The Role of Tissue Matrix in the Fracture Resistance of Diabetic Bone

组织基质在糖尿病骨抗骨折中的作用

• 批准号: 9317431
• 负责人: Jeffry Stephen Nyman
• 金额: $ 17.38万
• 依托单位: VANDERBILT UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-18 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9317431
• 关键词: Address; Advanced Glycosylation End Products; Affect; Age; Amides; Architecture; Binding; Binding Proteins; Biochemical; Biomechanics; Bone Density; Bone Matrix; Bone Tissue; Cadaver; Carbonates; Characteristics; Clinical; Collagen; Collagen Type I; Defect; Diabetes Mellitus; Diabetic mouse; Diagnostic; Diagnostic Procedure; Dual-Energy X-Ray Absorptiometry; Elderly; Enzymes; Femur; Fracture; Goals; Human; Hydrogen Bonding; Hydroxylation; Hydroxylysine; Hydroxyproline; Individual; Knowledge; Linear Models; Mass Spectrum Analysis; Measurement; Measures; Mechanics; Mediating; Minerals; Modification; Modulus; Molecular; Mus; N(6)-carboxymethyllysine; Non-Insulin-Dependent Diabetes Mellitus; Nuclear Magnetic Resonance; Osteocalcin; Pathogenicity; Population; Porosity; Post-Translational Modification Alteration; Post-Translational Protein Processing; Predictive Value; Property; Raman Spectrum Analysis; Research; Resistance; Risk; Role; Sampling; Series; Shapes; Site; Stress; Structure; Techniques; Technology; Testing; Tissues; Water; Work; X-Ray Computed Tomography; analytical tool; base; bone; bone fragility; bone quality; bone strength; carboxylation; clinical diagnostics; clinically relevant; clinically translatable; cortical bone; crosslink; crystallinity; density; diabetic; diabetic patient; fracture risk; glycosylation; improved; liquid chromatography mass spectrometry; mechanical properties; mouse model; new therapeutic target; non-diabetic; novel; novel diagnostics; novel strategies; pentosidine; pre-clinical; prevent; tool

Project Summary The increasing risk of bone fracture with the progression of diabetes is not solely due to reduced bone mineral density (BMD). Since BMD is seemingly normal or even elevated among those with type 2 diabetes, lowering fracture risk among type 2 diabetics requires an understanding of what aspects within the bone tissue matrix contribute to the increase in fracture risk. In addressing this clinically relevant problem, we propose i) to identify pathogenic changes in the bone tissue matrix that contribute to bone fragility as diabetes progresses and ii) to determine how well clinically translatable diagnostic tools (sensitive to the matrix and the mineral of the bone) reflect the diabetes-related changes in fracture resistance. We hypothesize that i) a decrease in the bound water within the bone matrix contributes significantly to the increased fragility of the diabetic bone, ii) a decrease in the matrix bound water is due to diabetes-induced changes in post-translational modifications (PTMs) within bone matrix, and iii) tools capable of measuring bound water in the bone, secondary structure of collagen, and tissue indentation resistance can be used to assess fracture resistance in diabetes. In Aim 1, we will identify molecular differences in PTMs of collagen and osteocalcin between non- diabetic and diabetic bone in mice (model of type 2 diabetes) and in humans (cadaveric tissue from non-insulin dependent diabetics and non-diabetics). Specifically, using liquid chromatography and mass spectrometry, the relative abundance of modifications at individual sites will be quantified for enzyme-mediated hydroxylation and glycosylation of collagen I and carboxylation of osteocalcin and for non-enzymatic PTMs such as carboxymethyllysine and pentosidine, which have been associated with fracture risk. These PTMs potentially affect hydrogen bonding with water and/or the secondary structural organization of collagen. In Aim 2, we will determine whether 1H nuclear magnetic resonance (NMR), Raman spectroscopy (RS), and reference point indentation (RPI) can assess characteristics that differentiate non-diabetic from diabetic bone in mice and in humans. These techniques are chosen for their sensitivity to bound water within bone tissue matrix (NMR), to matrix maturity ratio (RS), and to mechanical consequence of diabetic changes to the matrix and possibly cortical porosity, respectively. Along with areal BMD, micro-computed tomography will be used to quantify volumetric bone and tissue mineral density as well as micro-structure of cortical bone. Mechanical testing will be used to quantify differences in several material properties of bone contributing to the diabetes-related difference in fracture resistance. With correlation analysis and general linear models, we will determine how well RS-, RPI- or NMR-derived values predict the type 2 diabetes-related decrease in the fracture resistance of bone. Moreover, we will determine whether PTMs can explain the possible changes in bound water and matrix maturity ratio in diabetes, thereby providing a potential underlying mechanism.

项目摘要 随着糖尿病的进展，骨折的风险增加不仅是由于骨减少 矿物密度（BMD）。由于BMD在2型糖尿病的患者中似乎是正常的，甚至升高 降低2型糖尿病患者之间的断裂风险需要了解骨组织中的哪些方面 矩阵有助于骨折风险的增加。在解决这个临床相关问题时，我们建议i） 确定随着糖尿病的进展，骨组织基质的致病变化，导致骨骼脆弱性 ii）确定临床翻译的诊断工具的良好（对矩阵和矿物敏感 骨骼）反映了与糖尿病相关的骨折抗性变化。我们假设我）减少 骨基质内的结合水对糖尿病骨的脆弱性的贡献显着贡献，ii）a 基质结合水的减少是由于糖尿病引起的翻译后修饰的变化 （PTM）骨基质和iii）能够测量骨骼中结合的水的工具 胶原蛋白和组织压痕耐药性可用于评估糖尿病的断裂性。 在AIM 1中，我们将确定非 - 非 - 小鼠（2型糖尿病模型）和人类（非胰岛素的尸体组织）的糖尿病和糖尿病骨 依赖性糖尿病患者和非糖尿病患者）。具体而言，使用液相色谱和质谱法， 在各个位点的相对丰度将被量化以进行酶介导的羟基化和 胶原蛋白的糖基化和骨钙素和非酶PTM的羧化（例如 羧甲基胺和戊糖苷与骨折风险有关。这些PTM可能有可能 影响与水和/或胶原蛋白的二级结构组织的氢键。 在AIM 2中，我们将确定1H核磁共振（NMR），拉曼光谱法（RS）， 和参考点压痕（RPI）可以评估区分非糖尿病的特征 小鼠和人类的骨头。选择这些技术是因为它们对骨头内的水的敏感性 组织矩阵（NMR），至基质成熟比（RS），以及糖尿病变化对机械的后果 矩阵和可能的皮质孔隙率。与Areal BMD一起，微型计算机断层扫描将是 用于量化体积骨和组织矿物质密度以及皮质骨的微结构。 机械测试将用于量化骨骼的几种材料特性的差异，从而有助于 骨折抗性的糖尿病相关差异。通过相关分析和一般线性模型，我们将 确定RS-，RPI或NMR衍生的值如何预测2型糖尿病相关的降低 骨骼抗断裂。此外，我们将确定PTM是否可以解释 糖尿病的结合水和基质成熟比，从而提供潜在的潜在机制。