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Diabetes 54:2875-2881, 2005
© 2005 by the American Diabetes Association, Inc.

Bone Formation Is Impaired in a Model of Type 1 Diabetes

Kathryn M. Thrailkill1, Lichu Liu2, Elizabeth C. Wahl2, Robert C. Bunn1, Daniel S. Perrien3,4, Gael E. Cockrell1, Robert A. Skinner4,5, William R. Hogue4,5, Adam A. Carver4, John L. Fowlkes1, James Aronson5, and Charles K. Lumpkin, Jr.1

1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
2 Arkansas Children’s Hospital, Little Rock, Arkansas
3 Department of Physiology and Biophysics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
4 Center for Orthopedic Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas
5 Department of Orthopedics, University of Arkansas for Medical Sciences, Little Rock, Arkansas

The effects of type 1 diabetes on de novo bone formation during tibial distraction osteogenesis (DO) and on intact trabecular and cortical bone were studied using nonobese diabetic (NOD) mice and comparably aged nondiabetic NOD mice. Diabetic mice received treatment with insulin, vehicle, or no treatment during a 14-day DO procedure. Distracted tibiae were analyzed radiographically, histologically, and by microcomputed tomography (µCT). Contralateral tibiae were analyzed using µCT. Serum levels of insulin, osteocalcin, and cross-linked C-telopeptide of type I collagen were measured. Total new bone in the DO gap was reduced histologically (P ≤ 0.001) and radiographically (P ≤ 0.05) in diabetic mice compared with nondiabetic mice but preserved by insulin treatment. Serum osteocalcin concentrations were also reduced in diabetic mice (P ≤ 0.001) and normalized with insulin treatment. Evaluation of the contralateral tibiae by µCT and mechanical testing demonstrated reductions in trabecular bone volume and thickness, cortical thickness, cortical strength, and an increase in endosteal perimeter in diabetic animals, which were prevented by insulin treatment. These studies demonstrate that bone formation during DO is impaired in a model of type 1 diabetes and preserved by systemic insulin administration.


Address correspondence and reprint requests to Kathryn M. Thrailkill, MD, Arkansas Children’s Hospital, 800 Marshall St., Springer Building, Slot 512-6, Little Rock, AR 72202. E-mail: thrailkillkathrynm{at}uams.edu

Abbreviations: BMD, bone mineral density; DO, distraction osteogenesis; FIZ, fibrous interzone; µCT, microcomputed tomography; PMF, primary matrix front; ROI, region of interest


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