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Prepublished online as a Blood First Edition Paper on December 27, 2002; DOI 10.1182/blood-2002-09-2839.

Submitted September 19, 2002
Accepted December 13, 2002
Stimulation of osteoprotegerin production is responsible for osteosclerosis in mice overexpressing TPO
Hedia Chagraoui, Micheline Tulliez, Tarek Smayra, Emiko Komura, Stephane Giraudier, Theodore Yun, Nathalie Lassau, William Vainchenker*, and Francoise Wendling
IFR 54-INSERM U 362, Institut Gustave Roussy, Villejuif, France
Service Anatomie et Cytologie Pathologiques, Hopital Cochin, Paris, France
LIPA, IFR 54, Institut Gustave Roussy, Villejuif, France
Department of Immunology, University of Washington, Seattle, WA, USA
* Corresponding author; email: verpre{at}igr.fr.
Myelofibrosis and osteosclerosis are prominent features arising in mice overexpressing thrombopoietin (TPO). The pivotal role of 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 four 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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