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Event: 2090
Key Event Title
Increase, Bone Remodeling
Short name
Biological Context
Level of Biological Organization |
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Tissue |
Organ term
Key Event Components
Key Event Overview
AOPs Including This Key Event
AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
---|---|---|---|---|
Deposition of energy leading to bone loss | KeyEvent | Cataia Ives (send email) | Open for citation & comment |
Taxonomic Applicability
Life Stages
Life stage | Evidence |
---|---|
All life stages | Moderate |
Sex Applicability
Term | Evidence |
---|---|
Unspecific | Moderate |
Key Event Description
Bone remodeling is a lifelong process where mature bone tissue is removed by bone resorbing osteoclasts and new bone is formed by bone forming osteoblasts. Each local remodeling event involves a team called the basic multicellular unit (BMU) (Slyfield et al., 2012). Each BMU consists of several morphologically and functionally different cell types, mainly osteoblasts and osteoclasts, that act in coordination on the bone remodeling compartment to replace old bone by new bone.
Physiological bone remodeling, responsible for repairing damaged bone and for mineral homeostasis, is a highly coordinated process that requires balance between bone resorption and bone formation (Raggatt and Partridge, 2010). This tight regulation is necessary to maintain skeletal size, shape, and structural integrity (Raggatt and Partridge, 2010). Mechanical strain or stimulation of bone cells by hormones activates bone remodeling and causes the recruitment of osteoclast precursors, like hematopoietic stem cells (HSCs), to the remodeling site to initiate resorption (Raggatt and Partridge, 2010). Osteocytes, mechanosensory cells that regulate bone homeostasis, basally produce transforming growth factor beta (TGF-β) which inhibits osteoclastogenesis. TGF-β levels are lowered following damage to the bone matrix through osteocyte apoptosis, removing this inhibitory signal (Raggatt and Partridge, 2010). Osteoblasts recruit osteoclast precursors to the remodeling site through the production of monocyte chemoattractant protein-1 (MCP-1). Osteoblasts can then induce osteoclastogenesis through the increased expression of colony stimulating factor 1 (CSF-1) and the receptor activator of nuclear factor kappa B ligand (RANK-L), as well as the decreased expression of osteoprotegerin (OPG), the inhibitor of RANK-L (Donaubauer et al., 2020; Raggatt and Partridge, 2010). Mature osteoclasts produce resorption pits also called resorption bays or Howship’s lacunae (Slyfield et al., 2012). Matrix metalloproteinases (MMPs) secreted by osteoblasts degrade the osteoid lining the bone surface, exposing the bone for osteoclast attachment. A resorption cavity is formed as mature osteoclasts degrade the matrix (Raggatt and Partridge, 2010; Slyfield et al., 2012). The acidic environment produced by osteoclasts dissolves the mineralized matrix, while enzymes like Cathepsin K (CTSK) degrade the organic matrix. Reversal cells then remove the undigested demineralized collagen matrix to prepare for bone formation by osteoblasts. TGF-β acts as the signal for the recruitment of osteoblast progenitor mesenchymal stem cells (MSCs). Osteocytes also basally secrete sclerostin, which inhibits the Wnt pathway for osteoblastogenesis. Mechanical strain and parathyroid hormone (PTH) signaling contribute to suppression of sclerostin and subsequent osteoblastogenesis (Raggatt and Partridge, 2010). Mature osteoblasts create the osteoid (unmineralized) matrix with collagen and subsequently mineralize new bone tissue with hydroxyapatite, involving various enzymes including alkaline phosphatase (ALP) (Donaubauer et al., 2020; Raggatt and Partridge, 2010).
Disruption to this process results in an imbalance in bone remodeling. For example, increased resorption by osteoclasts and increased mineralization by osteoblasts will increase the rate of bone resorption and decrease the rate of bone formation.
How It Is Measured or Detected
Bone remodeling can be measured by the detection of biochemical markers of bone formation and bone resorption in blood serum, dynamic bone histomorphometry in bone biopsies, or via X-ray imaging techniques in vivo. Listed below are common methods for detecting the KE; however, there may be other comparable methods that are not listed.
Method of Measurement |
References |
Description |
OECD Approved Assay |
X-ray and imaging options:
|
Carter, Bouxsein and, Marcus, 1992 Cummings et al., 2002 |
Recurrent imaging of the same bone region in a specific time interval and subsequent overlay of these images, allows for the identification of bone remodeling units and state of bone remodeling. |
No |
Measurements of bone minerals in bodily fluids:
|
Smith et al., 2005 |
Measurement of inorganic skeletal matrix markers such as calcium, phosphorus which, above all, reflect calcium-phosphorus homeostasis and are indicators for the status of bone mineralization. |
No |
Dynamic bone histomorphometry (2D and 3D kinetic measurements) include:
|
Dempster et al., 2013 |
Dynamic histomorphometry comprised the evaluation of bone mineralization from fluorochrome labeled samples. Thus, it is a quantitative measure of bone remodeling in addition to evaluation of bone structure over time. Dynamic histomorphometry can be performed in trabecular and cortical bone. |
No |
Trabeculae measurements:
|
Stauber et al., 2006 |
Rods and plates forming the trabecular can indicate bone remodeling by altering the bone turnover states (bone formation and resorption) and microarchitecture (Compston, 2016). |
No |
Domain of Applicability
Taxonomic applicability: Bone remodeling is applicable to all vertebrates such as humans, mice and rats (Bikle and Halloran, 1999; Donaubauer et al., 2020).
Life stage applicability: There is insufficient data on life stage applicability of this KE.
Sex applicability: There is insufficient data on sex applicability of this KE.
Evidence for perturbation by a stressor: Multiple studies show that bone remodeling can be disrupted by many types of stressors including ionizing radiation and altered gravity (Bikle and Halloran, 1999; Donaubauer et al., 2020).
References
Bikle, D. D., and B.P. Halloran (1999), “The response of bone to unloading”, Journal of Bone and Mineral Metabolism, Vol. 17/4, Springer Nature, https://doi.org/10.1007/s007740050090.
Carter, D. R., M.L. Bouxsein and R. Marcus (1992), “New Approaches for Interpreting Projected Bone Densitometry Data”, Journal of Bone and Mineral Research, Vol. 7/2, Wiley, https://doi.org/10.1002/jbmr.5650070204.
Compston, Juliet (2006), “Bone quality: what is it and how is it measured?”, Arquivos Brasileiros de Endocrinologia & Metabologia, Vol. 50/4, https://doi.org/10.1590/S0004-27302006000400003
Cummings, S. R., D. Bates and D.M. Black (2002), “Clinical Use of Bone Densitometry: Scientific Review”, Journal of the Americal Medical Association, Vol. 288/15, JAMA Network, https://doi.org/10.1001/jama.288.15.1889.
Dempster, D. W. et al. (2013), “Standardized Nomenclature, Symbols, and Units for Bone Histomorphometry: A 2012 Update of the Report of the ASBMR Histomorphometry Nomenclature Committee”, Journal of Bone and Mineral Research, Vol. 28, Wiley, https://doi.org/10.1002/jbmr.1805.
Donaubauer, A. J., et al. (2020), “The Influence of Radiation on Bone and Bone Cells-Differential Effects on Osteoclasts and Osteoblasts”, International journal of molecular sciences, Vol. 21/17, MDPI, Basel https://doi.org/10.3390/ijms21176377.
Raggatt, L. J., and N.C. Partridge (2010), “Cellular and Molecular Mechanisms of Bone Remodeling”, Journal of Biological Chemistry, Vol. 285/33, Elsevier, Amsterdam, https://doi.org/10.1074/jbc.R109.041087 .
Slyfield, C. R. et al. (2012), “Three-Dimensional Dynamic Bone Histomorphometry”, Journal of Bone and Mineral Research, Vol. 27/2, Wiley, https://doi.org/10.1002/jbmr.553
Smith, S. M., et al. (2005), “Bone Markers, Calcium Metabolism, and Calcium Kinetics during Extended-Duration Space Flight on the Mir Space Station”, Journal of Bone and Mineral Research, Vol. 20/2, Wiley, https://doi.org/10.1359/JBMR.041105.
Stauber et al. (2006), “Importance of Individual Rods and Plates in the Assessment of Bone Quality and Their Contribution to Bone Stiffness”, Journal of Bone and Mineral Research, Vol. 21/4, Wiley, https://doi.org/10.1359/jbmr.060102.
Wang, Y. H. et al. (2006), “Examination of Mineralized Nodule Formation in Living Osteoblastic Cultures Using Fluorescent Dyes”, Biotechnology Progress, Vol. 22/6, Wiley, https://doi.org/10.1021/bp060274b