Publications by authors named "Nisreen Akel"

Glucocorticoid-induced osteoporosis (GIOP) is the leading cause of iatrogenic osteoporosis due to the widespread clinical use of glucocorticoids (GC) as immunosuppressants. Previous research identified the proline-rich tyrosine kinase 2, Pyk2, as a critical mediator of GC-induced bone loss, and that blocking Pyk2 could protect the skeleton from adverse GC actions. However, systemic administration of current Pyk2 inhibitors causes harmful side effects, such as skin lesions.

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  • - Type 2 diabetes (T2D) causes severe periodontal damage in a mouse model, leading to issues like inflamed gums, weakened periodontal ligaments, and significant bone loss, largely influenced by increased levels of a protein called sclerostin.
  • - Treatment with a sclerostin-neutralizing antibody (Scl-Ab) significantly improved bone mass and reduced bone loss in T2D mice by suppressing harmful osteoclasts and promoting beneficial osteoblasts.
  • - Scl-Ab also encouraged the growth of periodontal ligament cells and reduced inflammation, highlighting its potential as a therapeutic option for T2D-related oral complications with minimal side effects.
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Chaperone-mediated autophagy (CMA) is a lysosome-dependent degradation pathway that eliminates proteins that are damaged, partially unfolded, or targeted for selective proteome remodeling. CMA contributes to several cellular processes, including stress response and proteostasis. Age-associated increase in cellular stressors and decrease in CMA contribute to pathologies associated with aging in various tissues.

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  • Researchers are exploring cell type-specific loss of function (LOF) studies, often using Cre-mediated recombination, but this method can cause issues by affecting unintended cell types.
  • They developed two new mouse models that enable targeted gene suppression using CRISPR interference (CRISPRi), which is a departure from the traditional recombination-based techniques.
  • The comparison shows that CRISPRi is more effective and precise for cell type-specific LOF than the Cre-loxP system, improving research outcomes in targeted gene studies.
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The mechanisms underlying the bone disease induced by diabetes are complex and not fully understood; and antiresorptive agents, the current standard of care, do not restore the weakened bone architecture. Herein, we reveal the diabetic bone signature in mice at the tissue, cell, and transcriptome levels and demonstrate that three FDA-approved bone-anabolic agents correct it. Diabetes decreased bone mineral density (BMD) and bone formation, damaged microarchitecture, increased porosity of cortical bone, and compromised bone strength.

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Chaperone-mediated autophagy (CMA) is a protein degradation pathway that eliminates soluble cytoplasmic proteins that are damaged, incorrectly folded, or targeted for selective proteome remodeling. However, the role of CMA in skeletal homeostasis under physiological and pathophysiological conditions is unknown. To address the role of CMA for skeletal homeostasis, we deleted an essential component of the CMA process, namely Lamp2a, from the mouse genome.

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Traditional epitranscriptomics relies on capturing a single RNA modification by antibody or chemical treatment, combined with short-read sequencing to identify its transcriptomic location. This approach is labor-intensive and may introduce experimental artifacts. Direct sequencing of native RNA using Oxford Nanopore Technologies (ONT) can allow for directly detecting the RNA base modifications, although these modifications might appear as sequencing errors.

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Down syndrome (DS), characterized by trisomy of human chromosome 21, is associated with a variety of endocrine disorders as well as profound skeletal abnormalities. The low bone mass phenotype in DS is defined by low bone turnover due to decreased osteoclast and osteoblast activity, decreasing the utility of antiresorptive agents in people with DS. Sclerostin antibody (SclAb) is a therapeutic candidate currently being evaluated as a bone anabolic agent.

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Bone is a common site for metastasis in breast cancer patients and is associated with a series of complications that significantly compromise patient survival, partially due to the advanced stage of disease at the time of detection. Currently, no clinically-approved biomarkers can identify or predict the development of bone metastasis. We recently identified a unique peptide fragment of parathyroid hormone-related protein (PTHrP), PTHrP(12-48), as a validated serum biomarker in breast cancer patients that correlates with and predicts the presence of bone metastases.

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  • - The study investigates how space-like radiation impacts tissue responses in rats under simulated microgravity, focusing on four groups: control, irradiated, irradiated with hindlimb suspension, and just suspended.
  • - Results indicated that both irradiated and suspended rats experienced significant weight loss compared to the control group, with the weight loss in irradiated rats linked to decreased food intake, or 'anorexia.'
  • - While both radiation and microgravity affected body weight, only microgravity led to notable changes in muscle mass and bone density, implying that the effects on appetite and musculoskeletal health may stem from different mechanisms.
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The process of osteoclastic bone resorption is complex and regulated at multiple levels. The role of osteoclast (OCL) fusion and motility in bone resorption are unclear, with the movement of OCL on bone largely unexplored. RANKL (also known as TNFSF11) is a potent stimulator of murine osteoclastogenesis, and activin A (ActA) enhances that stimulation in whole bone marrow.

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Skeletal metastases of breast cancer and subsequent osteolysis connote a dramatic change in the prognosis for the patient and significantly increase the morbidity associated with disease. The cytokine interleukin 8 (IL-8/CXCL8) is able to directly stimulate osteoclastogenesis and bone resorption in mouse models of breast cancer bone metastasis. In this study, we determined whether circulating levels of IL-8 were associated with increased bone resorption and breast cancer bone metastasis in patients and investigated IL-8 action in vitro and in vivo in mice.

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  • Members of the Leprecan protein family, including enzymes and nonenzymatic proteins, are linked to osteogenesis imperfecta due to mutations in genes like CRTAP and LEPRE1.
  • Sc65, a protein related to Crtap, was previously under-studied, but this research identifies it as an endoplasmic reticulum (ER)-resident protein crucial for bone health.
  • Loss of Sc65 leads to increased bone resorption and osteopenia, indicating its role as a negative regulator of osteoclastogenesis and its importance in skeletal development.
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Trisomy 21 affects virtually every organ system and results in the complex clinical presentation of Down syndrome (DS). Patterns of differences are now being recognized as patients' age and these patterns bring about new opportunities for disease prevention and treatment. Low bone mineral density (BMD) has been reported in many studies of males and females with DS yet the specific effects of trisomy 21 on the skeleton remain poorly defined.

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Introduction: Spaceflight and simulated microgravity often associate with pain and prediabetes. Streptozotocin (STZ)-induced moderate insulinopenia rat models of prediabetes result in pressure hyperalgesia. The current study was designed to determine whether or not simulated microgravity induced by hind limb suspension (HLS) in rats lead to insulinopenia and pressure hyperalgesia.

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Given the aging population and the increased incidence of fracture in the elderly population, the need exists for agents that can enhance bone healing, particularly in situations of delayed fracture healing and/or non-union. Our previous studies demonstrated that overexpression of the gonadal peptide, human inhibin A (hInhA), in transgenic mice enhances bone formation and strength via increased osteoblast activity. We tested the hypothesis that hInhA can also exert anabolic effects in a murine model of distraction osteogenesis (DO), using both transgenic hInhA overexpression and administration of normal physiological levels of hInhA in adult male Swiss-Webster mice.

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Leptin, the product of the Lep gene, reports levels of adiposity to the hypothalamus and other regulatory cells, including pituitary somatotropes, which secrete GH. Leptin deficiency is associated with a decline in somatotrope numbers and function, suggesting that leptin may be important in their maintenance. This hypothesis was tested in a new animal model in which exon 17 of the leptin receptor (Lepr) protein was selectively deleted in somatotropes by Cre-loxP technology.

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  • Evidence shows that women experience increased bone turnover and loss before menopause, linked to lower serum estradiol levels.
  • Elevated follicle-stimulating hormone levels relate to these peri-menopausal changes, while decreases in gonadal inhibins correlate with markers of bone formation and resorption.
  • Inhibins impact bone metabolism by blocking certain developmental pathways for bone-forming and bone-resorbing cells, indicating that they play a significant role in regulating bone health during menopause.
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There is both cellular and physiological evidence demonstrating that both Activins and Inhibins regulate osteoblastogenesis and osteoclastogenesis, and regulate bone mass in vivo. Although Activins and Inhibins were initially isolated from the gonad, Activins are also produced and stored in bone, whereas Inhibins exert their regulation on bone cell differentiation and metabolism via endocrine effects. The accumulating data provide evidence that reproductive hormones, distinct from classical sex steroids, are important regulators of bone mass and bone strength.

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The platelet glycoprotein Ib-IX receptor binds surface-bound von Willebrand factor and supports platelet adhesion to damaged vascular surfaces. A limited number of mutations within the glycoprotein Ib-IX complex have been described that permit a structurally altered receptor to interact with soluble von Willebrand factor, and this is the molecular basis of platelet-type von Willebrand disease. We have developed and characterized a mouse model of platelet-type von Willebrand disease (G233V) and have confirmed a platelet phenotype mimicking the human disorder.

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  • Gonadal function significantly influences bone health, with new evidence suggesting that inhibin A (InhA) plays a critical role beyond just sex steroids in bone mass regulation.
  • A study using a transgenic model showed that InhA enhances bone mineral density, bone volume, and mechanical strength, while also preventing bone loss due to gonadectomy.
  • These findings indicate that inhibin A positively affects bone cell differentiation and overall bone quality, highlighting the importance of other gonadal factors in skeletal health.
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Disuse has been shown to cause a rapid and dramatic loss of skeletal mass and strength in the load-bearing bones of young and mature animals and humans. However, little is known about the skeletal effects of disuse in aged mammals. The present study was designed to determine whether the skeletal effects of disuse are maintained with extreme age.

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Bone is a common site of cancer metastasis. Breast, prostate, and lung cancers show a predilection to metastasize to bone. Recently, we reported that the chemokine interleukin 8 (IL-8) stimulates both human osteoclast formation and bone resorption.

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