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Publication : Regulation of bone remodeling by vasopressin explains the bone loss in hyponatremia.

First Author  Tamma R Year  2013
Journal  Proc Natl Acad Sci U S A Volume  110
Issue  46 Pages  18644-9
PubMed ID  24167258 Mgi Jnum  J:202895
Mgi Id  MGI:5523351 Doi  10.1073/pnas.1318257110
Citation  Tamma R, et al. (2013) Regulation of bone remodeling by vasopressin explains the bone loss in hyponatremia. Proc Natl Acad Sci U S A 110(46):18644-9
abstractText  Although hyponatremia is known to be associated with osteoporosis and a high fracture risk, the mechanism through which bone loss ensues has remained unclear. As hyponatremic patients have elevated circulating arginine-vasopressin (AVP) levels, we examined whether AVP can affect the skeleton directly as yet another component of the pituitary-bone axis. Here, we report that the two Avp receptors, Avpr1alpha and Avpr2, coupled to Erk activation, are expressed in osteoblasts and osteoclasts. AVP injected into wild-type mice enhanced and reduced, respectively, the formation of bone-resorbing osteoclasts and bone-forming osteoblasts. Conversely, the exposure of osteoblast precursors to Avpr1alpha or Avpr2 antagonists, namely SR49059 or ADAM, increased osteoblastogenesis, as did the genetic deletion of Avpr1alpha. In contrast, osteoclast formation and bone resorption were both reduced in Avpr1alpha(-/-) cultures. This process increased bone formation and reduced resorption resulted in a profound enhancement of bone mass in Avpr1alpha(-/-) mice and in wild-type mice injected with SR49059. Collectively, the data not only establish a primary role for Avp signaling in bone mass regulation, but also call for further studies on the skeletal actions of Avpr inhibitors used commonly in hyponatremic patients.
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