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The aim of this histomorphometric study was to compare the outcome of sinus floor augmentation procedures using bovine bone mineral and a xenograft enriched with gelatin and a polymer. In 20 patients a single sinus floor elevation procedure with a lateral window approach was performed. In half of the patients, sinuses were grafted with a deproteinized bovine bone mineral--DBBM (control group)--while in the remaining 10, a xenograft enriched by polymer and gelatin--NBS (test group)--was applied. In the DBBM group, histomorphometric analysis revealed 23.14 ± 10.62% of lamellar bone, 19.43% ± 9.18% of woven bone, 23.35% ± 6.04% of osteoid, 17.16% ± 6.13% of biomaterial particles, and 16.93% ± 9.78% of medullary spaces. In the NBS group, histomorphometric analysis found 39.64% ± 12.02% of lamellar bone, 16.28% ± 7.75% of woven bone, 17.51% ± 4.87% of osteoid, 12.72% ± 5.36% of biomaterial particles, and 13.84% ± 6.53% of medullary spaces. Differences between groups for proportion of lamellar bone (P = .004) and osteoid (P = .0287) were statistically significant. Inflammatory infiltration was appreciated only in the NBS group. The enriched xenograft showed a statistically significant higher proportion of lamellar bone and osteoid; however, this was accompanied by an accentuated inflammatory infiltrate. [ABSTRACT FROM AUTHOR]

• Body mass index is not an accurate measure of health in esport players. • Collegiate esport players are significantly less active than non-esport players. • Esport players present with significantly less lean body mass than non-esport players. • Esport players have significantly higher body fat % than non-esport players. • Bone mineral content is significantly lower in esport players than in non-esport players. Esports players, like traditional athletes, practice for long hours and, thus, are vulnerable to the negative health effects of prolonged sitting. There is a lack of research on the physical activity and the health ramifications of prolonged sitting by competitive players. The purpose of this study was to investigate activity levels, body mass index (BMI), and body composition in collegiate esports players as compared to age-matched controls. Twenty-four male collegiate esports players and non-esports players between 18 and 25 years of age signed a written consent to participate. Physical activity was examined using daily activity (step count) with a wrist-worn activity tracker. A questionnaire assessing physical activity was also administered. Secondary outcomes included body-fat percentage, lean-body mass, BMI, and bone mineral content measured using dual X-ray absorptiometry. The step count in the esports players was significantly lower than the age-matched controls (6040.2 ± 3028.6 vs. 12843.8 ± 5661.1; p = 0.004). Esports players exhibited greater body-fat percentage (p = 0.05), less lean body mass (p = 0.003), and less bone mineral content (p = 0.03), despite no difference in BMI between the esports and non-esports players. As compared to non-esports players, collegiate esports players were significantly less active and had a higher body-fat percentage, with lower lean body mass and bone mineral content. The BMIs showed no difference between the 2 groups. Esports athletes displayed significantly less activity and poor body composition, which are all correlated with potential health issues and risk of injury. BMI did not capture this difference and should not be considered as an accurate measure of health in competitive esports players. [Display omitted] [ABSTRACT FROM AUTHOR]

Objectives: To present the results of guided bone regeneration (GBR) of atrophic edentulous ridges with customized CAD/CAM titanium meshes. Material and methods: Forty‐one patients, presenting with 53 atrophic sites, were enrolled between 2018 and 2019. GBR was obtained with titanium meshes filled with autogenous bone chips and bovine bone mineral (BBM). After a mean of 7 months (range: 5–12 months), meshes were removed and 106 implants placed. After a mean of 3.5 months (range: 2–5 months), implants were uncovered and prosthetic restorations started. The outcomes were vertical and horizontal bone augmentation changes, biological complications and implant survival. Results: Out of 53 sites, 11 underwent mesh exposure: eight of them were followed by uneventful integration of the graft, while three by partial bone loss. The mean vertical and horizontal bone gain after reconstruction was 4.78 ± 1.88 mm (range 1.00–8.90 mm) and 6.35 ± 2.10 mm (range 2.14–11.48 mm), respectively. At the time of implant placement, mean changes of initial bone gain were −0.39 ± 0.64 mm (range −3.1 to + 0.80 mm) and −0.49 ± 0.83 mm (range –3.7 to +0.4 mm), in the vertical and horizontal dimensions, respectively. Reduction of bone volume was significantly higher (p <.001 for both dimensions) in the exposed sites. The mean follow‐up of implants after loading was 10.6 ± 6.5 months (range: 2–26 months). The survival rate of implants was 100%. Conclusion: Customized titanium meshes can represent a reliable tool for GBR of severely atrophic sites, with simplification of the surgical phases. [ABSTRACT FROM AUTHOR]

Objective: Estimate changes in augmentation height and volume after lateral guided bone regeneration (GBR) augmentation with different ratios of deproteinized bovine bone mineral (DBBM) and particulate autogenous bone (PAB) and autogenous bone block (ABB), at different time points. Material and methods: Twenty‐four minipigs were randomly allocated into three healing periods. Lateral augmentation in 96 sites with standardized quantity of graft material was performed with different ratios of DBBM and PAB (50:50, 75:25, and 100:0) and ABB in combination with DBBM, covered by a collagen membrane. Changes in augmentation height and volume were assessed on CT volumes acquired 10, 20, and 30 weeks after surgery. Results: Reduction in bone augmentation height was as follows: 50:50–1.7 mm (−33.1%), 75:25–1.8 mm (−37.8%), 100:0–1.7 mm (−35.8%), and ABB ‐ 0.2 mm (−3.7%), after 30 weeks. The augmentation height was significantly better preserved with ABB compared to 50:50, 75:25, and 100:0, while no significant difference was present among particulate grafts. No significant difference in volumetric reduction was found among 50:50, 75:25, 100:0 and ABB after 30 weeks, while 100:0 presented significant less reduction compared to 50:50, 75:25 and ABB after 10 and 20 weeks. Conclusions: Augmentation height following GBR was better preserved with ABB covered with DBBM. Addition of PAB to DBBM did not affect the changes in height of the graft. The volumetric stability seems to be comparable for ABB covered by DBBM and all particulate grafts after 30 weeks. However, DBBM alone revealed significant less volume reduction in the early healing phase. [ABSTRACT FROM AUTHOR]

Aim: To compare outcomes of rhFGF‐2 + DBBM therapy with rhFGF‐2 alone in the treatment of intrabony defects. This study provides 2‐year follow‐up results from the previous randomized controlled trial. Materials and Methods: Defects were randomly allocated to receive rhFGF‐2 + DBBM (test) or rhFGF‐2 (control). Treated sites were re‐evaluated at 2 years postoperatively, using original clinical and patient‐centred measures. Results: Thirty‐eight sites were available for re‐evaluation. At 2 years, both groups showed a significant improvement in clinical attachment level (CAL) from baseline. A gain in CAL of 3.4 ± 1.3 mm in the test group and 3.1 ± 1.5 mm in the control group was found. No significant inter‐group difference was noted. Both groups showed a progressive increase in radiographic bone fill (RBF). The test treatment yielded greater RBF (56%) compared with the control group (41%). The control treatment performed better in contained defects in terms of CAL and RBF. There was no significant difference in patient‐reported outcomes between groups. Conclusions: At 2‐year follow‐up, the test and cotrol treatments were similarly effective in improving CAL, whereas the test treatment achieved a significantly greater RBF. In both treatments, favourable clinical, radiographic, and patient‐reported outcomes can be sustained for at least 2 years. Trial registration: The University Hospital Medical Information Network‐Clinical Trials Registry (UMIN‐CTR) 000025257. [ABSTRACT FROM AUTHOR]

The article describes the technology for producing a homogeneous meat-bone paste by fine grinding of bone raw materials. The results of a study of the chemical and amino acid compositions of meatbone paste from cattle bones are presented. The obtained chemical composition data suggest that meat-bone paste is a rich source of minerals (11.4%), protein (13.64%) and fat (5.22%). A comparative analysis of the amino acid composition of meat-bone paste and cattle by-products (paunch, spleen, lungs and trachea) revealed a significant excess of almost all essential amino acids in meat-bone paste. The results of a study of the effect of temperature and storage time on the change of yield stress and pH of meat-bone paste are presented. The results of the study indicate that as the temperature of the meat-bone paste increases, the value of the yield stress goes down. Based on the studies, it was found that the optimal storage time of meat-bone paste is up to 12 hours, at which there is a slight increase of pH to 7.3 and yield stress to 2186.2 Pa. [ABSTRACT FROM AUTHOR]

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Background: Many statistical methods are available to model longitudinal growth data and relate derived summary measures to later outcomes. Aim: To apply and compare commonly used methods to a realistic scenario including pre- and postnatal data, missing data, and confounders. Subjects and methods: Data were collected from 753 offspring in the Southampton Women's Survey with measurements of bone mineral content (BMC) at age 6 years. Ultrasound measures included crown-rump length (11 weeks' gestation) and femur length (19 and 34 weeks' gestation); postnatally, infant length (birth, 6 and 12 months) and height (2 and 3 years) were measured. A residual growth model, two-stage multilevel linear spline model, joint multilevel linear spline model, SITAR and a growth mixture model were used to relate growth to 6-year BMC. Results: Results from the residual growth, two-stage and joint multilevel linear spline models were most comparable: an increase in length at all ages was positively associated with BMC, the strongest association being with later growth. Both SITAR and the growth mixture model demonstrated that length was positively associated with BMC. Conclusions: Similarities and differences in results from a variety of analytic strategies need to be understood in the context of each statistical methodology. [ABSTRACT FROM AUTHOR]

Phosphorus (P) is essential for building and maintaining a healthy and strong skeleton. Moreover, dietary P supply may play a role for bone turnover, and the excretion of bone turnover metabolites may be useful as markers for sufficient dietary P supply. The objective was to study the long-term effects of low, medium, and high dietary P supply on bone metabolism in terms of serum concentration and urinary excretion of bone turnover components and metabolites in healthy growing- finishing pigs compared with bone mineral content (BMC) and bone mineral density (BMD) of humerus and femur. Pigs were fed diets containing low [LP; 4.1 g/kg dry matter (DM)], medium (MP; 6.2 g/kg DM), or high dietary P (HP; 8.9 g/kg DM) from 39.7 kg body weight (BW) until slaughter at 110 kg BW. Urine and blood were collected at 40, 70, and 110 kg BW while bones were collected at slaughter. Serum was analyzed for osteocalcin (OC), bone alkaline phosphatase (BAP), and C-terminal telopeptides of type I collagen (CTX-I), whereas urine was analyzed for pyridinoline (PYD), deoxypyridinoline (DPD), CTX-I, hydroxylysine (HYL), galactosyl-hydroxylysine (GAL-HYL), glycosyl-galactosyl-hydroxylysine (GLC-GAL-HYL), and hydroxyproline (HYP). Humerus and femur were analyzed for BMC and BMD. The LP diet caused reduced OC and increased BAP and CTX-I concentrations in serum. Furthermore, BAP was increased in response to the HP diet. Urine metabolites of bone resorption were all increased in pigs fed the LP diet, but only a few responses were obtained in response to the HP diet. Furthermore, age-related decreases were identified for BAP, HYL, GAL-HYL, and GLCGAL- HYL. Bone mineral content and BMD were markedly lowered in pigs fed the LP diet but were not affected in pigs fed the HP diet. In conclusion, OC, BAP, and CTX-I in serum have proved useful for P adequacy in growing-finishing pigs. In addition, urine bone resorption metabolites have also proved useful for P adequacy and analysis of PYD, DPD, and CTX-I was considered to be the most relevant markers due to their specificity for bone and their negative correlation with BMD, BMC, ash, calcium (Ca), and P contents. Finally, DPD may be the preferred marker in long-term P feeding assessments. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 3-year-old male Juliana pig who suffered lameness in the left forelimb after falling from a height of 3 feet. It talks about the pig having fractured his humerus in the forelimb. It tells about the fracture happening due to metabolic disease which was because of decreasing bone mineralization. It speaks about the patient's intake of dietary calcium and phosphorus being increased.

Background: The aim of the present study was to evaluate & compare the body fluid level, total mineral content in trained male and female players of four different sport disciplines. Material and methods: 46 archers (M = 18 & F = 28), 57 track & field athletes (M = 26 & F = 31), 81 footballers (M = 24 & F = 57) and 43 gymnasts (M = 21 & F = 22) were evaluated using a multi-frequency bioelectrical impedance analyzer. Results: Track & field athletes were found to be bigger in size while gymnasts were smaller. Total body water (%) was found to be higher in all the male players over their female counterparts. Total mineral mass, total body Ca2+ and K+ were also found to differ significantly (p < 0.05 & p < 0.01) between male & female players of different sports disciplines except in gymnastics. However, overall significant difference (p < 0.05 & p < 0.01) was observed between archers and gymnasts, as well as archers and footballers in both male & female players when Scheffe's Post hoc test was applied. Conclusions: The study revealed the influence of specific training load and gender on total body water and mineral content on athletes playing different sports. These findings could be implemented in sports to formulate the systematic training program and also for future comparison. [ABSTRACT FROM AUTHOR]

Objective: An experiment was conducted to evaluate dietary supplemental trace mineral source and deletion on mineral content in tissues. Methods: Weanling crossbred pigs (n = 144; 72 barrows and 72 gilts; body weight [BW] = 7.4±1.05 kg) were used. A basal diet was prepared, and trace mineral premix containing either inorganic (ITM) or organic (OTM) trace minerals (Cu, Fe, Mn, and Zn) was added to the basal diet. Pigs were blocked by sex and BW and randomly allotted to 24 pens for a total of 6 pigs per pen, and fed a diet containing either ITM or OTM supplemented at the 1998 NRC requirement estimates for each of 5 BW phases (Phase I to V) from 7 to 120 kg. The trace mineral supplementation was deleted for 6, 4, 2, and 0 wk of Phase V; regarding nutrient adequacy during this phase, the indigenous dietary Fe and Mn was sufficient, Cu was marginal and Zn was deficient. Results: At the end of Phase IV, Mn content (mg/kg on the dry matter basis) was greater (p<0.05) in heart (0.77 vs 0.68), kidney (6.32 vs 5.87), liver (9.46 vs 8.30), and longissimus dorsi (LD; 0.30 vs 0.23) of pigs fed OTM. The pigs fed OTM were greater (p<0.05) in LD Cu (2.12 vs 1.89) and Fe (21.75 vs 19.40) and metacarpal bone Zn (141.86 vs 130.05). At the end of Phase V, increased length of deletion period (from 0 to 6 wk) resulted in a decrease (linear, p<0.01) in liver Zn (196.5 to 121.8), metacarpal bone Zn (146.6 to 86.2) and an increase (linear, p<0.01) in heart Mn (0.70 to 1.08), liver Mn (7.74 to 12.96), and kidney Mn (5.58 to 7.56). The only mineral source by deletion period interaction (p<0.05) was observed in LD Zn. Conclusion: The results demonstrated differential effects of mineral deletion on tissue mineral content depending on both mineral assessed and source of the mineral. [ABSTRACT FROM AUTHOR]

Objective: The relationship between decreased bone mineral density (BMD) and chronic kidney disease (CKD) is controversial. The associations among metabolic syndrome (MetS), serum uric acid and CKD are also unclear. We aimed to investigate the relationship between decreased BMD, MetS, serum uric acid and CKD in a general population. Methods: A total of 802 subjects who visited a medical center in Southern Taiwan and underwent a BMD measured by dual-energy X-ray absorptiometry (DEXA) during a health examination were enrolled in this retrospective cross-sectional study. Either osteopenia or osteoporosis was defined as decreased BMD. CKD was defined as the estimated glomerular filtration rate (eGFR) of less than 60 mL/min/1.73m2. Simple and multivariate logistic regression analyses were used to investigate the association between variables, decreased BMD and CKD. Results: Of the 802 subjects with a mean age of 54.4±10.2 years, the prevalence of decreased BMD was 62.9%, and CKD was 3.7%. Simple logistic analysis showed that sex (OR 3.50, 95% CI 1.21–10.12, p = 0.021), age (OR 1.14, 95% CI 1.07–1.21, p<0.001), BMI (OR 1.11, 95% CI 1.01–1.22, p = 0.028), waist circumference (OR 1.06, 95% CI 1.02–1.10, p = 0.002), SBP (OR 1.03, 95% CI 1.01–1.04, p = 0.003), DBP (OR 1.03, 95% CI 1.00–1.06, p = 0.030), HDL-C (OR 0.97, 95% CI 0.94–1.00, p = 0.026), uric acid (OR 1.84, 95% CI 1.49–2.27, p<0.001), metabolic syndrome (OR 2.68, 95% CI 1.29–5.67, p = 0.009), and decreased BMD (OR 3.998, 95% CI 1.38–11.57, p = 0.011) were significantly associated with CKD. Multivariate analysis showed that age (OR 1.05, 95% CI 1.03–1.07, p<0.001), decreased BMD (OR 0.64, 95% CI 0.45–0.91, p = 0.013), and uric acid (OR 1.40, 95% CI 1.24–1.59, p<0.001) were significantly independently associated with CKD. Conclusions: Decreased BMD, uric acid and MetS were significantly associated with CKD. Further large and prospective cohort studies are necessary to investigate whether management of osteoporosis, hyperuricemia, or MetS might prevent the progression of CKD. [ABSTRACT FROM AUTHOR]

We investigated whether common inflammatory markers are associated with bone accumulation in lean pubertal girls. Thirty-four 10-12-year-old lean girls at pubertal stages 2-4 were studied. Twelve inflammatory parameters [interleukin (IL)-2, IL-4, IL-6, IL-8, IL-10, vascular endothelial growth factor, interferon-gamma (IFN-γ), tumour necrosis factor-alpha, IL-1α, IL-1β, monocyte chemotactic protein-1 (MCP-1) and epidermal growth factor] were measured from plasma samples. Whole body (WB), lumbar spine (LS) and femoral neck (FN) bone mineral density (BMD), and WB bone mineral content (BMC) were assessed by DXA. Plasma IFN-γ concentration was negatively correlated (p<0.05) with WB BMC (r=-0.45), WB BMD (r=-0.46) and FN BMD (r=-0.43). In addition, plasma IL-6 (r= -0.37; p<0.05), IL-1α (r=-0.40; p<0.05) and MCP-1 (r=-0.38; p<0.05) concentrations were also negatively correlated to measured BMD values. The stepwise regression analysis showed that IFN-γ alone and together with IL-1α explained 18.6% and 27.6%, respectively, of the variability in WB BMD, while IL-1α and MCP-1 together explained 25.5% of the variability in LS BMD, and IL-1α together with IFN-γ explained 34.1% of the variability in FN BMD. In conclusion, plasma IFN-γ, IL-6, IL-1α and MCP-1 concentrations were associated with BMD variables, suggesting that these cytokines may participate in bone accumu lation in lean pubertal girls. [ABSTRACT FROM AUTHOR]

Collagen is the main component of extracellular matrix (ECM) with desirable biological activities and low antigenicity. Collagen materials have been widely utilized in guided bone regeneration (GBR) surgery due to its abilities to maintain space for hard tissue growth. However, pure collagen lacks optimal mechanical properties. In our previous study, epigallocatechin-3-gallate (EGCG) cross-linked collagen membranes, with better biological activities and enhanced mechanical properties, may promote osteoblast proliferation, but their effect on osteoblast differentiation is not very significant. Nanohydroxyapatite (nano-HA) is the main component of mineral bone, which possesses exceptional bioactivity properties including good biocompatibility, high osteoconductivity and osteoinductivity, non-immunogenicity and non-inflammatory behavior. Herein, by analyzing the physical and chemical properties as well as the effects on promoting bone regeneration, we have attempted to present a novel EGCG-modified collagen membrane with nano-HA coating, and have found evidence that the novel collagen membrane may promote bone regeneration with a better surface morphology, without destroying collagen backbone. To evaluate the surface morphologies, chemical and mechanical properties of pure collagen membranes, epigallocatechin-3-gallate (EGCG) cross-linked collagen membranes, nano-HA coated collagen membranes, nano-HA coated EGCG-collagen membranes, (ii) to evaluate the bone regeneration promoted by theses membranes. In the present study, collagen membranes were divided into 4 groups: (1) untreated collagen membranes (2) EGCG cross-linked collagen membranes (3) nano-HA modified collagen membranes (4) nano-HA modified EGCG-collagen membranes. Scanning electron microscope (SEM) and Fourier transform infrared spectroscopy (FTIR) were used to evaluate surface morphologies and chemical properties, respectively. Mechanical properties were determined by differential scanning calorimeter (DSC) and elastic modulus (EM) measurements. Then in 12 rats, 4 types of membranes were randomly applied to cover the rat calvarial defects. The animals were sacrificed at 8 weeks. Histologic analyses were performed using Hematoxylin-eosin (H&E) staining and Masson's Trichrome stains. For statistical analysis, analysis of variance (ANOVA) followed by Tukey's multiple comparison tests was applied. HA nanoparticles were fairly well distributed nanoparticles among the collagen fibers on the nano-HA-modified EGCG-collagen membranes, with smoother surface. Moreover, collagen membranes with modifications all maintained their collagen backbone and the mechanical properties were enhanced by EGCG and nano-HA treatments. In addition, EGCG cross-linked collagen membranes with nano-HA coatings promoted bone regeneration. Nano-HA modified EGCG-collagen membranes can be utilized as a barrier membrane to enhance the bone regeneration in GBR surgeries. [ABSTRACT FROM AUTHOR]

The well-known matrix protein Dentin matrix protein 1 (DMP1) is expressed by osteoblasts and osteocytes in bone, and it controls bone mineralization. Recently, it has been found that DMP1 is also expressed in other cell types, such as chondrocytes. Nestin + cells are one important type of progenitor cell in bone marrow and are associated with bone remodeling. In our preliminary experiment, DMP1 could also be detected in Nestin + cells in bone marrow. This study was designed to explore the effect on bone of DMP1 in Nestin + cells. A transgenic mouse model with DMP1 expression driven by the Nestin promoter was generated. In vivo and in vitro experiments revealed that overexpression of DMP1 in Nestin + cells could limit the proliferation and osteogenic differentiation of BMMSCs, subsequently leading to decreased bone mass. Lower expression of bone matrix protein and a lower bone deposition rate were also observed. Meanwhile, overexpression of DMP1 in Nestin + cells had no influence on osteoclast activity. These data indicate that DMP1 plays negative roles in differentiation of Nestin + cells and bone formation. [ABSTRACT FROM AUTHOR]

BACKGROUND The present study aimed to investigate the effects of dietary synbiotic supplementation on growth performance, carcass composition, meat quality and muscular antioxidant capacity, and mineral contents in broilers. Accordingly, 96 day-old male broiler chicks (Arbor Acres Plus; Aviagen, Huntsville, AL, USA) were randomly allocated to two groups, and each group consisted of six replicates with eight chicks each. Birds were fed a corn-soybean meal basal diet supplemented with either 0 or 1.5 g kg−1 synbiotic, consisting of probiotics ( Bacillus subtilis, Bacillus licheniformis and Clostridium butyricum) and prebiotics (yeast cell wall and xylooligosaccharide) from 1 to 42 days of age. RESULTS Compared with the control group, supplementation with a synbiotic increased average daily gain ( P < 0.05) but reduced feed/gain ratio ( P < 0.01) in broilers from 1 to 42 days of age. Similalrly, dietary synbiotic inclusion increased breast yield ( P < 0.05) but decreased abdominal fat ( P < 0.01) in broilers. The breast muscle pH value at 24 h postmortem in broilers was elevated with the incorporation of synbiotic ( P < 0.05). By contrast, synbiotic supplementation lowered the cooking loss during heat treatment in a water bath, malondialdehyde content, and total Cr content in the thigh muscle in broilers ( P < 0.05). CONCLUSION Dietary synbiotic supplementation into the diet of broilers may be an effective method for improving growth performance and carcass compositions, resulting in the production of meat with a favorable quality and oxidative stability. © 2017 Society of Chemical Industry [ABSTRACT FROM AUTHOR]

Objective To describe the sequential healing in augmented sinus cavities with deproteinized bovine bone mineral ( DBBM) granules or collagen sponges. Material and methods Twenty albino New Zealand rabbits were included in the study. An incision was performed along the midline of the nasal dorsum, and the nasal bone was exposed. Circular bony windows with a diameter of 5 mm were prepared bilaterally. After elevation of the mucosa, the two sites were randomly filled with either DBBM or a collagen sponge. Five animals each were randomly sacrificed after 7, 14, 21 and 40 days, respectively. Results At both sides, new bone was found forming from the resident pristine bone. During the first stage of healing, DBBM granules were surrounded by a denser connective tissue that was attached to the biomaterial surface and that was progressively mineralized. At the collagen sponge side, the biomaterial was almost completely resorbed and the space was reduced by to two-thirds already after 21 days. At both sides, after 40 days, mineralized bone and marrow spaces were occupying large areas of the elevated space. Conclusions New bone was found forming from the pristine bony walls of the sinus and extending toward the most peripheral regions in both sites. While DBBM particles yielded osteoconductivity and were able to preserve over time the space within the elevated mucosa, the collagen sponge failed the goal of maintaining the space. [ABSTRACT FROM AUTHOR]

Objectives The aims of this randomized clinical trial were to compare the dimensional changes and the histological composition after using deproteinized bovine bone mineral ( DBBM) or deproteinized bovine bone mineral with 10% collagen ( DBBM-C) and a collagen membrane in ridge preservation procedures. Material and methods Patients who required an extraction and a subsequent implant-supported rehabilitation at a non-molar site were recruited. After extraction, a cone beam computed tomography ( CBCT) was performed and sites were randomly treated either with DBBM or DBBM-C plus a collagen membrane. At 5 months, before implant placement, a second CBCT was performed and a biopsy of the area was obtained. A blinded investigator superimposed the CBCTs and performed measurements to determine bone volume changes between the two time points. Additionally, a histomorphometric analysis of the biopsies was performed in a blinded manner. Results Eleven sites belonged to the DBBM group and eleven to the DBBM-C group. All together, a significant reduction in height and width was observed at 5 months of healing, but no statistically significant differences were observed between the DBBM and the DBBM-C group. The histomorphometric analysis revealed a similar composition in terms of newly formed bone, connective tissue and residual graft particles in both groups. Conclusions Deproteinized bovine bone mineral with 10% collagen showed a similar behaviour as DBBM not only in its capacity to minimize ridge contraction but also from a histological point of view. Thus, both graft materials seem to be suitable for ridge preservation procedures. [ABSTRACT FROM AUTHOR]

Objective This study aimed to analyze how the physical consistency of the diet affects the bone quality at the mandibular condyle. Design Sixty-three Wistar rats were randomly assigned to three groups. Twenty-two animals composed each group and they were fed with either a liquid, soft or hard diet. Seven animals were sacrificed from each group at days 7, 20, and 40 respectively. Their mandibles were removed and scanned at the postero-superior area of the condyle with a micro-CT scan. Results showed a statistically significant difference for the bone mineral density (p < 0.01) and total mineral density (p < 0.01), when comparing the hard against the liquid group after seven days. After 20 days both, the soft and the liquid diet groups, computed a statistically significant difference demonstrating a significant decrease in the measured values for bone mineral density, bone mineral content, total mineral density, and total mineral content. At day 40, the values stayed lower for the soft and liquid diets, even though they did not reach a significant difference. Conclusions This study supports the idea that a soft or liquid diet has a negative impact on the bone quality of the mandible, particularly during the periods of more active growing. [ABSTRACT FROM AUTHOR]

The effect of microbial phytase on phosphorus utilization in juvenileClarias gariepinus(initial fish body weight 11.55 ± 0.2 g) was tested on two different diets based on oil-extracted soya bean (Experiment 1) and roasted soya bean meal (Experiment 2) using a 5 × 5 experimental design for 84 days. The basal isonitrogenous and isocaloric diets for oil-extracted and roasted soya bean were formulated to replace fish meal at 25% (S1E), 50% (S2E), 75% (S3E), 100% (S4E); and 25% (S1), 50% (S2), 75% (S3), 100% (S4), respectively. Each treatment was replicated four times. Microbial phytase was supplemented in each replicate at 250 FTU/g (P1), 500 FTU/g (P2), 750 FTU/g (P3), and 1,000 FTU/g (P4). Basal controls, which included a fish meal-based diet (S0), were not supplemented with phytase (P0). The result in Experiment 1 showed that there was a significant increase in whole-body protein and reduction in fat with phytase compared to a diet without phytase (P < 0.05). Serum total protein declined significantly with phytase supplementation (P < 0.05). Serum phosphorus and glucose were higher with phytase supplementation compared to control (P < 0.05). Bone minerals declined significantly with increasing level of soya bean compared to fish meal diet (P < 0.05). In Experiment 2, serum phosphorus was improved with phytase compared to control with no phytase (P > 0.05). A significant reduction in whole-body protein and increase in fat was observed for fish fed phytase diets compared to diets with no phytase, regardless of soya bean level (P < 0.05); however, ash content was improved with phytase (250 FTU/g) compared to control (P < 0.05). Phytase supplementation improved bone phosphorus (250 FTU/g), calcium (250 FTU/g), magnesium (250–500 FTU/g), and zinc (250–1,000 FTU/g) compared to control (P < 0.05). In conclusion, the research has demonstrated that improved bone phosphorus (P) and growth could be achieved with the supplementation of dietary phytase. [ABSTRACT FROM AUTHOR]

Objective: To study influence of Ursolic Acid(UA) on bone formation and bone mineral in alcohol-induced osteoporosis in rats. Methods: Adult male wistar rats(n=10 for each group) were randomly divided into blank control group, UA control group, model group, UA low-, medium-, high group and were respectively given saline, 150 mg/kg UA, 50% alcohol, 50 mg/kg UA, 100mg/kg UA, 150 mg/kg UA. UA control group was administered an equal volume of saline as the blank control group, and UA low-,medium-, high group were received an equal volume of alcohol as the alcohol model group. The rats were administered for 8 weeks. The content of serum phosphorus(P) was detected by phosphate method. The content of serum calcium(Ca) was detected by chromatometry method. Serum bone gla protein(BGP) and bone morphogenetic protein 2(BMP-2) were detected by ELISA. Results: Compared with the blank control group, the contents of serum Ca, P, BGP and BMP-2 were reduced in the model group(P<0.05). Compared with the model group, the contents of serum Ca, P, BGP and BMP-2 were significantly increased in the medium-, and high-dose group(P<0.05). The result of HE staining revealed that bone trabecular was rules, density and uniform thickness in blank control group, and bone trabecular was irregular, sparse, and fracture in the model group. Compared with the model group, bone trabecular was intact, arranged regularly and continuous in the medium-, and high-dose group. Conclusions: Alcohol plays its role in AOP rats by reducing bone formation and promoting bone mineral loss. UA has antiosteoporotic effects on AOP rats by promoting bone formation and reversing bone mineral loss. [ABSTRACT FROM AUTHOR]

Condensed distillers solubles (CDS) was fractionated into a protein-mineral fraction and a glycerol fraction by a chemical method; protein and glycerol-mineral fractions by a physical method; and protein, mineral, and glycerol fractions by a physicochemical method. The co-products from each method, along with CDS, were characterized for concentrations of key constituents (protein, oil, ash, glycerol and other carbohydrates), mineral profile, and amino acid composition. Recovery of mass and main constituents was also investigated. With the chemical method, about two-third of the mass went to the protein-mineral fraction, while by the physical method the equal amounts of mass went to the protein and glycerol-mineral fractions. Protein, minerals, and glycerol were mostly recovered into their respective fractions. CDS and its fractions contained six major minerals (Ca, Mg, P, K, Na, and S) and four trace ones (Cu, Fe, Mn, and Zn). Both chemical and physical treatments caused significant reduction of mineral contents (dry matter basis) in the protein or glycerol fraction. Several amino acids differed significantly in percent relative to total amino acids among fractions but the extent was not substantial for protein-rich fractions. These changes resulting from CDS fractionation are favorable for value added utilization of the new co-products. [ABSTRACT FROM AUTHOR]

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As an abundant cation in the human body, magnesium plays important roles in physiological and pathological processes. In particular, magnesium deficiency is associated with osteoporosis. Hence, Mg may be involved in the biodegradation and reconstruction of bone mineral. Previously, Mg-containing hydroxyapatite (HAp) has been synthesized as a model for bone mineral, and its properties, such as crystal size and crystallinity, have been examined. However, the effect of solution magnesium on the effective solubility of hydroxyapatite has not been studied in detail. Here, for a series of magnesium concentrations in the background solution, the mass solubility of hydroxyapatite was determined through the solid titration method at pH 3-5 and 37 °C. A general, quasilogarithmic increase in solubility was found with increasing magnesium concentration. Whether this is due to nucleation inhibition or solution complexation has yet to be ascertained, although the latter is likely on simple chemical grounds. As the direct effect of magnesium was to increase the solubility of HAp in a concentration-dependent manner, this cannot be the direct cause of osteoporosis in the event of magnesium deficiency. [ABSTRACT FROM AUTHOR]

Ruminants, possessing the rumino-hepatic circulation, are thought to cope easily with reduced dietary nitrogen (N) supply which is of economic and environmental interest to diminish N output. Nevertheless, feeding an N reduced diet to young goats resulted in a decrease in calcitriol and calcium (Ca) plasma concentrations. Although a dietary Ca reduction alone stimulated calcitriol synthesis and plasma Ca concentrations were restored, in combination with a reduced N supply this stimulating effect was abolished. Based on the important role bone tissue plays in maintaining Ca homeostasis, aim of the present study was to determine effects of an N reduced diet with or without a concomitant Ca reduction on bone metabolism in young goats. A dietary N reduction alone resulted in a significant rise in plasma concentrations of bone resorption marker C-terminal telopeptide of type I collagen (CTX) and bone formation marker osteocalcin (OC), while reduced intake of Ca as well as the combination of both dietary interventions increased bone markers only slightly. Bone mineral content and bone mineral density of metatarsi were decreased by reduced N intake, while Ca and phosphorus (P) content of dried bones remained unaffected. In contrast, a dietary Ca reduction alone led to decreased Ca and P content of dried bones. From these data it can be concluded that a dietary N reduction alone or in combination with a reduced dietary Ca supply modulated bone metabolism in young goats. [ABSTRACT FROM AUTHOR]

Since the in vitro and in vivo anti-osteoporotic effects of Pueraria mirifica (PM) in rodents have been verified, its activity in menopausal monkeys was evaluated as required before it can be applicable for human use. In this study, postmenopausal osteoporotic monkeys were divided into two groups (five per group), and fed daily with standard diet alone (PMP0 group) or diet mixed with 1000 mg/kg body weight (BW) of PM powder (PMP1000 group) for 16 months. Every 2 months, the bone mineral density (BMD), bone mineral content (BMC) and bone geometry parameters (cortical area and thickness and periosteal and endosteal circumference) at the distal radius and proximal tibia were determined using peripheral quantitative computed tomography together with plasma and urinary bone markers. Compared with the baseline (month 0) values, the cortical, but not trabecular, BMDs and BMCs and the cortical area and thickness at the metaphysis and diaphysis of the radius and tibia of the PMP0 group continuously decreased during the 16-month study period. In contrast, PMP1000 treatment ameliorated the bone loss mainly at the cortical diaphysis by decreasing bone turnover, as indicated by the lowered plasma bone-specific alkaline phosphatase and osteocalcin levels. Generally, changes in the cortical bone geometry were in the opposite direction to the cortical bone mass after PMP1000 treatment. This study indicated that postmenopausal monkeys continuously lose their cortical bone compartment, and they have a higher possibility for long bone fractures. Oral PMP treatment could improve both the bone quantity (BMC and BMD) and quality (bone geometry). [ABSTRACT FROM AUTHOR]

A total of 250 one-day-old male broilers (Ross 308) were used to investigate the effects of dietary Zn-Gly (zinc glycine chelate) supplementation on growth performance, carcass characteristics, bone quality, and mineral content in bones. All broilers were randomly assigned to five treatment groups, each of which was replicated five times (10 birds in each cage). 5 groups were formed: control negative – CN (corn-wheat and soybean meal control diet with no supplementation of Zn), control positive – CP (CN+100 mg of Zn as oxide/kg of diet), and 3 groups with Zn-Gly supplementation at three doses: 25, 50, or 100 mg kg −1 (CN +25, 50, or 100 mg of Zn as glycine chelate/kg of diet). The experimental diets were fed to chicks for over 6 weeks. In the study, a positive trend to gain body weight and the weight of breast, thigh, and drumstick muscles was observed when organic Zn was introduced, in particular at a dose of 50 and 25 mg. The addition of Zn, regardless of its source, had an effect on the increase ( P <0.05) in the intake of feed. A considerable increase in values such as cross-sectional area (A), second moment of inertia (Ix), and mean relative wall thickness (MRWT) was found both in the femur and in the tibia in the group supplemented with 50 mg Zn-Gly. The use of Zn-Gly improved the quality of the tibia and femur and their strength parameters, perhaps due to the increased deposition of Ca and P in bones. The addition of Zn-Gly increased (P<0.05) the accumulation of Zn in bones. In conclusion, these results suggest that the supplementation of Zn-Gly in amounts lower than recommended has no negative effect on the production performance of Ross broiler chickens, which in turn suggests that such an amount of Zn is sufficient to ensure the optimum body weight and positive production performance and is the condition of correct ossification and mineralisation of the bone tissue. [ABSTRACT FROM AUTHOR]

Objectives: This study was conducted to assess bone mineral density (BMD) and bone mineral content (BMC) of patients with hemoglobin H (HbH) disease.Methods: BMD and BMC were measured by dual energy X-ray absorptiometry of the lumbar spines and femur neck in 21 patients with Hb H disease over the age of 10 years. An association of BMD with sex, age, hemoglobin, calcium, phosphorus, and serum ferritin level was also evaluated.Results: Prevalence of BMD below the expected range for age in the lumbar spine and femur neck region in patients with HbH disease were 33.3 and 14.3 %, respectively. Lumbar BMD was significantly lower in the patients compared to healthy individuals (median (min-max) 0.725 (0.595-0.924) vs. 1.061 (0.645-1.238), P < 0.001)). There was no significant relationship between BMD in the lumbar and femur neck with any of the evaluated variables (P value >0.05).Conclusion: Data regarding bone density in HbH disease is limited; osteoporosis as a common complication of β-thalassemia intermedia syndrome should be considered even in HbH which shows its prevalence is less than β-thalassemia intermedia. [ABSTRACT FROM AUTHOR]

The long-term stability and qualitative characteristics of periodontium regenerated by FGF-2 treatment were compared with normal physiological healing tissue controls in a Beagle dog 2-wall periodontal defect model 13 months after treatment by assessing tissue histology and three-dimensional microstructure using micro-computed tomography (μCT). After FGF-2 (0.3%) or vehicle treatment at the defect sites, serial changes in the bone mineral content (BMC) were observed using periodic X-ray imaging. Tissues were harvested at 13 months, evaluated histomorphometrically, and the cortical bone volume and trabecular bone structure of the newly formed bone were analyzed using μCT. FGF-2 significantly increased the BMC of the defect area at 2 months compared with that of the control group, and this difference was unchanged through 13 months. The cortical bone volume was significantly increased by FGF-2, but there was no difference between the groups in trabecular bone structure. Bone maturation was occurring in both groups because of the lower cortical volume and denser trabecular bone than what is found in intact bone. FGF-2 also increased the area of newly formed bone as assessed histomorphometrically, but the ratios of trabecular bone in the defect area were similar between the control and FGF-2 groups. These results suggest that FGF-2 stimulates neogenesis of alveolar bone that is of similar quality to that of the control group. The lengths of the regenerated periodontal ligament and cementum, measured as the distance from the defect bottom to the apical end of the gingival epithelium, and height and area of the newly formed bone in the FGF-2 group were larger than those in the control group. The present study demonstrated that, within the limitation of artificial periodontal defect model, the periodontal tissue regenerated by FGF-2 was maintained for 13 months after treatment and was qualitatively equivalent to that generated through the physiological healing process. [ABSTRACT FROM AUTHOR]

Objective. Klinefelter syndrome (KS) has long-term consequences on bone health. However, studies regarding bone status and metabolism during childhood and adolescence are very rare. Patients. This cross-sectional study involved 40 (mean age: 13.7±3.8 years) KS children and adolescents and 80 age-matched healthy subjects. For both patient and control groups, we evaluated serum levels of ionised and total calcium, phosphate, total testosterone, luteinising hormone, follicle stimulating hormone, parathyroid hormone (PTH), 25-hydroxyvitamin D (25(OH)D), 1,25-dihydroxyvitamin D, osteocalcin, bone alkaline phosphatase, and urinary deoxypyridinoline concentrations. We also calculated the z-scores of the phalangeal amplitude-dependent speed of sound (AD-SoS) and the bone transmission time (BTT). Results. KS children and adolescents showed significantly reduced AD-SoS (p<0.005) and BTT (p<0.0005) z-scores compared to the controls. However, KS patients presented significantly higher PTH (p<0.0001) and significantly lower 25(OH)D (p<0.0001), osteocalcin (p<0.05), and bone alkaline phosphatase levels (p<0.005). Interestingly, these metabolic bone disorders were already present in the prepubertal subjects. Conclusions. KS children and adolescents exhibited impaired bone mineral status and metabolism with higher PTH levels and a significant reduction of 25-OH-D and bone formation markers. Interestingly, this impairment was already evident in prepubertal KS patients. Follow-ups should be scheduled with KS patients to investigate and ameliorate bone mineral status and metabolism until the prepubertal ages. [ABSTRACT FROM AUTHOR]

The Col1a2 +/ G610C knock-in mouse, models osteogenesis imperfecta in a large old order Amish family (OOA) with type IV OI, caused by a G-to-T transversion at nucleotide 2098, which alters the gly-610 codon in the triple-helical domain of the α2(I) chain of type I collagen. Mineral and matrix properties of the long bones and vertebrae of male Col1a2 +/ G610C and their wild-type controls ( Col1a2 +/+ ), were characterized to gain insight into the role of α2-chain collagen mutations in mineralization. Additionally, we examined the rescuability of the composition by sclerostin inhibition initiated by crossing Col1a2 +/ G610C with an LRP +/ A214V high bone mass allele. At age 10-days, vertebrae and tibia showed few alterations by micro-CT or Fourier transform infrared imaging (FTIRI). At 2-months-of-age, Col1a2 +/ G610C tibias had 13% fewer secondary trabeculae than Col1a2 +/+ , these were thinner (11%) and more widely spaced (20%) than those of Col1a2 +/+ mice. Vertebrae of Col1a2 +/ G610C mice at 2-months also had lower bone volume fraction (38%), trabecular number (13%), thickness (13%) and connectivity density (32%) compared to Col1 a2 +/+ . The cortical bone of Col1a2 +/ G610C tibias at 2-months had 3% higher tissue mineral density compared to Col1a2 +/+ ; Col1a2 +/ G610C vertebrae had lower cortical thickness (29%), bone area (37%) and polar moment of inertia (38%) relative to Col1a2 +/+ . FTIRI analysis, which provides information on bone chemical composition at ~ 7 μm-spatial resolution, showed tibias at 10-days did not differ between genotypes. Comparing identical bone types in Col1a2 +/ G610C to Col1a2 +/+ at 2-months-of-age, tibias showed higher mineral-to-matrix ratio in trabeculae (17%) and cortices (31%). and in vertebral cortices (28%). Collagen maturity was 42% higher at 10-days-of-age in Col1a2 +/ G610C vertebral trabeculae and in 2-month tibial cortices (12%), vertebral trabeculae (42%) and vertebral cortices (12%). Higher acid-phosphate substitution was noted in 10-day-old trabecular bone in vertebrae (31%) and in 2-month old trabecular bone in both tibia (31%) and vertebrae (4%). There was also a 16% lower carbonate-to-phosphate ratio in vertebral trabeculae and a correspondingly higher (22%) carbonate-to-phosphate ratio in 2 month-old vertebral cortices. At age 3-months-of-age, male femurs with both a Col1a2 +/ G610C allele and a Lrp5 high bone mass allele ( Lrp5 +/ A214V ) showed an improvement in bone composition, presenting higher trabecular carbonate-to-phosphate ratio (18%) and lower trabecular and cortical acid-phosphate substitutions (8% and 18%, respectively). Together, these results indicate that mutant collagen α2(I) chain affects both bone quantity and composition, and the usefulness of this model for studies of potential OI therapies such as anti-sclerostin treatments. [ABSTRACT FROM AUTHOR]

Osteoporosis is characterized by low bone mass and compromised trabecular architecture, and is commonly occurred in post-menopausal women with estrogen deficiency. In addition, prolonged mechanical unloading, i.e., long term bed rest, can exaggerate the bone loss. Sclerostin is a Wnt signaling antagonist and acts as a negative regulator for bone formation. A sclerostin-neutralizing antibody (Scl-Ab) increased bone mineral density in women with postmenopausal osteoporosis and healthy men. The objective of this study was to characterize the condition of bone loss in ovariectomized (OVX) rats with concurrent mechanical unloading and evaluate the effect of sclerostin antibody treatment in mitigating the prospective severe bone loss conditions in this model. Four-month-old OVX- or sham-operated female SD rats were used in this study. They were subjected to functional disuse induced by hind-limb suspension (HLS) or free ambulance after 2 days of arrival. Subcutaneous injections with either vehicle or Scl-Ab at 25 mg/kg were made twice per week for 5 weeks from the time of HLS. μCT analyses demonstrated a significant decrease in distal metaphyseal trabecular architecture integrity with HLS, OVX and HLS + OVX (bone volume fraction decreased by 29%, 71% and 87% respectively). The significant improvements of various trabecular bone parameters (bone volume fraction increased by 111%, 229% and 297% respectively as compared with placebo group) with the administration of Scl-Ab are associated with stronger mechanical property and increased bone formation by histomorphometry. These results together indicate that Scl-Ab prevented the loss of trabecular bone mass and cortical bone strength in OVX rat model with concurrent mechanical unloading. The data suggested that monoclonal sclerostin-neutralizing antibody represents a promising therapeutic approach for severe osteoporosis induced by estrogen deficiency with concurrent mechanical unloading. [ABSTRACT FROM AUTHOR]

We evaluated histologically and tomographically the effects of fresh frozen bone allograft (FFB) or bovine bone mineral (BBM) in maxillary sinus floor augmentations. In total, 30 maxillary sinuses from 30 patients (mean age = 51.17 ± 10.86 years) underwent sinus augmentation. Patients were divided in two test groups (15 sinuses each). The first group was grafted with allograft bone, and the second group received bovine bone mineral. After 6 months, bone samples from each group were collected for histological examination. Implant survival rates were 97.78% (FFB group) and 100% (BBM group) 6 months after functional loading. Median volumetric reductions of 31.2% (11.33–40.56) and 12.22% (9.91–20.59) were observed in the FFB and BBM groups, respectively. Comparisons between the groups for differences in initial and final volumes of bone (p = 0.015) and the rate of resorption (p = 0.009) showed statistically significant differences. The FFB group showed osteoblastic cells in close contact with osteoid matrix, connected through bridges between allograft bone particles and new bone formation. The BBM group showed BBM particles in close contact with new bone, with visible osteoid matrix bridges and osteoblastic cells surrounding it. None showed signs of acute or chronic inflammatory infiltrate. Despite better results with BBM, both FFB and BBM in maxillary sinus augmentation resulted in high percentages of new bone formation, and allowed implant placement with a low rate of failure of osseointegration at a 6-month follow-up. [ABSTRACT FROM AUTHOR]

Deficiency of sex hormones and excessive alcohol consumption are factors that have been related to alterations in the pattern of bone mineralization and osteoporosis. The aim of this study was to evaluate possible alterations in the calcium/phosphorus (Ca/P) ratio in the femur of rats subjected to sex hormone deficiency and/or alcohol consumption. Methods. Female and male Wistar rats (n=108) were divided into ovariectomized (Ovx), orchiectomized (Orx), or sham-operated groups and subdivided according to diet: alcoholic diet (20% alcohol solution), isocaloric diet, and ad libitum diet. The diets were administered for 8 weeks. The Ca/P ratio in the femur was analyzed by energy dispersive micro-X-ray spectrometer (μEDX). Results. Consumption of alcohol reduced the Ca/P ratio in both females and males. The isocaloric diet reduced the Ca/P ratio in females. In groups with the ad libitum diet, the deficiency of sex hormones did not change the Ca/P ratio in females or males. However, the combination of sex hormone deficiency and alcoholic diet presented the lowest values for the Ca/P ratio in both females and males. Conclusions. There was a reduced Ca/P ratio in the femur of rats that consumed alcohol, which was exacerbated when combined with a deficiency of sex hormones. [ABSTRACT FROM AUTHOR]

Background: We investigate the relationship between birth weight (BW) and bone mineral content (BMC) in Korean adolescents. Methods: Data were obtained from the Korea National Health and Nutrition Examination Survey conducted in 2010. Baseline characteristics were compared according to age- and sex-specific BMC quartiles of total body less head (TBLH), lumbar spine (LS) and femur neck (FN) in 10- to 18-year-old adolescents (male = 474, female = 394). Results: BW showed a positive correlation with current weight-SDS (p = 0.006 in males, p = 0.008 in females). BW according to TBLH-BMC quartile groups (p for trend <0.003 in males, <0.0001 in females), LS-BMC quartile groups (p for trend <0.034 in males) and FN-BMC quartile groups (p for trend <0.008 in males, <0.020 in females) showed significant differences. The odds ratio (OR) of being in the highest BMC quartile, per 1-kg increase in BW, was significantly increased in TBLH-BMC (OR = 2.14 in males, OR = 3.26 in >16-year-old adolescents) and FN-BMC (OR = 2.62 in males, OR = 3.06 in >16-year-old adolescents) after adjusting for age, height, smoking, drinking, metabolic equivalent of task, and gestational age. Conclusion: BW might be one of the determinant factors of BMC in Korean adolescents. © 2016 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Hydroxyapatite (HAP) is a main mineral constituent of bone and tooth and has an outstanding biocompatibility. HAP is a possible sorbent for heavy metals in wastewater due to its high adsorption capacity and low water solubility. We developed a removal system of Sr from aqueous solution by HAP column procedure. More than 90 % of Sr was adsorbed and removed from the Sr containing solution. Divalent cations, Ca, had little effect on the removal of Sr up to a concentration of 1 mmol L. This clearly indicates that the HAP column technique is advantageous with respect to the capacity to adsorb Sr from water present in the environment. [ABSTRACT FROM AUTHOR]

Low-intensity fractures are closely related with age-related musculoskeletal disorders, including osteoporosis, muscle dysfunction and sarcopenia, age-related chronic diseases, and pharmacological treatments. During the last years, a huge amount of information and recommendations has been released in relation to bone metabolism and mineral content. Muscle dysfunction and sarcopenia are highly prevalent during the second half of life, especially in older subjects. The development of sarcopenia may be slowed through healthy lifestyle changes, which include adequate dietary protein, vitamin D and mineral intakes, and regular physical activity. Prevention of falls should be integral, including correction in major involved factors in order to reduce fragility fracture, improve quality of life and appropriately focus clinical and economic resources. Therefore, to obtain better results a global approach is needed to prevent age-related fractures in frail patients that is not only centered on bone metabolism and antiresorptive drugs. [ABSTRACT FROM PUBLISHER]

Fibroblast growth factor-23 (FGF23), a phosphate(Phos)-regulating hormone, is abnormally elevated in hypophosphataemic syndromes and an elevated FGF23 is a predictor of mortality in kidney disease. Recent findings suggest iron deficiency as a potential mediator of FGF23 expression and murine studies have shown in utero effects of maternal iron deficiency on offspring FGF23 and phosphate metabolism. Our aim was to investigate the impact of maternal iron status on infant FGF23 and mineral metabolites over the first 2 years of life. Infants born to mothers with normal ( NI n = 25 ,) and low ( LI n = 25 ) iron status during pregnancy, from a mother-infant trial (ISRCTN49285450) in rural Gambia, West Africa, had blood and plasma samples analysed at 12, 24, 52, 78 and 104 weeks (wk) of age. Circulating intact-FGF23 (I-FGF23), Phos, total alkaline phosphatase (TALP) and haemoglobin (Hb) decreased and estimated glomerular filtration rate increased over time [all P ≤ 0.0001)]. C-terminal-FGF23 (C-FGF23) and TALP were significantly higher in LI compared with NI, from 52 wk for C-FGF23 [Beta coefficient (SE) 18.1 (0.04) %, P = 0.04] and from 24 wk for TALP [44.7 (29.6) U/L, P = 0.04]. Infant Hb was the strongest negative predictor of C-FGF23 concentration [− 21% (4%) RU/mL, P ≤ 0.0001], Phos was the strongest positive predictor of I-FGF23 [32.0(3.9) pg/mL, P ≤ 0.0001] and I-FGF23 did not predict C-FGF23 over time [− 0.5% (0.5%), P = 0.3]. In conclusion, this study suggests that poor maternal iron status is associated with a higher infant C-FGF23 and TALP but similar I-FGF23 concentrations in infants and young children. These findings further highlight the likely public health importance of preventing iron deficiency during pregnancy. Whether or not children who are born to iron deficient mothers have persistently high concentrations of these metabolites and are more likely to be at risk of impaired bone development and pre-disposed to rickets requires further research. [ABSTRACT FROM AUTHOR]

The effects of varying the energy density of a high-intensity erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser on the mineral and organic components of bone tissue were evaluated using Fourier transform infrared spectroscopy. Bone samples obtained from the tibias of rabbits were irradiated with five energy densities (3, 6, 8, 12, and 15 J/cm2), and the effects on the carbonate to phosphate ratio and in the organic components were compared with those of nonirradiated samples. The increased temperature during the laser irradiation was also measured using infrared thermography to relate the observed spectral changes to the laser thermal effects. The analyses of the infrared spectra suggests that the irradiation with Er,Cr:YSGG promoted changes in bone tissue in both the mineral and organic components that depend on the laser energy density, pointing to the importance of using the proper energy density in clinical procedures. [ABSTRACT FROM AUTHOR]

In this paper, we review the hierarchical structure and the resulting elastic properties of mineralized tendons as obtained by various multiscale experimental and computational methods spanning from nano- to macroscale. The mechanical properties of mineralized collagen fibres are important to understand the mechanics of hard tissues constituted by complex arrangements of these fibres, like in human lamellar bone. The uniaxial mineralized collagen fibre array naturally occurring in avian tendons is a well studied model tissue for investigating various stages of tissue mineralization and the corresponding elastic properties. Some avian tendons mineralize with maturation, which results in a graded structure containing two zones of distinct morphology, circumferential and interstitial. These zones exhibit different amounts of mineral, collagen, pores and a different mineral distribution between collagen fibrillar and extrafibrillar space that lead to distinct elastic properties. Mineralized tendon cells have two phenotypes: elongated tenocytes placed between fibres in the circumferential zone and cuboidal cells with lower aspect ratios in the interstitial zone. Interestingly some regions of avian tendons seem to be predestined to mineralization, which is exhibited as specific collagen cross-linking patterns as well as distribution of minor tendon constituents (like proteoglycans) and loss of collagen crimp. Results of investigations in naturally mineralizing avian tendons may be useful in understanding the pathological mineralization occurring in some human tendons. [ABSTRACT FROM AUTHOR]

Bone fractures constitute a majorcause of morbidity and mortalityespecially in the elderly. Complications associated with osteoporosisdrugs and the age of the patient slow bone turnover and render suchfractures difficult to heal. Increasing the speed of fracture repairby administration of a fracture-targeted bone anabolic agent couldfind considerable application. Aspartic acid oligopeptides are negativelycharged molecules at physiological pH that adsorb to hydroxyapatite,the mineral portion of bone. This general adsorption is the strongestwhere bone turnover is highest or where hydroxyapatite is freshlyexposed. Importantly, both of these conditions are prominent at fracturesites. GSK3β inhibitors are potent anabolic agents that canpromote tissue repair when concentrated in a damaged tissue. Unfortunately,they can also cause significant toxicity when administered systemicallyand are furthermore difficult to deliver due to their strong hydrophobicity.In this paper, we solve both problems by conjugating the hydrophobicGSK3β inhibitor to a hydrophilic aspartic acid octapeptide usinga hydrolyzable bond, thereby generating a bone fracture-targeted water-solubleform of the drug. The resulting amphiphile is shown to assemble intomicelles, extending its circulation time while maintaining its fracture-targetingabilities. For measurement of pharmacokinetics, an 125Iwas introduced at the location of the bromine in the GSK3β inhibitorto minimize any structural differences. Biodistribution studies demonstratea greater than 4-fold increase in fracture accumulation over healthybone. [ABSTRACT FROM AUTHOR]

Mineral makes up more than half the volume of bone, but its spatial and structural relationship to collagen and other proteins is still a matter of debate. Due to the nanometer-size of bone crystals this matter can be resolved only with transmission electron microscope (TEM) images. Using sections cut with an ultramicrotome, previous investigators determined most mineral lies in the 40 nm wide gap zone in collagen fibrils. Using less invasive sectioning methods (ion milling and focused ion beam [FIB]) reveals that most mineral is extrafibrillar, occurring in the form of mineral lamellae, polycrystalline plates 300 nm or more long, packed around collagen fibrils in stacks of four or more lamellae <1 nm apart. While Ca and P also occur in the gap zone, they do not appear to be in the form of well-crystallized apatite. This new model for bone ultrastructure resolves outstanding problems presented by the previous model. [ABSTRACT FROM AUTHOR]

Fatty acids are active components in membranes, they and their metabolic products influence cell signaling, ion channels, receptors, enzymes, and gene expression. The latter might be of special interest for programming in the perinatal period for diseases in adulthood, which is difficult to study prospectively in humans and thus hitherto mainly illustrated in animal experimental research. By supplying the pregnant and/or lactating rodent with essential fatty acid deficient diets exclusively based on saturated fat or with different ratios of n-6/n-3 fatty acids, programming could be studied in the adult offspring. Growth and body composition, lipids, blood pressure and glucose-insulin homeostasis, and bone mass were influenced in the adult animal despite supplying ordinary chow after weaning. Also, the influence on allergy development was studied. In prospective observational studies in human infants, both essential fatty acid composition and the concentrations of long-chain saturated and monounsaturated fatty acids during early weeks of life influenced the development up to 18 months corrected age. A few studies in humans with follow up to childhood support the results of animal studies, but larger studies with longer follow ups and including mechanisms for possible epigenetic mechanisms are warranted. Practical applications Fatty acids influence gene expression and in the context of the global increase of non-communicable diseases with possible relation to nutrition, studies in animals and humans to evaluate the relation between quality of dietary fatty acids and programming for adult diseases might have potential impact on public health. Fatty acids may program for diseases by influencing gene expression. The time window is of importance for the long-term effects, as illustrated by different results of dietary maternal intervention during pregnancy or lactation in animal models. The results are supporting findings in follow up of individuals exposed to the Dutch Famine during the Second World War and by recent reports of prospective studies in infants and children. The potential impact on public health warrants eagerly further studies including mechanisms. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess skeletal effects of zinc or zinc with phytoestrogen (resveratrol or genistein) supplementation in an animal model of rats with DMBA-induced mammary carcinogenesis. The changes in bone parameters such as the length and mass were examined, as well as the changes in concentrations of selected minerals: calcium, magnesium, zinc, iron and phosphorus. Moreover, the investigations focused on finding the differences between the levels of iron and zinc in other tissues: the liver, spleen and serum of the examined rats. Fifty-six female Sprague–Dawley rats, 40 days old, were divided into four groups, regardless of the diets: standard (77 mg Zn kg/food), zinc (4.6 mg/mL via gavage), zinc (4.6 mg/mL) plus resveratrol (0.2 mg/kg bw), and zinc (4.6 mg/mL) plus genistein (0.2 mg/kg bw) for a period from 40 days until 20 weeks of age. The study rats were also treated with 7,12-dimethyl-1,2-benz[a]anthracene (DMBA) to induce mammary carcinogenesis. The applied diet and the advanced mammary cancer did not affect macrometric parameters of the rats’ bones, but they strongly affected their mineral content. It was found that mammary cancer, irrespectively of the applied diet, significantly modified the iron level in the femur, liver, spleen and serum of the examined rats. In addition, zinc supplementation significantly lowered the levels of calcium, magnesium and phosphorus in the femur of rats with mammary cancer as compared with respective levels in the control group. So, it was found that additional supplementation with zinc, which is generally considered to be an antioxidant, with the co-existing mammary carcinoma, increased the unfavorable changes as concerns the stability of bone tissue. The appropriate combination of zinc and phytoestrogens (resveratrol or genistein) could help prevent or slow bone loss associated with a range of skeletal disorders in breast cancer. [ABSTRACT FROM AUTHOR]

A macro–micro–nano–multi-level study was conducted to explore age-related structural and mechanical properties of bone, as well as the effects of aging on bone properties. A total of 70 male Wistar rats were used, ranging in the ages of 1, 3, 5, 7, 9, 11, 14, 15, 16, and 17 months ( n = 7/age group). After micro-computed tomography (CT) scanning, longitudinal cortical bone specimens with a length of 5 mm were cut along the femoral shaft axis from left femur shafts for mechanical testing, and the cross-sectional areas were measured. The macro-mechanical properties obtained in mechanical testing and microarchitecture parameters measured by micro-CT were significantly correlated with the animal age (r 2 = 0.96, p < 0.001). Scanning electron microscopy was used for detecting the microarchitecture features of the fractured surfaces, which exhibited age-related plate-fibrous-mixed fibrous-plate texture, resulting in changes in macro-mechanical properties (r 2 > 0.90, p < 0.001). The mineral phase of the left femoral shaft and head was analyzed by atomic force microscopy. Longitudinal and transverse trabecular bone tissues, as well as longitudinal cortical bone tissue, were used for nanoindentation test, and the chemical composition was evaluated by quantitative chemical analyses. The correlations between mineral content and bone material properties (i.e., elastic properties of the bone tissue and size and roughness of bone mineral grains) were highly significant (r > 0.95, p < 0.001). Multi-level femur morphology, mechanical property, and mineral content were significantly correlated with the animal age. The correlations between bone mineral content and bone material morphological and mechanical properties may partly explain the increase in bone fragility with aging, which will provide a theoretical basis for the investigation of age-related bone properties in clinics. [ABSTRACT FROM AUTHOR]

Research performed on Early Neolithic ceramic assemblages from southwestern Bulgaria has revealed that several categories of pottery were used for the preparation of foodstuffs. One particular type of beige residue has been identified on the inner surface of ceramic vessels from several sites. Chemical analyses of mineral residues, combined with the stylistic characteristics of ceramic vessels, have shown the consumption of bone powder. This consumption, far from being anecdotal, raises several questions regarding the diet behaviour of the earliest Neolithic communities in the Balkans, which have obviously sought a complementary source of calcium. Would the dietary transition at the beginning of the Neolithic period correspond to a diet stress? [ABSTRACT FROM PUBLISHER]

ABSTRACT The accuracy and precision of RSA were evaluated in the experimental study of screw cut-out complication after fixation of trochanteric fractures. A plastic bone model of a two-part trochanteric fracture was constructed with a Gamma nail implant incorporating RSA markers. The femoral head fragment was attached to a separate rotational table and the femoral shaft was mounted on the micrometer. Three main motions were simulated: Femoral head translation and rotation along the axis of the lag screw and fracture fragment translation along anatomical axes. Accuracy and precision were determined according to ISO 16,087 and ASTM standard F2385-04. Translations along the lag screw axis were measured with a precision within ±0.14 mm and an accuracy within ±0.03 mm. With simultaneous translations along all three anatomical axes, lowest precision was measured for the x-axis (±0.29, 0.07 mm, respectively), but improved when analyzed as a vector (±0.08, 0.03 mm). The precision and accuracy of femoral head rotations were within 0.5° and 0.18°, respectively. The resolution of the RSA method tested in this model was high, though it varied depending on the type of analyzed motion. This information is valuable when selecting and interpreting outcome parameters evaluating implant migration and osteosynthesis stability in future clinical RSA studies. © 2015 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:705-711, 2015. [ABSTRACT FROM AUTHOR]

An experiment was conducted to investigate the effects of phytase and 2 levels of fructooligosaccharide (FOS) supplementation on growth performance, bone mineralization, and P utilization of broiler chickens. A total of 210 day-old male broiler chickens (Ross) were randomly placed into 7 dietary treatments consisting of 6 replicates with 5 birds per pen. The experiment was designed as an augmented 2 x 3 factorial arrangement with 0 or 500 U/kg of phytase and 0, 0.5% or 1% of FOS added to a reduced Ca (0.8%) and available P (0.25%) negative control diet (NC). A positive control diet (PC) that contained 1% Ca and 0.45% available P was also included. During the entire experimental period, phytase supplementation significantly improved (P < 0.05) the feed conversion ratio (FCR), BW gain (BWG), and feed intake. Birds fed the PC diet showed significantly higher bone mineral density (BMD) and bone mineral content (BMC) in both femur and tibia bones (P < 0.0001) than those fed the NC diet. Phytase supplementation increased femur BMD (P < 0.05), whereas FOS decreased femur BMD and BMC (P < 0.05). Phosphorus utilization was significantly higher for the NC diet (P < 0.0001). Phytase alone and in combination with 0.5% FOS increased P utilization significantly when compared with other treatments (P < 0.05). Fructooligosaccharides, especially at the level of 0.5%, increased P retention. In conclusion, phytase supplementation in low Ca and P diets improved growth performance, bone quality, and P utilization. However, supplementing NC diets with phytase and FOS did not result in bone mineralization values comparable with that of the PC diet. The application of dietary FOS alone had a negative effect on broiler bone quality. [ABSTRACT FROM AUTHOR]

PGE2 exerts anabolic and catabolic effects on bone through the discrete actions of four prostanoid receptors (EP1–4). We have previously demonstrated that loss EP1 accelerates fracture repair by enhancing bone formation. In the present study we defined the role of EP1 in bone maintenance and homeostasis during aging and in response to ovariectomy. The femur and L4 vertebrae of wild type (WT) and EP1 −/− mice were examined at 2-months, 6-months, and 1-year of age, and in WT and EP1 −/− mice following ovariectomy (OVX) or sham surgery. Bone volume fraction, trabecular architecture and mechanical properties were maintained during aging in EP1 −/− mice to a greater degree than age-matched WT mice. Moreover, significant increases in bone formation rate (BFR) (+ 60%) and mineral apposition rate (MAR) (+ 50%) were observed in EP1 −/− , relative to WT, while no change in osteoclast number and osteoclast surface were observed. Following OVX, loss of EP1 was protective against bone loss in both femur and L4 vertebrae, with increased bone volume/total volume (BV/TV) (+ 32% in femur) and max load at failure (+ 10% in femur) relative to WT OVX, likely resulting from the increased bone formation rate that was observed in these mice. Taken together these studies identify inhibition of EP1 as a potential therapeutic approach to suppress bone loss in aged or post-menopausal patients. [ABSTRACT FROM AUTHOR]