Dimorphic Mechanisms of Fragility in Diabetes Mellitus: the Role of Reduced Collagen Fibril Deformation
Abstract
ABSTRACT Diabetes mellitus (DM) is an emerging metabolic disease, and the management of diabetic bone disease poses a serious challenge worldwide. Understanding the underlying mechanisms leading to high fracture risk in DM is hence of particular interest and urgently needed to allow for diagnosis and treatment optimization. In a case–control postmortem study, the whole 12th thoracic vertebra and cortical bone from the mid‐diaphysis of the femur from male individuals with type 1 diabetes mellitus (T1DM) ( n = 6; 61.3 ± 14.6 years), type 2 diabetes mellitus (T2DM) ( n = 11; 74.3 ± 7.9 years), and nondiabetic controls ( n = 18; 69.3 ± 11.5) were analyzed with clinical and ex situ imaging techniques to explore various bone quality indices. Cortical collagen fibril deformation was measured in a synchrotron setup to assess changes at the nanoscale during tensile testing until failure. In addition, matrix composition was analyzed including determination of cross‐linking and non‐crosslinking advanced glycation end‐products like pentosidine and carboxymethyl‐lysine. In T1DM, lower fibril deformation was accompanied by lower mineralization and more mature crystalline apatite. In T2DM, lower fibril deformation concurred with a lower elastic modulus and tendency to higher accumulation of non‐crosslinking advanced glycation end‐products. The observed lower collagen fibril deformation in diabetic bone may be linked to alteredmore »
- Authors:
- Publication Date:
- Research Org.:
- Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
- Sponsoring Org.:
- USDOE Office of Science (SC), Basic Energy Sciences (BES)
- OSTI Identifier:
- 1893950
- Alternate Identifier(s):
- OSTI ID: 1987416; OSTI ID: 1992468
- Grant/Contract Number:
- AC02-05CH11231
- Resource Type:
- Published Article
- Journal Name:
- Journal of Bone and Mineral Research
- Additional Journal Information:
- Journal Name: Journal of Bone and Mineral Research Journal Volume: 37 Journal Issue: 11; Journal ID: ISSN 0884-0431
- Publisher:
- Oxford University Press
- Country of Publication:
- United States
- Language:
- English
- Subject:
- 59 BASIC BIOLOGICAL SCIENCES; advanced glycation end-products; bone quality; collagen deformation; cortical bone; diabetes mellitus
Citation Formats
Wölfel, Eva M., Schmidt, Felix N., vom Scheidt, Annika, Siebels, Anna K., Wulff, Birgit, Mushumba, Herbert, Ondruschka, Benjamin, Püschel, Klaus, Scheijen, Jean, Schalkwijk, Casper G., Vettorazzi, Eik, Jähn-Rickert, Katharina, Gludovatz, Bernd, Schaible, Eric, Amling, Michael, Rauner, Martina, Hofbauer, Lorenz C., Zimmermann, Elizabeth A., and Busse, Björn. Dimorphic Mechanisms of Fragility in Diabetes Mellitus: the Role of Reduced Collagen Fibril Deformation. United States: N. p., 2022.
Web. doi:10.1002/jbmr.4706.
Wölfel, Eva M., Schmidt, Felix N., vom Scheidt, Annika, Siebels, Anna K., Wulff, Birgit, Mushumba, Herbert, Ondruschka, Benjamin, Püschel, Klaus, Scheijen, Jean, Schalkwijk, Casper G., Vettorazzi, Eik, Jähn-Rickert, Katharina, Gludovatz, Bernd, Schaible, Eric, Amling, Michael, Rauner, Martina, Hofbauer, Lorenz C., Zimmermann, Elizabeth A., & Busse, Björn. Dimorphic Mechanisms of Fragility in Diabetes Mellitus: the Role of Reduced Collagen Fibril Deformation. United States. https://doi.org/10.1002/jbmr.4706
Wölfel, Eva M., Schmidt, Felix N., vom Scheidt, Annika, Siebels, Anna K., Wulff, Birgit, Mushumba, Herbert, Ondruschka, Benjamin, Püschel, Klaus, Scheijen, Jean, Schalkwijk, Casper G., Vettorazzi, Eik, Jähn-Rickert, Katharina, Gludovatz, Bernd, Schaible, Eric, Amling, Michael, Rauner, Martina, Hofbauer, Lorenz C., Zimmermann, Elizabeth A., and Busse, Björn. Fri .
"Dimorphic Mechanisms of Fragility in Diabetes Mellitus: the Role of Reduced Collagen Fibril Deformation". United States. https://doi.org/10.1002/jbmr.4706.
@article{osti_1893950,
title = {Dimorphic Mechanisms of Fragility in Diabetes Mellitus: the Role of Reduced Collagen Fibril Deformation},
author = {Wölfel, Eva M. and Schmidt, Felix N. and vom Scheidt, Annika and Siebels, Anna K. and Wulff, Birgit and Mushumba, Herbert and Ondruschka, Benjamin and Püschel, Klaus and Scheijen, Jean and Schalkwijk, Casper G. and Vettorazzi, Eik and Jähn-Rickert, Katharina and Gludovatz, Bernd and Schaible, Eric and Amling, Michael and Rauner, Martina and Hofbauer, Lorenz C. and Zimmermann, Elizabeth A. and Busse, Björn},
abstractNote = {ABSTRACT Diabetes mellitus (DM) is an emerging metabolic disease, and the management of diabetic bone disease poses a serious challenge worldwide. Understanding the underlying mechanisms leading to high fracture risk in DM is hence of particular interest and urgently needed to allow for diagnosis and treatment optimization. In a case–control postmortem study, the whole 12th thoracic vertebra and cortical bone from the mid‐diaphysis of the femur from male individuals with type 1 diabetes mellitus (T1DM) ( n = 6; 61.3 ± 14.6 years), type 2 diabetes mellitus (T2DM) ( n = 11; 74.3 ± 7.9 years), and nondiabetic controls ( n = 18; 69.3 ± 11.5) were analyzed with clinical and ex situ imaging techniques to explore various bone quality indices. Cortical collagen fibril deformation was measured in a synchrotron setup to assess changes at the nanoscale during tensile testing until failure. In addition, matrix composition was analyzed including determination of cross‐linking and non‐crosslinking advanced glycation end‐products like pentosidine and carboxymethyl‐lysine. In T1DM, lower fibril deformation was accompanied by lower mineralization and more mature crystalline apatite. In T2DM, lower fibril deformation concurred with a lower elastic modulus and tendency to higher accumulation of non‐crosslinking advanced glycation end‐products. The observed lower collagen fibril deformation in diabetic bone may be linked to altered patterns mineral characteristics in T1DM and higher advanced glycation end‐product accumulation in T2DM. © 2022 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).},
doi = {10.1002/jbmr.4706},
journal = {Journal of Bone and Mineral Research},
number = 11,
volume = 37,
place = {United States},
year = {Fri Sep 16 00:00:00 EDT 2022},
month = {Fri Sep 16 00:00:00 EDT 2022}
}
https://doi.org/10.1002/jbmr.4706
Works referenced in this record:
Excess of all-cause mortality after a fracture in type 2 diabetic patients: a population-based cohort study
journal, July 2017
- Martinez-Laguna, D.; Nogues, X.; Abrahamsen, B.
- Osteoporosis International, Vol. 28, Issue 9
Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes—a meta-analysis
journal, October 2006
- Vestergaard, P.
- Osteoporosis International, Vol. 18, Issue 4
Bone Loss and Bone Turnover in Diabetes
journal, July 1995
- Krakauer, Jesse C.; Mckenna, Malachi J.; Fenn Buderer, Nancy
- Diabetes, Vol. 44, Issue 7
Hip Fractures and the Contribution of Cortical Versus Trabecular Bone to Femoral Neck Strength
journal, March 2009
- Holzer, Gerold; von Skrbensky, Gobert; Holzer, Lukas A.
- Journal of Bone and Mineral Research, Vol. 24, Issue 3
Burden of disease and costs associated with type 2 diabetes in emerging and established markets: systematic review analyses
journal, July 2020
- Alzaid, Aus; Ladrón de Guevara, Patricia; Beillat, Maud
- Expert Review of Pharmacoeconomics & Outcomes Research, Vol. 21, Issue 4
Altered Tissue Composition, Microarchitecture, and Mechanical Performance in Cancellous Bone From Men With Type 2 Diabetes Mellitus
journal, May 2019
- Hunt, Heather B.; Torres, Ashley M.; Palomino, Pablo M.
- Journal of Bone and Mineral Research, Vol. 34, Issue 7
Fracture toughness of bovine bone: influence of orientation and storage media
journal, December 2001
- Lucksanasombool, P.; Higgs, W. A. J.; Higgs, R. J. E. D.
- Biomaterials, Vol. 22, Issue 23
Collagen cross-links as a determinant of bone quality: a possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus
journal, September 2009
- Saito, M.; Marumo, K.
- Osteoporosis International, Vol. 21, Issue 2
Bone fragility in diabetes: novel concepts and clinical implications
journal, March 2022
- Hofbauer, Lorenz C.; Busse, Björn; Eastell, Richard
- The Lancet Diabetes & Endocrinology, Vol. 10, Issue 3
A SAXS/WAXS/GISAXS Beamline with Multilayer Monochromator
journal, October 2010
- Hexemer, Alexander; Bras, Wim; Glossinger, James
- Journal of Physics: Conference Series, Vol. 247
Diabetes Mellitus: Does it Affect Bone?
journal, December 2003
- Schwartz, A. V.
- Calcified Tissue International, Vol. 73, Issue 6
Cooperative deformation of mineral and collagen in bone at the nanoscale
journal, November 2006
- Gupta, H. S.; Seto, J.; Wagermaier, W.
- Proceedings of the National Academy of Sciences, Vol. 103, Issue 47
Validation of quantitative backscattered electron imaging for the measurement of mineral density distribution in human bone biopsies
journal, October 1998
- Roschger, P.; Fratzl, P.; Eschberger, J.
- Bone, Vol. 23, Issue 4
Advanced Glycation End Products and esRAGE Are Associated With Bone Turnover and Incidence of Hip Fracture in Older Men
journal, August 2018
- Lamb, Lydia S.; Alfonso, Helman; Norman, Paul E.
- The Journal of Clinical Endocrinology & Metabolism, Vol. 103, Issue 11
Type 1 Diabetes and Bone Fragility: Links and Risks
journal, December 2019
- Starup-Linde, Jakob; Hygum, Katrine; Harsløf, Torben
- Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol. Volume 12
Assessment of collagen quality associated with non-enzymatic cross-links in human bone using Fourier-transform infrared imaging
journal, April 2017
- Schmidt, F. N.; Zimmermann, E. A.; Campbell, G. M.
- Bone, Vol. 97
Age-related changes in the plasticity and toughness of human cortical bone at multiple length scales
journal, August 2011
- Zimmermann, E. A.; Schaible, E.; Bale, H.
- Proceedings of the National Academy of Sciences, Vol. 108, Issue 35
Effect of ultrastructural changes on the toughness of bone
journal, October 2005
- Nyman, Jeffry S.; Reyes, Michael; Wang, Xiaodu
- Micron, Vol. 36, Issue 7-8
Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025
journal, September 2020
- Lin, Xiling; Xu, Yufeng; Pan, Xiaowen
- Scientific Reports, Vol. 10, Issue 1
Bone Turnover Markers Do Not Predict Fracture Risk in Type 2 Diabetes
journal, September 2020
- Napoli, Nicola; Conte, Caterina; Eastell, Richard
- Journal of Bone and Mineral Research, Vol. 35, Issue 12
Prospective Study of Diabetes and Risk of Hip Fracture: The Nurses' Health Study
journal, June 2006
- Janghorbani, M.; Feskanich, D.; Willett, W. C.
- Diabetes Care, Vol. 29, Issue 7
Relations of advanced glycation endproducts and dicarbonyls with endothelial dysfunction and low-grade inflammation in individuals with end-stage renal disease in the transition to renal replacement therapy: A cross-sectional observational study
journal, August 2019
- Martens, Remy J. H.; Broers, Natascha J. H.; Canaud, Bernard
- PLOS ONE, Vol. 14, Issue 8
Association of BMD and FRAX Score With Risk of Fracture in Older Adults With Type 2 Diabetes
journal, June 2011
- Schwartz, Ann V.
- JAMA, Vol. 305, Issue 21
Infrared Assessment of Bone Quality: A Review
journal, January 2011
- Paschalis, Eleftherios P.; Mendelsohn, Richard; Boskey, Adele L.
- Clinical Orthopaedics & Related Research, Vol. 469, Issue 8
Circulating Osteogenic Precursor Cells in Type 2 Diabetes Mellitus
journal, September 2012
- Manavalan, J. S.; Cremers, S.; Dempster, D. W.
- The Journal of Clinical Endocrinology & Metabolism, Vol. 97, Issue 9
Simple and sensitive method for quantification of fluorescent enzymatic mature and senescent crosslinks of collagen in bone hydrolysate using single-column high performance liquid chromatography
journal, January 2009
- Viguet-Carrin, S.; Gineyts, E.; Bertholon, C.
- Journal of Chromatography B, Vol. 877, Issue 1-2
Fracture risk in patients with type 2 diabetes mellitus and possible risk factors: a systematic review and meta-analysis
journal, April 2017
- Moayeri, Ardeshir; Mohamadpour, Mahmoud; Mousavi, Seyedeh
- Therapeutics and Clinical Risk Management, Vol. Volume 13
Age-related changes in the human femoral cortex
journal, March 1991
- Simmons, E. D.; Pritzker, K. P. H.; Grynpas, M. D.
- Journal of Orthopaedic Research, Vol. 9, Issue 2
Influence of nonenzymatic glycation on biomechanical properties of cortical bone
journal, February 2001
- Vashishth, D.; Gibson, G. J.; Khoury, J. I.
- Bone, Vol. 28, Issue 2
Intrinsic mechanical behavior of femoral cortical bone in young, osteoporotic and bisphosphonate-treated individuals in low- and high energy fracture conditions
journal, February 2016
- Zimmermann, Elizabeth A.; Schaible, Eric; Gludovatz, Bernd
- Scientific Reports, Vol. 6, Issue 1
Investigation of Mechanical, Material, and Compositional Determinants of Human Trabecular Bone Quality in Type 2 Diabetes
journal, January 2021
- Sihota, Praveer; Yadav, Ram Naresh; Dhaliwal, Ruban
- The Journal of Clinical Endocrinology & Metabolism, Vol. 106, Issue 5
Fourier Transform Infrared Spectroscopic Characterization of Mineralizing Type I Collagen Enzymatic Trivalent Cross-Links
journal, November 2014
- Paschalis, E. P.; Gamsjaeger, S.; Tatakis, D. N.
- Calcified Tissue International, Vol. 96, Issue 1
Pentosidine and Increased Fracture Risk in Older Adults with Type 2 Diabetes
journal, July 2009
- Schwartz, Ann V.; Garnero, Patrick; Hillier, Teresa A.
- The Journal of Clinical Endocrinology & Metabolism, Vol. 94, Issue 7
Application of Fracture Mechanics Concepts to Hierarchical Biomechanics of Bone and Bone-like Materials
journal, March 2006
- Gao, Huajian
- International Journal of Fracture, Vol. 138, Issue 1-4
Surface properties of biomimetic nanocrystalline apatites; applications in biomaterials
journal, September 2014
- Rey, Christian; Combes, Christèle; Drouet, Christophe
- Progress in Crystal Growth and Characterization of Materials, Vol. 60, Issue 3-4
Nika : software for two-dimensional data reduction
journal, March 2012
- Ilavsky, Jan
- Journal of Applied Crystallography, Vol. 45, Issue 2
High-Resolution Peripheral Quantitative Computed Tomographic Imaging of Cortical and Trabecular Bone Microarchitecture in Patients with Type 2 Diabetes Mellitus
journal, November 2010
- Burghardt, Andrew J.; Issever, Ahi S.; Schwartz, Ann V.
- The Journal of Clinical Endocrinology & Metabolism, Vol. 95, Issue 11
Mechanisms of diabetes mellitus-induced bone fragility
journal, September 2016
- Napoli, Nicola; Chandran, Manju; Pierroz, Dominique D.
- Nature Reviews Endocrinology, Vol. 13, Issue 4
Diabetes and Its Effect on Bone and Fracture Healing
journal, August 2015
- Jiao, Hongli; Xiao, E.; Graves, Dana T.
- Current Osteoporosis Reports, Vol. 13, Issue 5
Accumulation of carboxymethyl-lysine (CML) in human cortical bone
journal, May 2018
- Thomas, Corinne J.; Cleland, Timothy P.; Sroga, Grazyna E.
- Bone, Vol. 110
Reproducibility of direct quantitative measures of cortical bone microarchitecture of the distal radius and tibia by HR-pQCT
journal, September 2010
- Burghardt, Andrew J.; Buie, Helen R.; Laib, Andres
- Bone, Vol. 47, Issue 3
Nonenzymatic Glycation and Degree of Mineralization Are Higher in Bone From Fractured Patients With Type 1 Diabetes Mellitus
journal, September 2015
- Farlay, Delphine; Armas, Laura AG; Gineyts, Evelyne
- Journal of Bone and Mineral Research, Vol. 31, Issue 1
Fracture risk in diabetic elderly men: the MrOS study
journal, June 2014
- Napoli, Nicola; Strotmeyer, Elsa S.; Ensrud, Kristine E.
- Diabetologia, Vol. 57, Issue 10
Systematic Review of Type 1 and Type 2 Diabetes Mellitus and Risk of Fracture
journal, June 2007
- Janghorbani, M.; Van Dam, R. M.; Willett, W. C.
- American Journal of Epidemiology, Vol. 166, Issue 5
Mechanical Competence and Bone Quality Develop During Skeletal Growth
journal, June 2019
- Zimmermann, Elizabeth A.; Riedel, Christoph; Schmidt, Felix N.
- Journal of Bone and Mineral Research, Vol. 34, Issue 8
Nanoscale Deformation Mechanisms in Bone
journal, October 2005
- Gupta, Himadri S.; Wagermaier, Wolfgang; Zickler, Gerald A.
- Nano Letters, Vol. 5, Issue 10
Greater
Carboxy‐Methyl‐Lysine
Is Associated With Increased Fracture Risk in Type 2 Diabetes
journal, November 2021
- Dhaliwal, Ruban; Ewing, Susan K.; Vashishth, Deepak
- Journal of Bone and Mineral Research, Vol. 37, Issue 2
Circulating Levels of Carboxy-Methyl-Lysine (CML) Are Associated With Hip Fracture Risk: The Cardiovascular Health Study
journal, April 2014
- Barzilay, Joshua I.; Bůžková, Petra; Zieman, Susan J.
- Journal of Bone and Mineral Research, Vol. 29, Issue 5
Bone microarchitecture, biomechanical properties, and advanced glycation end-products in the proximal femur of adults with type 2 diabetes
journal, September 2018
- Karim, Lamya; Moulton, Julia; Van Vliet, Miranda
- Bone, Vol. 114
Non‐Obese
MKR
Mouse Model of Type 2 Diabetes Reveals Skeletal Alterations in Mineralization and Material Properties
journal, December 2021
- Tice, Matthew J. L.; Bailey, Stacyann; Sroga, Grażyna E.
- JBMR Plus, Vol. 6, Issue 2
Contributions of Material Properties and Structure to Increased Bone Fragility for a Given Bone Mass in the UCD‐T2DM Rat Model of Type 2 Diabetes
journal, February 2018
- Acevedo, Claire; Sylvia, Meghan; Schaible, Eric
- Journal of Bone and Mineral Research, Vol. 33, Issue 6
Bone As An Endocrine Organ
journal, September 2012
- Guntur, Anyonya R.; Rosen, Clifford J.
- Endocrine Practice, Vol. 18, Issue 5
Multi-level characterization of human femoral cortices and their underlying osteocyte network reveal trends in quality of young, aged, osteoporotic and antiresorptive-treated bone
journal, March 2015
- Milovanovic, Petar; Zimmermann, Elizabeth A.; Riedel, Christoph
- Biomaterials, Vol. 45
Measurement of pentosidine in human plasma protein by a single-column high-performance liquid chromatography method with fluorescence detection
journal, March 2009
- Scheijen, Jean L. J. M.; van de Waarenburg, Marjo P. H.; Stehouwer, Coen D. A.
- Journal of Chromatography B, Vol. 877, Issue 7
Quantification of glyoxal, methylglyoxal and 3-deoxyglucosone in blood and plasma by ultra performance liquid chromatography tandem mass spectrometry: evaluation of blood specimen
journal, January 2014
- Scheijen, Jean L. J. M.; Schalkwijk, Casper G.
- Clinical Chemistry and Laboratory Medicine, Vol. 52, Issue 1
Bone mineral density distribution in thoracic and lumbar vertebrae: An ex vivo study using dual energy X-ray absorptiometry
journal, February 2006
- Briggs, Andrew M.; Wark, John D.; Kantor, Susan
- Bone, Vol. 38, Issue 2
Increased cortical porosity in type 2 diabetic postmenopausal women with fragility fractures
journal, January 2013
- Patsch, Janina M.; Burghardt, Andrew J.; Yap, Samuel P.
- Journal of Bone and Mineral Research, Vol. 28, Issue 2
The Role of Water Compartments in the Material Properties of Cortical Bone
journal, March 2015
- Granke, Mathilde; Does, Mark D.; Nyman, Jeffry S.
- Calcified Tissue International, Vol. 97, Issue 3
Individuals with type 2 diabetes mellitus show dimorphic and heterogeneous patterns of loss in femoral bone quality
journal, November 2020
- Wölfel, Eva M.; Jähn-Rickert, Katharina; Schmidt, Felix N.
- Bone, Vol. 140
Fracture Risk in Type 2 Diabetes: Current Perspectives and Gender Differences
journal, January 2016
- Russo, Giuseppina T.; Giandalia, Annalisa; Romeo, Elisabetta L.
- International Journal of Endocrinology, Vol. 2016
Diabetes, Collagen, and Bone Quality
journal, March 2014
- Saito, Mitsuru; Kida, Yoshikuni; Kato, Soki
- Current Osteoporosis Reports, Vol. 12, Issue 2
Sclerostin Regulation, Microarchitecture, and Advanced Glycation End‐Products in the Bone of Elderly Women With Type 2 Diabetes
journal, October 2020
- Piccoli, Alessandra; Cannata, Francesca; Strollo, Rocky
- Journal of Bone and Mineral Research, Vol. 35, Issue 12
Bone Geometry, Volumetric Density, Microarchitecture, and Estimated Bone Strength Assessed by HR-pQCT in Adult Patients With Type 1 Diabetes Mellitus
journal, July 2015
- Shanbhogue, Vikram V.; Hansen, Stinus; Frost, Morten
- Journal of Bone and Mineral Research, Vol. 30, Issue 12