The effect of rapamycin on bone growth in rabbits

Chanika Phornphutkul1, Mark Lee, Cliff Voigt

  • 1Department of Pediatrics, Division of Pediatric Endocrinology and Metabolism, Rhode Island Hospital and Brown University, Providence, RI 02903, USA. chanika_phornphutkul@brown.edu

Insights

Rapamycin, an mTOR inhibitor, directly infused into rabbit growth plates slowed bone growth. This suggests nutrients impact long bone development via mTOR-mediated chondrogenesis, warranting caution before pediatric use.

Area of Science:

  • Cellular Biology
  • Developmental Biology
  • Orthopedics

Background:

  • Mammalian target of rapamycin (mTOR) is a key regulator of cellular processes, including chondrogenesis.
  • Previous studies suggest mTOR plays a role in cartilage formation.
  • Understanding mTOR's role in bone growth is crucial for pediatric skeletal development.

Purpose of the Study:

  • To investigate the in vivo effect of direct mTOR inhibition on long bone growth.
  • To determine the impact of rapamycin on chondrogenesis within the growth plate.
  • To assess the influence of nutrient sensing pathways on skeletal development.

Main Methods:

  • Direct infusion of rapamycin or vehicle control into rabbit proximal tibial growth plates via osmotic minipumps for 8 weeks.
  • Radiographic monitoring of tibial growth throughout the study period.
  • Histological analysis of growth plate tissues to evaluate cellular zones and overall structure.

Main Results:

  • Direct rapamycin infusion into growth plates did not cause adverse effects.
  • Rapamycin-treated limbs exhibited slower bone growth compared to controls, especially during peak growth periods.
  • Histological analysis revealed reduced growth plate height, with significant decreases in both proliferative and hypertrophic zones.

Conclusions:

  • Direct inhibition of mTOR in the growth plate via rapamycin reduces chondrogenesis and inhibits long bone growth.
  • Nutrient availability may directly influence skeletal growth through mTOR-mediated pathways in chondrocytes.
  • The potential inhibitory effects of rapamycin on skeletal growth necessitate careful consideration before its clinical application in children.