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Thomas M Braxton School of Biosciences, Cardiff University, Cardiff, UK

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Dionne E A Sarpong School of Biosciences, Cardiff University, Cardiff, UK

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Janine L Dovey School of Biosciences, Cardiff University, Cardiff, UK

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Anne Guillou IGF, CNRS, INSERM, University of Montpellier, Montpellier, France

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Bronwen A J Evans School of Medicine, Cardiff University, Cardiff, UK

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Juan M Castellano Physiology Section, Faculty of Medicine, University of Cordoba, and Instituto Maimonides de Investigacion Biomedica de Cordoba (IMBIC), Cordoba, Spain

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Bethany E Keenan School of Engineering, Cardiff University, Cardiff, UK

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Saja Baraghithy Obesity and Metabolism Laboratory, Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel

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Sam L Evans School of Engineering, Cardiff University, Cardiff, UK

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Manuel Tena-Sempere Physiology Section, Faculty of Medicine, University of Cordoba, and Instituto Maimonides de Investigacion Biomedica de Cordoba (IMBIC), Cordoba, Spain
CIBER Fisiopatologia de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain

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Patrice Mollard IGF, CNRS, INSERM, University of Montpellier, Montpellier, France

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Joseph Tam Obesity and Metabolism Laboratory, Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel

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Timothy Wells School of Biosciences, Cardiff University, Cardiff, UK

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BAJ , et al . 2016 Disrupted mitochondrial function in the Opa3 L122P mouse model for Costeff syndrome impairs skeletal integrity . Human Molecular Genetics 2404 – 2416 . ( https://doi.org/10.1093/hmg/ddw107 ) 27106103 Pravdivyi I Ballanyi

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Christianne M A Reijnders Departments of Endocrinology and
Clinical Chemistry, VU University Medical Center, De Boelelaan 1117, brug 124, PO Box 7057, 1081 HV Amsterdam, The Netherlands

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Nathalie Bravenboer Departments of Endocrinology and
Clinical Chemistry, VU University Medical Center, De Boelelaan 1117, brug 124, PO Box 7057, 1081 HV Amsterdam, The Netherlands

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Annechien M Tromp Departments of Endocrinology and
Clinical Chemistry, VU University Medical Center, De Boelelaan 1117, brug 124, PO Box 7057, 1081 HV Amsterdam, The Netherlands

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Marinus A Blankenstein Departments of Endocrinology and
Clinical Chemistry, VU University Medical Center, De Boelelaan 1117, brug 124, PO Box 7057, 1081 HV Amsterdam, The Netherlands

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Paul Lips Departments of Endocrinology and
Clinical Chemistry, VU University Medical Center, De Boelelaan 1117, brug 124, PO Box 7057, 1081 HV Amsterdam, The Netherlands

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Introduction Mechanical loading plays an essential role in maintaining the skeletal integrity in both humans and animals ( Forwood & Parker 1991 , Turner et al. 1991 , 1994 , Smith & Rutherford 1993 , Yeh et al. 1993 , Hamdy

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P. L. Selby
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R. M. Francis
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In the 40 years or so since Albright & Reifenstein (1948) noted the association of osteoporosis with hypogonadism in both females and males, much has been learnt about the actions of hormones on bone and the endocrine causes of osteoporosis. Whilst subsequent work has underlined the importance of sex steroids in the maintenance of skeletal integrity, it is apparent that osteoporosis is multifactorial in origin and that non-hormonal factors are also involved in the pathogenesis of bone loss.

Osteoporosis is characterized by a reduction in bone mass in the skeleton, associated with an increased risk of fracture. The bone mass at any age, and therefore the risk of fracture, is determined by three variables: the bone mass at maturity, the age at which bone loss commences and the rate at which it proceeds (Riggs & Melton, 1986). The peak bone mass at maturity is regulated by sex, race, other genetic

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GP Thomas
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SU Baker
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JA Eisman
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EM Gardiner
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Osteoblast-osteoclast coordination is critical in the maintenance of skeletal integrity. The modulation of osteoclastogenesis by immature cells of the osteoblastic lineage is mediated through receptor activator of NF kappa B (RANK), its ligand RANKL, and osteoprotegerin (OPG), a natural decoy receptor for RANKL. Here, the expression of OPG and RANKL in primary mouse osteoblastic cultures was investigated to determine whether the osteoclastogenic stimulus depended on the stage of osteoblastic differentiation and the presence of the calciotrophic hormone 1,25-dihydroxyvitamin D(3) (1,25-(OH)(2)D(3)). OPG mRNA expression was increased in osteoblastic cultures after the onset of mineralisation relative to less mature cultures, but did not alter in response to 1,25-(OH)(2)D(3) treatment. In contrast, basal RANK L mRNA expression did not change during differentiation but was significantly enhanced by 1,25-(OH)(2)D(3) treatment at all times. The stimulatory effects of 1,25-(OH)(2)D(3) on RANKL were lessened in more mature cultures, however. The RANKL/OPG ratio, an index of osteoclastogenic stimulus, was therefore increased by 1,25-(OH)(2)D(3) treatment at all stages of osteoblastic differentiation, but to a lesser degree in cultures after the onset of mineralisation. Thus the 1,25-(OH)(2)D(3)-driven increase in osteoclastogenic potential of immature osteoblasts appears to be mediated by increased RANKL mRNA expression, with mature osteoblasts having relatively decreased osteoclastogenic activity due to increased OPG mRNA expression. These findings suggest a possible mechanism for the recently proposed negative regulatory role of mature osteoblasts on osteoclastogenesis and indicate that the relative proportions of immature and mature osteoblasts in the local microenvironment may control the degree of resorption at each specific bone site.

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Gerard Karsenty Department of Genetics and Development, Columbia University, HHSC 701 West 168th Street, HHSC1602, New York, New York 10032, USA

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. 2010 , Yeap et al . 2010 , Levinger et al . 2011 ). It has long been recognized that bone mass accrual is profoundly regulated by sex steroid hormones, which are necessary for the bone growth and for the maintenance of skeletal integrity ( Khosla

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Filip Callewaert Center for Musculoskeletal Research, Department of Experimental Medicine, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium

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Mieke Sinnesael Center for Musculoskeletal Research, Department of Experimental Medicine, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium

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Evelien Gielen Center for Musculoskeletal Research, Department of Experimental Medicine, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium

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Steven Boonen Center for Musculoskeletal Research, Department of Experimental Medicine, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium

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Dirk Vanderschueren Center for Musculoskeletal Research, Department of Experimental Medicine, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium

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skeletal integrity, both in men and women ( Riggs et al . 2002 ). However, gender differences in bone growth become apparent during puberty, with men reaching higher peak bone mass, greater bone size, and, ultimately, a stronger skeleton compared to women

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Anna de Lloyd Department of Child Health, Centre for Endocrine and Diabetes Sciences

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James Bursell Department of Child Health, Centre for Endocrine and Diabetes Sciences

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John W Gregory Department of Child Health, Centre for Endocrine and Diabetes Sciences

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D Aled Rees Department of Child Health, Centre for Endocrine and Diabetes Sciences

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Marian Ludgate Department of Child Health, Centre for Endocrine and Diabetes Sciences

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skeletal integrity . Annals of Internal Medicine 130 750 – 758 . Haluzik M Nedvidkova J Bartak V Dostalova I Vlcek P Racek P Taus M Svacina S Alesci S Pacak K 2003 Effects of hypo- and hyperthyroidism on noradrenergic activity

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P A Hill Department of Craniofacial Development and Orthodontics, Kings College London, GKT Dental Institute, London SE1 9RT, UK

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A Tumber Department of Craniofacial Development and Orthodontics, Kings College London, GKT Dental Institute, London SE1 9RT, UK

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). An increase in osteoblast and/or osteocyte apoptosis would therefore be expected to compromise skeletal integrity, and may contribute to the pathogenesis of bone loss and fragility fractures associated with sex hormone deficiency and glucocorticoid

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R Dobie
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V E MacRae
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C Huesa
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R van't Hof Division of Developmental Biology, Institute of Ageing and Chronic Disease, Developmental Endocrinology Research Group, The Roslin Institute and R(D)SVS, The University of Edinburgh, Easter Bush, Midlothian, Edinburgh EH25 9RG, Scotland, UK

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S F Ahmed Division of Developmental Biology, Institute of Ageing and Chronic Disease, Developmental Endocrinology Research Group, The Roslin Institute and R(D)SVS, The University of Edinburgh, Easter Bush, Midlothian, Edinburgh EH25 9RG, Scotland, UK

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C Farquharson
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0215463 ) Yakar S Rosen CJ Bouxsein ML Sun H Mejia W Kawashima Y Wu Y Emerton K Williams V Jepsen K 2009 Serum complexes of insulin-like growth factor-1 modulate skeletal integrity and carbohydrate metabolism . FASEB Journal

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Michela Rossi Bone Physiopathology Unit, Genetics and Rare Diseases Research Area, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

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Giulia Battafarano Bone Physiopathology Unit, Genetics and Rare Diseases Research Area, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

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Viviana De Martino Department of Clinical, Internal, Anaesthesiology and Cardiovascular Sciences, Sapienza University, Rome, Italy

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Alfredo Scillitani Endocrinology Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Casa Sollievo della Sofferenza, Foggia, Italy

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Salvatore Minisola Department of Clinical, Internal, Anaesthesiology and Cardiovascular Sciences, Sapienza University, Rome, Italy

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Andrea Del Fattore Bone Physiopathology Unit, Genetics and Rare Diseases Research Area, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

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that cause excessive or impaired bone loss impact skeletal integrity as well as the immoderate, disorganised or reduced bone formation ( Del Fattore et al. 2012 ). Osteoblasts, the bone-making cells, derive from neural ectoderm to form craniofacial

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