Skip to main content
Top
Published in: Current Osteoporosis Reports 6/2019

Open Access 01-12-2019 | Osteoporosis | Osteocytes (J Klein-Nulend, Section editor)

Aging and Mechanoadaptive Responsiveness of Bone

Authors: Behzad Javaheri, Andrew A. Pitsillides

Published in: Current Osteoporosis Reports | Issue 6/2019

Login to get access

Abstract

Purpose of Review

Osteoporosis is an age-related disorder characterized by bone loss and increased fracture susceptibility. Whether this is due to reduced loading in less active elderly individuals or inherent modifications in bone cells is uncertain. We suppose that osteoporosis is nonetheless prima facie evidence for impaired mechanoadaptation; either capacity to accrue new bone declines, or the stimulus for such accrual is absent/can no longer be triggered in the aged. Herein, we provide only sufficient background to enable a focus on recent advances which seek to address such dilemmas.

Recent Findings

Recent advances from innovative high-impact loading regimes emphasize the priming of mechanoadaptation in the aged, such that low-to-moderate intensity loading becomes beneficial. These new findings lead us to speculate that aged bone mechanoadaptation is not driven solely by strain magnitude but is instead sensitive to high strain gradients.

Summary

Impaired mechanoadaptation is a feature of the aged skeleton. Recent advances indicate that novel interventional loading regimes can restore mechanoadaptive capacity, enabling new approaches for retaining bone health in the aged. Innovative exercise paradigms appear to be capable of “hacking” into the osteogenic signal produced by exercise such that low-to-moderate intensity activities may also become more beneficial. Deciphering the underpinning mechanism(s) will also enable new pharmacological intervention for retaining bone health in the aged.
Literature
14.
go back to reference Fedarko NS, Vetter UK, Robey PG. Age-related changes in bone matrix structure in vitro. Calcif Tissue Int. 1995;56(Suppl 1):S41–3.CrossRef Fedarko NS, Vetter UK, Robey PG. Age-related changes in bone matrix structure in vitro. Calcif Tissue Int. 1995;56(Suppl 1):S41–3.CrossRef
23.
go back to reference Kahn A, Gibbons R, Perkins S, Gazit D. Age-related bone loss. A hypothesis and initial assessment in mice. Clin Orthop Relat Res. 1995;313:69–75. Kahn A, Gibbons R, Perkins S, Gazit D. Age-related bone loss. A hypothesis and initial assessment in mice. Clin Orthop Relat Res. 1995;313:69–75.
42.
go back to reference Cullen DM, Smith RT, Akhter MP. Bone-loading response varies with strain magnitude and cycle number. J Appl Physiol. 2001;91(5):1971–6.CrossRef Cullen DM, Smith RT, Akhter MP. Bone-loading response varies with strain magnitude and cycle number. J Appl Physiol. 2001;91(5):1971–6.CrossRef
46.
go back to reference Hanson AM, Ferguson VL, Simske SJ, Cannon CM, Stodieck S. Comparison of tail-suspension and sciatic nerve crush on the musculoskeletal system in young-adult mice. Biomed Sci Instrum. 2005;41:92–6.PubMed Hanson AM, Ferguson VL, Simske SJ, Cannon CM, Stodieck S. Comparison of tail-suspension and sciatic nerve crush on the musculoskeletal system in young-adult mice. Biomed Sci Instrum. 2005;41:92–6.PubMed
47.
go back to reference De Souza R, Javaheri B, Collinson R, Chenu C, Shefelbine S, Lee P, et al. Prolonging disuse in aged mice amplifies cortical but not trabecular bones’ response to mechanical loading. J Musculoskelet Neuronal Interact. 2017;17(3):218.PubMedCentral De Souza R, Javaheri B, Collinson R, Chenu C, Shefelbine S, Lee P, et al. Prolonging disuse in aged mice amplifies cortical but not trabecular bones’ response to mechanical loading. J Musculoskelet Neuronal Interact. 2017;17(3):218.PubMedCentral
58.
68.
go back to reference Bikle DD, Sakata T, Halloran BP. The impact of skeletal unloading on bone formation. Gravit Space Biol Bull. 2003;16(2):45–54.PubMed Bikle DD, Sakata T, Halloran BP. The impact of skeletal unloading on bone formation. Gravit Space Biol Bull. 2003;16(2):45–54.PubMed
81.
go back to reference Lanyon LE. Strain-related control of bone (re)modeling: objectives, mechanisms and failures. J Musculoskelet Neuronal Interact. 2008;8(4):298–300.PubMed Lanyon LE. Strain-related control of bone (re)modeling: objectives, mechanisms and failures. J Musculoskelet Neuronal Interact. 2008;8(4):298–300.PubMed
86.
go back to reference •• Javaheri B, Carriero A, Wood M, De Souza R, Lee PD, Shefelbine S, et al. Transient peak-strain matching partially recovers the age-impaired mechanoadaptive cortical bone response. Sci Rep. 2018;8(1):6636. https://doi.org/10.1038/s41598-018-25084-6This study indicates that imposition of a brief high-magnitude, load-priming regime partially restores cortical mechanoadaptive responses in bones of aged mice in a manner that is spatially correlated with changes in osteocyte Sclerostin expression. CrossRefPubMedPubMedCentral •• Javaheri B, Carriero A, Wood M, De Souza R, Lee PD, Shefelbine S, et al. Transient peak-strain matching partially recovers the age-impaired mechanoadaptive cortical bone response. Sci Rep. 2018;8(1):6636. https://​doi.​org/​10.​1038/​s41598-018-25084-6This study indicates that imposition of a brief high-magnitude, load-priming regime partially restores cortical mechanoadaptive responses in bones of aged mice in a manner that is spatially correlated with changes in osteocyte Sclerostin expression. CrossRefPubMedPubMedCentral
93.
go back to reference •• Razi H, Birkhold AI, Zaslansky P, Weinkamer R, Duda GN, Willie BM, et al. Skeletal maturity leads to a reduction in the strain magnitudes induced within the bone: a murine tibia study. Acta Biomater. 2015;13:301–10. https://doi.org/10.1016/j.actbio.2014.11.021This study reports reduction in the strains induced within the bone with increasing age and that changes in bone morphology largely influences these age-related differences in strain in mice. CrossRefPubMed •• Razi H, Birkhold AI, Zaslansky P, Weinkamer R, Duda GN, Willie BM, et al. Skeletal maturity leads to a reduction in the strain magnitudes induced within the bone: a murine tibia study. Acta Biomater. 2015;13:301–10. https://​doi.​org/​10.​1016/​j.​actbio.​2014.​11.​021This study reports reduction in the strains induced within the bone with increasing age and that changes in bone morphology largely influences these age-related differences in strain in mice. CrossRefPubMed
101.
go back to reference •• Allison SJ, Poole KE, Treece GM, Gee AH, Tonkin C, Rennie WJ, et al. The influence of high-impact exercise on cortical and trabecular bone mineral content and 3D distribution across the proximal femur in older men: a randomized controlled unilateral intervention. J Bone Miner Res. 2015;30(9):1709–16. https://doi.org/10.1002/jbmr.2499This controlled interventional study in middle-aged and aged humans found positive, site-specific effects on proximal femoral bone mass in response to high-impact training. CrossRefPubMed •• Allison SJ, Poole KE, Treece GM, Gee AH, Tonkin C, Rennie WJ, et al. The influence of high-impact exercise on cortical and trabecular bone mineral content and 3D distribution across the proximal femur in older men: a randomized controlled unilateral intervention. J Bone Miner Res. 2015;30(9):1709–16. https://​doi.​org/​10.​1002/​jbmr.​2499This controlled interventional study in middle-aged and aged humans found positive, site-specific effects on proximal femoral bone mass in response to high-impact training. CrossRefPubMed
102.
go back to reference Kukuljan S, Nowson CA, Sanders KM, Nicholson GC, Seibel MJ, Salmon J, et al. Independent and combined effects of calcium-vitamin D3 and exercise on bone structure and strength in older men: an 18-month factorial design randomized controlled trial. J Clin Endocrinol Metab. 2011;96(4):955–63. https://doi.org/10.1210/jc.2010-2284.CrossRefPubMed Kukuljan S, Nowson CA, Sanders KM, Nicholson GC, Seibel MJ, Salmon J, et al. Independent and combined effects of calcium-vitamin D3 and exercise on bone structure and strength in older men: an 18-month factorial design randomized controlled trial. J Clin Endocrinol Metab. 2011;96(4):955–63. https://​doi.​org/​10.​1210/​jc.​2010-2284.CrossRefPubMed
105.
107.
go back to reference •• Suominen T, Korhonen M, Alén M, Heinonen A, Mero A, Törmäkangas T, et al. Effects of a 20-week high-intensity strength and sprint training program on tibial bone structure and strength in middle-aged and older male sprint athletes: a randomized controlled trial. Osteoporos Int. 2017;28(9):2663–73. https://doi.org/10.1007/s00198-017-4107-zIn a randomized, controlled, 20-week-long high-intensity interventional strength and sprint training trial in middle-aged and old male sprint athletes, this study reported significant albeit modest improvements in mid-tibial (not distal) structure and strength, which were most pronounced in the more compliant athletes. CrossRefPubMed •• Suominen T, Korhonen M, Alén M, Heinonen A, Mero A, Törmäkangas T, et al. Effects of a 20-week high-intensity strength and sprint training program on tibial bone structure and strength in middle-aged and older male sprint athletes: a randomized controlled trial. Osteoporos Int. 2017;28(9):2663–73. https://​doi.​org/​10.​1007/​s00198-017-4107-zIn a randomized, controlled, 20-week-long high-intensity interventional strength and sprint training trial in middle-aged and old male sprint athletes, this study reported significant albeit modest improvements in mid-tibial (not distal) structure and strength, which were most pronounced in the more compliant athletes. CrossRefPubMed
110.
go back to reference •• Sundh D, Nilsson M, Zoulakis M, Pasco C, Yilmaz M, Kazakia GJ, et al. High-impact mechanical loading increases bone material strength in postmenopausal women—a 3-month intervention study. J Bone Miner Res. 2018;33(7):1242–51. https://doi.org/10.1002/jbmr.3431This interventional study reports that that unilateral high-impact mechanical loading improves bone material properties without altering bone microstructure and geometry. CrossRefPubMedPubMedCentral •• Sundh D, Nilsson M, Zoulakis M, Pasco C, Yilmaz M, Kazakia GJ, et al. High-impact mechanical loading increases bone material strength in postmenopausal women—a 3-month intervention study. J Bone Miner Res. 2018;33(7):1242–51. https://​doi.​org/​10.​1002/​jbmr.​3431This interventional study reports that that unilateral high-impact mechanical loading improves bone material properties without altering bone microstructure and geometry. CrossRefPubMedPubMedCentral
Metadata
Title
Aging and Mechanoadaptive Responsiveness of Bone
Authors
Behzad Javaheri
Andrew A. Pitsillides
Publication date
01-12-2019
Publisher
Springer US
Published in
Current Osteoporosis Reports / Issue 6/2019
Print ISSN: 1544-1873
Electronic ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-019-00553-7

Other articles of this Issue 6/2019

Current Osteoporosis Reports 6/2019 Go to the issue

Bone Marrow and Adipose Tissue (G Duque and B Lecka-Czernik, Section Editors)

Insulin Signaling in Bone Marrow Adipocytes

Bone and Diabetes (A Schwartz and P Vestergaard, Section Editors)

Effects of Diabetes on Bone Material Properties

Cancer-induced Musculoskeletal Diseases (E Keller and J Sterling, Section Editors)

Bone Health in Men with Prostate Cancer: Review Article

Bone Marrow and Adipose Tissue (G Duque and B Lecka-Czernik, Section Editors)

Marrow Fat-Secreted Factors as Biomarkers for Osteoporosis