Wnt Signaling Regulation in Bone of Postmenopausal Women With Type 2 Diabetes

Author:

Leanza Giulia12ORCID,Cannata Francesca1,Faraj Malak1,Pedone Claudio3,Viola Viola1,Tramontana Flavia12,Pellegrini Niccolò1,Vadalà Gianluca4,Piccoli Alessandra1,Strollo Rocky5,Beeve Alec6,Scheller Erica L6ORCID,Tang Simon7ORCID,Civitelli Roberto6ORCID,Maccarrone Mauro89,Papalia Rocco4,Napoli Nicola126

Affiliation:

1. Department of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy

2. Operative Research Unit of Osteometabolic and Thyroid Diseases, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 – 00128, Roma, Italy

3. Operative Research Unit of Geriatrics, Fondazione Policlinico Universitario Campus Bio- Medico, Via Alvaro del Portillo, 200 – 00128, Roma, Italy

4. Operative Research Unit of Orthopedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 – 00128, Roma, Italy

5. Department of Human Sciences and Promotion of the Quality of Life San Raffaele Roma Open University Via di Val Cannuta 247, 00166 Roma, Italy

6. Department of Medicine, Division of Bone and Mineral Diseases. Musculoskeletal Research Center, Washington University School of Medicine, St. Louis, MO USA

7. Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO, USA

8. Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, Via Vetoio snc, 67100 L’Aquila, Italy

9. European Center for Brain Research, Santa Lucia Foundation IRCCS, 00164 Roma, Italy

Abstract

Type 2 diabetes (T2D) is associated with higher fracture risk, despite normal or high bone mineral density. We reported that bone formation genes (SOST and RUNX2) and advanced glycation end-products (AGEs) were impaired in T2D. Thus, we investigated Wnt signaling regulation and its association with AGEs accumulation in T2D. We obtained bone tissue from 15 T2D and 21 non-diabetic postmenopausal women undergoing hip arthroplasty. Bone histomorphometry revealed a trend of low mineralized volume in T2D. We showed that gene expression of Wnt agonists LEF-1 and WNT10B were lower in T2D. Accordingly, WNT5A and SOST gene expression were higher, while collagen (COL1A1) was lower in T2D. Importantly, AGEs content was associated with SOST and WNT5A, but inversely correlated with LEF-1 and COL1A1. Finally, SOST was also associated with glycemic control and disease duration. These findings suggest that Wnt signaling and AGEs could be the main determinants of bone fragility in T2D.

Publisher

eLife Sciences Publications, Ltd

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