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Nuclear factor erythroid 2–related factor 2 (Nrf2) deficiency causes age-dependent progression of female osteoporosis

BMC Musculoskeletal Disorders, vol. 23, pp. 1015

Abstract

BACKGROUND: Nuclear factor erythroid 2-related factor 2 (Nrf2) is a crucial transcription factor for cellular redox homeostasis. The association of Nrf2 with elderly female osteoporotic has yet to be fully described. The aim was to elucidate a potential age-dependent Nrf2 contribution to female osteoporosis in mice. METHODS: Eighteen female wild type (WT) and 16 Nrf2-knockout (KO) mice were sacrificed at different ages (12 weeks = young mature adult and 90 weeks = old) to analyze their femurs. The morphological properties (trabecular and cortical) were evaluated by micro-computed tomography (μCT) and compared to gold standard histochemistry analysis. The quasi-static compression tests were performed to calculate the mechanical properties of bones. Additionally, the population of bone resorbing cells and aromatase expression by osteocytes was immunohistochemically evaluated and empty osteocyte lacunae was counted in cortical bone. RESULTS: Old Nrf2-KO mice revealed a significantly reduced trabecular bone mineral density (BMD), cortical thickness, cortical area, and bone fraction compared to old WT mice, regardless of no significant difference in skeletally mature young adult mice between WT and KO. Specifically, while all old WT mice showed thin metaphyseal trabeculae, trabecular bone was completely absent in 60% of old KO mice. Additionally, old KO mice showed significantly more osteoclast-like cells and fewer aromatase-positive osteocytes than WT mice, whereas the occurrence of empty osteocyte lacunae did not differ between both groups. Nrf2-KO mice further showed an age-dependently reduced fracture resilience compared to age-matched WT mice. CONCLUSION: Our results suggest that chronic Nrf2 loss can lead to age-dependent progression of female osteoporosis.

Authors 18

  1. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany. ykubo@ukaachen.de

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  2. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  3. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  4. Universitätsklinikum Aachen

    Affiliation as printed

    Institute for Experimental Molecular Imaging, Helmholtz Institute for Biomedical Engineering, Uniklinik RWTH Aachen, Forckenbeckstraße 55, 52074, Aachen, Germany

  5. Delft University of Technology

    Affiliation as printed

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, The Netherlands

  6. Delft University of Technology

    Affiliation as printed

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, The Netherlands

  7. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  8. Universitätsklinikum Aachen

    Affiliation as printed

    Institute for Experimental Molecular Imaging, Helmholtz Institute for Biomedical Engineering, Uniklinik RWTH Aachen, Forckenbeckstraße 55, 52074, Aachen, Germany

  9. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  10. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  11. Universitätsklinikum Aachen

    Affiliation as printed

    Institute for Experimental Molecular Imaging, Helmholtz Institute for Biomedical Engineering, Uniklinik RWTH Aachen, Forckenbeckstraße 55, 52074, Aachen, Germany

  12. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Orthodontics, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany

  13. Delft University of Technology

    Affiliation as printed

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, The Netherlands

  14. Delft University of Technology

    Affiliation as printed

    Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology (TU Delft), Mekelweg 2, 2628, CD, Delft, The Netherlands

  15. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  16. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  17. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

  18. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074, Aachen, Germany

    Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, Wüllnerstraße 7, 52062, Aachen, Germany

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References 43