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Prepublished online as a Blood First Edition Paper on December 27, 2002; DOI 10.1182/blood-2002-09-2839.
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Blood, 15 April 2003, Vol. 101, No. 8, pp. 2983-2989
HEMATOPOIESIS
Stimulation of osteoprotegerin production is responsible for
osteosclerosis in mice overexpressing TPO
Hédia Chagraoui,
Micheline Tulliez,
Tarek Smayra,
Emiko Komura,
Stéphane Giraudier,
Theodore Yun,
Nathalie Lassau,
William Vainchenker, and
Françoise Wendling
From the IFR 54-INSERM U 362, Institut Gustave Roussy,
Villejuif, France; Service d'Anatomie et Cytologie
Pathologiques, Hôpital Cochin, Paris, France; LIPA,
IFR 54, Institut Gustave Roussy, Villejuif, France; and
Department of Immunology, University of Washington, Seattle.
Myelofibrosis and osteosclerosis are prominent features arising in
mice overexpressing thrombopoietin (TPO). The pivotal role of
transforming growth factor 1 (TGF- 1) in the pathogenesis of
myelofibrosis has been documented, but the mechanisms mediating osteosclerosis remain unclear. Here, we used mice deficient in osteoprotegerin (OPG), a secreted inhibitor of bone resorption, to
determine whether osteosclerosis occurs through a deregulation of
osteoclastogenesis. Marrow cells from opg-deficient mice
(opg / ) or wild-type (WT) littermates were
infected with a retrovirus encoding TPO and engrafted into an
opg / or WT background for long-term
reconstitution. The 4 combinations of graft/host (WT/WT,
opg / /opg / ,
opg / /WT, and
WT/opg / ) were studied. Elevation of TPO and
TGF- 1 levels in plasma was similar in the 4 experimental groups and
all the mice developed a similar myeloproliferative syndrome associated
with severe myelofibrosis. Osteosclerosis developed in WT hosts
engrafted with WT or opg / hematopoietic
cells and was associated with increased OPG levels in plasma and
decreased osteoclastogenesis. In contrast,
opg / hosts exhibited an osteoporotic
phenotype and a growth of bone trabeculae was rarely seen. These
findings suggest that osteosclerosis in mice with TPO overexpression
occurs predominantly via an up-regulation of OPG in host stromal cells
leading to disruption of osteoclastogenesis.

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