Abstract
The skeleton is formed during childhood through the constant influence of daily mechanical loading. Later, the skeleton is remodelled in order to renew bone tissue and reorganise bone structure. Bone remodelling is a dynamic process, with several types of cells working close together in time and space. It occurs in anatomically discrete sites, which are active for a few months and then rest for several years. During each remodelling process, some bone mass is lost, causing the normal age-related bone loss. The bone remodelling process mediates at any time the effect of both hormonal and mechanical agents that act on the skeleton. Different naturally-occurring events or therapeutic regimens can influence the activation frequency, the balance, and all phases of the remodelling process. This dynamic remodelling process can be simulated during normal aging, the menopause, and also during different therapeutic regimens. A simulation model thereby provides “non-invasive” information concerning the influence of the remodelling process on bone mass, architecture, and thereby bone strength — and it also provides a tool for evaluating existing and new regimens for the treatment of osteoporosis.
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References
Atkinson P.J.: Variation in trabecular structure of vertebrae with age. Calcif. Tissue Res. 1: 24–32, 1967.
Baron R., Vignery A., Lang R.: Reversal phase and osteopenia: Defective coupling of resorption to formation in the pathogenesis of osteoporosis. In: Osteoporosis, Recent Advances in Pathogenesis and Treatment. (H.F. DeLuca, H.M. Frost, W.S.S. Jee, C.C. Johnston Jr. and A.M. Parfitt eds.), Baltimore University Press, pp. 311–320, 1981.
Baron R.: Molecular mechanisms of bone resorption by the osteoclast. The Anatomical Record 224: 317–324, 1989.
Bell G.H., Dunbar O., Beck J.S., Gibb A.: Variations in strength of vertebrae with age and their relation to osteoporosis. Calc. Tiss. Res. 1: 75–86, 1967.
Bergot C., Prêteux F., Laval-Jeantet A.-M.: Quantitative image analysis of thin sagittal and transversal slices from autopsy specimens from L3 vertebrae. In: Osteoporosis 1987. (C. Christiansen et al. eds.), Osteo Press, Copenhagen, pp. 338–340, 1987.
Boyde A. and Jones S.J.: Early scanning electron microscopic studies of hard tissue resorption: Their relation to current concepts reviewed. Scan. Microsc. Vol. 1,1: 369–381, 1987.
Brockstedt H., Kassem M., Eriksen E.F., Mosekilde Le., Melsen F.: Age- and sex- related changes in the iliac cortical bone mass and remodelling. Bone 14: 681–691, 1993.
Chambers T.J.: The pathobiology of the osteoclast. J. Clin. Pathol. 38: 241–252, 1985.
Chambers T. J., Darby J.A., Fuller K.: Mammalian collagenase predisposes bone surfaces to osteoclastic resorption. Cell. Tissue Res. 241: 671–675, 1985.
Chambers T.J. and Fuller K.: Bone cells predispose bone surfaces to resorption by exposure of mineral to osteoclastic contact. J. Cell Sci. 76: 155–165, 1985.
Eastell R., Mosekilde Li., Hodgson S.F., Riggs B.L.: Proportion of human vertebral body bone that is cancellous. J. Bone Min. Res. 5,12: 1237–1241, 1990.
Elmardi A.S., Katchburian M.V., Katchburian E.: Electron microscopy of developing calvaria reveals images that suggest that osteoclasts engulf and destroy osteocytes during bone resorption. Calcif. Tiss. Int. 46: 239–245, 1990.
Eriksen E.F., Melsen F., Mosekilde Le.: Reconstruction of the resorptive site in iliac trabecular bone. A kinetic model for bone resorption in 20 normal individuals. Metab. Bone Dis. Relat. Res. 5: 235–242, 1984.
Eriksen E.F., Mosekilde Le., Melsen F.: Trabecular bone resorption depth decreases with age: Differences between normal males and females. Bone 6: 141–146, 1985.
Eriksen E.F.: Normal and pathological remodelling of human trabecular bone: Three dimensional reconstruction of the remodelling sequence in normals and in metabolic bone disease. Endocrine Rev. 7,4: 379–408, 1986.
Feldkamp L.E., Goldstein S.A., Parfitt A.M. et al.: The direct examination of three- dimensional bone architecture in vitro by computed tomography. J. Bone Min. Res. 4: 3–11, 1989.
Frost H.M.: Bone remodelling dynamics (C.R. Lam ed.), C.C. Thomas, Springfield, IL, pp. 65–75, 1963.
Frost H.M.: Dynamics of bone remodelling. In: Bone Biodynamics (H.M. Frost ed.) Little Brown & Co., Boston, USA, pp 315–331, 1964.
Frost H.M.: Editorial: Tetracycline based histological analysis of bone remodelling. Calcif. Tissue Res. 3: 211–237, 1969
Frost H.M.: The spinal osteoporoses. Mechanisms of pathogenesis and pathophysiology. Clin. Endocrin. Metab. 2,2: 257–275, 1973.
Frost H.M.: A determinant of bone architecture. The minimum effective strain. Clin. Orthop. Rel. Res. 175: 286–292, 1983A.
Frost H.M.: The skeletal intermediary organization. Metab. Bone Dis. Relat. Res. 4: 281–290, 1983B.
Frost H.M.: Editorial: The mechanostat: a proposed pathogenic mechanism of osteoporosis and the bone mass effects of mechanical and nonmechanical agents. Bone Miner. 2: 73–85, 1987.
Frost H.M.: Editorial: Vital biomechanics: Proposed general concepts for skeletal adaptions to mechanical usage. Calcif. Tissue Int. 42: 145–156, 1988.
Garrahan N. J., Croucher P.I., Wright C., Compston J.E.: A computerised technique for the quantitative assessment of resorption cavities in trabecular bone. Bone 11: 241–245, 1990.
Gilsanz V., Gibbens D.T., Carlson M., Boechat M.I., Cann C.E., Schulz E.E.: Peak trabecular vertebral density: A comparison of adolescent and adult females. Calcif. Tissue Int. 43: 260–262, 1988.
Hodgskinson R. and Currey J.D.: Effects of structural variation on Young’s modulus of non-human cancellous bone. Proc. Instn. Mech. Engrs. 204: 43–52, 1990.
Jensen K.S., Mosekilde Li., Mosekilde Le.: A model of vertebral trabecular bone architecture and its mechanical properties. Bone 11: 417–423, 1990.
Karazian L. and Graves G.A.: Compressive strength characteristics of the human vertebral centrum. Spine 21: 1–14, 1977.
Kleerekoper M., Villanueva A.R., Stanciu J., Rao D.S., Parfitt A.M.: The role of three dimensional trabecular microstructure in the pathogenesis of vertebral compression fractures. Calcif. Tissue Int. 37: 594–597, 1985.
Kragstrup J. and Melsen F.: Three-dimensional morphology of trabecular bone osteons reconstructed from serial sections. Metab. Bone Dis. Relat. Res. 5: 127–130, 1983.
Lacy M.E., Bevan J.A., Boyce R.W., Geddes A.D.: Antiresorptive druge and trabecular bone turnover: validation and testing of a computer model. Calcif. Tissue Int. 54: 179–185, 1994.
Marcus R., Kosek J., Pfefferbaum A., Horning S.: Age-related loss of trabecular bone in premenopausal women: A biopsy study. Calcif. Tissue Int. 35: 406–409, 1983.
Melsen F., Melsen B., Mosekilde Le., Bergmann S.: Histomorphometric analysis of normal bone from the iliac crest. Acta Path. Microbiol. Scand. Sect. A, 86: 70–81, 1978.
Mosekilde Li.: Age related changes in vertebral trabecular bone architecture — Assessed by a new method. Bone 9: 247–250, 1988.
Mosekilde Li.: Sex differences in age-related loss of vertebral trabecular bone mass and structure — biomechanical consequences. Bone 10: 425–432, 1989.
Mosekilde Li.: Consequences of the remodelling process for vertebral trabecular bone structure — A scanning electron microscopy study (uncoupling of unloaded structures). Bone Miner. 10: 13–35, 1990.
Mosekilde Li. and Mosekilde Le.: Iliac crest trabecular bone volume as a predictor for vertebral compressive strength, ash density and trabecular bone volume in normal individuals. Bone 9: 195–199, 1988.
Mosekilde Li., Mosekilde Le., Danielsen C.C.: Biomechanical competence of vertebral trabecular bone in relation to ash density and age in normal individuals. Bone 8: 79–85, 1987.
Odgaard A., Andersen K., Melsen F., Gundersen H.J.G.: A direct method for fast three-dimensional serial reconstruction. J. Microsc. 159: 335–342, 1990.
Parfitt A.M.: The cellular basis of bone remodelling: The quantum concept reexamined in light of recent advances in the cell biology of bone. Calcif. Tissue Int. 36: S37–45, 1984A.
Parfitt A.M.: Age-related structural changes in trabecular and cortical bone: Cellular mechanisms and biomechanical consequences. Calcif. Tissue Int. 36: 37–45, 1984B.
Parfitt A.M.: Trabecular bone architecture in the pathogenesis and prevention of fracture. Am. J. Med. 82, 1B: 68–72, 1987.
Parfitt A.M.: Bone remodelling: Relationship to the amount and structure of bone, and the pathogenesis and prevention of fractures. In: Osteoporosis: Etiology, diagnosis and management. (B.L. Riggs and L.J. Melton III eds.), Raven Press, New York, pp. 45–93, 1988.
Parfitt A.M., Mathews H.E., Villanueva A.R., Kleerekoper M., Frame B., Rao D.S.: Relationships between surface, volume, and thickness of iliac trabecular bone in aging and in osteoporosis. J. Clin. Inv. 72, 4: 1396–1409, 1983.
Pesch H.-J., Scharf H.-P., Lauer G., Seibold H.: Der altersabhängige Verbundbau der Lendenwirbelkörper. Virchows Arch. A. (Pathol. Anat.) 386: 21–41, 1980.
Radin E.L.: Mechanical aspects of fractures and their treatment. In: Osteoporosis, Recent Advances in Pathogenesis and Treatment (H.F. DeLuca, H.M. Frost, W.S.S. Jee, C.C. Johnston Jr. and A.M. Parfitt eds.), University Park Press, Baltimore, pp. 191–199, 1983.
Reeve J.: A stochastic analysis of iliac trabecular bone dynamics. Clin. Orthop. Rel. Res. 213: 264–278, 1986.
Riggs B.L., Wahner H.W., Melton L.J.III, Richelson L.S., Judd H.L., Offord K.P.: Rates of bone loss in the appendicular and axial skeletons of women: Evidence of substantial vertebral bone loss before menopause. J. Clin. Invest.77: 1487–1491, 1986.
Thomsen J.S., Mosekilde Li., Boyce R.W., Mosekilde E.: Stochastic simulation of vertebral trabecular bone remodell-ing. Bone, in press.
Townsend P.R., Rose R.M., Radin E.L.: Buckling studies of single human trabecule. J. Biomech. 8: 199–201, 1975A.
Townsend P.R., Raux P., Rose R.M., Miegel R.E., Radin E.L.: The distribution and anisotropy of the stiffness of cancellous bone in the human patella. J. Biomech. 8: 363–367, 1975B.
Vesterby A., Gundersen H.J.G., Melsen F.: Star volume of marrow space and trabeculae of the first lumbar vertebra: Sampling efficiency and biological variation. Bone 10: 7–13, 1989.
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Mosekilde, L., Thomsen, J.S., Mosekilde, E. (1995). Dynamics of Bone Remodelling. In: Mosekilde, E., Mouritsen, O.G. (eds) Modelling the Dynamics of Biological Systems. Springer Series in Synergetics, vol 65. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79290-8_10
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DOI: https://doi.org/10.1007/978-3-642-79290-8_10
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