Continuous Elevation of PTH Increases the Number of Osteoblasts via Both Osteoclast-Dependent and -Independent Mechanisms
2010

How Parathyroid Hormone Affects Bone Cells

Sample size: 8 publication 10 minutes Evidence: high

Author Information

Author(s): Robert L Jilka, Charles A O'Brien, Shoshana M Bartell, Robert S Weinstein, Stavros C Manolagas

Primary Institution: University of Arkansas for Medical Sciences

Hypothesis

Does continuous elevation of parathyroid hormone (PTH) increase the number of osteoblasts through both osteoclast-dependent and independent mechanisms?

Conclusion

Continuous elevation of PTH increases the number of osteoblasts via both osteoclast-dependent and independent pathways, which are necessary for balanced bone remodeling.

Supporting Evidence

  • PTH infusion increased both osteoclasts and osteoblasts in vertebral cancellous bone.
  • The ratio of osteoblasts to osteoclasts was greater in PTH-treated mice than in sRANKL-treated mice.
  • PTH decreased the level of the Wnt antagonist sclerostin.
  • PTH increased the expression of Wnt target genes Nkd2, Wisp1, and Twist1.
  • PTH increased the number of blood vessels in the bone marrow.

Takeaway

When a hormone called PTH is kept high, it helps make more bone-building cells called osteoblasts, which is important for keeping bones strong.

Methodology

Swiss-Webster mice were infused with PTH or sRANKL, and bone remodeling was analyzed using micro-computed tomography and histomorphometry.

Limitations

The study was conducted on mice, which may not fully represent human physiology.

Participant Demographics

Female Swiss-Webster mice, 6 months old.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jbmr.145

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