Effect of sclerostin inactivation in a mouse model of severe dominant osteogenesis imperfecta

Juliana Marulanda1,2, Josephine T Tauer1, Iris Boraschi-Diaz2

  • 1Shriners Hospital for Children, 1003 Decarie, Montreal, QC, H4A 0A9, Canada.

Scientific Reports
|March 27, 2023
PubMed

Insights

Genetic inactivation of sclerostin (Sost) significantly improved bone mass and strength in a mouse model of severe Osteogenesis imperfecta (OI). This suggests Sost suppression may be a viable therapeutic strategy for OI patients.

Area of Science:

  • Biochemistry
  • Genetics
  • Orthopedics

Background:

  • Osteogenesis imperfecta (OI) is a rare genetic disorder characterized by brittle bones and low bone mass.
  • Sclerostin (Sost) is a protein that inhibits bone formation, and its inhibition is being explored as a treatment for bone diseases like OI.
  • Previous studies showed limited efficacy of anti-sclerostin antibodies in a severe OI mouse model (Col1a1Jrt/+).

Purpose of the Study:

  • To investigate the therapeutic potential of genetic sclerostin inactivation in the Col1a1Jrt/+ mouse model of severe OI.
  • To assess the impact of complete (homozygous) versus partial (heterozygous) Sost deficiency on skeletal parameters in OI mice.

Main Methods:

  • Generation of Sost-deficient Col1a1Jrt/+ mice by crossing Col1a1Jrt/+ mice with Sost knockout mice.
  • Comparison of skeletal and biomechanical properties between homozygous Sost-deficient, heterozygous Sost-deficient, and control Col1a1Jrt/+ mice at 8 and 14 weeks of age.
  • Transcriptome analysis of tibial diaphysis RNA to identify gene expression changes.

Main Results:

  • Homozygous Sost deficiency in Col1a1Jrt/+ mice led to increased body mass, femur length, and bone dimensions (cortical thickness, periosteal diameter).
  • Significant improvements in trabecular bone volume and bone strength (biomechanical parameters) were observed in homozygous Sost-deficient OI mice.
  • The beneficial effects were more pronounced at 14 weeks compared to 8 weeks, and transcriptome analysis revealed minimal changes in gene expression.

Conclusions:

  • Genetic inactivation of Sost effectively increases bone mass and strength in a severe mouse model of Osteogenesis imperfecta.
  • The findings suggest that the required level of Sost suppression for therapeutic benefit may depend on the specific genetic cause of OI.
  • Complete genetic inactivation of Sost demonstrates a potent positive effect on the skeletal phenotype in this OI model.

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