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Deletion of FoxO1, 3, and 4 in Osteoblast Progenitors Attenuates the Loss of Cancellous Bone Mass in a Mouse Model of Type 1 Diabetes
Author(s) -
Iyer Srividhya,
Han Li,
Ambrogini Elena,
Yavropoulou Maria,
Fowlkes John,
Manolagas Stavros C,
Almeida Maria
Publication year - 2017
Publication title -
journal of bone and mineral research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.882
H-Index - 241
eISSN - 1523-4681
pISSN - 0884-0431
DOI - 10.1002/jbmr.2934
Subject(s) - osteoblast , endocrinology , medicine , cancellous bone , osteoclast , osteopenia , foxo1 , osteoprotegerin , osteoporosis , diabetes mellitus , chemistry , type 2 diabetes , bone remodeling , bone mineral , signal transduction , protein kinase b , receptor , anatomy , activator (genetics) , in vitro , biochemistry
ABSTRACT Type 1 diabetes is associated with osteopenia and increased fragility fractures, attributed to reduced bone formation. However, the molecular mechanisms mediating these effects remain unknown. Insulin promotes osteoblast formation and inhibits the activity of the FoxO transcription factors. FoxOs, on the other hand, inhibit osteoprogenitor proliferation and bone formation. Here, we investigated whether FoxOs play a role in the low bone mass associated with type 1 diabetes, using mice lacking FoxO1, 3, and 4 in osteoprogenitor cells (FoxO1,3,4 ΔOsx1‐Cre ). Streptozotocin‐induced diabetes caused a reduction in bone mass and strength in FoxO‐intact mice. In contrast, cancellous bone was unaffected in diabetic FoxO1,3,4 ΔOsx1‐Cre mice. The low bone mass in the FoxO‐intact diabetic mice was associated with decreased osteoblast number and bone formation, as well as decreased expression of the anti‐osteoclastogenic cytokine osteoprotegerin (OPG) and increased osteoclast number. FoxO deficiency did not alter the effects of diabetes on bone formation; however, it did prevent the decrease in OPG and the increase in osteoclast number. Addition of high glucose to osteoblastic cell cultures decreased OPG mRNA, indicating that hyperglycemia in and of itself contributes to diabetic bone loss. Taken together, these results suggest that FoxOs exacerbate the loss of cancellous bone mass associated with type 1 diabetes and that inactivation of FoxOs might ameliorate the adverse effects of insulin deficiency. © 2016 American Society for Bone and Mineral Research.