Publications

2016
Hanhan S, Ejzenberg A, Goren K, Saba F, Suki Y, Sharon S, Shilo D, Waxman J, Spitzer E, Shahar R, et al. Skeletal ligament healing using the recombinant human amelogenin protein. JOURNAL OF CELLULAR AND MOLECULAR MEDICINE [Internet]. 2016;20 (5) :815-824. Publisher's VersionAbstract

Injuries to ligaments are common, painful and debilitating, causing joint instability and impaired protective proprioception sensation around the joint. Healing of torn ligaments usually fails to take place, and surgical replacement or reconstruction is required. Previously, we showed that in vivo application of the recombinant human amelogenin protein (rHAM(+)) resulted in enhanced healing of the tooth-supporting tissues. The aim of this study was to evaluate whether amelogenin might also enhance repair of skeletal ligaments. The rat knee medial collateral ligament (MCL) was chosen to prove the concept. Full thickness tear was created and various concentrations of rHAM(+), dissolved in propylene glycol alginate (PGA) carrier, were applied to the transected MCL. 12 weeks after transection, the mechanical properties, structure and composition of transected ligaments treated with 0.5 g/l rHAM(+) were similar to the normal un-transected ligaments, and were much stronger, stiffer and organized than control ligaments, treated with PGA only. Furthermore, the proprioceptive free nerve endings, in the 0.5 g/l rHAM(+) treated group, were parallel to the collagen fibres similar to their arrangement in normal ligament, while in the control ligaments the free nerve endings were entrapped in the scar tissue at different directions, not parallel to the axis of the force. Four days after transection, treatment with 0.5 g/l rHAM(+) increased the amount of cells expressing mesenchymal stem cell markers at the injured site. In conclusion application of rHAM(+) dose dependently induced mechanical, structural and sensory healing of torn skeletal ligament. Initially the process involved recruitment and proliferation of cells expressing mesenchymal stem cell markers.

skeletal_ligament_healing_using_the_recombinant_human_amelogenin_protein.pdf
2015
Yair R, Shahar R, Uni Z. In ovo feeding with minerals and vitamin D-3 improves bone properties in hatchlings and mature broilers. POULTRY SCIENCE [Internet]. 2015;94 (11) :2695-2707. Publisher's VersionAbstract

The objective of this study was to examine the effect of in ovo feeding (IOF) with inorganic minerals or organic minerals and vitamin D-3 on bone properties and mineral consumption. Eggs were incubated and divided into 4 groups: IOF with organic minerals, phosphate, and vitamin D-3 (IOF-OMD); IOF with inorganic minerals and phosphate (IOF-IM); sham; and non-treated controls (NTC). IOF was performed on embryonic day (E) 17; tibiae and yolk samples were taken on E19 and E21. Post-hatch, only chicks from the IOF-OMD, sham, and NTC were raised, and tibiae were taken on d 10 and 38. Yolk mineral content was examined by inductively coupled plasma spectroscopy. Tibiae were tested for their whole-bone mechanical properties, and mid-diaphysis bone sections were indented in a micro-indenter to determine bone material stiffness (Young's modulus). Micro-computed tomography (mu CT) was used to examine cortical and trabecular bone structure. Ash content analysis was used to examine bone mineralization. A latency-to-lie (LTL) test was used to measure standing ability of the d 38 broilers. The results showed that embryos from both IOF-OMD and IOF-IM treatments had elevated Cu, Mn, and Zn amounts in the yolk on E19 and E21 and consumed more of these minerals (between E19 and E21) in comparison to the sham and NTC. On E21, these hatchlings had higher whole-bone stiffness in comparison to the NTC. On d 38, the IOF-OMD had higher ash content, elevated whole-bone stiffness, and elevated Young's modulus (in males) in comparison to the sham and NTC; however, no differences in standing ability were found. Very few structural differences were seen during the whole experiment. This study demonstrates that mineral supplementation by in ovo feeding is sufficient to induce higher mineral consumption from the yolk, regardless of its chemical form or the presence of vitamin D-3. Additionally, IOF with organic minerals and vitamin D-3 can increase bone ash content, as well as stiffness of the whole bone and bone material in the mature broiler, but does not lead to longer LTL.

in_ovo_feeding_with_minerals_and_vitamin_d-3_improves_bone_properties_in_hatchlings_and_mature_broilers.pdf
Stern T, Aviram R, Rot C, Galili T, Sharir A, Achrai NK, Keller Y, Shahar R, Zelzer E. Isometric Scaling in Developing Long Bones Is Achieved by an Optimal Epiphyseal Growth Balance. PLOS BIOLOGY [Internet]. 2015;13 (8). Publisher's VersionAbstract

One of the major challenges that developing organs face is scaling, that is, the adjustment of physical proportions during the massive increase in size. Although organ scaling is fundamental for development and function, little is known about the mechanisms that regulate it. Bone superstructures are projections that typically serve for tendon and ligament insertion or articulation and, therefore, their position along the bone is crucial for musculoskeletal functionality. As bones are rigid structures that elongate only from their ends, it is unclear how superstructure positions are regulated during growth to end up in the right locations. Here, we document the process of longitudinal scaling in developing mouse long bones and uncover the mechanism that regulates it. To that end, we performed a computational analysis of hundreds of three-dimensional micro-CT images, using a newly developed method for recovering the morphogenetic sequence of developing bones. Strikingly, analysis revealed that the relative position of all superstructures along the bone is highly preserved during more than a 5-fold increase in length, indicating isometric scaling. It has been suggested that during development, bone superstructures are continuously reconstructed and relocated along the shaft, a process known as drift. Surprisingly, our results showed that most superstructures did not drift at all. Instead, we identified a novel mechanism for bone scaling, whereby each bone exhibits a specific and unique balance between proximal and distal growth rates, which accurately maintains the relative position of its superstructures. Moreover, we show mathematically that this mechanism minimizes the cumulative drift of all superstructures, thereby optimizing the scaling process. Our study reveals a general mechanism for the scaling of developing bones. More broadly, these findings suggest an evolutionary mechanism that facilitates variability in bone morphology by controlling the activity of individual epiphyseal plates.

isometric_scaling_in_developing_long_bones_is_achieved_by_an_optimal_epiphyseal_growth_balance.pdf
Jimenez-Palomar I, Shipov A, Shahar R, Barber AH. Mechanical behavior of osteoporotic bone at sub-lamellar length scales. FRONTIERS IN MATERIALS. 2015;13 :1-7.Abstract

Osteoporosis is a disease known to promote bone fragility but the effect on the mechanical
properties of bone material, which is independent of geometric effects, is particularly
unclear. To address this problem, micro-beams of osteoporotic bone were prepared using
focused ion beam microscopy and mechanically tested in compression using an atomic
force microscope while observing them using in situ electron microscopy.This experimental
approach was shown to be effective for measuring the subtle changes in the mechanical
properties of bone material required to evaluate the effects of osteoporosis. Osteoporotic
bone material was found to have lower elastic modulus and increased strain to failure
when compared to healthy bone material, while the strength of osteoporotic and healthy
bone was similar. Surprisingly, the increased strain to failure for osteoporotic bone material
provided enhanced toughness relative to the control samples, suggesting that lowering of
bone fragility due to osteoporosis is not defined by material performance. A mechanism is
suggested based on these results and previous literature that indicates degradation of the
organic material in osteoporosis bone is responsible for resultant mechanical properties.

mechanical_behavior_of_osteoporotic_bone_at_sub-lamellar_length_scales.pdf
Jimenez-Palomar I, Shipov A, Shahar R, Barber AH. Structural orientation dependent sub-lamellar bone mechanics. JOURNAL OF THE MECHANICAL BEHAVIOR OF BIOMEDICAL MATERIALS [Internet]. 2015;52 :63-71. Publisher's VersionAbstract

The lamellar unit is a critical component in defining the overall mechanical properties of bone. In this paper, micro-beams of bone with dimensions comparable to the lamellar unit were fabricated using focused ion beam (FIB) microscopy and mechanically tested in bending to failure using atomic force microscopy (AFM). A variation in the mechanical properties, including elastic modulus, strength and work to fracture of the micro-beams was observed and related to the collagen fibril orientation inferred from back-scattered scanning electron microscopy (SEM) imaging. Established mechanical models were further applied to describe the relationship between collagen fibril orientation and mechanical behaviour of the lamellar unit. Our results highlight the ability to measure mechanical properties of discrete bone volumes directly and correlate with structural orientation of collagen fibrils. (C) 2015 Elsevier Ltd. All rights reserved.

structural_orientation_dependent_sub-lamellar_bone_mechanics.pdf
Atkins A, Milgram J, Weiner S, Shahar R. The response of anosteocytic bone to controlled loading. JOURNAL OF EXPERIMENTAL BIOLOGY [Internet]. 2015;218 (22) :3559-3569. Publisher's VersionAbstract

The bones of the skeleton of most advanced teleost fish do not contain osteocytes. Considering the pivotal role assigned to osteocytes in the process of modeling and remodeling (the adaptation of external and internal bone structure and morphology to external loads and the repair of areas with micro-damage accumulation, respectively) it is unclear how, and even whether, their skeleton can undergo modeling and remodeling. Here, we report on the results of a study of controlled loading of the anosteocytic opercula of tilapia (Oreochromis aureus). Using a variety of microscopy techniques we show that the bone of the anosteocytic tilapia actively adapts to applied loads, despite the complete absence of osteocytes. We show that in the directly loaded area, the response involves a combination of bone resorption and bone deposition; we interpret these results and the structure of the resultant bone tissue to mean that both modeling and remodeling are taking place in response to load. We further show that adjacent to the loaded area, new bone is deposited in an organized, layered manner, typical of a modeling process. The material stiffness of the newly deposited bone is higher than that of the bone which was present prior to loading. The absence of osteocytes requires another candidate cell for mechanosensing and coordinating the modeling process, with osteoblasts seeming the most likely candidates.

the_response_of_anosteocytic_bone_to_controlled_loading.pdf
Atkins A, Reznikov N, Ofer L, Masic A, Weiner S, Shahar R. The three-dimensional structure of anosteocytic lamellated bone of fish. ACTA BIOMATERIALIA [Internet]. 2015;13 :311-323. Publisher's VersionAbstract

Fish represent the most diverse and numerous of the vertebrate clades. In contrast to the bones of all tetrapods and evolutionarily primitive fish, many of the evolutionarily more advanced fish have bones that do not contain osteocytes. Here we use a variety of imaging techniques to show that anosteocytic fish bone is composed of a sequence of planar layers containing mainly aligned collagen fibrils, in which the prevailing principal orientation progressively spirals. When the sequence of fibril orientations completes a rotation of around 180, a thin layer of poorly oriented fibrils is present between it and the next layer. The thick layer of aligned fibrils and the thin layer of non-aligned fibrils constitute a lamella. Although both basic components of mammalian lamellar bone are found here as well, the arrangement is unique, and we therefore call this structure lamellated bone. We further show that the lamellae of anosteocytic fish bone contain an array of dense, small-diameter (1-4 mu m) bundles of hypomineralized collagen fibrils that are oriented mostly orthogonal to the lamellar plane. Results of mechanical tests conducted on beams from anosteocytic fish bone and human cortical bone show that the fish bones are less stiff but much tougher than the human bones. We propose that the unique lamellar structure and the orthogonal hypomineralized collagen bundles are responsible for the unusual mechanical properties and mineral distribution in anosteocytic fish bone. (C) 2014 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

the_three-dimensional_structure_of_anosteocytic_lamellated_bone_of_fish.pdf
2014
Pando R, Masarwi M, Shtaif B, Idelevich A, Monsonego-Ornan E, Shahar R, Phillip M, Gat-Yablonski G. Bone quality is affected by food restriction and by nutrition-induced catch-up growth. JOURNAL OF ENDOCRINOLOGY [Internet]. 2014;223 (3) :227-239. Publisher's VersionAbstract

Growth stunting constitutes the most common effect of malnutrition. When the primary cause of malnutrition is resolved, catch-up (CU) growth usually occurs. In this study, we have explored the effect of food restriction (RES) and refeeding on bone structure and mechanical properties. Sprague-Dawley male rats aged 24 days were subjected to 10 days of 40% RES, followed by refeeding for 1 (CU) or 26 days long-term CU (LTCU). The rats fed ad libitum served as controls. The growth plates were measured, osteoclasts were identified using tartrate-resistant acid phosphatase staining, and micro-computed tomography (CT) scanning and mechanical testing were used to study structure and mechanical properties. Micro-CT analysis showed that RES led to a significant reduction in trabecular BV/TV and trabecular number (Tb.N), concomitant with an increase in trabecular separation (Tb.Sp). Trabecular BV/TV and Tb.N were significantly greater in the CU group than in the RES in both short-and long-term experiments. Mechanical testing showed that RES led to weaker and less compliant bones; interestingly, bones of the CU group were also more fragile after 1 day of CU. Longer term of refeeding enabled correction of the bone parameters; however, LTCU did not achieve full recovery. These results suggest that RES in young rats attenuated growth and reduced trabecular bone parameters. While nutrition-induced CU growth led to an immediate increase in epiphyseal growth plate height and active bone modeling, it was also associated with a transient reduction in bone quality. This should be taken into consideration when treating children undergoing CU growth.

bone_quality_is_affected_by_food_restriction_and_by_nutrition-induced_catch-up_growth.pdf
Solomon G, Atkins A, Shahar R, Gertler A, Monsonego-Ornan E. Effect of peripherally administered leptin antagonist on whole body metabolism and bone microarchitecture and biomechanical properties in the mouse. AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM [Internet]. 2014;306 (1) :E14-E27. Publisher's VersionAbstract

Leptin's in vivo effect on the rodent skeleton depends on the model used and the mode of administration. Superactive mouse leptin antagonist (SMLA) was produced and then pegylated (PEG) to prolong and enhance its in vivo activity. We blocked leptin signaling by injecting this antagonist peripherally into normal mice at various time points and studied their metabolic and skeletal phenotypes. Subcutaneous PEG-SMLA injections into 4-wk-old female C57BL/6J mice increased weight gain and food consumption significantly after only 1 mo, and the effect lasted for the 3 mo of the experiment, proving its central inhibiting activity. Mice showed a significant increase in serum glucose, cholesterol, triglycerides, insulin, and HOMA-IR throughout the experiment. Quantification of gene expression in "metabolic" tissues also indicated the development of insulin resistance. Bone analyses revealed a significant increase in trabecular and cortical parameters measured in both the lumbar vertebrae and tibiae in PEG-SMLA-treated mice in the 1st and 3rd months as well as a significant increase in tibia biomechanical parameters. Interestingly, 30 days of treatment with the antagonist in older mice (aged 3 and 6 mo) affected body weight and eating behavior, just as they had in the 1-mo-old mice, but had no effect on bone parameters, suggesting that leptin's effect on bones, either directly or through its obesogenic effect, is dependent upon stage of skeletal development. This potent and reversible antagonist enabled us to study leptin's in vivo role in whole body and bone metabolism and holds potential for future therapeutic use in diseases involving leptin signaling.

effect_of_peripherally_administered_leptin_antagonist_on_whole_body_metabolism_and_bone_microarchitecture_and_biomechanical_properties_in_the_mouse.pdf
Shkil FN, Stolero B, Sutton GA, Abdissa BB, Dmitriev SG, Shahar R. Effects of thyroid hormone treatment on the mineral density and mechanical properties of the African barb (Labeobarbus intermedius) skeleton. JOURNAL OF APPLIED ICHTHYOLOGY [Internet]. 2014;30 (4) :814-820. Publisher's VersionAbstract

Here we describe the results of a preliminary study to evaluate the response of the cellular skeleton of the large African barb, Labeobarbus intermedius, to exposure to high levels of the thyroid hormone T-3 for 1 and 3 months. We examined the effects in terms of mineral density and mechanical properties of the operculum bone, as well as evaluated and compared the light microscopy features of this bone between the treatment groups and the untreated control group. We found a significant increase in bone mineral density in the treated groups compared to untreated controls, and a tendency towards a corresponding increase of bone material stiffness (Young's modulus). These findings suggest that thyroid hormone enrichment may contribute to improved skeletal properties in pond-raised fish, and help moderate osteomalacia, a commonly seen problem in aquaculture.

effects_of_thyroid_hormone_treatment_on_the_mineral_density_and_mechanical_properties_of_the_african_barb_labeobarbus_intermedius_skeleton.pdf
Koren N, Simsa-Maziel S, Shahar R, Schwartz B, Monsonego-Ornan E. Exposure to omega-3 fatty acids at early age accelerate bone growth and improve bone quality. JOURNAL OF NUTRITIONAL BIOCHEMISTRY [Internet]. 2014;25 (6) :623-633. Publisher's VersionAbstract

Omega-3 fatty acids (FAs) are essential nutritional components that must be obtained from foods. Increasing evidence validate that omega-3 FAs are beneficial for bone health, and several mechanisms have been suggested to mediate their effects on bone, including alterations in calcium absorption and urinary calcium loss, prostaglandin synthesis, lipid oxidation, osteoblast formation and inhibition of osteoclastogenesis. However, to date, there is scant information regarding the effect of omega-3 FAs on the developing skeleton during the rapid growth phase. In this study we aim to evaluate the effect of exposure to high levels of omega-3 FAs on bone development and quality during prenatal and early postnatal period. For this purpose, we used the fat-1 transgenic mice that have the ability to convert omega-6 to omega-3 fatty acids and the ATDC5 chondrogenic cell line as models. We show that exposure to high concentrations of omega-3 FAs at a young age accelerates bone growth through alterations of the growth plate, associated with increased chondrocyte proliferation and differentiation. We further propose that those effects are mediated by the receptors G-protein coupled receptor 120 (GPR120) and hepatic nuclear factor 4 alpha, which are expressed by chondrocytes in culture. Additionally, using a combined study on the structural and mechanical bone parameters, we show that high omega-3 levels contribute to superior trabecular and cortical structure, as well as to stiffer bones and improved bone quality. Most interestingly, the fat-1 model allowed us to demonstrate the role of maternal high omega-3 concentration on bone growth during the gestation and postnatal period. (C) 2014 Elsevier Inc. All rights reserved.

exposure_to_omega-3_fatty_acids_at_early_age_accelerate_bone_growth_and_improve_bone_quality.pdf
Kerschnitzki M, Zander T, Zaslansky P, Fratzl P, Shahar R, Wagermaier W. Rapid alterations of avian medullary bone material during the daily egg-laying cycle. BONE [Internet]. 2014;69 :109-117. Publisher's VersionAbstract

Bone is a dynamic tissue which is continuously adapting not only to external mechanical stimuli but also to internal metabolic calcium demands. During normal bone remodeling, bone-resorbing osteoclasts release calcium from the bone and digest the collagenous bone matrix, after which bone-depositing osteoblasts form unmineralized collagen matrix, which subsequently mineralizes. The detailed mechanism by which calcium is deposited at the site of mineralization and removed from it during bone resorption is largely unknown. Experimental studies are difficult to conduct because in adult bone only a small fraction of bone tissue is remodeled at any moment in time. Thus, one promising approach is to study mineral deposition and resorption in model systems in which a large fraction of the bone mineral is mobilized in a relatively short period of time. We investigated the microscopic and nanoscopic alterations of avian medullary bone architecture during the egg-laying (oviposition) cycle of hens. Medullary bone forms a labile calcium reservoir for eggshell production and is characterized by an extremely rapid and high-flux calcium metabolism. It thus, provides the unique opportunity to study processes of bone remodeling in their most intensive form. We used a combination of synchrotron X-ray tomography together with small angle X-ray scattering (SAXS), wide angle X-ray diffraction (WAXD) and X-ray fluorescence (XRF) to correlate microscopic medullary bone attributes such as the mineral content, medullary bone volume fraction and medullary bone trabecular thickness with nanoscopic alterations in the mineral particle size (thickness parameter T and length parameter L) during the oviposition cycle. To identify the timing of the different stages of the cycle, ionic calcium, phosphorus and PTH concentrations in the blood of the layers were monitored. 

We found that the microscopic and nanoscopic architecture of avian medullary bone material changes rapidly during the oviposition cycle. During eggshell calcification, the mineral content and the size of trabeculae of medullary bone decrease markedly. Furthermore, the average mineral particle size increases during resorption, suggesting that the smaller mineral particles are preferrentially removed. Medullary bone thus formes a fast-responding system exhibiting rapid alterations of the material at the micron and nano scale. Those mechanisms are crucial to provide calcium for the high metabolic calcium demand during eggshell mineralization. (C) 2014 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

rapid_alterations_of_avian_medullary_bone_material_during_the_daily_egg-laying_cycle.pdf
Atkins A, Dean MN, Habegger ML, Motta PJ, Ofer L, Repp F, Shipov A, Weiner S, Currey JD, Shahar R. Remodeling in bone without osteocytes- Billfish challenge bone structure-function paradigms. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA [Internet]. 2014;111 (45) :16047-16052. Publisher's VersionAbstract

A remarkable property of tetrapod bone is its ability to detect and remodel areas where damage has accumulated through prolonged use. This process, believed vital to the long-term health of bone, is considered to be initiated and orchestrated by osteocytes, cells within the bone matrix. It is therefore surprising that most extant fishes (neoteleosts) lack osteocytes, suggesting their bones are not constantly repaired, although many species exhibit long lives and high activity levels, factors that should induce considerable fatigue damage with time. Here, we show evidence for active and intense remodeling occurringin the anosteocytic, elongated rostral bones of billfishes (e. g., swordfish, marlins). Despite lackingosteocytes, this tissue exhibits a striking resemblance to the mature bone of large mammals, bearing structural features (overlapping secondary osteons) indicating intensive tissue repair, particularly in areas where high loads are expected. Billfish osteons are an order of magnitude smaller in diameter than mammalian osteons, however, implying that the nature of damage in this bone may be different. Whereasbillfish bone material is as stiff as mammalian bone (unlike the bone of other fishes), it is able to withstand much greater strains (relative deformations) before failing. Our data show that fish bone can exhibit far more complex structure and physiology than previously known, and is apparently capable of localized repair evenwithout the osteocytes believed essential for this process. These findings challenge the unique and primary role of osteocytes in bone remodeling, a basic tenet of bone biology, raising the possibility of an alternative mechanism driving this process.

remodeling_in_bone_without_osteocytes-_billfish_challenge_bone_structure-function_paradigms.pdf
Faingold A, Cohen SR, Shahar R, Weiner S, Rapoport L, Wagner HD. The effect of hydration on mechanical anisotropy, topography and fibril organization of the osteonal lamellae. JOURNAL OF BIOMECHANICS [Internet]. 2014;47 (2) :367-372. Publisher's VersionAbstract

The effect of hydration on the mechanical properties of osteonal bone, in directions parallel and perpendicular to the bone axis, was studied on three length scales: (i) the mineralized fibril level (similar to 100 nm), (ii) the lamellar level (similar to 6 mu m); and (iii) the osteon level (up to similar to 30 mu m). We used a number of techniques, namely atomic force microscopy (AFM), nanoindentation and microindentation. The mechanical properties (stiffness, modulus and/or hardness) have been studied under dry and wet conditions. On all three length scales the mechanical properties under dry conditions were found to be higher by 30-50% compared to wet conditions. Also the mechanical anisotropy, represented by the ratio between the properties in directions parallel and perpendicular to the osteon axis (anisotropy ratio, designated here by AnR), surprisingly decreased somewhat upon hydration. AFM imaging of osteonal lamellae revealed a disappearance of the distinctive lamellar structure under wet conditions. Altogether, these results suggest that a change in mineralized fibril orientation takes place upon hydration. (C) 2013 Elsevier Ltd. All rights reserved.

the_effect_of_hydration_on_mechanical_anisotropy_topography_and_fibril_organization_of_the_osteonal_lamellae.pdf
Shipov A, Segev G, Meltzer H, Milrad M, Brenner O, Atkins A, Shahar R. The Effect of Naturally Occurring Chronic Kidney Disease on the Micro-Structural and Mechanical Properties of Bone. PLOS ONE [Internet]. 2014;9 (10). Publisher's VersionAbstract

Chronic kidney disease (CKD) is a growing public health concern worldwide, and is associated with marked increase of bone fragility. Previous studies assessing the effect of CKD on bone quality were based on biopsies from human patients or on laboratory animal models. Such studies provide information of limited relevance due to the small size of the samples (biopsies) or the non-physiologic CKD syndrome studied (rodent models with artificially induced CKD). Furthermore, the type, architecture, structure and biology of the bone of rodents are remarkably different from human bones; therefore similar clinicopathologic circumstances may affect their bones differently. We describe the effects of naturally occurring CKD with features resembling human CKD on the skeleton of cats, whose bone biology, structure and composition are remarkably similar to those of humans. We show that CKD causes significant increase of resorption cavity density compared with healthy controls, as well as significantly lower cortical mineral density, cortical cross-sectional area and cortical cross-sectional thickness. Young's modulus, yield stress, and ultimate stress of the cortical bone material were all significantly decreased in the skeleton of CKD cats. Cancellous bone was also affected, having significantly lower trabecular thickness and bone volume over total volume in CKD cats compared with controls. This study shows that naturally occurring CKD has deleterious effects on bone quality and strength. Since many similarities exist between human and feline CKD patients, including the clinicopathologic features of the syndrome and bone microarchitecture and biology, these results contribute to better understanding of bone abnormalities associated with CKD.

the_effect_of_naturally_occurring_chronic_kidney_disease_on_the_micro-structural_and_mechanical_properties_of_bone.pdf
Artsi H, Cohen-Kfir E, Gurt I, Shahar R, Bajayo A, Kalish N, Bellido T, Gabet Y, Dresner-Pollak R. The Sirtuin1 Activator SRT3025 Down-Regulates Sclerostin and Rescues Ovariectomy-Induced Bone Loss and Biomechanical Deterioration in Female Mice. JOURNAL OF BONE AND MINERAL RESEARCH. 2014;29 :S403-S403.Abstract

Estrogen deficiency leads to rapid bone loss and skeletal fragility. Sclerostin, encoded by the sost gene,
and a product of the osteocyte, is a negative regulator of bone formation. Blocking sclerostin increases
bone mass and strength in animals and humans. Sirtuin1 (Sirt1), a player in aging and metabolism,
regulates bone mass and inhibits sost expression by deacetylating histone 3 at its promoter.Weasked
whether a Sirt1-activating compound could rescue ovariectomy (OVX)-induced bone loss and biomechanical
deterioration in 9-week-old C57BL/6 mice. OVX resulted in a substantial decrease in skeletal
Sirt1 expression accompanied by an increase in sclerostin. Oral administration of SRT3025, a Sirt1
activator, at 50 and 100 mg/kgd for 6 weeks starting 6 weeks after OVX fully reversed the deleterious
effects of OVX on vertebral bone mass, microarchitecture, and femoral biomechanical properties.
Treatment with SRT3025 decreased bone sclerostin expression and increased cortical periosteal mineralizing
surface and serum propeptide of type I procollagen, a bone formation marker. In vitro, in the
murinelongboneosteocyte-Y4 osteocyte-like cell lineSRT3025down-regulated sclerostinandinactive
-catenin, whereas a reciprocal effect was observed with EX-527, a Sirt1 inhibitor. Sirt1 activation by
Sirt1-activating compounds is a potential novel pathway to down-regulate sclerostin and design anabolic
therapies for osteoporosis concurrently ameliorating other metabolic and age-associated
conditions. (Endocrinology 155: 3508–3515, 2014)

the_sirtuin1_activator_srt3025_down-regulates_sclerostin_and_rescues_ovariectomy-induced_bone_loss_and_biomechanical_deterioration_in_female_mice.pdf
Reznikov N, Shahar R, Weiner S. Three-dimensional structure of human lamellar bone- The presence of two different materials and new insights into the hierarchical organization. BONE [Internet]. 2014;59 :93-104. Publisher's VersionAbstract

Lamellar bone is the most common bone type in humans. The predominant components of individual lamellae are plywood-like arrays of mineralized collagen fibrils aligned in different directions. Using a dual-beam electron microscope and the Serial Surface View (SSV) method we previously identified a small, but significantly different layer in rat lamellar bone, namely a disordered layer with collagen fibrils showing little or no preferred orientation. Here we present a 3D structural analysis of 12 SSV volumes (25 complete lamellae) from femora of 3 differently aged human individuals. We identify the ordered and disordered motifs in human bone as in the rat, with several significant differences. The ordered motif shows two major preferred orientations, perpendicular to the long axis of the bone, and aligned within 10-20 degrees of the long axis, as well as fanning arrays. At a higher organizational level, arrays of ordered collagen fibrils are organized into 'rods' around 2 to 3 mu m in diameter, and the long axes of these 'rods' are parallel to the lamellar boundaries. Human bone also contains a disordered component that envelopes the rods and fills in the spaces between them. The disordered motif is especially well-defined between adjacent layers of rods. The disordered motif and its interfibrillar substance stain heavily with osmium tetroxide and Alcian blue indicating the presence of another organic component in addition to collagen. The canalicular network is confined to the disordered material, along with voids and individual collagen fibrils, some of which are also aligned more or less perpendicular to the lamellar boundaries. The organization of the ordered fibril arrays into rods enveloped in the continuous disordered structure was not observed in rat lamellar bone. We thus conclude that human lamellar bone is comprised of two distinct materials, an ordered material and a disordered material, and contains an additional hierarchical level of organization composed of arrays of ordered collagen fibrils, referred to as rods. This new structural information on human lamellar bone will improve our understanding of structure-mechanical function relations, mechanisms of mechano-sensing and the characterizations of bone pathologies. (C) 2013 Elsevier Inc. All rights reserved.

three-dimensional_structure_of_human_lamellar_bone-_the_presence_of_two_different_materials_and_new_insights_into_the_hierarchical_organization.pdf
Magal RA, Reznikov N, Shahar R, Weiner S. Three-dimensional structure of minipig fibrolamellar bone- Adaptation to axial loading. JOURNAL OF STRUCTURAL BIOLOGY [Internet]. 2014;186 (2) :253-264. Publisher's VersionAbstract

Fibrolamellar bone is transiently produced by large, fast growing mammals. The fibrolamellar bone unit is initially formed by elaboration of a network of blood vessels. This is followed by the deposition of a thin, porous and hypercalcified layer, then by the infilling of the vascular cavities by the sequential deposition of a relatively thick rapidly forming bone on both sides of the hypercalcified layer, and finally by lamellar bone. We investigated the 3D structure of the collagenous network of fibrolamellar bone from the femora of a young minipig using mainly the FIB-SEM dual beam microscope and the Serial Surface View method. This enabled us to identify the fibril orientation, the canalicular network organization and other structural motifs within each element of the fibrolamellar unit. The first formed primary hypercalcified layer (PHL) is composed of fibril arrays and multiple small pores, and appears to have an isotropic structure. The major bone component is deposited on both sides of the PHL, and is composed of collagen fibrils with a preferred orientation, mainly aligned parallel to the bone long axis. This bone component is therefore parallel-fibered bone and not woven bone. We also observed that the collagen fibers are organized into bundles. The lamellar bone has most of its collagen fibrils aligned with the bone long axis. This study therefore shows that the large majority of collagen fibrils in fibrolamellar bone are aligned with the bone long axis. This anisotropic structure therefore appears to be adapted to loading along the bone long axis. (C) 2014 Elsevier Inc. All rights reserved.

three-dimensional_structure_of_minipig_fibrolamellar_bone-_adaptation_to_axial_loading.pdf
Reznikov N, Shahar R, Weiner S. Bone hierarchical structure in three dimensions. ACTA BIOMATERIALIA [Internet]. 2014;10 (9) :3815-3826. Publisher's VersionAbstract

Bone is a complex hierarchically structured family of materials that includes a network of cells and their interconnected cell processes. New insights into the 3-D structure of various bone materials (mainly rat and human lamellar bone and minipig fibrolamellar bone) were obtained using a focused ion beam electron microscope and the serial surface view method. These studies revealed the presence of two different materials, the major material being the well-known ordered arrays of mineralized collagen fibrils and associated macromolecules, and the minor component being a relatively disordered material composed of individual collagen fibrils with no preferred orientation, with crystals inside and possibly between fibrils, and extensive ground mass. Significantly, the canaliculi and their cell processes are confined within the disordered material. Here we present a new hierarchical scheme for several bone tissue types that incorporates these two materials. The new scheme updates the hierarchical scheme presented by Weiner and Wagner (1998). We discuss the structures at different hierarchical levels with the aim of obtaining further insights into structure-function-related questions, as well as defining some remaining unanswered questions. (C) 2014 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.

bone_hierarchical_structure_in_three_dimensions.pdf

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