Chronic alcohol abuse predisposes to bone fractures but why this happens is unclear. Nutritional and hormonal deficiencies have been postulated to increase fracture risk but studies comparing alcoholics to healthy controls have often not shown significant differences. Thus, other factors are likely involved. A critical feature of bone homeostasis is the need for continual differentiation of stem cells to osteoblasts, the cells responsible for new bone formation. Single gene diseases that impact bone integrity can shed light on novel factors that regulate stem cell differentiation to osteoblasts. Recently, gene mutations that result in complete absence of pigment epithelium-derived factor (PEDF) have been identified as the cause of Osteogenesis Imperfecta (OI) Type VI, an autosomal recessive disease characterized by severely weakened bone and early fractures. We previously published that PEDF KO mice recapitulate the human OI Type VI phenotype with marked trabecular bone loss in young mice. We further showed that PEDF directs a key signaling pathway that is responsible for stem cell differentiation to osteoblasts and away from adipocytes. Based on this human disease, we have defined PEDF as a novel osteoblast differentiation factor. The studies outlined in this application will investigate whether PEDF can rescue the bone loss that occurs in two well-characterized models of alcohol feeding. We will also investigate the signaling pathways that mediate new osteoblast formation. Finally, we have collaborations with clinicians who have OI Type V and VI patients. Inducible pluripotent stem cells will be created from these patients. We will then assess whether these PEDF-null stem cells can differentiate normally to bone cells. Findings from this application may be helpful in defining molecules that can mimic PEDF's actions on bone cell differentiation.

Public Health Relevance

Chronic alcohol abuse predisposes to bone fractures. The findings from this project will lead to a better understanding of how alcohol negatively regulates a circulating factor that potentiates new bone cell development. These findings may have an impact on alcohol-related bone disorders and bone biology in general.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AA023607-01A1
Application #
8969937
Study Section
Biomedical Research Review Subcommittee (AA-1)
Program Officer
Gao, Peter
Project Start
2016-08-05
Project End
2018-07-31
Budget Start
2016-08-05
Budget End
2017-07-31
Support Year
1
Fiscal Year
2016
Total Cost
$240,781
Indirect Cost
$97,031
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
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Chung, Chuhan; Insogna, Karl L (2016) The liver throws the skeleton a bone (resorption factor). Hepatology 64:977-9
Gong, Jingjing; Belinsky, Glenn; Sagheer, Usman et al. (2016) Pigment Epithelium-derived Factor (PEDF) Blocks Wnt3a Protein-induced Autophagy in Pancreatic Intraepithelial Neoplasms. J Biol Chem 291:22074-22085
Chung, Chuhan; Gorelick, Fred S (2016) Targeting ?v Integrins in Pancreatic Fibrosis: Progress in Resolving the Scar. Cell Mol Gastroenterol Hepatol 2:405-406