Assessment of Bones Deficient in Fibrillin-1 Microfibrils Reveals Pronounced Sex Differences

Lukas Altinbas1, Nicole Bormann1,2, Daniel Lehmann1

  • 1BIH Center for Regenerative Therapies, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.

Insights

Marfan syndrome (MFS) affects bone differently in males and females. This study found that female mice with MFS had poorer bone structure and mechanical properties, linked to increased TGFβ signaling.

Area of Science:

  • Biomedical research
  • Skeletal biology
  • Genetics

Background:

  • Marfan syndrome (MFS) results from fibrillin-1 defects affecting TGFβ bioavailability.
  • MFS causes connective tissue and skeletal issues, but sex-specific bone effects are unknown.

Purpose of the Study:

  • To investigate sex-based differences in bone microarchitecture and mechanical function in a mouse model of MFS.
  • To explore the underlying molecular mechanisms, specifically TGFβ signaling pathways.

Main Methods:

  • Examined femora and vertebrae from 11-week-old male and female Fbn1-deficient mice (MFS model).
  • Utilized 3D micro-computed tomography for microarchitecture analysis.
  • Performed three-point bending tests on femora for mechanical properties.
  • Assessed TGFβ signaling activation via Smad2 and ERK1/2 phosphorylation.

Main Results:

  • Female mice exhibited reduced trabecular bone volume, number, and thickness, with increased separation compared to males.
  • Femora from female mice showed significantly lower post-yield displacement and work-to-fracture.
  • Higher Smad2 and ERK1/2 phosphorylation indicated greater TGFβ signaling activation in females.

Conclusions:

  • Significant sex differences exist in bone matrix and function in fibrillin-1 deficient mice.
  • These findings suggest sex-specific analyses are crucial for MFS patient management.
  • Sex-specific therapeutic strategies may improve clinical outcomes and quality of life for MFS patients.

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