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Receptor tyrosine kinase inhibition causes simultaneous bone loss and excess bone formation within growing bone in
Mirja Nurmio1, Henna Joki, Jenny Kallio
1Department of Physiology, University of Turku, Finland. Mirja.Nurmio@utu.fi
Abstract:
During postnatal skeletal growth, adaptation to mechanical loading leads to cellular activities at the growth plate. It has recently become evident that bone forming and bone resorbing cells are affected by the receptor tyrosine kinase (RTK) inhibitor imatinib mesylate (STI571, Gleevec®). Imatinib targets PDGF, ABL-related gene, c-Abl, c-Kit and c-Fms receptors, many of which have multiple functions in the bone microenvironment. We therefore studied the effects of imatinib in growing bone. Young rats were exposed to imatinib (150mg/kg on postnatal days 5-7, or 100mg/kg on postnatal days 5-13), and the effects of RTK inhibition on bone physiology were studied after 8 and 70days (3-day treatment), or after 14days (9-day treatment). X-ray imaging, computer tomography, histomorphometry, RNA analysis and immunohistochemistry were used to evaluate bone modeling and remodeling in vivo. Imatinib treatment eliminated osteoclasts from the metaphyseal osteochondral junction at 8 and 14days. This led to a resorption arrest at the growth plate, but also increased bone apposition by osteoblasts, thus resulting in local osteopetrosis at the osteochondral junction. The impaired bone remodelation observed on day 8 remained significant until adulthood. Within the same bone, increased osteoclast activity, leading to bone loss, was observed at distal bone trabeculae on days 8 and 14. Peripheral quantitative computer tomography (pQCT) and micro-CT analysis confirmed that, at the osteochondral junction, imatinib shifted the balance from bone resorption towards bone formation, thereby altering bone modeling. At distal trabecular bone, in turn, the balance was turned towards bone resorption, leading to bone loss.
Insights
The receptor tyrosine kinase inhibitor imatinib disrupts normal bone growth in young rats. Imatinib causes osteopetrosis at the growth plate and bone loss in trabecular bone, altering skeletal development.
Area of Science:
- Skeletal Biology
- Pharmacology
- Developmental Biology
Background:
- Postnatal skeletal growth involves cellular adaptation to mechanical loading at the growth plate.
- Receptor tyrosine kinase (RTK) inhibitors, like imatinib mesylate, impact bone-forming and bone-resorbing cells.
- Imatinib targets multiple receptors (PDGF, ABL, c-Kit, c-Fms) crucial for bone microenvironment functions.
Purpose of the Study:
- To investigate the effects of imatinib on bone physiology during postnatal skeletal growth in young rats.
- To evaluate how RTK inhibition by imatinib influences bone modeling and remodeling processes in vivo.
Main Methods:
- Young rats were treated with imatinib at different doses and durations during postnatal development.
- Evaluations included X-ray imaging, computer tomography (CT), histomorphometry, RNA analysis, and immunohistochemistry.
- Peripheral quantitative CT (pQCT) and micro-CT were used to analyze bone structure and remodeling.
Main Results:
- Imatinib treatment eliminated osteoclasts at the metaphyseal osteochondral junction, causing resorption arrest and local osteopetrosis.
- Increased osteoblast activity and bone apposition were observed at the osteochondral junction.
- Conversely, distal trabecular bone showed increased osteoclast activity and bone loss.
- These alterations in bone remodeling persisted from early postnatal stages into adulthood.
Conclusions:
- Imatinib significantly alters bone modeling and remodeling during postnatal skeletal growth.
- The drug induces site-specific effects, leading to osteopetrosis at the growth plate and bone loss in trabecular regions.
- These findings highlight the critical role of RTKs in regulating bone development and the potential consequences of their inhibition.
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