coefficients of variation were less than 8%.
Dynamic histomorphometry
The femora were defleshed and embedded in methylmethacrylate. Thick cross-sections (0.5-mm thickness) were cut from the midpoint of the shaft with a diamond wire Histo-saw (Delaware Diamond Knives, Wilmington, DE). The cross-sections were ground lightly, mounted in aqueous Fluoromount-G (Fisher Scientific, Pittsburgh, PA), and examined under an Olympus BH-2 fluorescent/brightfield microscope to measure bone areas and tetracycline labels.
All bone histomorphometric parameters were measured with the OsteoMeasure system equipped with a digitizing tablet (OsteoMetrics, Inc., Atlanta, GA) and a color video camera (Sony Corp., Tokyo, Japan). Bone area measurements were made at x60, whereas measurements of tetracycline were made at a total magnification of x600. The total cross-sectional bone area (square millimeters), medullary area (square millimeters), periosteal circumference (millimeters), and endosteal circumference (millimeters) were measured. Cortical bone area was calculated by subtracting the medullary area from the total cross-sectional bone area. The mineralizing surface (MS; millimeters) was calculated as the sum of the length of tetracycline double labels (dL) plus half of the length of single labels (sL) along the entire endosteal or periosteal bone surfaces, so MS = dL + 0.5sL. The mineral apposition rate (MAR; microns per day) at the periosteal and endosteal surfaces was determined by dividing the mean of the width of the double fluorescent labels by the interval (6 d). Mean label width was determined indirectly by dividing the label area by the mean of the inner and outer double-label lengths. The BFRs at the periosteal and endosteal surfaces were calculated by multiplying MAR by MS (expressed in x103 mm2 per day). The methodological coefficients of variation for each parameter, which were determined by the ANOVA of three repeat measurements of five different bone specimens, were as follows: area, 0.781.86%; circumference, 0.571.36%; label length, 6.44%; and label width, 4.98%. Histomorphometric indexes were based on nomenclature recommended by the American Society of Bone and Mineral Research (42).
Statistical analyses
Mice were grouped according to age, line, sex, and genotype. Differences between genotypes, lines, ages, or genders at selected times were determined by t test (confirmed using Mann-Whitney test). ANOVA was used to test for differences between groups using genotype, gender, age, or litter as factors. Values are expressed as the mean ± SEM in all figures.
| Results |
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Circulating IGFBP-5 concentrations increased steadily during development from 38 wk of age (P < 0.001) and were consistently higher in male than female mice (Fig. 1
). The gender regulation of IGFBP-5 was evident in WT mice and was maintained for Tg siblings. The developmental induction observed for WT mice was accelerated for Tg siblings. WT males had IGFBP-5 levels of approximately 100 ng/ml before puberty, increasing to 239 ± 35 ng/ml in adults. In comparison, WT females displayed lower serum levels at all time points (P < 0.05, by two-way ANOVA with gender and age as the main effects; n = 59). Older mice showed a continued rise in IGFBP-5 concentrations (12 months; males, 339 ± 27 ng/ml; females, 305 ± 39 ng/ml; P < 0.05 vs. 8 wk; n = 56). Tg mice also exhibited a general increase in serum IGFBP-5 during development, although the increase appeared to plateau sooner than for WT mice. From 38 wk of age, male Tg mice displayed a 5.8- to 3.9-fold elevation, respectively, of IGFBP-5 over WT males, and female Tg mice displayed a 7.7- to 3.5-fold increase, respectively, over their female WT siblings. A second Tg line expressing Igfbp5 at an intermediate level demonstrated a 2.3-fold increase (P < 0.05; n = 510) in serum IGFBP-5 in adult males. Thus, higher serum IGFBP-5 levels were observed in both WT and Tg males over females, and the IGFBP-5 induction during WT postnatal development was accelerated in Igfbp5 lines.
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Sexually dimorphic BMD, BMC, and volumetric expansion in Igfbp5 Tg mice
The effects of Igfbp5 overexpression on BMD, mineral content, and bone geometry were evaluated by subjecting tibiae and femora to DEXA. A substantial decrease in aBMD for Igfbp5 mice was revealed together with a significantly different response between male and female Tg mice (Fig. 3A
). Although aBMD for Tg males was strikingly reduced (31.3%), the reduction for Tg females was more modest (19.2%) in 8-wk-old tibiae. The decrease in aBMD in Tg mice was due to markedly less BMC (Fig. 3B
). In contrast, the reduction in tibial area, although significant, was less than the reduction in BMC (accounting for the decreased aBMD) and was not sexually dimorphic (Fig. 3C
). Femora of Tg adults responded similarly to the Tg tibiae, supporting the sexual dimorphism observed for aBMD and BMC (data not shown). Therefore, decreased aBMD in Igfbp5 mice was due to a striking and sexually dimorphic reduction in BMC despite a significant impairment in bone area.
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The gender differences observed for bone density of Igfbp5 mice were also examined by performing DEXA on tibiae during development from 38 wk of age. The Tg to WT fraction of female aBMD was essentially constant from 38 wk (Fig. 4A
). However, male aBMD deteriorated from 3 wk to adulthood. The femoral aBMD of Igfbp5 mice exhibited similar decreases and reinforced the sexual dimorphism (data not shown). Overall, testing Tg male vs. female tibial aBMD relative to WT mice as a function of age by two-way ANOVA showed a highly significant gender difference (P < 0.001).
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Areal BMD is calculated from two dimensional x-ray images and provides an estimate of density; therefore, pQCT was used to measure BMD per unit volume (vBMD) at three femoral sites (distal metaphysis, mid-diaphysis, and proximal metaphysis). Total vBMD was also reduced in a gender-related fashion for Tg mice at 8 wk (only males showed a decline by up to 24% at all three sites; Fig. 5A
). Thus, pQCT confirmed that the response of vBMD to IGFBP-5 was gender- and site-dependent (e.g. metaphysis vs. diaphysis).
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Decreased total osteoblastic function in mice overexpressing Igfbp5
The mechanism behind the significantly reduced BMD and altered geometry was investigated by measuring serum osteocalcin levels and performing dynamic histomorphometry. Serum osteocalcin decreased in Tg males by 35.2% (Fig. 6
), suggesting a decrease in total osteoblastic activity (a result of osteoblast numbers and their differentiation stage). The Tg line overexpressing Igfbp5 at an intermediate level also confirmed a dose-dependent reduction in serum osteocalcin (data not shown).
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| Discussion |
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Differential roles of IGFBP-5 in osteoblastic function
Our conclusions extend and in part contrast with those of a recent study describing Tg mice overexpressing Igfbp5 under control of the osteocalcin promoter (44). The osteocalcin-Igfbp5 mice displayed transient reductions in BMD that were prominent at 45 wk of age; by 8 wk of age, complete recovery was observed. In comparison, bone impairment for the CMV/ßA-Igfbp5 mice was similarly strong, although the CMV/ßA-Igfbp5 phenotype was sustained throughout the course of the study (38 wk) and was dependent on gender and age. Osteocalcin-Igfbp5 mice retained a WT number of osteoblasts, but osteoblastic function was impaired. However, our study revealed changes in osteoblast numbers at the periosteum and endosteum, whereas osteoblastic function was not affected. The osteocalcin-Igfbp5 phenotype is consistent with use of the osteocalcin promoter, which expresses transgenes in mature osteoblasts. Although the osteocalcin-Igfbp5 models were valuable in investigating the autocrine/paracrine role of IGFBP-5 in differentiated osteoblasts, they cannot be used to address questions concerning the influence of local and endocrine IGFBP-5 in developing osteoblasts. The CMV/ßA regulatory sequence (9, 39, 43) induces Igfbp5 expression in both immature and mature osteoblasts. Because both immature and mature osteoblasts express Igfbp5 endogenously, transgene expression driven by the CMV/ßA regulatory sequence may be more suitable than that driven by the osteocalcin promoter to evaluate the effects of IGFBP-5 derived from developing and mature osteoblasts, and the circulation, on the skeletal phenotype.
Our study demonstrates for the first time that endogenous IGFBP-5 levels in WT mouse serum increase steadily during development to old age. This developmental induction of serum IGFBP-5 is accelerated in Igfbp5 Tg mice, so total IGFBP-5 levels increased by up to 7.7-fold during prepubertal growth compared with those in WT mice, which exhibit very low serum levels. A recent study has suggested that circulating IGF-I (particularly the ratio of free IGF-I to IGFBP-bound) may contribute to longitudinal and volumetric bone growth (5, 45). IGFBP-5 can effectively compete with IGFBP-3 to form the stable reservoir of IGF in the circulatory ternary complex (46). Similarities between the CMV/ßA-Igfbp5 and osteocalcin-Igfbp5 models support a significant role for IGFBP-5 in total osteoblastic function. Differences between the two models may be due to timing, location, or level of transgene expression or to an endocrine role for IGFBP-5. Our study provides additional compelling evidence to support the idea that the response of developing osteoblasts to IGFBP-5 is dependent on age, gender, and bone site.
Several independent reports have demonstrated that IGFBP-5 stimulates bone cell proliferation in vitro and markers of total osteoblastic function in vivo (16, 18, 19). In line with these reports we observed a significant increase in osteoblast number at the endosteum, resulting in protection of the endosteal surface, and a decrease in the medullary area, particularly for Tg females. Although other findings of our study initially appear contrary to a stimulatory role for IGFBP-5, the difference between a stimulatory or an inhibitory manifestation of IGFBP-5 actions may be due to short-term and localized administration of IGFBP-5 to mature mice vs. a constitutive and widespread increase in Igfbp5 expression from early development. Hence, the decreased periosteal osteoblast numbers in the Tg mice may be due to an excess of IGFBP-5 in the periosteal microenvironment. Posttranslational processing and ECM association play essential roles in regulating IGFBP-5 action, particularly by lowering affinity for the IGFs and delivering the IGFs to tissues and receptors, thereby increasing proliferative action (16, 26, 27). High levels of IGFBP-5 could saturate posttranslational processing systems and ECM binding sites to force excess IGFBP-5 into solution, where it sequesters IGFs with high affinity; at lower levels, IGFBP-5 could be anabolic. In addition, the form of delivery of IGFBP-5 may affect its actions in a cell-specific manner. Recently, Igfbp5 overexpression induced G2/M cell cycle arrest and apoptosis in breast cancer cell lines, whereas exogenous addition had no effect (47).
Previously, we demonstrated that widespread overexpression of Igfbp5 in mice influenced individual tissue development in different ways, so the severe decline in whole body weight gain was partially due to a significant decrease in skeletal muscle mass relative to body weight (39). Alternatively, the significant increase in fractional brain and liver weights demonstrated that these tissues were protected from the actions of elevated IGFBP-5 in comparison with muscle. Similarly in this study, decreases observed in femoral BMD, area, geometry, and length were significantly less than the decrease in body weight of Tg mice compared with WT mice, suggesting that the total function of osteoblasts and chondrocytes was protected relative to that of myoblasts.
IGF-dependent and -independent actions of IGFBP-5
The mechanism accounting for the reduced osteoblast numbers at the periosteum of Igfbp5 Tg mice could be due to sequestration of IGF-I and/or -II in the bone environment, IGF-independent actions, or a combination of IGF-dependent and -independent actions. If IGFBP-5 inhibited IGF action, the phenotype of Igfbp5 mice should approach those of Igf1-, Igf2-, and Igf1r-null mice (9, 12), whereas IGFBP-5 actions unrelated to the IGFs would be revealed as phenotypic characteristics diverging from these null models. Using the methodology described in this study, it has been demonstrated that Igf1- and Igf2-null mice exhibit clearly distinct bone phenotypes (11, 12). The prepubertal compromise of the Igfbp5-overexpressing bone implies a greater interaction with IGF-II than -I, as does the body weight growth pattern (39), consistent with IGFBP-5 possessing a greater affinity for IGF-II. However, overall, the extent and timing of the bone density changes observed in Igfbp5 mice did not entirely conform to either Igf1- or Igf2-null animals, in which gender differences could not be detected. Although comparison between these loss of function vs. our reduced function models cannot tell us about the quantity of IGF-independent actions of IGFBP-5, it can provide qualitative information about the sites and timing of IGF-independent actions. The pQCT, osteocalcin, and histomorphometry analyses highlighted additional differences in bone geometry and osteoblastic function between both null models and Igfbp5 mice. Intriguingly, there was no significant difference in endosteal BFR for the Igf1-null mice at a similar age (11); hence, IGFs and IGFBP-5 may regulate osteoblastic function using multiple mechanisms. Thus, although part of the bone phenotype may be due to partial inhibition of IGF activity, we observed striking differences from Igf null models, suggesting IGF-independent actions for IGFBP-5.
Previous studies demonstrated that administration of recombinant IGFBP-5 modulated total osteoblastic function in Igf1-null models in vitro and in vivo (19). A recent study revealed that a non-IGF-binding form of IGFBP-5 retained the ability to protect against apoptosis (35). Enhanced survival provided by transgene-derived IGFBP-5 might account for the increase in endosteal osteoblast number, whereas Igf-null models characteristically display a decrease in the number of mature cells (hypoplasia;6, 9, 14). IGFBP-5 contains a nuclear localization sequence and can form an interaction with the four and a half LIM domain 2 transcription factor in osteoblasts (38), suggesting that IGFBP-5 has the ability to form transcription-regulating complexes. Additional work is required to partition the molecular mechanisms mediating the IGF-dependent and -independent actions of IGFBP-5.
Gender differences in skeleton of Igfbp5 mice
BMD was affected to a significantly greater extent in male than in female Igfbp5 adult mice, so the absolute values of bone density and other parameters were similar in Tg males and females. Hence, Igfbp5 overexpression could be said to have had a gender-neutralizing effect. The differential response between genders was probably due to a significantly greater rate of bone formation at the endosteum in females, whereas bone formation at the periosteum was reduced equally in both genders. Femoral length was decreased similarly in both genders, suggesting that the role of IGFBP-5 in total chondrocyte action is not gender related. However, regression analysis showed that although many of the other bone parameters correlated with serum IGFBP-5 levels, and despite the reproducible elevation in serum IGFBP-5 in Tg males compared with females, the correlation coefficients were different between genders, implying an additional effect of gender-dependent factors. In addition, BMD was not significantly different between genders until several weeks after the release of pubertal hormones. Hence, despite a similar fold increase in IGFBP-5 levels between genders in adult mice, the bone phenotype of Igfbp5 mice was highly gender dependent.
It has been established for a long time that IGF-I and -II are major mediators of the actions of sex steroids, such as androgen, estrogen, and progesterone (48, 49, 50). Additionally, GH, which is secreted in a gender-dependent, pulsatile secretion pattern, mediates the majority of its effects via IGF-I (51) and is a key activator of Igfbp5 expression (52). Surprisingly, several studies could not detect significant gender differences in the bones of Igf1-, Igf2-, and GH-null models by DEXA and pQCT (12, 45), suggesting the extent of IGF action mediated by sex steroids is equal in males and females. Several studies have inferred that IGFBP-5 can mediate the effects of sex steroids, e.g. estrogen (53), GnRH (54), progesterone (55), and androgen (56). Additional studies are required to determine the molecular mechanisms by which IGFBP-5 modulates the actions of gender-related factors and whether these mechanisms are IGF dependent or independent.
Serum IGFBP-5 concentrations in WT mice were consistently higher in males and increased steadily from puberty to adulthood. Moreover, the gender-related changes in endogenous IGFBP-5 in the circulatory system were maintained in Tg mice, and the developmental induction was accelerated. There is no evidence to suggest that transcription from the CMV/ßA element is regulated differently between genders from numerous other Tg models (e.g. Ref.57); thus, the sexually dimorphic bone observed in the Igfbp5 mice is unlikely to be due to gender differences in transgene expression. Endogenous Igfbp5 mRNA has unusually long untranslated regions (58), suggesting putative elements for posttranscriptional regulation. Evidence does exist for the enhancement of Igfbp5 mRNA stability in osteoblasts by retinoic acid (59) and prostaglandin E2 (60). Prostaglandin E2 is a local factor that mediates specific effects induced by parathyroid hormone, cytokines (i.e. IL-1 and TGF-ß), and mechanical strain.
In summary: 1) Igfbp5 overexpression decreases BMD, periosteal BFR, and serum osteocalcin levels in mice; 2) Igfbp5 overexpression increases endosteal BFR; 3) IGFBP-5 actions in Tg mice are gender dependent; and 4) the phenotype of Igfbp5 mice cannot be explained solely on the basis of IGF sequestration, providing the first in vivo evidence for IGF-independent effects of IGFBP-5 in bone.
| Acknowledgments |
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| Footnotes |
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First Published Online November 18, 2004
Abbreviations: aBMD, Areal bone mineral density; BMC, bone mineral content; BMD, bone mineral density; BFR, bone formation rate; DEXA, dual energy x-ray absorptiometry; ECM, extracellular matrix; IGFBP, IGF-binding protein; MAR, mineral apposition rate; MS, mineralizing surface; pQCT, peripheral quantitative computed tomography; Tg, transgenic; vBMD, volumetric bone mineral density; WT, wild-type.
Received June 29, 2004.
Accepted for publication November 4, 2004.
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