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Rescuing Loading Induced Bone Formation at Senescence 英文参考文献
RescuingLoadingInducedBoneFormationat
Senescence
SundarSrinivasan1*,BrandonJ.Ausk1,JitendraPrasad1,DewayneThreet1,StevenD.Bain1,ThomasS.
Richardson2,TedS.Gross1
1Department of Orthopedics and Sports Medicine, University of Washington, Seattle, Washington, United States of America, 2Departmentof Statistics, University of
Washington,Seattle,Washington,UnitedStatesofAmerica
Abstract
The increasing incidence of osteoporosis worldwide requires anabolic treatments that are safe, effective, and, critically,
inexpensivegiventheprevailingoverburdenedhealthcaresystems.Whilevigorousskeletalloadingisanabolicandholds
promise, deficits in mechanotransduction accrued withage markedly diminish the efficacy ofreadily complied, exercise-
basedstrategiestocombatosteoporosisintheelderly.Ourapproachtoexploreandcounteracttheseage-relateddeficits
wasguidedbycellularsignalingpatternsacrosshierarchicalscalesandbytheinsightthatcellresponsesinitiatedduring
transient,rare eventshold potentialtoexerthigh-fidelitycontrolovertemporallyandspatiallydistanttissueadaptation.
2+
Here,wepresentanagent-basedmodelofreal-timeCa /NFATsignalingamongstbonecellsthatfullydescribedperiosteal
boneformationinducedbyawidevarietyofloadingstimuliinyoungandagedanimals.Themodelpredictedage-related
pathway alterations underlying the diminished bone formation at senescence, and hence identified critical deficits that
werepromisingtargetsfortherapy.Baseduponmodelpredictions,weimplementedaninvivointerventionandshowfor
thefirsttimethatsupplementingmechanicalstimuliwithlow-doseCyclosporinAcancompletelyrescueloadinginduced
bone formation in the senescent skeleton. These pre-clinical data provide the rationale to consider this approved
pharmaceuticalalongsidemildphysicalexerciseasaninexpensive,yetpotenttherapytoaugmentbonemassintheelderly.
Our analyses suggested that real-time cellular signaling strongly influences downstream bone adaptation to mechanical
stimuli,andquantificationoftheseotherwiseinaccessible,transientev
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