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This version published online on May 10, 2007
Endocrinology, doi:10.1210/en.2006-1467
A more recent version of this article appeared on August 1, 2007
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Submitted on November 3, 2006
Accepted on May 3, 2007

Weaning Triggers a Decrease in RANKL Expression, Widespread Osteoclast Apoptosis and Rapid Recovery of Bone Mass after Lactation in Mice

Laleh Ardeshirpour, Pamela Dann, Douglas J. Adams, Tracey Nelson, Joshua VanHouten, Mark C. Horowitz, and John J. Wysolmerski*

Section of Pediatric Endocrinology, Department of Pediatrics, Yale University School of Medicine, 333 Cedar Street, New Haven, CT. 06520-8020; Section of Endocrinology and Metabolism, Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven, CT. 06520-8020; Department of Orthopaedic Surgery, University of Connecticut Health Center, 263 Farmington Ave., Farmington, CT. 06034-4037; Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 333 Cedar Street, New Haven, CT. 06520-8020

* To whom correspondence should be addressed. E-mail: john.wysolmerski{at}yale.edu.

A significant portion of milk calcium comes from the mother's skeleton, and lactation is characterized by rapid bone loss. The most remarkable aspect of this bone loss is its complete reversibility, and the time following weaning is the most rapid period of skeletal anabolism in adults. Despite this, little is known of the mechanisms by which the skeleton repairs itself after lactation. We examined changes in bone and calcium metabolism defining the transition from bone loss to bone recovery at weaning in mice. Bone mass decreases during lactation and recovers rapidly after weaning. Lactation causes changes in bone microarchitecture, including thinning and perforation of trabecular plates that are quickly repaired after weaning. Weaning causes a rapid decline in urinary CTx levels and stimulates an increase in circulating levels of osteocalcin. Bone histomorphometry documented a significant reduction in the numbers of osteoclasts on day 3 after weaning caused by a coordinated wave of osteoclast apoptosis beginning 48 hours after pup removal. In contrast, osteoblast numbers and bone formation rates, which are elevated during lactation, remain so 3 days after weaning. The cessation of lactation stimulates a rise in circulating calcium levels and a reciprocal drop in parathyroid hormone levels. Finally, weaning is associated with a decrease in levels of RANKL mRNA in bone. In conclusion, during lactation, bone turnover is elevated and bone loss is rapid. Weaning causes selective apoptosis of osteoclasts halting bone resorption. The sudden shift in bone turnover favoring bone formation subsequently contributes to the rapid recovery of bone mass.


Key words: Lactation • Osteoclast Apoptosis • Mammary Gland • Weaning • Calcium Metabolism • Osteoporosis




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J. J. Wysolmerski
Conversations Between Breast and Bone: Physiological Bone Loss During Lactation as Evolutionary Template for Osteolysis in Breast Cancer and Pathological Bone Loss After Menopause
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[Abstract] [Full Text] [PDF]




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