Gender-Specific Differences in the Skeletal Response to Continuous PTH in Mice Lacking the IGF1 Receptor in Mature

Muriel Babey1, Yongmei Wang1, Takuo Kubota1

  • 1Endocrine Research Unit, University of California, San Francisco, CA, USA.

Insights

Continuous parathyroid hormone (cPTH) is catabolic in female mice, but not males. Insulin-like growth factor 1 receptor (IGF1R) signaling is crucial for cPTH

Area of Science:

  • Endocrinology
  • Bone Biology
  • Skeletal Physiology

Background:

  • Continuous parathyroid hormone (cPTH) administration affects bone metabolism.
  • Sex differences in skeletal responses to hormones are well-documented.
  • The role of Insulin-like Growth Factor 1 Receptor (IGF1R) in mediating these effects is not fully understood.

Purpose of the Study:

  • To investigate whether IGF1R in mature osteoblasts and osteocytes is essential for the catabolic actions of cPTH.
  • To determine the role of IGF1R in sex-specific responses to cPTH treatment.

Main Methods:

  • Conditional deletion of Igf1r in osteoblasts/osteocytes using the osteocalcin promoter (OCN)-cre mice.
  • Administration of cPTH (60 μg/kg/d) via minipumps for 4 weeks in male and female mice.
  • Analysis of bone structure (micro-CT), bone formation rate (histomorphometry), gene expression (qPCR), and bone marrow stromal cell (BMSC) function.

Main Results:

  • cPTH reduced bone mass in control females but not males.
  • Igf1r deletion abolished cPTH-induced bone loss in females and partially in males.
  • cPTH-stimulated bone formation markers and osteoclastogenesis were blocked by Igf1r deletion in females, with partial effects in males.
  • Sex differences in cPTH-induced changes in RANKL/osteoprotegerin ratios were observed and modulated by Igf1r deletion.

Conclusions:

  • Continuous PTH exhibits catabolic effects predominantly in female mice.
  • IGF1R signaling is critical for mediating the catabolic actions of cPTH, particularly in females.
  • These findings highlight sex-specific roles of IGF1R in skeletal responses to PTH therapy.

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