Low turnover osteodystrophy and vascular calcification are amenable to skeletal anabolism in an animal model of chronic kidney disease and the metabolic syndrome

J Am Soc Nephrol. 2005 Apr;16(4):917-28. doi: 10.1681/ASN.2004100835. Epub 2005 Mar 2.

Abstract

LDL receptor (LDLR)-null mice fed high-fat/cholesterol diets, a model of the metabolic syndrome, have vascular calcification (VC) worsened by chronic kidney disease (CKD) and ameliorated by bone morphogenetic protein-7 (BMP-7), an efficacious agent in treating animal models of renal osteodystrophy. Here, LDLR-/- high-fat-fed mice without CKD were shown to have significant reductions in bone formation rates, associated with increased VC and hyperphosphatemia. Superimposing CKD resulted in a low turnover osteodystrophy, whereas VC worsened and hyperphosphatemia persisted. BMP-7 treatment corrected the hyperphosphatemia, corrected the osteodystrophy, and prevented VC, compatible with skeletal phosphate deposition leading to reduced plasma phosphate and removal of a major stimulus to VC. A pathologic link between abnormal bone mineralization and VC through the serum phosphorus was supported by the partial effectiveness of directly reducing the serum phosphate by a phosphate binder that had no skeletal action. Thus, in this model of the metabolic syndrome with CKD, a reduction in bone-forming potential of osteogenic cells leads to low bone turnover rates, producing hyperphosphatemia and VC, processes ameliorated by the skeletal anabolic agent BMP-7, in part through deposition of phosphate and increased bone formation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Aorta / metabolism
  • Aortic Diseases / pathology
  • Aortic Diseases / prevention & control*
  • Bone Morphogenetic Protein 7
  • Bone Morphogenetic Proteins / pharmacology*
  • Bone Remodeling
  • Bone and Bones / pathology
  • Calcinosis / pathology
  • Calcinosis / prevention & control*
  • Calcium / metabolism
  • Chronic Disease
  • Chronic Kidney Disease-Mineral and Bone Disorder / etiology
  • Chronic Kidney Disease-Mineral and Bone Disorder / pathology*
  • Chronic Kidney Disease-Mineral and Bone Disorder / physiopathology
  • Dietary Fats / administration & dosage
  • Dietary Fats / pharmacology
  • Dose-Response Relationship, Drug
  • Female
  • Kidney Diseases / complications*
  • Kidney Diseases / physiopathology
  • Male
  • Metabolic Syndrome / complications*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Parathyroid Glands / physiopathology
  • Phosphates / metabolism
  • Receptors, LDL / deficiency
  • Transforming Growth Factor beta / pharmacology*

Substances

  • Bone Morphogenetic Protein 7
  • Bone Morphogenetic Proteins
  • Dietary Fats
  • Phosphates
  • Receptors, LDL
  • Transforming Growth Factor beta
  • Calcium