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Submitted on January 9, 2008
Accepted on April 30, 2008
Section of Endocrinology, Yale School of Medicine; Department of Orthopaedics, Yale School of Medicine; Department of Orthopaedics, University of Connecticut Health Center
* To whom correspondence should be addressed. E-mail: tsutomu.kawano{at}yale.edu.
PTH is the only currently available anabolic therapy for osteoporosis. In clinical practice, the skeletal response to PTH varies and since therapy is limited to two years, approaches to maximize the therapeutic response are desirable. Rac2 is a small GTPase that is expressed only in hematopoietic tissue. Rac2-/- mice have a slight increase in bone mass and osteoclasts isolated from these animals have reduced basal resorptive activity and reduced chemotaxis. To evaluate the anabolic response to PTH in Rac2-/- mice, we treated 18 Rac2-/- and 17 control, age-matched wild type animals, once daily for 28 days with 80 ng/g body weight of h(1–34)PTH. Treatment resulted in significantly greater increments in spinal, femur, and total bone density in the Rac2-/- as compared to wild type animals. MicroCT analysis demonstrated greater increases in trabecular thickness and cortical thickness in the knock out mice. Interestingly, histomorphometric analysis showed an equivalent increase in osteoblast and osteoclast number in response to PTH treatment in both groups of animals. However, as judged by changes in serum markers, the resorptive response to PTH was impaired. Thus, CTX was 15.9±6.9 ng/ml after PTH treatment in the knock out animals and 26.8±11.1 ng/ml in the PTH-treated wild type group. In contrast, serum P1NP and osteocalcin were equivalent in both groups. We conclude that, in the genetic absence of Rac2, the anabolic response to PTH is increased. This appears to be due to attenuated resorptive activity of osteoclasts.
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