Identification of novel bone-specific molecular targets of binge alcohol and ibandronate by transcriptome analysis

Ryan Himes1, Frederick H Wezeman, John J Callaci

  • 1Department of Orthopaedic Surgery and Rehabilitation, Loyola University Stritch School of Medicine, Maywood, Illinois 60153, USA.

Abstract

Insights

Binge alcohol consumption causes bone damage by altering gene expression in vertebrae. Antiresorptive therapy with ibandronate prevents this bone loss and normalizes some alcohol-affected gene pathways.

Area of Science:

  • Bone biology and toxicology
  • Pharmacology and molecular pathways

Background:

  • Binge alcohol consumption is linked to bone damage, suggesting increased bone resorption.
  • Aminobisphosphonates prevent alcohol-related bone damage, indicating their therapeutic potential.

Purpose of the Study:

  • To investigate the effects of binge alcohol and antiresorptive therapy on vertebral bone damage.
  • To identify molecular pathways modulated by alcohol-induced bone damage and its prevention.

Main Methods:

  • Male Sprague-Dawley rats were subjected to binge alcohol (3 g/kg) or saline for 1 or 4 weeks.
  • Some groups received concurrent ibandronate treatment.
  • Vertebrae were analyzed for bone mineral density (BMD), compressive strength, and transcriptional changes.

Main Results:

  • Four weeks of binge alcohol decreased vertebral BMD by 23% and compressive strength by 18%.
  • Ibandronate prevented alcohol-induced bone loss and normalized BMD and strength.
  • Transcriptome analysis revealed alcohol-modulated gene expression in integrin and Wnt signaling pathways.

Conclusions:

  • Binge alcohol affects bone remodeling through integrin and Wnt signaling pathways.
  • Ibandronate normalizes a subset of alcohol-sensitive genes, offering a mechanistic explanation for its protective effects.
  • This study identifies novel alcohol-sensitive pathways involved in bone remodeling.

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