Published ahead of print on November 15, 2007, doi:10.1164/rccm.200705-659OC Am. J. Respir. Crit. Care Med., Volume 177, Number 3, February 2008, 309-315 A more recent version of this article appeared on February 1, 2008
Submitted on May 3, 2007 Persistent Osteopenia in Adult Cystic Fibrosis Transmembrane Conductance Regulator Deficient MiceChristina K Haston1*,1 Meakins-Christie Laboratories, Department of Medicine, McGill University, Montreal, Quebec, Canada, 2 J.T.N. Wong Laboratories for Mineralised Tissue Research, Department of Medicine, McGill University, Montreal, Quebec, Canada * To whom correspondence should be addressed. E-mail: christina.haston{at}mcgill.ca.
Rationale: A loss of function mutation in the Cystic Fibrosis Transmembrane Conductance Regulator gene is believed to be an independent risk factor for bone disease in patients with cystic fibrosis. Objectives: The objective of this work was to use congenic mice as a pre-clinical model to examine the bone phenotype of Cftr -/- mice and Control littermates at 8, 12 and 28 weeks of age. Methods: The bone phenotype of Control and Cftr-/- mice was evaluated using quantitative imaging, histologic and histomorphometric analyses and serum levels of bone biomarkers. Measurements and Main Results: At 12 weeks of age, Cftr -/- mice were smaller, had lower bone mineral density, cortical bone thinning, and altered trabecular architecture compared with Cftr+/+ or Cftr+/- Control mice. In skeletally mature 28 week old mice, there were persistent deficits in cortical and trabecular bone structure in Cftr-/- mice despite significant, quantifiable improvements. Cftr-/- mice also had lower serum insulin like growth factor 1 levels at 12 weeks of age than did Control mice, while parathyroid hormone and 25-hydroxy vitamin D levels were not significantly different. Conclusions: Persistent osteopenia and structural abnormalities in adult Cftr-/- mice, in the absence of overt respiratory and gastro-intestinal disease, suggests that loss of Cftr function has a direct impact on bone metabolism in Cftr-/- mice that is not gender specific nor subject to haplotype insufficiency. Key words: bone disease, lung disease, pre-clinical model, genetically modified mouse
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