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Submitted on September 19, 2007
Accepted on November 9, 2007
Department of Diabetes and Clinical Nutrition, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan; Department of Internal Medicine, Division of Endocrinology, Diabetes and Geriatric Medicine, Akita University School of Medicine, Akita, Japan; Department of Biochemistry, Matsumoto Dental University, Nagano, Japan; Institute for Oral Science, Matsumoto Dental University, Nagano, Japan; Department of Nutrition, Kyoto Women's University, Kyoto, Japan; The Samuel Lunenfeld Research Institute, Department of Medicine, Mount Sinai Hospital and the Banting and Best Diabetes Center, University of Toronto, Toronto, Canada; Kansai Electric Power Hospital, Osaka, Japan; CREST of Japan Science and Technology Cooperation (JST), Kyoto, Japan
* To whom correspondence should be addressed. E-mail: yamada{at}gipc.akita-u.ac.jp.
Gastrointestinal hormones including gastric inhibitory polypeptide (GIP), glucagon-like peptide-1 (GLP-1), and glucagon-like peptide-2 (GLP-2) are secreted immediately after meal ingestion, and GIP and GLP-2 have been shown to regulate bone turnover. We hypothesize that endogenous GLP-1 may also be important for control of skeletal homeostasis. We investigated the role of GLP-1 in the regulation of bone metabolism using GLP-1 receptor knockout (Glp-1r-/-) mice. A combination of bone density and histomorphometry, osteoclast activation studies, biochemical analysis of calcium and parathyroid hormone, and RNA analysis was used to characterize bone and mineral homeostasis in Glp-1r-/- and Glp-1r+/+ littermate controls. Glp-1r-/- mice have cortical osteopenia and bone fragility by bone densitometry, as well as increased osteoclastic numbers and bone resorption activity by bone histomorphometry. Although GLP-1 had no direct effect on osteoclasts and osteoblasts, Glp-1r-/- mice exhibited higher levels of urinary deoxypyridinoloine (DPD), a marker of bone resorption, and reduced levels of calcitonin mRNA transcripts in the thyroid. Moreover, calcitonin treatment effectively suppressed urinary levels of DPD in Glp-1r-/- mice and the GLP-1 receptor agonist exendin-4 increased calcitonin gene expression in the thyroid of wildtype mice. These findings establish an essential role for endogenous GLP-1 receptor signaling in the control of bone resorption, likely through a calcitonin-dependent pathway.
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