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Publication : Parathyroid Hormone Directs Bone Marrow Mesenchymal Cell Fate.

First Author  Fan Y Year  2017
Journal  Cell Metab Volume  25
Issue  3 Pages  661-672
PubMed ID  28162969 Mgi Jnum  J:256743
Mgi Id  MGI:6107063 Doi  10.1016/j.cmet.2017.01.001
Citation  Fan Y, et al. (2017) Parathyroid Hormone Directs Bone Marrow Mesenchymal Cell Fate. Cell Metab 25(3):661-672
abstractText  Intermittent PTH administration builds bone mass and prevents fractures, but its mechanism of action is unclear. We genetically deleted the PTH/PTHrP receptor (PTH1R) in mesenchymal stem cells using Prx1Cre and found low bone formation, increased bone resorption, and high bone marrow adipose tissue (BMAT). Bone marrow adipocytes traced to Prx1 and expressed classic adipogenic markers and high receptor activator of nuclear factor kappa B ligand (Rankl) expression. RANKL levels were also elevated in bone marrow supernatant and serum, but undetectable in other adipose depots. By cell sorting, Pref1(+)RANKL(+) marrow progenitors were twice as great in mutant versus control marrow. Intermittent PTH administration to control mice reduced BMAT significantly. A similar finding was noted in male osteoporotic patients. Thus, marrow adipocytes exhibit osteogenic and adipogenic characteristics, are uniquely responsive to PTH, and secrete RANKL. These studies reveal an important mechanism for PTH's therapeutic action through its ability to direct mesenchymal cell fate.
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