PMID- 22729283 OWN - NLM STAT- MEDLINE DCOM- 20120919 LR - 20220409 IS - 1546-170X (Electronic) IS - 1078-8956 (Print) IS - 1078-8956 (Linking) VI - 18 IP - 7 DP - 2012 Jul TI - Matrix IGF-1 maintains bone mass by activation of mTOR in mesenchymal stem cells. PG - 1095-101 LID - 10.1038/nm.2793 [doi] AB - Insulin-like growth factor 1 (IGF-1), the most abundant growth factor in the bone matrix, maintains bone mass in adulthood. We now report that IGF-1 released from the bone matrix during bone remodeling stimulates osteoblastic differentiation of recruited mesenchymal stem cells (MSCs) by activation of mammalian target of rapamycin (mTOR), thus maintaining proper bone microarchitecture and mass. Mice with knockout of the IGF-1 receptor (Igf1r) in their pre-osteoblastic cells showed lower bone mass and mineral deposition rates than wild-type mice. Further, MSCs from Igf1rflox/flox mice with Igf1r deleted by a Cre adenovirus in vitro, although recruited to the bone surface after implantation, were unable to differentiate into osteoblasts. We also found that the concentrations of IGF-1 in the bone matrix and marrow of aged rats were lower than in those of young rats and directly correlated with the age-related decrease in bone mass. Likewise, in age-related osteoporosis in humans, we found that bone marrow IGF-1 concentrations were 40% lower in individuals with osteoporosis than in individuals without osteoporosis. Notably, injection of IGF-1 plus IGF binding protein 3 (IGFBP3), but not injection of IGF-1 alone, increased the concentration of IGF-1 in the bone matrix and stimulated new bone formation in aged rats. Together, these results provide mechanistic insight into how IGF-1 maintains adult bone mass, while also providing a further rationale for its therapeutic targeting to treat age-related osteoporosis. FAU - Xian, Lingling AU - Xian L AD - Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. FAU - Wu, Xiangwei AU - Wu X FAU - Pang, Lijuan AU - Pang L FAU - Lou, Michael AU - Lou M FAU - Rosen, Clifford J AU - Rosen CJ FAU - Qiu, Tao AU - Qiu T FAU - Crane, Janet AU - Crane J FAU - Frassica, Frank AU - Frassica F FAU - Zhang, Liming AU - Zhang L FAU - Rodriguez, Juan Pablo AU - Rodriguez JP FAU - Xiaofeng Jia AU - Xiaofeng Jia FAU - Shoshana Yakar AU - Shoshana Yakar FAU - Shouhong Xuan AU - Shouhong Xuan FAU - Argiris Efstratiadis AU - Argiris Efstratiadis FAU - Mei Wan AU - Mei Wan FAU - Xu Cao AU - Xu Cao LA - eng GR - R01 DK080898/DK/NIDDK NIH HHS/United States GR - T32DK007751V/DK/NIDDK NIH HHS/United States GR - T32 DK007751/DK/NIDDK NIH HHS/United States GR - AR 053973/AR/NIAMS NIH HHS/United States GR - K01 AR060433/AR/NIAMS NIH HHS/United States GR - R01 AR053973-02/AR/NIAMS NIH HHS/United States GR - R01 AR053973-03/AR/NIAMS NIH HHS/United States GR - R01 AR045433/AR/NIAMS NIH HHS/United States GR - R01 AR053973/AR/NIAMS NIH HHS/United States GR - R01 AR053973-05/AR/NIAMS NIH HHS/United States GR - R01 AR053973-01A2/AR/NIAMS NIH HHS/United States GR - R01 DK057501/DK/NIDDK NIH HHS/United States GR - R01 AR053973-04/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Nat Med JT - Nature medicine JID - 9502015 RN - 0 (Insulin Receptor Substrate Proteins) RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.7.10.1 (Receptor, IGF Type 1) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM CIN - Nat Rev Rheumatol. 2012 Aug;8(8):440. PMID: 22782005 MH - Aging/drug effects/metabolism MH - Animals MH - Bone Matrix/drug effects/*metabolism MH - Bone Resorption/blood/diagnostic imaging/metabolism/pathology MH - Bone and Bones/drug effects/metabolism/*pathology MH - Cell Count MH - Cell Differentiation/drug effects MH - Enzyme Activation/drug effects MH - Femur/diagnostic imaging/growth & development/pathology MH - Humans MH - Immunohistochemistry MH - Insulin Receptor Substrate Proteins/metabolism MH - Insulin-Like Growth Factor Binding Protein 3/administration & dosage/metabolism/pharmacology MH - Insulin-Like Growth Factor I/administration & dosage/*metabolism/pharmacology MH - Mesenchymal Stem Cells/drug effects/*enzymology/pathology MH - Mice MH - Mice, Knockout MH - Organ Size/drug effects MH - Osteoblasts/drug effects/enzymology/pathology MH - Osteogenesis/drug effects MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Receptor, IGF Type 1/deficiency/metabolism MH - TOR Serine-Threonine Kinases/*metabolism MH - X-Ray Microtomography PMC - PMC3438316 MID - NIHMS371289 EDAT- 2012/06/26 06:00 MHDA- 2012/09/20 06:00 PMCR- 2013/01/01 CRDT- 2012/06/26 06:00 PHST- 2012/03/07 00:00 [received] PHST- 2012/04/18 00:00 [accepted] PHST- 2012/06/26 06:00 [entrez] PHST- 2012/06/26 06:00 [pubmed] PHST- 2012/09/20 06:00 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - nm.2793 [pii] AID - 10.1038/nm.2793 [doi] PST - ppublish SO - Nat Med. 2012 Jul;18(7):1095-101. doi: 10.1038/nm.2793.